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Some obese individuals take amphetamines to suppress appetite and help them lose weight. Which
of the following is an adverse effect associated with the use of amphetamines that makes this
practice undesirable?
a. Bradycardia
b. Amenorrhea
c. Tolerance
d. Convulsions
c. Tolerance
The Maudsley approach to the treatment of adolescents with anorexia nervosa advances which of
the following fundamental concepts?
a. The patient's family should be actively involved in each phase of treatment.
b. Parents should be prohibited from involvement in helping their child eat since there are often
control issues.
c. Adolescents need to work on developing healthy self-identities before they can begin to gain
weight.
d. Individual psychotherapy is the most effective treatment for adolescents with anorexia nervosa.
a. The patient's family should be actively involved in each phase of treatment.
A client has sought help for his concern that he is binge eating and feels like it has "gotten out of
control." He asks the nurse what can be done to help him. Which of the following is the most
accurate response?
a. "Nothing can be done."
b. "Some medications and psychological treatments have demonstrated effectiveness in reducing
binge eating behaviors."
c. "The primary problem is obesity. I can help you set up a calorie-restricted diet."
d. "Medications can help with weight loss, but there are no medications effective for reducing binge
eating."
b. "Some medications and psychological treatments have demonstrated effectiveness in reducing
binge eating behaviors."
Which of the following physical manifestations would you expect to assess in a client suffering from
anorexia nervosa?
a. Tachycardia, hypertension, hyperthermia
b. Bradycardia, hypertension, hyperthermia
,c. Bradycardia, hypotension, hypothermia
d. Tachycardia, hypotension, hypothermia
c. Bradycardia, hypotension, hypothermia
Which medication has been used with some success in clients with anorexia nervosa?
a. Lorcaserin (Belviq)
b. Diazepam (Valium)
c. Fluoxetine (Prozac)
d. Carbamazepine (Tegretol)
c. Fluoxetine (Prozac)
A client is hospitalized on the psychiatric unit with a history and current diagnosis of bulimia
nervosa. Which of the following symptoms would be congruent with this client's diagnosis?
a. Binging, purging, obesity, hyperkalemia
b. Binging, purging, normal weight, hypokalemia
c. Binging, laxative abuse, amenorrhea, severe weight loss
d. Binging, purging, severe weight loss, hyperkalemia
b. Binging, purging, normal weight, hypokalemia
A 14-year-old client has just been admitted to the psychiatric unit for anorexia nervosa. She is
emaciated and refuses to eat. What is the priority nursing diagnosis for this client?
a. Complicated grieving
b. Imbalanced nutrition: Less than body requirements.
c. Interrupted family processes
d. Anxiety (severe)
b. Imbalanced nutrition: Less than body requirements.
The nurse is caring for a client who has been hospitalized with anorexia nervosa and is severely
malnourished. The client continues to refuse to eat. What is the most appropriate response by the
nurse?
a. "You know that if you don't eat, you will die."
b. "If you continue to refuse to take food orally, you will be fed through a nasogastric tube."
c. "You might as well leave if you are not going to follow your therapy regimen."
d. "You don't have to eat if you don't want to. It is your choice."
b. "If you continue to refuse to take food orally, you will be fed through a nasogastric tube."
A hospitalized client with bulimia nervosa has stopped vomiting in the hospital and tells the nurse
she is afraid she is going to gain weight. Which is the most appropriate response by the nurse?
a. "Don't worry. The dietitian will ensure you don't get too many calories in your diet."
b. "Don't worry about your weight. We are going to work on other problems while you are in the
hospital."
c. "I understand that you are concerned about your weight, and we will talk about the importance of
, good nutrition, but for now I want you to tell me about your recent invitation to join the National
Honor Society. That's quite an accomplishment."
d. "You are not fat, and the staff will ensure that you do not gain weight while you are in the
hospital, because we know that is important to you."
c. "I understand that you are concerned about your weight, and we will talk about the importance of
good nutrition, but for now I want you to tell me about your recent invitation to join the National
Honor Society. That's quite an accomplishment."
A client presents in the emergency department with complaints of suicidal ideation. The following
information is collected by the nurse. Which of these assessment findings suggests that bulimia
nervosa might be a health problem? (Select all that apply.)
a. Parotid glands appear enlarged.
b. Teeth have a "moth-eaten" pattern of tooth decay.
c. Client reports that she takes laxatives daily.
d. Client's weight is within the expected range.
a. Parotid glands appear enlarged.
b. Teeth have a "moth-eaten" pattern of tooth decay.
c. Client reports that she takes laxatives daily.
d. Client's weight is within the expected range.
A client diagnosed with borderline personality disorder manipulates the staff in an effort to fulfill her
own desires. All of the following may be examples of manipulative behaviors in the borderline
patient except:
a. Refusal to stay in a room alone, stating, "It's so lonely."
b. Asking the nurse for cigarettes after 30 minutes, knowing the assigned nurse has explained she
must wait 1 hour.
c. Stating to the nurse, "I really like having you for my nurse. You're the best one around here."
d. Cutting arms with razor blade after discussing dismissal plans with physician.
a. Refusal to stay in a room alone, stating, "It's so lonely."
A client on the psychiatric unit has a diagnosis of antisocial personality disorder. Which of the
following characteristics is consistent with this diagnosis?
a. Lack of guilt for wrongdoing
b. Insight into his own behavior
c. Ability to learn from past experiences
d. Compliance with authority
a. Lack of guilt for wrongdoing
A nurse on the psychiatric unit documents that the client was attempting to use "splitting" behaviors
with staff. This should be interpreted to mean that the client is:
a. Trying to keep staff away from other patients.
b. Characterizing staff members as either all good or all bad.