Ch 20- Eating Disorders

Ch 20- Eating Disorders

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1. A 15-year-old female is admitted for treatment of anorexia nervosa. Which is
characteristic of anorexia nervosa?
A) Body weight less than normal for age, height, and overall physical health
B) Amenorrhea for at least two cycles
C) Absence of hunger feelings
D) Erosion of dental enamel
Ans: A
Feedback:
Anorexia nervosa is a life-threatening eating disorder characterized by the client’s
refusal or inability to maintain a minimally normal body weight, intense fear of gaining
weight or becoming fat, significantly disturbed perception of the shape or size of the
body, and steadfast inability or refusal to acknowledge the seriousness of the problem or
even that one exists. Clients with anorexia have a body weight that is less than the
minimum expected weight, considering their age, height, and overall physical health. In
addition, clients have a preoccupation with food and food-related activities and can have
a variety of physical manifestations. Physical problems or anorexia nervosa include
amenorrhea, constipation, overly sensitive to cold, lanugo hair on body, hair loss, dry
skin, dental caries, pedal edema, bradycardia, enlarged parotid glands, hypothermia, and
electrolyte imbalance. These clients do not lose their appetites. They still experience
hunger but ignore it and signs of physical weakness and fatigue. Dental erosion is
characteristic of bulimia nervosa.
2. The nurse is assessing a client with bulimia nervosa. Which of the following symptoms
would the nurse expect to find? Select all that apply.
A) Cold intolerance
B) Normal weight for height
C) Dental erosion
D) Hypotension
E) Metabolic alkalosis
Ans: B, C, E
Feedback:
The weight of clients with bulimia usually is in the normal range, although some clients
are overweight or underweight. Recurrent vomiting destroys tooth enamel, and
incidence of dental caries and ragged or chipped teeth increases in these clients.
Metabolic alkalosis often results from vomiting. Cold intolerance and hypotension are
symptoms associated with emaciation seen in anorexia nervosa.
Page 2
3. Which eating disorder is characterized by consuming an amount of food much larger
than a person would normally eat and of near-normal weight? Afterward, the client may
purge the food or exercise excessively, and between binges, the client may eat low-
calorie foods or fast.
A) Anorexia nervosa
B) Bulimia nervosa
C) Pica
D) Rumination
Ans: B
Feedback:
Bulimia nervosa, often simply called bulimia, is an eating disorder characterized by
recurrent episodes of binge eating followed by inappropriate compensatory behaviors to
avoid weight gain, such as purging, fasting, or excessively exercising. The amount of
food consumed during a binge episode is much larger than a person would normally eat.
Between binges, the client may eat low-calorie foods or fast. Anorexia nervosa is a life-
threatening eating disorder characterized by the client’s refusal or inability to maintain a
minimally normal body weight, intense fear of gaining weight or becoming fat,
significantly disturbed perception of the shape or size of the body, and steadfast inability
or refusal to acknowledge the seriousness of the problem or even that one exists. The
weight of clients with bulimia usually is in the normal range. Pica is persistent ingestion
of nonfood substances. Rumination is repeated regurgitation of food that is then
rechewed, reswallowed, or spit out.
4. When working with the family of a client with anorexia nervosa, which of the following
issues must be addressed?
A) Codependence
B) Control issues
C) Self-discipline
D) Sexual identity
Ans: B
Feedback:
Clients with anorexia often believe the only control they have is over their eating and
weight; all other aspects of their life are controlled by their family. Codependence, self-
discipline, and sexual identity are not pertinent issues to address with the family.