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A nurse is preparing a presentation for a local middle school health class about eating disorders as a means for prevention and early detection. Which of the following would the nurse incorporate into the presentation as being common to both anorexia nervosa and bulimia nervosa? Select all that apply.
- A. Body dissatisfaction
- B. Feelings of control
- C. Obsessiveness
- D. Boundary problems
- E. Sexuality fears
- F. Cognitive distortions
Correct Answer: A,C,F
Rationale: Body dissatisfaction (A), obsessiveness (C), and cognitive distortions (F) are common to both anorexia and bulimia nervosa, reflecting distorted self-image and rigid thinking. Control (B) is more specific to anorexia, boundary problems (D) to bulimia, and sexuality fears (E) are less universal.
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A client with bulimia nervosa is being treated at an outpatient clinic and is prescribed a selective serotonin reuptake inhibitor (SSRI). Which of the following would the nurse include when teaching the client about the prescribed medication?
- A. Closely monitor your fluid intake while taking this medication.
- B. Stop taking this medication if it causes weight gain.
- C. Expect menstrual irregularities, particularly if they?ve occurred previously.
- D. Report any weight changes that occur during the first few weeks this medication is taken.
Correct Answer: D
Rationale: SSRIs for bulimia nervosa can cause weight changes, and reporting these early (D) is important for monitoring and adjusting treatment. Fluid intake (A) is not typically monitored, stopping for weight gain (B) is inappropriate, and menstrual irregularities (C) are not a primary concern.
While talking with a client with an eating disorder, the client states, I?ve gained 2 pounds, so soon I?ll be over 100 pounds. The nurse interprets this as which of the following?
- A. Magnification
- B. Selective abstraction
- C. Overgeneralization
- D. Dichotomous thinking
Correct Answer: A
Rationale: The statement reflects magnification (A), exaggerating the significance of a 2-pound gain into a catastrophic outcome. Selective abstraction (B) focuses on one detail, overgeneralization (C) applies one event broadly, and dichotomous thinking (D) is all-or-nothing reasoning.
A client with bulimia nervosa is scheduled for a visit to the clinic. When assessing this client, which of the following would the nurse expect to find?
- A. Impulsivity
- B. Panic
- C. Hyperactivity
- D. Delusions
Correct Answer: A
Rationale: Impulsivity (A) is common in bulimia nervosa, manifesting in binge-purge cycles. Panic (B) and hyperactivity (C) are less specific, and delusions (D) are not typical, aligning more with psychotic disorders.
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 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.