Chapter 14: Eating Disorders

Chapter 14: Eating Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Over the past year, a woman has cooked gourmet meals for her family but eats only tiny servings. This person wears layered loose clothing and now has amenorrhea. Her current weight is 95 pounds, a loss of 35 pounds. Which medical diagnosis is most likely?

a.	Binge eating
b.	Bulimia nervosa
c.	Anorexia nervosa
d.	Eating disorder not otherwise specified

 

 

ANS:  C

Overly controlled eating behaviors, extreme weight loss, amenorrhea, preoccupation with food, and wearing several layers of loose clothing to appear larger are part of the clinical picture of an individual with anorexia nervosa. The individual with bulimia usually is near normal weight. The binge eater is often overweight. The patient with an eating disorder not otherwise specified may be obese.

 

DIF:    Cognitive Level: Application           REF:   Pages: 230-232

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Physiological Integrity

 

2. Disturbed body image is the nursing diagnosis for a patient with an eating disorder. Which outcome indicator is most appropriate to monitor?

a.	Weight, muscle, and fat are congruent with height, frame, age, and sex.
b.	Calorie intake is within the required parameters of the treatment plan.
c.	Weight reaches the established normal range for the patient.
d.	Patient expresses satisfaction with body appearance.

 

 

ANS:  D

Body image disturbances are considered improved or resolved when the patient is consistently satisfied with his or her own appearance and body function. This consideration is subjective. The other indicators are more objective but less related to the nursing diagnosis.

 

DIF:    Cognitive Level: Application           REF:   Pages: 234-239

TOP:   Nursing Process: Outcomes Identification

MSC:  NCLEX: Psychosocial Integrity

 

3. A patient who is referred to the eating disorders clinic has lost 35 pounds during 3 months. To assess eating patterns, the nurse should ask the patient:

a.	“Do you often feel fat?”
b.	“Who plans the family meals?”
c.	“What do you eat in a typical day?”
d.	“What do you think about your present weight?”

 

 

ANS:  C

Although all the questions might be appropriate to ask, only “What do you eat in a typical day?” focuses on the eating patterns. Asking if the patient often feels fat focuses on distortions in body image. Questions about family meal planning are unrelated to eating patterns. Asking for the patient’s thoughts on present weight explores the patient’s feelings about weight.

 

DIF:    Cognitive Level: Application           REF:   Pages: 232-233

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity

 

4. A patient with anorexia nervosa virtually stopped eating 5 months ago and has lost 25% of body weight. A nurse asks, “Describe what you think about your present weight and how you look.” Which response by the patient is most consistent with the diagnosis?

a.	“I’m fat and ugly.”
b.	“What I think about myself is my business.”
c.	“I’m grossly underweight, but that’s what I want.”
d.	“I’m a few pounds overweight, but I can live with it.”

 

 

ANS:  A

Untreated patients with anorexia nervosa do not recognize their thinness. They perceive themselves to be overweight and unattractive. The patient with anorexia will usually tell others perceptions of self. The patient with anorexia will persist in trying to lose more weight.

 

DIF:    Cognitive Level: Analysis                REF:   Pages: 232-235

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity