EATING DISORDERS | SITUATIONAL EXAMPLES Flashcards
(15 cards)
A 17-year-old female is admitted for severe weight loss and reports feeling “too fat,” despite being underweight. Which nursing diagnosis is most appropriate?
A. Imbalanced Nutrition: More than Body Requirements
B. Disturbed Body Image
C. Ineffective Coping
D. Chronic Low Self-Esteem
B. Disturbed Body Image
A patient with bulimia nervosa reports bingeing and purging after eating high-calorie foods. This behavior demonstrates which defense mechanism?
A. Suppression
B. Undoing
C. Denial
D. Projection
B. Undoing
During assessment, a patient with anorexia nervosa says, “I don’t know why my family is so worried. I’m fine.” Which characteristic does this statement reflect?
A. Denial of the condition’s seriousness
B. Intense fear of weight gain
C. Lack of insight into body image distortion
D. Inability to identify emotions
A. Denial of the condition’s seriousness
During physical assessment, the nurse notes calluses on the knuckles of a patient suspected of bulimia nervosa. What is this finding called?
A. Cushing’s sign
B. Russel’s sign
C. Homan’s sign
D. Trousseau’s sign
B. Russel’s sign
A patient with anorexia nervosa spends hours calculating calories for each meal. What does this behavior indicate?
A. Effective coping
B. Obsession with food
C. Fear of gaining weight
D. Need for control
B. Obsession with food
A nurse educates the family of a patient with anorexia nervosa about common family dynamics associated with the disorder. Which pattern is often observed?
A. Enmeshed or overprotective family
B. Detached and uninvolved family
C. Highly authoritative parenting style
D. Permissive and neglectful family structure
A. Enmeshed or overprotective family
A patient with restrictive-type anorexia nervosa is most likely to exhibit which behavior?
A. Bingeing followed by purging
B. Excessive exercise and fasting
C. Secretive eating habits
D. Frequent use of laxatives
B. Excessive exercise and fasting
A patient with bulimia nervosa is found to have dental erosion and cavities. What is the primary cause?
A. High sugar intake during bingeing
B. Frequent exposure to stomach acid from vomiting
C. Poor oral hygiene practices
D. Inadequate intake of calcium and vitamins
B. Frequent exposure to stomach acid from vomiting
A patient with anorexia nervosa says, “I’m not hungry. I just don’t want to eat.” Which defense mechanism is the patient demonstrating?
A. Repression
B. Suppression
C. Rationalization
D. Intellectualization
B. Suppression
A nurse monitors a patient with anorexia nervosa for complications. Which finding requires immediate intervention?
A. Bradycardia and hypotension
B. Dry skin and brittle hair
C. Elevated liver enzymes
D. Social withdrawal
A. Bradycardia and hypotension
When should a nurse weigh a patient with anorexia nervosa to obtain the most accurate results?
A. Before breakfast, after voiding
B. After breakfast, before voiding
C. After meals, fully dressed
D. At bedtime, without clothing
A. Before breakfast, after voiding
A patient with bulimia nervosa mentions feeling guilty after bingeing and purging. What does this statement indicate?
A. Ambivalence toward food and body image
B. Lack of insight into the condition
C. Low self-esteem and self-worth
D. Cognitive distortion about eating patterns
A. Ambivalence toward food and body image
Which nursing intervention is most appropriate during mealtime for a patient with anorexia nervosa?
A. Allow the patient to eat alone for privacy.
B. Supervise meals and encourage companionship.
C. Limit meal times to 10 minutes.
D. Provide liquid supplements instead of meals.
B. Supervise meals and encourage companionship.
Which neurotransmitter imbalance is associated with bulimia nervosa?
A. Elevated serotonin levels
B. Reduced serotonin levels
C. Increased dopamine levels
D. Decreased norepinephrine levels
B. Reduced serotonin levels
A patient with an eating disorder is referred for cognitive-behavioral therapy (CBT). What is the primary goal of this intervention?
A. Promote rapid weight gain
B. Identify and change distorted thinking patterns
C. Develop strict meal-planning habits
D. Address past trauma and unresolved grief
B. Identify and change distorted thinking patterns
