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A nurse is preparing to obtain a nursing history from a client who has a new diagnosis of
anorexia nervosa. Which of the following questions should the nurse include in the
assessment? (Select all that apply)
A. "What is your relationship like with your family.
B. "Why do you want to lose weight?
C. "Would you describe your current eating habits?
D. "At what weight do you believe you will look better?
E. "Can you discuss your feelings about your appearance?" - answer>>>A. "What is your
relationship like with your family.
C. "Would you describe your current eating habits?
E. "Can you discuss your feelings about your appearance?"
A nurse is caring for an adolescent client who has anorexia nervosa with rapid weight loss
and a current weight of 90 lb. Which of the following statements indicates the client is
experiencing the cognitive distortion catastrophizing?
A. "Life isn't worth living if I gain weight.
B. "Don't pretend like you don't know how fat I am.
C. "If I could be skinny, I know I'd be popular.
D. "When I look in the mirror, I see myself as obese." - answer>>>A." Life isn't worth
living if I gain weight."
,A nurse is performing an admission assessment of a client who has bulimia nervosa with
purging behavior. Which of the following is an expected finding? (Select all that apply)
A. Amenorrhea
B. Hypokalemia
C. Mottling of the skin
D. Slightly elevated body weight
E. Presence of lanugo on the face - answer>>>B. Hypokalemia
D. Slightly elevated body weight
A nurse on an acute care unit is planning care for a client who has anorexia nervosa with
binge-eating and purging behavior. Which of the following nursing actions should the
nurse include in the client's plan of care?
A. Allow the client to select preferred meal times.
B. Establish consequences for purging behavior.
C. Provide the client with a high-fat diet at the start of treatment.
D. Implement one-to-one observation during meal times. - answer>>>D. Implement one-
to-one observation during meal times.
A nurse is caring for a client who has bulimia nervosa and has stopped purging behavior.
The client tells the nurse that she is afraid she is going to gain weight. Which of the
following responses should the nurse make?
A. "Many clients are concerned about their weight. However the dietitian will ensure that
you don't get too many calories in your diet."
B. "Instead of worrying about your weight, try to focus on other problems at this time."
C. "I understand you have concerns about your weight, but first, let's talk about your
recent accomplishments."
,D. "You are not overweight, and the staff will ensure that you do not gain weight while
you are in the hospital. We know that is important to you." - answer>>>C. "I understand
you have concerns about your weight, but first, let's talk about your recent
accomplishments."
A nurse is discussing the risk factors for somatic symptom disorder with a newly licensed
nurse. Which of the following risk factors should the nurse include? (Select all that apply)
A. Age older than 65 years
B. Anxiety disorder
C. Female gender
D. Coronary artery disease
E. Obesity - answer>>>B. Anxiety disorder
C. Female gender
A nurse is reviewing the medical record of a client who has conversion disorder. Which of
the following findings should the nurse identify as placing the client as risk for conversion
disorder?
A. Death of a child 2 months ago
B. Recent weight loss of 30 lb
C. Retirement 1 year ago
D. History of migraine headaches - answer>>>A. Death of a child 2 months ago
A nurse is assessing a client who has illness anxiety disorder. Which of the following
findings should the nurse expect? (Select all that apply)
A. Obsessive thoughts about disease
B. History of childhood abuse
, C. Avoidance of health care providers
D. Depressive disorder
E. Narcissistic personality - answer>>>A. Obsessive thoughts about disease
B. history of childhood abuse
C. avoidance of health care providers
D. depressive disorder
A nurse is developing a plan of care for a client who has conversion disorder. Which of
the following actions should the nurse include?
A. Encourage the client to spend time alone in his room
B. Monitor the client for self-harm once per day
C. Allow the client unlimited time to discuss physical manifestations
D. Discuss alternative coping strategies with the client - answer>>>D. Discuss alternative
coping strategies with the client
A nurse is counseling a client who has factitious disorder imposed on another. Which of
the following client statements should the nurse expect?
A. "I had to pretend I was injured in order to get disability benefits.
B. "I know that my abdominal pain is caused by a malignant tumor.
C. "I needed to make my son sick so that someone else would take care of him for a
while.
D. "I became deaf when I heard that my husband was having an affair with my best
friend." - answer>>>C. I needed to make my son sick so that someone else would take
care of him for a while