Wk. 15 - Disordered Eating Practice Questions

A nurse is assessing a client with suspected anorexia nervosa. Which of the following findings is the nurse most likely to observe? A. Body weight above normal range B. Normal electrolyte levels C. Bradycardia and lanugo D. Hyperactive bowel sounds

C

Which of the following clients is at the highest risk for developing an eating disorder? A. A male adult in a high-income job B. A teenage female gymnast C. An elderly woman with type 2 diabetes D. A middle-aged man with hypertension

B

Which of the following are core behaviors of bulimia nervosa? (Select all that apply) A. Severe food restriction B. Recurrent binge eating C. Purging through vomiting or laxatives D. Distorted body image with fear of fatness E. Compensatory behaviors to prevent weight gain

B,C,E

True or False: Clients with binge eating disorder (BED) typically engage in excessive exercise or purging after episodes of bingeing.

False

A nurse is caring for a client with bulimia nervosa. Which lab result is most concerning? A. Sodium 140 mEq/L B. Potassium 2.9 mEq/L C. Glucose 100 mg/dL D. Calcium 9.0 mg/dL

B

A priority nursing diagnosis for a client with anorexia nervosa would be: A. Social Isolation B. Chronic Pain C. Imbalanced Nutrition: Less than body requirements D. Disturbed Sensory Perception

C

Which of the following are protective factors against the development of eating disorders? (Select all that apply) A. Regular family meals B. High social media usage C. Supportive family relationships D. Acceptance of diverse body types E. Participation in elite competitive sports

A,C,D

True or False: A client with anorexia nervosa may experience amenorrhea as a result of hormonal changes caused by severe weight loss.

True

Which of the following is a characteristic feature of binge eating disorder (BED)? A. Compensatory behaviors after bingeing B. Low self-esteem without marked distress C. Recurrent episodes of eating large amounts of food with loss of control D. Focused self-evaluation based on physical strength and endurance

C

When initiating refeeding in a client with anorexia nervosa, which complication should the nurse monitor for first? A. Increased appetite B. Refeeding syndrome C. Renal failure D. Hypertension

B

Which psychological treatments are appropriate for anorexia nervosa? (Select All That Apply) A. Dialectical Behavioral Therapy (DBT) B. Acceptance and Commitment Therapy (ACT) C. Insulin therapy D. Cognitive-Affective Therapy E. Exposure therapy

A,B,D

True or False: Bulimia nervosa often presents with clients who are significantly underweight.

False

Which finding supports a diagnosis of bulimia nervosa? A. Rigid food rituals B. BMI less than 17 C. Parotid gland swelling and callused knuckles D. Lanugo growth

C

A nurse is developing a care plan for a client with BED. Which of the following goals is most appropriate? A. The client will engage in daily vigorous exercise B. The client will suppress emotional triggers for eating C. The client will identify emotional triggers and develop coping strategies D. The client will maintain a liquid diet until weight loss is achieved

C

What are signs of medical complications in a client with anorexia nervosa? (Select All That Apply) A. Congestive heart failure B. Hypophosphatemia C. Hypokalemia D. Hyperglycemia E. Seizures

A,B,C,E

True or False: Clients with BED often express significant shame and distress after binge eating episodes.

True

Which intervention is most appropriate for a client with bulimia nervosa? A. Allow privacy after meals B. Provide high-calorie supplements C. Monitor bathroom use after meals D. Encourage meal skipping to control weight

C

Which behavior is least consistent with BED? A. Eating in secret B. Vomiting after overeating C. Feeling ashamed after binge episodes D. Eating when not physically hungry

B

Which nursing diagnoses are appropriate for a client with bulimia nervosa? (Select All That Apply) A. Risk for Electrolyte Imbalance B. Ineffective Coping C. Activity Intolerance D. Risk for Self-Harm E. Disturbed Body Image

A,B,D,E

True or False: Supportive group therapy can be an effective intervention for individuals with binge eating disorder.

True