Psychiatric Mental Health Nursing 5th Edition By Fortinash
Psychiatric Mental Health Nursing 5th Edition By Fortinash
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Chapter 18: Eating Disorders: Anorexia Nervosa and Bulimia Nervosa
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “Does she have an after-school job?” |
| b. | “Does she have access to nutritious foods?” |
| c. | “Is there a family history of underweight adults?” |
| d. | “Is your daughter interested in clothes and fashion?” |
ANS: D
Women in this culture are bombarded by the fashion industry and media messages equating beauty with thinness. Although it is true that eating disorders are less common in countries where food is not abundant, in this culture persons with eating disorders tend not to choose nutritious foods. Workplace competition with men would be of greater significance than this broad statement. The biologic tendency to be overweight may influence some persons.
DIF: Cognitive Level: Application REF: Pages 419-420
TOP: Nursing Process: Assessment
MSC: NCLEX: Patient Need: Psychosocial Integrity: Coping Mechanisms
| a. | “This will help you identify a healthy, weight restoration diet.” |
| b. | “Medication alone will not help you from relapsing back to your old habits.” |
| c. | “In order to manage your disorder, you have to understand the root problems.” |
| d. | “Prognosis has been proven to be much better with both medication and therapy.” |
ANS: C
Individuals need to resolve the core problems related to their eating behavior as well as the underlying psychological issues. Outcome literature indicates that long-term cognitive-behavioral, family, or interpersonal therapy, often in combination with antidepressant medication, results in the most sustained improvement. Long-term outcome studies show a more promising prognosis for those patients who continue treatment. Weight restoration is necessary but not sufficient for recovery. The options that discuss the components of treatment do not sufficiently explain the reasoning behind cognitive and behavior therapy.
DIF: Cognitive Level: Application REF: Page 426
TOP: Nursing Process: Implementation
MSC: NCLEX: Psychosocial Integrity: Mental Health Concepts
| a. | Verbalize underlying psychological issues. |
| b. | Demonstrate effective coping skills related to conflict management. |
| c. | Demonstrate improvement in body imagine reflecting a realistic viewpoint. |
| d. | Consume adequate calories appropriate for age, height, and metabolic needs. |
ANS: B
Long-term prognosis is dependent on the patient’s ability to cope with the stressors that are at the root of the emotional problems such as conflict with family. Verbalization of underlying stressors is not a guarantee that there will be progress towards managing them. Acceptance of one’s body and adequate calorie intake is possible only after coping skills are learned and used.
DIF: Cognitive Level: Application REF: Page 429 TOP: Nursing Process: Analysis
MSC: NCLEX: Psychosocial Integrity: Stress Management
| a. | Mediterranean cultures are more likely to exhibit symptoms. |
| b. | Male-dominated cultures are more likely to accept this disorder. |
| c. | Westernized cultures tend to have similar numbers of diagnosed cases. |
| d. | Access to food is the primary factor in determining incidence of the disorder. |
ANS: C
The incidence and prevalence of eating disorders around the world are similar among European countries, the United States, Canada, Mexico, Japan, Australia, and other Westernized
countries. Access to food is not necessarily a cultural factor.
DIF: Cognitive Level: Application REF: Page 423
TOP: Nursing Process: Assessment
MSC: NCLEX: Psychosocial Integrity: Mental Health Concepts
| a. | “I’ve got to be thin to get a good job.” |
| b. | “There is no such thing as a healthy carbohydrate.” |
| c. | “My mother and dad fight all the time because I’m fat.” |
| d. | “My whole family will be disgraced if I don’t get into a good college.” |
ANS: C
The basis of personalization of thinking is that an individual compare themselves endlessly with others and perceive others’ behavior as a direct reaction to them. Believing the problems the parents are experiencing is a direct result of the patient’s weight is an example of such thinking. The thought that a job depends solely on weight or that all carbohydrates are bad are examples of dichotomous thinking. Feeling responsible for the family’s reputation is a reflection of control fallacy thinking.
DIF: Cognitive Level: Application REF: Page 422
TOP: Nursing Process: Assessment
MSC: NCLEX: Psychosocial Integrity: Mental Health Concepts
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