Chapter 17: Eating Disorders

Chapter 17: Eating Disorders

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1)   A client, age 18 years, is referred to the mental health center by the primary care physician. The following history is given. The client and her mother began to visit colleges to which the client had applied. When not traveling, the client spent the summer cooking gourmet meals for her family. Eventually, the mother noticed that the client was eating only tiny portions of the food, saying she wasn’t hungry because she had tasted while she cooked. She began wearing several layers of loose clothing, saying she liked the style. At summer’s end the client had a physical examination for the school sports program. Her weight had dropped from 130 to 95 pounds and she had amenorrhea. The history and symptoms are most consistent with the medical diagnosis of

ANS:   A

Overcontrol of 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. Option B: The bulimic individual usually is near normal weight. Option C: The binge eater is often overweight. Option D: The client with eating disorder not otherwise specified may be obese.

DIF:    Cognitive Level: Analysis                  REF:    Text Page: 302

TOP:    Nursing Process: Assessment

MSC:   NCLEX: Psychosocial Integrity/Physiologic Integrity

2)   A client, age 18 years, is referred to the mental health center by the primary care physician. The following history is given. The client and her mother began to visit colleges to which the client had applied. When not traveling, the client spent the summer cooking gourmet meals for her family. Eventually, the mother noticed that the client was eating only tiny portions of the food, saying she wasn’t hungry because she had tasted while she cooked. She began wearing several layers of loose clothing, saying she liked the style. At summer’s end the client had a physical examination for the school sports program. Her weight had dropped from 130 to 95 pounds and she had amenorrhea. The psychiatric nurse clinical specialist focused on the client’s feelings about her role in choosing a college as well as concerns about assuming an autonomous adult role as she prepared for college. The theory of the etiology of eating disorders that guides the nurse is the

ANS:   A

One psychological model (Bruch) suggests that girls who develop anorexia perceive themselves as ineffectual, passive, and unable to assert their will. Efforts to separate and lead an autonomous life lead to self-starvation and a distorted sense of being powerful. Option B: The sociocultural model focuses on cultural factors that lead to efforts to restrict weight. Option C: The multidimensional model does not exist. Option D: The neurobiological model focuses neuroendocrine causation.

DIF:    Cognitive Level: Application             REF:    Text Page: 301

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

3)   A client referred to the eating disorders clinic has lost 35 pounds during a summer spent looking at colleges and cooking gourmet meals for her family. She was referred by her physician, who was alarmed by her weight loss. To assess the client’s eating patterns, the nurse should ask

ANS:   C

Although all the questions might be appropriate to ask, only option 3 focuses on the client’s eating patterns. Option A focuses on distortions in body image. Option B is unrelated to eating pattern. Option D explores the client’s feelings about weight.

DIF:    Cognitive Level: Application             REF:    Text Page: 304, Text Page: 307

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

4)   A client referred to the eating disorders clinic has been diagnosed as having anorexia nervosa. History reveals she virtually stopped eating 5 months ago and has lost 25% of her body weight. When the nurse questions her about her present weight and what she thinks about her appearance, the response that would be most consistent with the medical diagnosis is

ANS:   A

Untreated clients with anorexia nervosa do not recognize their thinness. They perceive themselves to be overweight and unattractive. Option B: The client with anorexia will usually tell people perceptions of self. Option C: The client with anorexia does not recognize his or her thinness. Option D: The client with anorexia does not recognize the thinness and will persist in trying to lose more weight.

DIF:    Cognitive Level: Analysis                  REF:    Text Page: 302

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