Chapter 22: Eating Disorders

Chapter 22: Eating Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   Family dynamics are thought to be a major influence in the development of anorexia nervosa. Which statement regarding a client’s home environment should a nurse associate with the development of anorexia nervosa?

1.	The home environment maintains loose personal boundaries.
2.	The home environment places an overemphasis on food.
3.	The home environment is overprotective and demands perfection.
4.	The home environment condones corporal punishment.

 

 

____     2.   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?

1.	The client will consume adequate calories to sustain normal weight.
2.	The client will cease strenuous exercise programs.
3.	The client will perceive personal ideal body weight and shape as normal.
4.	The client will not express a preoccupation with food.

 

 

____     3.   A nurse is counseling a client diagnosed with bulimia nervosa about the symptom of tooth enamel deterioration. Which explanation for this complication of bulimia nervosa should the nurse provide?

1.	The emesis produced during purging is acidic and corrodes the tooth enamel.
2.	Purging causes the depletion of dietary calcium.
3.	Food is rapidly ingested without proper mastication.
4.	Poor dental and oral hygiene leads to dental caries.

 

 

____     4.   A nurse is teaching a client diagnosed with an eating disorder about behavior-modification programs. Why is this intervention the treatment of choice?

1.	It helps the client correct a distorted body image.
2.	It addresses the underlying client anger.
3.	It manages the client’s uncontrollable behaviors.
4.	It allows clients to maintain control.

 

 

____     5.   A potential Olympic figure skater collapses during practice and is hospitalized for severe malnutrition. Anorexia nervosa is diagnosed. Which client statement best reflects insight related to this disorder?

1.	“Skaters need to be thin to improve their daily performance.”
2.	“All the skaters on the team are following an approved 1,200-calorie diet.”
3.	“The exercise of skating reduces my appetite but improves my energy level.”
4.	“I am angry at my mother. I can only get her approval when I win competitions.”

 

MULTIPLE CHOICE

 

1. ANS:  3

Chapter: Chapter 22, Eating Disorders

Objective: Identify predisposing factors in the development of eating disorders.

Page: 572

Heading: Predisposing Factors and Theories of Etiology Associated With Anorexia Nervosa, Bulimia Nervosa, and BED > Family Influences

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Nutrition

Difficulty: Moderate

 

	Feedback
1	Home environments that maintain loose personal boundaries do not typically lead to anorexia nervosa.
2	Home environments that place an overemphasis on food do not typically lead to anorexia nervosa.
3	The nurse should assess that a home environment that is overprotective and demands perfection may be a major influence in the development of anorexia nervosa. In adolescence, distorted eating patterns may represent a rebellion against the parents viewed by the child as a means of gaining and remaining in control.
4	Home environments that condone corporal punishment do not typically lead to anorexia nervosa.

 

 

PTS:   1                    CON:  Nutrition

 

2. ANS:  3

Chapter: Chapter 22, Eating Disorders

Objective: Identify predisposing factors in the development of eating disorders.

Page: 575–577

Heading: Table 22-3 Care Plan for Client with Eating Disorders: Anorexia Nervosa and Bulimia Nervosa

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Nutrition

Difficulty: Moderate

 

	Feedback
1	Consuming adequate calories to sustain a normal weight may be unrealistic for this client.
2	Ceasing strenuous exercise programs may be unrealistic for this client.
3	The nurse should identify that the appropriate outcome for this client is to perceive personal ideal body weight and shape as normal.
4	Not expressing a preoccupation with food may be unrealistic for this client.

 

 

PTS:   1                    CON:  Nutrition

 

3. ANS:  1

Chapter: Chapter 22, Eating Disorders

Objective: Identify predisposing factors in the development of eating disorders.

Page: 570

Heading: Background Assessment Data: Bulimia Nervosa

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Nutrition

Difficulty: Moderate

 

	Feedback
1	The nurse should explain to the client diagnosed with bulimia nervosa that his or her teeth will eventually deteriorate, because the emesis produced during purging is acidic and corrodes the tooth enamel. Excessive vomiting may also lead to dehydration and electrolyte imbalance.
2	This does not correlate with tooth enamel deterioration.
3	This does not lead to tooth enamel deterioration.
4	This statement does not educate the client about tooth enamel deterioration caused by vomiting.

 

 

PTS:   1                    CON:  Nutrition

 

4. ANS:  4

Chapter: Chapter 22, Eating Disorders

Objective: Describe appropriate interventions for behaviors associated with eating disorders.

Page: 584

Heading: Treatment Modalities > Behavior Modification

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Nutrition

Difficulty: Moderate

 

	Feedback
1	Behavior modification does not help the client correct distorted body image.
2	Behavior modification does not help the client address underlying client anger.
3	Behavior modification does not help the client manage uncontrollable behaviors.
4	Behavior modification programs are the treatment of choice for clients diagnosed with eating disorders, because these programs allow clients to maintain control. Issues of control are central to the etiology of these disorders. Behavior modification techniques function to restore healthy weight.

 

 

PTS:   1                    CON:  Nutrition

 

5. ANS:  4

Chapter: Chapter 22, Eating Disorders

Objective: Describe appropriate interventions for behaviors associated with eating disorders.

Page: 572

Heading: Predisposing Factors and Theories of Etiology Associated With Anorexia Nervosa, Bulimia Nervosa, and BED > Family Influences

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Nutrition

Difficulty: Moderate

 

	Feedback
1	Stating that skaters need to be thin is not likely to contribute to the development of anorexia nervosa.
2	Stating that all skaters are following an approved diet is not likely to contribute to the development of anorexia nervosa.
3	This statement is not likely to contribute to the development of anorexia nervosa.
4	The client reflects insight when referring to feelings toward family dynamics that may have influenced the development of the disease. Families who are overprotective and perfectionistic can contribute to the development of anorexia nervosa.

 

 

PTS:   1                    CON:  Nutrition