Chapter 32: Eating Disorders

Chapter 32: Eating Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which assessment finding would the nurse document as subjective evidence of anorexia nervosa?

a.	Lanugo
b.	Bradycardia
c.	25-lb weight loss
d.	Patient states fear of gaining weight.

 

 

ANS:  D

Fear of weight gain is a subjective symptom, because it is voiced by the patient. The distracters are objective signs.

 

DIF:    Cognitive level: Applying                REF:   p. 407

TOP:   Nursing process: Implementation     MSC:  NCLEX: Psychosocial Integrity

 

2. A patient diagnosed with anorexia nervosa has the nursing diagnosis imbalanced nutrition, less than body requirements, related to inadequate food intake. The long-term goal of the treatment plan is that the patient will:

a.	gain 1 to 3 lb weekly.
b.	exhibit fewer signs of malnutrition.
c.	restore healthy eating patterns and normalize weight.
d.	identify cognitive distortions about weight and shape.

 

 

ANS:  C

The goal directly related to the nursing diagnosis is to restore healthy eating patterns and normalize weight. The distracters are short-term or vague or are not directly related to the nursing diagnosis.

 

DIF:    Cognitive level: Applying                REF:   p. 411

TOP:   Nursing process: Outcome Planning

MSC:  NCLEX: Physiologic Integrity

 

3. The nurse interviews a patient who restricts food and is 25% underweight. The patient says, “I still need to lose weight. I’m not thin enough.” The patient is using which defense mechanism?

a.	Rationalization
b.	Projection
c.	Splitting
d.	Denial

 

 

ANS:  D

When the individual with anorexia nervosa insists that being 25% underweight is not a problem (and thinking that she is too fat, when in fact she is emaciated), the defense mechanism responsible is denial. Rationalization involves making excuses, projection involves blaming others, and splitting involves the inability to integrate good and bad in one concept.

 

DIF:    Cognitive level: Analyzing              REF:   pp. 405-406

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

 

4. A patient is 5 feet 4 inches tall and weighs 85 lb, a 20% loss of body weight over the past year. The patient reports amenorrhea for 9 months. Vital signs are temperature (T) 96.6°F; pulse (P) 38 beats/min; blood pressure (BP) 70/42 mm Hg; respirations (R) 20 breaths/min. Skin turgor is poor. Lanugo is present. She says, “I need to lose 10 more pounds.” These assessment findings indicate which medical diagnosis?

a.	Bulimia nervosa
b.	Anorexia nervosa
c.	Binge-eating disorder
d.	Dissociative identity disorder

 

 

ANS:  B

Data are consistent with the medical diagnosis of anorexia nervosa, a disorder in which intense fear of being fat leads to a body weight 15% or more below normal. Bulimic patients are usually near normal weight. Individuals who have binge-eating disorder tend to be overweight. Dissociative identity disorder refers to individuals who have multiple personalities.

 

DIF:    Cognitive level: Analyzing              REF:   pp. 406-407

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