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A nurse is interviewing a client diagnosed with bulimia nervosa about her family and her relationship with her mother. Which statement by the client would the nurse least likely associate with bulimia nervosa?
- A. My mother is my confidante for everything.
- B. My mother?s happiness depends on me.
- C. My family basically has very few rules.
- D. My mother and I are close but not joined at the hip.
Correct Answer: D
Rationale: A balanced, non-enmeshed relationship with the mother (D) is less associated with bulimia nervosa, which often involves enmeshed (A), dependent (B), or chaotic (C) family dynamics.
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The nurse is preparing to discharge a client who has been hospitalized with anorexia nervosa. Which of the following would the nurse include in the teaching plan?
- A. Knowing the calorie content of numerous foods
- B. Learning strategies to control impulses
- C. Describing physiologic consequences of anorexia nervosa
- D. Setting realistic goals
Correct Answer: D
Rationale: Setting realistic goals (D) supports recovery by promoting achievable steps toward healthy eating and weight restoration. Calorie knowledge (A) may reinforce obsessive behaviors, impulse control (B) is less specific, and describing consequences (C) is informative but not action-oriented.
A nurse is reviewing the plan of care for a client with anorexia nervosa and notes a behavioral plan for increasing weight. The nurse correlates this intervention with which nursing diagnosis?
- A. Disturbed Body Image
- B. Anxiety
- C. Imbalanced Nutrition: Less Than Body Requirements
- D. Ineffective Coping
Correct Answer: C
Rationale: A behavioral plan for increasing weight directly addresses Imbalanced Nutrition: Less Than Body Requirements (C), the primary physical issue in anorexia nervosa. Body image (A), anxiety (B), and coping (D) are secondary concerns.
A group of nursing students is reviewing the similarities and differences between bulimia nervosa and binge-eating disorder. The students demonstrate understanding when they identify which characteristics as specific to binge-eating disorder? Select all that apply.
- A. Clients typically are obese.
- B. Clients refrain from purging behaviors.
- C. Binge-eating periods are shorter.
- D. Clients engage in overexercising.
- E. Feelings of guilt do not occur after binging.
Correct Answer: A,B
Rationale: Binge-eating disorder (BED) is characterized by obesity (A) and no purging behaviors (B). Binge periods are not necessarily shorter (C), overexercising (D) is more common in bulimia, and guilt (E) is typical after binging in BED.
An adolescent is brought to the emergency department by her parents because they were concerned about their daughter?s appearance. The client appears emaciated and pale. The parents tell the nurse that the client has been diagnosed with anorexia nervosa. A history and physical examination and laboratory testing are completed. Which of the following would lead the nurse to suspect that the client will be admitted to the hospital? Select all that apply.
- A. Blood pressure of 110/60 mm Hg
- B. Elevated serum potassium level
- C. Decreased serum magnesium level
- D. Heart rate of 40 beats/min
- E. Statements of being hopeless
Correct Answer: C,D,E
Rationale: Decreased magnesium (C), heart rate of 40 (D), and hopelessness (E) indicate severe medical and psychological complications of anorexia nervosa, warranting hospitalization. Normal blood pressure (A) and elevated potassium (B) are less concerning.
A nursing instructor is reviewing the various theories related to anorexia nervosa. Which of the following would the instructor include when describing theories related to the biologic domain? Select all that apply.
- A. Genetic vulnerability
- B. Separation-individuation
- C. Role pressures
- D. Dieting leading to starvation
- E. Pursuit of thinness
- F. Decreased serotonin activity
Correct Answer: A,F
Rationale: Biologic theories for anorexia nervosa include genetic vulnerability (A) and decreased serotonin activity (F), linked to appetite and mood regulation. Separation-individuation (B), role pressures (C), and pursuit of thinness (E) are psychosocial, and dieting (D) is behavioral.