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The nurse is assisting a binge eater in establishing a dietary plan of care. What instruction is most likely to cause a relapse in behavior?
- A. Remember recovery is a day-by-day process.
- B. Attend a self-help group.
- C. Be cautious of sugar-free items.
- D. Stick to a strict diet plan.
Correct Answer: D
Rationale: Strict dieting or fasting is the leading cause of binging. The newer approach to weight management stresses that all foods are acceptable and strict avoidance of foods tends to worsen binge eating. Clients should attend self-help groups or group therapy. Being cautious of items that are labeled fat free and sugar free is encouraged because sugar free may not mean calorie free. Remember that recovery is a day-by-day process.
You may also like to solve these questions
Increases in which neurotransmitter contribute to restrictive eating?
- A. Serotonin
- B. Dopamine
- C. Norepinephrine
- D. Tryptophan
Correct Answer: A
Rationale: Increased serotonin levels contribute to restricted eating. Dopamine, norepinephrine, and tryptophan are not associated with restrictive eating.
The parents are struggling with the idea their child has anorexia and comment that the child 'often eats large quantities of food.' Which statement by the nurse best supports the diagnosis?
- A. There are many types of anorexia nervosa.
- B. Cycles of self-starvation, binging, purging, and exercising are common.
- C. Your child was probably disposing of the food, not eating it.
- D. It must be difficult for you to accept the fact your child has an eating disorder.
Correct Answer: B
Rationale: Bulimarexia is a type of anorexia in which extended periods of self-starvation is interrupted by binging, purging, and exercising. There are over twice as many persons with bulimarexia than those with simple anorexia nervosa.
A nurse who works in an outpatient mental health facility understands that imbalances of serotonin and/or dopamine levels are linked to eating disorders. Which behavior problem is most likely to be associated with the fear of becoming fat?
- A. Panic disorder
- B. Agoraphobia
- C. Obsessive-compulsive disorder
- D. Conversion disorder
Correct Answer: C
Rationale: About one third of people with eating disorders have had previous symptoms of anxiety disorder known as obsessive-compulsive disorder. Having an obsessional fear of fat may precipitate the compulsive behavior to control the fear. Panic disorder and agoraphobia are forms of anxiety disorders not significant to eating disorder. Conversion disorder is a somatoform disorder not significant to eating disorders.
The nurse is preparing a teaching plan for a client diagnosed with bulimia nervosa. What would be included in the teaching plan?
- A. Change eating locations frequently
- B. Consume no more than 2000 to 3000 calories/day.
- C. Eat alone to concentrate on food intake.
- D. Consume high-caloric foods.
Correct Answer: B
Rationale: Included in the teaching plan should be that the client will consume no more than 2000 to 3000 calories/day divided among three meals plus or minus snacks. There should be a restriction of eating locations. Binging takes place when the client with bulimia is alone and when there is a low potential for being discovered. Consuming low-caloric foods may create less anxiety and reduce the potential for purging.
The nurse is preparing to administer orlistat to a client with obesity. Which safety warning(s) should the nurse consider when administering this medication to the client? Select all that apply.
- A. Administer with meals, stagger administration with other drugs.
- B. Provide a vitamin supplement with the medication.
- C. Monitor liver function.
- D. Avoid caffeine.
- E. Avoid use among clients with heart disease, hypertension, and hyperthyroidism.
Correct Answer: A,B,C
Rationale: The safety warnings that the nurse should consider include administering orlistat with meals and staggering administration with other drugs, the requirement of vitamin supplementation due to nonabsorption of nutrients, and monitoring liver function. Avoiding caffeine and avoiding the use of the medication among clients with heart disease, hypertension, and hyperthyroidism are applicable to appetite suppressants such as benzphetamine, diethylpropion, phendimetrazine, and phentermine, not orlistat.