Which of the following is a characteristic of anorexia nervosa?
- A. Binge eating followed by purging.
- B. Refusal to maintain a healthy weight and an intense fear of gaining weight.
- C. Frequent overeating episodes without purging behaviors.
- D. Extreme preoccupation with body image and excessive exercise.
Correct Answer: B
Rationale: The correct answer is B because anorexia nervosa involves a refusal to maintain a healthy weight, an intense fear of gaining weight, and a distorted body image. This disorder is characterized by restrictive eating habits leading to significant weight loss. Individuals with anorexia nervosa often perceive themselves as overweight despite being underweight. Choices A, C, and D are incorrect as they describe characteristics more closely associated with bulimia nervosa, binge eating disorder, and orthorexia, respectively. Binge eating followed by purging (A) is a behavior seen in bulimia nervosa, frequent overeating episodes without purging (C) is typical of binge eating disorder, and extreme preoccupation with body image and excessive exercise (D) may be seen in orthorexia or other eating disorders, but not specifically in anorexia nervosa.
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A patient referred to the eating disorders clinic lost 35 pounds over 3 months. To assess eating patterns, the nurse should ask:
- A. Do you often feel fat?
- B. Who plans the family meals?
- C. What do you eat in a typical day?
- D. What do you think about your present weight?
Correct Answer: C
Rationale: Rationale:
C is correct because it directly addresses the assessment of eating patterns by inquiring about the patient's actual food intake. This question provides valuable information on the quantity and quality of food consumed, aiding in diagnosing and treating eating disorders.
Other choices are incorrect:
A is focused on body image and self-perception, not eating patterns.
B is about family dynamics, not the patient's individual eating habits.
D pertains to body weight perception, not the specifics of the patient's diet.
Many clients with eating disorders have difficulty translating their pain into words. Which approach may be used to promote getting in touch with feelings and greater self-disclosure?
- A. Personality inventory testing.
- B. Dance and movement therapy.
- C. Letter writing.
- D. Cooking and meal-planning classes.
Correct Answer: B
Rationale: The correct answer is B: Dance and movement therapy. This approach can help clients with eating disorders express emotions non-verbally, promoting self-awareness and self-disclosure. Movement therapy encourages embodied expression of feelings, facilitating a deeper connection to internal experiences. It allows clients to explore and release emotions through physical movement, aiding in the processing of emotional pain. Personality inventory testing (A) may not directly address emotional expression. Letter writing (C) can help, but may not be as effective as movement in promoting non-verbal expression. Cooking and meal-planning classes (D) focus on practical skills rather than emotional expression.
The population of Boston today is compared to its population after World War
- A. The same
- B. Slightly higher
- C. Considerably higher
- D. Less
Correct Answer: C
Rationale: Boston's population has grown considerably since post-World War II due to urban development and economic opportunities.
Which of the following is a common physical sign of anorexia nervosa?
- A. Hypoglycemia and tachycardia.
- B. Severe weight loss and dry skin.
- C. Increased appetite and excessive weight gain.
- D. High blood pressure and rapid heart rate.
Correct Answer: B
Rationale: The correct answer is B: Severe weight loss and dry skin. In anorexia nervosa, individuals typically experience significant weight loss due to severe restriction of food intake. This leads to a low body weight, which is a key physical sign of the disorder. Dry skin is also common in anorexia nervosa due to malnutrition.
Rationale:
A: Hypoglycemia and tachycardia are not specific physical signs of anorexia nervosa. While tachycardia (rapid heart rate) can occur due to the stress on the body, it is not as specific as severe weight loss.
C: Increased appetite and excessive weight gain are not characteristic of anorexia nervosa, as individuals with this disorder typically have a distorted body image and fear gaining weight.
D: High blood pressure and rapid heart rate are not typical physical signs of anorexia nervosa. Anorexia nervosa is more commonly associated with low blood pressure due to mal
A client who was treated for anorexia nervosa is seen by the therapist for a follow-up visit 1 month after discharge from the hospital. Which statement indicates that the client has met the goal 'Demonstrate improvement in body image with more realistic view of body shape and size?'
- A. When I go shopping, I always select clothes that are several sizes too large for me.'
- B. My boyfriend says I really look good now that I'm out of the hospital.'
- C. I had my class picture taken, and I think it looks really good.'
- D. My mother bought me a whole new wardrobe since I've been home.'
Correct Answer: C
Rationale: The correct answer is C because the client's statement reflects a positive and self-affirming perception of themselves. By stating that they think their class picture looks really good, it shows an improvement in body image and a more realistic view of their body shape and size. This indicates progress towards the goal of developing a healthier self-perception.
Choice A is incorrect because selecting clothes that are several sizes too large may still indicate body image distortion and dissatisfaction. Choice B is incorrect because relying on external validation from a boyfriend does not necessarily reflect an internalized improvement in body image. Choice D is incorrect as the mother buying a new wardrobe does not directly address the client's perception of their body image or shape.