Chapter 26, Eating Disorders Video Solutions, Psychiatric-Mental Health Nursing: Evidence-Based Concepts, Skills, and Practices

Problem 1

A 21-year-old female client is $5^{\prime} 4^{\prime \prime}$ and weighs $145 \mathrm{lb}(65.8 \mathrm{~kg})$. She states that two or three times per week she consumes "too much" food and induces vomiting after she becomes sick. She reports that she has done this for several years. Which of the following would the nurse suspect?
a. Anorexia nervosa.
b. Binge eating disorder without compensatory behaviors.
c. Bulimia nervosa.
d. Eating disorder NOS.

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Problem 2

A 17-year-old client admits to recent use of diuretics and laxatives to lose weight quickly. She is 5 tall, weighs $90 \mathrm{lb}$ ( $40.8 \mathrm{~kg}$ ), and has lost 15 $\mathrm{lb}(6.8 \mathrm{~kg})$ in 3 weeks. The nurse is most concerned about which of the following possible physiologic consequences of the client's behavior?
a. Dehydration.
b. Hypokalemia.
c. Hyponatremia.
d. Anemia.

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Problem 3

The multidisciplinary team is using behavior family systems therapy (BFST). Which of the following activities would be implemented in the weight maintenance phase?
a. The family is engaged in treatment, and the client's weight is checked weekly.
b. The therapist encourages the parents to take charge of the client's eating and coaches the family to develop an appropriate behavioral weight program.
c. The therapist streamlines the weight-gain program and introduces non-food-related issues.
d. The therapist fosters client individuation and encourages the client gradually to reassume control over food.

Alexa Moschella

Numerade Educator

Problem 4

The nurse at a community mental health center has been coordinating the care of a client with anorexia nervosa. The 5' $3^{\prime \prime}$, 16-year-old adolescent has maintained her weight at $110 \mathrm{lb}(49.9 \mathrm{~kg})$ for 6 months. This week, the client appears tired. Her weight has dropped to $104 \mathrm{lb}$ (47.2 kg). Her laboratory test results reveal a potassium level of 2.3 $\mathrm{mEq} / \mathrm{L}$ and a hemoglobin level of $12 \mathrm{mg} / \mathrm{dL}$. The client states that she has been depressed, restricting foods, and using laxatives. Which of the following would the nurse do next?
a. Ask the social worker involved in the client's care to arrange home visits.
b. Call the physician to prescribe antidepressants and potassium supplements.
c. Notify the physician of the findings and the need for inpatient care.
d. Develop a contract that outlines consequences for dieting and using laxatives.

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Problem 5

A client with an eating disorder has been involved in follow-up care for 4 years after her hospitalization for anorexia nervosa. Which of the following would be the most reliable indicator that the plan of care has been effective?
a. The client has maintained her target weight for the past 3 years.
$\mathrm{b}$. The client reports that she has learned to accept her body.
c. The client interacts with her peers.
d. The client has moved into her own apartment.

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