Mental Health - Chapters 18, 39, 40
(Eating Disorders, Nutritional, and
Obesity) Questions – 100% Correct,
Expert Verified Answers with A+
Grade Assurance
A 19-year-old female admitted with anorexia nervosa is 5 ft 6 in (163 cm) tall
and weighs 88 pounds (41 kg). Laboratory tests reveal hypokalemia and iron-
deficiency anemia. Which nursing diagnosis has the highest priority?
a. Risk for activity intolerance related to anemia
b. Risk for electrolyte imbalance related to eating patterns
c. Ineffective health maintenance related to body image obsession
d. Imbalanced nutrition: less than body requirements related to anorexia
ANSW ✔✔ b.
A 20-year-old female is being admitted for electrolyte disorders of unknown
etiology. Which assessment finding is most important to report to the health
care provider?
a. The patient uses laxatives daily.
b. The patient's knuckles are macerated.
c. The patient's serum potassium level is 2.9 mEq/L.
d. The patient has a history of large weight fluctuations. ANSW ✔✔ c.
A 22-year-old who is hospitalized with anorexia nervosa is 5 ft 5 in (163 cm) tall
and weighs 90 pounds (41 kg). Laboratory tests reveal hypokalemia and iron-
deficiency anemia. Which nursing diagnosis has the highest priority for the
patient?
a. Risk for activity intolerance related to anemia and weakness
b. Risk for cardiac dysrhythmias related to electrolyte imbalance
,c. Ineffective health maintenance related to obsession with body image
d. Imbalanced nutrition: less than body requirements related to refusal to eat
ANSW ✔✔ b.
A 40-year-old obese woman reports that she wants to lose weight. Which
question should the nurse ask first?
a. "What factors led to your obesity?"
b. "Which types of food do you like best?"
c. "How long have you been overweight?"
d. "What kind of activities do you enjoy?" ANSW ✔✔ a.
A 48-year-old woman has a body mass index (BMI) of 31 kg/m2, a normal C-
reactive protein level, and low serum transferrin and albumin levels. The nurse
will plan patient teaching to increase the patient's intake of foods that are high
in
a. iron.
b. protein.
c. calories.
d. carbohydrate. ANSW ✔✔ b.
A 5-year-old child was diagnosed with encopresis. Which assessment finding
would the nurse expect associated with this diagnosis? The child:
a. frequently smears feces on clothing and toys.
b. experiences frequent nocturnal episodes of bedwetting.
c. has accidents of defecation at kindergarten three times a week.
d. has occasional episodes of voiding accidents at the day care center. ANSW
✔✔ c.
,A 60-year-old man who is hospitalized with an abdominal wound infection has
only been eating about 50% of meals and states, "Nothing on the menu sounds
good." Which action by the nurse will be most effective in improving the
patient's oral intake?
a. Order six small meals daily.
b. Make a referral to the dietitian.
c. Teach the patient about high-calorie foods.
d. Have family members bring in favorite foods. ANSW ✔✔ d.
A 61-year-old man is being admitted for bariatric surgery. Which nursing action
can the nurse delegate to unlicensed assistive personnel (UAP)?
a. Demonstrate use of the incentive spirometer.
b. Plan methods for bathing and turning the patient.
c. Assist with IV insertion by holding adipose tissue out of the way.
d. Develop strategies to provide privacy and decrease embarrassment. ANSW
✔✔ c.
A 76-year-old woman with a body mass index (BMI) of 17 kg/m2 and a low
serum albumin level is being admitted by the nurse. Which assessment finding
will the nurse expect to find?
a. Restlessness
b. Hypertension
c. Pitting edema
d. Food allergies ANSW ✔✔ c.
A client on an inpatient unit has been diagnosed with bulimia nervosa. The
client states' "I'm going to the bathroom and will be back in a few minutes."
Which nursing response is most appropriate?
A. Thanks for checking in
, B. I will accompany you to the bathroom
C. Let me know when you get back to the day room
D. I'll stand outside your door to give you privacy. ANSW ✔✔ b.
A client with a long history of bulimia nervosa is seen in the emergency
department. The client is seeing things that others do not, is restless, and has
dry mucous membranes. Which is most likely the cause of this client's
symptoms?
A. Mood disorders, which often accompany the diagnosis of bulimia nervosa
B. Nutritional deficits, which are characteristic of bulimia nervosa
C. Vomiting, which may lead to dehydration and electrolyte imbalance
D. Binging, which causes abdominal discomfort ANSW ✔✔ c.
A few months after bariatric surgery, a 56-year-old man tells the nurse, "My
skin is hanging in folds. I think I need cosmetic surgery." Which response by the
nurse is most appropriate?
a. "The important thing is that you are improving your health."
b. "The skinfolds will disappear once most of the weight is lost."
c. "Cosmetic surgery is a possibility once your weight has stabilized."
d. "Perhaps you would like to talk to a counselor about your body image."
ANSW ✔✔ c.
A healthy 28-year-old woman patient who weighs 145 pounds (66 kg) asks the
nurse about the minimum daily requirement for protein. How many grams of
protein will the nurse recommend?
a. 53
b. 66
c. 75
(Eating Disorders, Nutritional, and
Obesity) Questions – 100% Correct,
Expert Verified Answers with A+
Grade Assurance
A 19-year-old female admitted with anorexia nervosa is 5 ft 6 in (163 cm) tall
and weighs 88 pounds (41 kg). Laboratory tests reveal hypokalemia and iron-
deficiency anemia. Which nursing diagnosis has the highest priority?
a. Risk for activity intolerance related to anemia
b. Risk for electrolyte imbalance related to eating patterns
c. Ineffective health maintenance related to body image obsession
d. Imbalanced nutrition: less than body requirements related to anorexia
ANSW ✔✔ b.
A 20-year-old female is being admitted for electrolyte disorders of unknown
etiology. Which assessment finding is most important to report to the health
care provider?
a. The patient uses laxatives daily.
b. The patient's knuckles are macerated.
c. The patient's serum potassium level is 2.9 mEq/L.
d. The patient has a history of large weight fluctuations. ANSW ✔✔ c.
A 22-year-old who is hospitalized with anorexia nervosa is 5 ft 5 in (163 cm) tall
and weighs 90 pounds (41 kg). Laboratory tests reveal hypokalemia and iron-
deficiency anemia. Which nursing diagnosis has the highest priority for the
patient?
a. Risk for activity intolerance related to anemia and weakness
b. Risk for cardiac dysrhythmias related to electrolyte imbalance
,c. Ineffective health maintenance related to obsession with body image
d. Imbalanced nutrition: less than body requirements related to refusal to eat
ANSW ✔✔ b.
A 40-year-old obese woman reports that she wants to lose weight. Which
question should the nurse ask first?
a. "What factors led to your obesity?"
b. "Which types of food do you like best?"
c. "How long have you been overweight?"
d. "What kind of activities do you enjoy?" ANSW ✔✔ a.
A 48-year-old woman has a body mass index (BMI) of 31 kg/m2, a normal C-
reactive protein level, and low serum transferrin and albumin levels. The nurse
will plan patient teaching to increase the patient's intake of foods that are high
in
a. iron.
b. protein.
c. calories.
d. carbohydrate. ANSW ✔✔ b.
A 5-year-old child was diagnosed with encopresis. Which assessment finding
would the nurse expect associated with this diagnosis? The child:
a. frequently smears feces on clothing and toys.
b. experiences frequent nocturnal episodes of bedwetting.
c. has accidents of defecation at kindergarten three times a week.
d. has occasional episodes of voiding accidents at the day care center. ANSW
✔✔ c.
,A 60-year-old man who is hospitalized with an abdominal wound infection has
only been eating about 50% of meals and states, "Nothing on the menu sounds
good." Which action by the nurse will be most effective in improving the
patient's oral intake?
a. Order six small meals daily.
b. Make a referral to the dietitian.
c. Teach the patient about high-calorie foods.
d. Have family members bring in favorite foods. ANSW ✔✔ d.
A 61-year-old man is being admitted for bariatric surgery. Which nursing action
can the nurse delegate to unlicensed assistive personnel (UAP)?
a. Demonstrate use of the incentive spirometer.
b. Plan methods for bathing and turning the patient.
c. Assist with IV insertion by holding adipose tissue out of the way.
d. Develop strategies to provide privacy and decrease embarrassment. ANSW
✔✔ c.
A 76-year-old woman with a body mass index (BMI) of 17 kg/m2 and a low
serum albumin level is being admitted by the nurse. Which assessment finding
will the nurse expect to find?
a. Restlessness
b. Hypertension
c. Pitting edema
d. Food allergies ANSW ✔✔ c.
A client on an inpatient unit has been diagnosed with bulimia nervosa. The
client states' "I'm going to the bathroom and will be back in a few minutes."
Which nursing response is most appropriate?
A. Thanks for checking in
, B. I will accompany you to the bathroom
C. Let me know when you get back to the day room
D. I'll stand outside your door to give you privacy. ANSW ✔✔ b.
A client with a long history of bulimia nervosa is seen in the emergency
department. The client is seeing things that others do not, is restless, and has
dry mucous membranes. Which is most likely the cause of this client's
symptoms?
A. Mood disorders, which often accompany the diagnosis of bulimia nervosa
B. Nutritional deficits, which are characteristic of bulimia nervosa
C. Vomiting, which may lead to dehydration and electrolyte imbalance
D. Binging, which causes abdominal discomfort ANSW ✔✔ c.
A few months after bariatric surgery, a 56-year-old man tells the nurse, "My
skin is hanging in folds. I think I need cosmetic surgery." Which response by the
nurse is most appropriate?
a. "The important thing is that you are improving your health."
b. "The skinfolds will disappear once most of the weight is lost."
c. "Cosmetic surgery is a possibility once your weight has stabilized."
d. "Perhaps you would like to talk to a counselor about your body image."
ANSW ✔✔ c.
A healthy 28-year-old woman patient who weighs 145 pounds (66 kg) asks the
nurse about the minimum daily requirement for protein. How many grams of
protein will the nurse recommend?
a. 53
b. 66
c. 75
