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Anorexia Nervosa Quiz

  • Family dynamics are thought to be a major influence in the development of anorexia nervosa. Which information related to a client’s home environment should a nurse associate with the development of this disorder?

    • The home environment maintains loose personal boundaries.
    • The home environment places an overemphasis on food.
    • The home environment is overprotective and demands perfection.
    • The home environment condones corporal punishment.
  • A client’s altered body image is evidenced by claims of “feeling fat” even though the client is emaciated. Which is the appropriate outcome criterion for this client’s problem?

    • The client will consume adequate calories to sustain normal weight.
    • The client will cease strenuous exercise programs.
    • The client will perceive an ideal body weight and shape as normal.
    • The client will not express a preoccupation with food.
  • Why are behavior modification programs the treatment of choice for clients diagnosed with eating disorders?

    • These programs help clients correct distorted body image.
    • These programs address underlying client anger.
    • These programs help clients manage uncontrollable behaviors.
    • These programs allow clients to maintain control.
  • A potential Olympic figure skater collapses during practice and is hospitalized for severe malnutrition. Anorexia nervosa is diagnosed. Which client statement best reflects the underlying etiology of this disorder?

    • “Skaters need to be thin to improve their daily performance.”
    • “All the skaters on the team are following an approved 1,200-calorie diet.”
    • “When I lose skating competitions, I also lose my appetite.”
    • “I am angry at my mother. I can only get her approval when I win competitions.”
  • The family of a client diagnosed with anorexia nervosa becomes defensive when the treatment team calls for a family meeting. Which is the appropriate nursing reply?

    • Tell me why this family meeting is causing you to be defensive. All clients are required to participate in two family sessions.”
    • “Eating disorders have been correlated to certain familial patterns; without addressing these, your child’s condition will not improve.”
    • “Family dynamics are not linked to eating disorders. The meeting is to provide your child with family support.”
    • “Clients diagnosed with anorexia nervosa are part of the family system, and any alteration in family processes needs to be addressed.”
  • A morbidly obese client is prescribed an anorexiant medication. The nurse should prepare to teach the client about which medication?

    • Diazepam (Valium)
    • Dexfenfluramine (Redux)
    • Sibutramine (Meridia)
    • Pemoline (Cylert)
  • A nursing instructor is teaching students about the differences between the symptoms of anorexia nervosa and the symptoms of bulimia nervosa. Which student statement indicates that learning has occurred?

    • “Clients diagnosed with anorexia nervosa experience extreme nutritional deficits, whereas clients diagnosed with bulimia nervosa do not.”
    • “Clients diagnosed with bulimia nervosa experience amenorrhea, whereas clients diagnosed with anorexia nervosa do not.”
    • “Clients diagnosed with bulimia nervosa experience hypotension, edema, and lanugo, whereas clients diagnosed with anorexia nervosa do not.”
    • “Clients diagnosed with anorexia nervosa have eroded tooth enamel, whereas clients diagnosed with bulimia nervosa do not.”
  • A client who is 5 foot 6 inches tall and weighs 98 pounds is admitted with a medical diagnosis of anorexia nervosa. Which nursing diagnosis would take priority at this time?

    • Ineffective coping R/T food obsession
    • Altered nutrition: less than body requirements R/T inadequate food intake
    • Risk for injury R/T suicidal tendencies
    • Altered body image R/T perceived obesity
  • A nurse is seeing a client in an outpatient clinic for treatment of anorexia nervosa. Which is the most appropriate, correctly written short-term outcome for this client?

    • The client will use stress-reducing techniques to avoid purging.
    • The client will discuss chaos in personal life and be able to verbalize a link to purging.
    • The client will gain 2 pounds prior to the next weekly appointment.
    • The client will remain free of signs and symptoms of malnutrition and dehydration.
  • A group of nurses are discussing how food is used in their families and the effects this might have on their ability to work with clients diagnosed with eating disorders. Which of these nurses will probably be most effective with these clients?

    • The nurse who understands the importance of three balanced meals a day
    • The nurse who permits children to have dessert only after finishing the food on their plate
    • The nurse who refuses to engage in power struggles related to food consumption
    • The nurse who grew up poor and frequently did not have enough food to eat

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