Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
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Chapter 24: Eating Regulation Responses and Eating Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | perform a complete patient assessment. |
| b. | obtain a history from the patient’s family. |
| c. | examine personal feelings about weight. |
| d. | question the patient as to when he or she last ate a meal. |
ANS: C
Self-examination before beginning therapeutic work is wise. If the nurse suspects that he or she has an eating disorder, it may be difficult to provide care for patients who cannot regulate their eating responses.
DIF: Cognitive Level: Application REF: Text Page: 479
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | Becoming familiar with the unit’s policies and procedures |
| b. | Arranging to mentor with a nurse who has experience on the unit |
| c. | Self-reflecting on personal feelings regarding body weight and size |
| d. | Attending an educational seminar that focuses on maladaptive eating disorders |
ANS: C
Before working with patients with maladaptive eating regulation responses, nurses must closely examine their own feelings and prejudices about weight and body size. Nurses who suspect that they have an eating disorder or are in some way prejudiced may not be able to provide care for patients who cannot regulate their eating responses.
DIF: Cognitive Level: Application REF: Text Page: 479
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | Promoting self-demand feeding for the child |
| b. | Distinguishing between physical and psychological hunger |
| c. | Scheduling meals because children do not recognize physical hunger |
| d. | Parental expectations of ideal intake as determinants of healthy eating habits |
ANS: A
The education plan should be built around the concept that self-demand feeding in children promotes adaptive eating regulation responses. This is often difficult to accept for parents who have acquired maladaptive eating regulation responses or who believe various myths about feeding.
DIF: Cognitive Level: Comprehension REF: Text Page: 484
TOP: Nursing Process: Planning MSC: NCLEX: Psychosocial Integrity
| a. | The number, on a scale of 1 to 10, that reflects the patient’s desire for treatment |
| b. | The name of a support person the patient identifies for emotional support |
| c. | The disadvantages the patient identifies as resulting from the maladaptive behavior |
| d. | The reasons the patient identifies as the factors that originally caused the maladaptive behavior |
ANS: A
This information relates directly to a means of determining the patient’s motivation for change. Identifying the disadvantages of the maladaptive behavior as well as the factors that were the basis of the disorder assists in evaluating patient insight. Naming a supportive person relates to environmental support for change.
DIF: Cognitive Level: Analysis REF: Text Pages: 485-486
TOP: Nursing Process: Diagnosis|Nursing Process: Analysis
MSC: NCLEX: Psychosocial Integrity
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