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Chapter 12. Integrative Management of Disordered Eating
MULTIPLE CHOICE
1. The mother of a teen with an eating disorder expresses a concern that the family is
responsible for the problem. Which question will best help the nurse identify another
influence that is likely to have played a role in the teenagers eating disorder?
a. Does she have an after-school job?
b. Does she have access to nutritious foods?
c. Is there a family history of underweight adults?
d. Is your daughter interested in clothes and fashion? ANS: D
Women in this culture are bombarded by the fashion industry and media messages equating
beauty with thinness. Although it is true that eating disorders are less common in countries
where food is not abundant, in this culture persons with eating disorders tend not to choose
nutritious foods. Workplace competition with men would be of greater significance than this
broad statement. The biologic tendency to be overweight may influence some persons.
2. Long-term prognosis for eating disorders is improved dramatically when treatment
includes long-term cognitive-behavioral therapy. What statement provides the best
explanation to the patient for this component to the treatment plan?
a. This will help you identify a healthy, weight restoration diet.
b. Medication alone will not help you from relapsing back to your old habits.
c. In order to manage your disorder, you have to understand the root problems.
d. Prognosis has been proven to be much better with both medication and therapy. ANS: C
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Individuals need to resolve the core problems related to their eating behavior as well as the
underlying psychological issues. Outcome literature indicates that long-term cognitive-
behavioral, family, or interpersonal therapy, often in combination with antidepressant
medication, results in the most sustained improvement. Long-term outcome studies show a
more promising prognosis for those patients who continue treatment. Weight restoration is
necessary but not sufficient for recovery. The options that discuss the components of
treatment do not sufficiently explain the reasoning behind cognitive and behavior therapy.
3. The nurse is identifying outcomes for a teenager diagnosed with anorexia nervosa. Which
outcome has the greatest impact on long-term prognosis?
a. Verbalize underlying psychological issues.
b. Demonstrate effective coping skills related to conflict management.
c. Demonstrate improvement in body imagine reflecting a realistic viewpoint.
d. Consume adequate calories appropriate for age, height, and metabolic needs. ANS: B
Long-term prognosis is dependent on the patients ability to cope with the stressors that are at
the
root of the emotional problems such as conflict with family. Verbalization of underlying
stressors is not a guarantee that there will be progress towards managing them. Acceptance of
ones body and adequate calorie intake is possible only after coping skills are learned and
used.
4. Which statement is the basis for the cross-cultural assessment practices of eating disorders?
a. Mediterranean cultures are more likely to exhibit symptoms.
b. Male-dominated cultures are more likely to accept this disorder.
c. Westernized cultures tend to have similar numbers of diagnosed cases.
d. Access to food is the primary factor in determining incidence of the disorder. ANS: C
The incidence and prevalence of eating disorders around the world are similar among
European
countries, the United States, Canada, Mexico, Japan, Australia, and other Westernized
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countries. Access to food is not necessarily a cultural factor.
5. The nurse observes a distorted thinking pattern in a teenage patient diagnosed with an
eating disorder. Which statement characterizes personalization by the patient?
a. Ive got to be thin to get a good job.
b. There is no such thing as a healthy carbohydrate.
c. My mother and dad fight all the time because Im fat.
d. My whole family will be disgraced if I dont get into a good college. ANS: C
The basis of personalization of thinking is that an individual compare themselves endlessly
with
others and perceive others behavior as a direct reaction to them. Believing the problems the
parents are experiencing is a direct result of the patients weight is an example of such
thinking. The thought that a job depends solely on weight or that all carbohydrates are bad are
examples of dichotomous thinking. Feeling responsible for the familys reputation is a
reflection of control fallacy thinking.
6. A 16-year-old patient has anorexia nervosa. Which term used to describe the menstrual
history is characteristic of this disorder?
a. Amenorrhea
b. Dysmenorrhea
c. Premenstrual syndrome d. Heavy menstrual flow
ANS: A
Amenorrhea is common in patients with eating disorders, possibly due to altered
hypothalamic function. The remaining options are not usually related to changes resulting
from an eating disorder.
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Chapter 12. Integrative Management of Disordered Eating
MULTIPLE CHOICE
1. The mother of a teen with an eating disorder expresses a concern that the family is
responsible for the problem. Which question will best help the nurse identify another
influence that is likely to have played a role in the teenagers eating disorder?
a. Does she have an after-school job?
b. Does she have access to nutritious foods?
c. Is there a family history of underweight adults?
d. Is your daughter interested in clothes and fashion? ANS: D
Women in this culture are bombarded by the fashion industry and media messages equating
beauty with thinness. Although it is true that eating disorders are less common in countries
where food is not abundant, in this culture persons with eating disorders tend not to choose
nutritious foods. Workplace competition with men would be of greater significance than this
broad statement. The biologic tendency to be overweight may influence some persons.
2. Long-term prognosis for eating disorders is improved dramatically when treatment
includes long-term cognitive-behavioral therapy. What statement provides the best
explanation to the patient for this component to the treatment plan?
a. This will help you identify a healthy, weight restoration diet.
b. Medication alone will not help you from relapsing back to your old habits.
c. In order to manage your disorder, you have to understand the root problems.
d. Prognosis has been proven to be much better with both medication and therapy. ANS: C
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, lOMoAR cPSD| 14985576
Individuals need to resolve the core problems related to their eating behavior as well as the
underlying psychological issues. Outcome literature indicates that long-term cognitive-
behavioral, family, or interpersonal therapy, often in combination with antidepressant
medication, results in the most sustained improvement. Long-term outcome studies show a
more promising prognosis for those patients who continue treatment. Weight restoration is
necessary but not sufficient for recovery. The options that discuss the components of
treatment do not sufficiently explain the reasoning behind cognitive and behavior therapy.
3. The nurse is identifying outcomes for a teenager diagnosed with anorexia nervosa. Which
outcome has the greatest impact on long-term prognosis?
a. Verbalize underlying psychological issues.
b. Demonstrate effective coping skills related to conflict management.
c. Demonstrate improvement in body imagine reflecting a realistic viewpoint.
d. Consume adequate calories appropriate for age, height, and metabolic needs. ANS: B
Long-term prognosis is dependent on the patients ability to cope with the stressors that are at
the
root of the emotional problems such as conflict with family. Verbalization of underlying
stressors is not a guarantee that there will be progress towards managing them. Acceptance of
ones body and adequate calorie intake is possible only after coping skills are learned and
used.
4. Which statement is the basis for the cross-cultural assessment practices of eating disorders?
a. Mediterranean cultures are more likely to exhibit symptoms.
b. Male-dominated cultures are more likely to accept this disorder.
c. Westernized cultures tend to have similar numbers of diagnosed cases.
d. Access to food is the primary factor in determining incidence of the disorder. ANS: C
The incidence and prevalence of eating disorders around the world are similar among
European
countries, the United States, Canada, Mexico, Japan, Australia, and other Westernized
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y ut
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, lOMoAR cPSD| 14985576
countries. Access to food is not necessarily a cultural factor.
5. The nurse observes a distorted thinking pattern in a teenage patient diagnosed with an
eating disorder. Which statement characterizes personalization by the patient?
a. Ive got to be thin to get a good job.
b. There is no such thing as a healthy carbohydrate.
c. My mother and dad fight all the time because Im fat.
d. My whole family will be disgraced if I dont get into a good college. ANS: C
The basis of personalization of thinking is that an individual compare themselves endlessly
with
others and perceive others behavior as a direct reaction to them. Believing the problems the
parents are experiencing is a direct result of the patients weight is an example of such
thinking. The thought that a job depends solely on weight or that all carbohydrates are bad are
examples of dichotomous thinking. Feeling responsible for the familys reputation is a
reflection of control fallacy thinking.
6. A 16-year-old patient has anorexia nervosa. Which term used to describe the menstrual
history is characteristic of this disorder?
a. Amenorrhea
b. Dysmenorrhea
c. Premenstrual syndrome d. Heavy menstrual flow
ANS: A
Amenorrhea is common in patients with eating disorders, possibly due to altered
hypothalamic function. The remaining options are not usually related to changes resulting
from an eating disorder.
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