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Chapter 30. Eating Disorders

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Chapter 30. Eating Disorders

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  • August 29, 2024
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  • 2024/2025
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Chapter 30. Eating Disorders




MULTIPLE CHOICE



1. The nurse is reviewing the plan of care for a 15-year-old client diagnosed with
anorexia nervosa. The treatment team plans to implement
cognitiavbeirbb.ceohma/tvesitor therapy (CBT). Which is the best rationale for the use
of CBT for clients diagnosed with anorexia nervosa?
1. Recognize maladaptive eating patterns as defense mechanisms.
2. Promote autonomy and control over eating behaviors.
3. Eliminate emotional components of maladaptive eating patterns.
4. Allow client to establish goals of the treatment plan.

ANS: 3
Chapter: Chapter 30, Eating Disorders
Objective: Discuss various modalities relevant to treatment of eating disorders.
Page: 646
Heading: Behavior Modification
Integrated Processes: Nursing Process: Implementation
Client Need: Psychosocial Integrity
Cognitive Level: Comprehension [Understanding]
Concept: Addiction and Behaviors
Difficulty: Moderate
Feedback
1. This is incorrect. CBT strives to eliminate the emotional components associated with
unhealthy eating patterns by confronting irrational thinkingabpirba.tctoemrn/tesstand
associated feelings. Psychotherapy is used to explore unresolved conflicts and
recognize the maladaptive eating behaviors as defense mechanisms to ease
emotional
2. This pain. CBT strives to eliminate the emotional co m p o n e n t s
is incorrect. a birb . co m / te s t
associated with unhealthy eating patterns by confronting irrational thinking patterns
and associated feelings. Promoting control over eating behaviors is an intervention.
3. This is correct. CBT strives to eliminate the emotional components associated with
unhealthy eating patterns by confronting irrational thinkingabpirba.tctoemrn/tesstand
associated
4. This is incorrect. CBT strives to eliminate the emotional components associated with
unhealthy eating patterns by confronting irrational thinkingabpirba.tctoemrn/tesstand
associated feelings. Contracting for privileges is used to allow the client to provide
input when
setting goals of the care plan.
CON: Addiction and Behaviors

,2. The nurse is preparing an education program regarding early idabeirnbt.cifoimc/atetsiton
of students at risk for developing anorexia nervosa. Which client does the nurse
recognize as having the highest risk of developing an eating disorder?
1. Female ballet dancer
2. Female cheerleader
3. Male wrestler
4. Male swimmer

ANS: 1
Chapter: Chapter 30, Eating Disorders
Objective: Identify predisposing factors in the development of
eaatbiinrbg.codmis/toesrtders. Page: 631
Heading: Epidemiological Factors
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Addiction and Behaviors
Difficulty: Moderate

Feedback
1. This is correct. A ballet dancer has a seven times greater
riasbkirbo.cfodme/tvesetloping anorexia nervosa among females.
2. This is incorrect. A ballet dancer has a seven times greater risk of developing
anorexia nervosa among females. A cheerleader has a lower risk a than ballet dancer.
3. This is incorrect. A ballet dancer has a seven times
greaterarbiisrbk.comf /dteestveloping anorexia nervosa among females. Though the
percentage of male wrestlers is higher
than that of female wrestlers, the prevalence of eating disorders is higher among
females.
4. This is incorrect. A ballet dancer has a seven times greaterabirb.com/test
risk of developing
anorexia nervosa among females. Swimmers are also at risk for developing an eating
disorder; however, the prevalence of eating disorders is higher among females.
CON: Addiction and Behaviors


3. The nurse is developing a care plan for a client diagnosed with anorexia nervosa and
determines “disturbed body image” is the priority nursing diagnosis. Which is the most
appropriate outcome criterion?
1. Achieve and maintain expected body mass index (BMI).
2. Verbalize understanding of maladaptive eating behaviors.
3. Exhibit decreased preoccupation with own appearance.
4. Discuss feelings and emotions associated with eating.

, Townsend
PMHN, 10e
Chapter 30 - ETB
abirb.com/test


ANS: 3
Chapter: Chapter 30, Eating Disorders
Objective: Formulate nursing diagnoses and outcomes of care for clients with eating
disorders.
Page: 643 Heading:
Planning/Implementation > Disturbed Body Image/Low Self-Esteem
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Addiction and Behaviors
Difficulty: Moderate
Feedback
1. This is incorrect. “Disturbed body image” is defined as “confusion in mental picture
of one’s physical self.” The most important outcome criteraiobinrb.fcomr /ttheset
client to demonstrate is an increase in self-esteem as manifested by verbalizing
positive aspects of self and exhibiting decreased preoccupation with their
appearance. This
outcome criterion is most appropriate for the nursing diagnosis “imbalanced
2. nutrition: less/more
This is incorrect. than bodybody
“Disturbed requirements.”
image” is defined as “confusion in mental picture
of one’s physical self.” The most important outcome criterion for the client to
demonstrate is an increase in self-esteem as manifested byavbeirbr.bcoamli/zteisnt g
positive aspects of self and exhibiting decreased preoccupation with their own
appearance. This outcome criterion is most appropriate for the nursing diagnosis
“denial.”
3. This is correct. “Disturbed body image” is defined as “confusion in mental picture of
one’s physical self.” The most important outcome criterionabfiorbr.ctohme/tecsltient to
demonstrate is an increase in self-esteem as manifested by verbalizing positive
aspects of self and exhibiting decreased preoccupation with their own appearance.
4. This is incorrect. “Disturbed body image” is defined as “coanbifrbu.scoiomn/teisnt
mental picture of one’s physical self.” The most important outcome criterion for the
client to demonstrate is an increase in self-esteem as manifested by verbalizing
positive aspects of self and exhibiting decreased preoccupation with their own
appearance. This outcome criterion is appropriate for the nursing
a b ir b .c o m /t s t
CON: diagn o s iand
Addiction s “Behaviors
o b e s ity.”



4. While assessing a client diagnosed with bulimia nervosa, the nurse observes multiple
cavities, enamel erosion, and tooth sensitivity. Which best explaianbsirbt.hcoemn/tuesrtse’s
findings?
1. Electrolyte imbalances
2. Self-induced vomiting
3. Nutritional deficits
4. Dehydration

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