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NUR 351 Chap 18 Questions With Complete Solutions
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NUR 351 Chap 18 Questions With Complete Solutions
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NUR 351 Chap 18 Questions With Complete SolutionsA nurse assesses a patient diagnosed with an eating disorder.
Which comment by the patient is most likely?
Multiple choice question
"Rules don't apply to me. I just do what's best for me."
"I feel good. I feel just fine. I don't have any problems."
"I have certain ways I like to do things and that takes extra
time."
"If I want to do something, I just do it. I don't like to
overanalyze things." Correct Answers "I have certain ways I
like to do things and that takes extra time."
Patients diagnosed with eating disorders consistently exhibit
personality traits of perfectionism and obsessive
compulsiveness. Personality disorders occur more often in the
eating disordered population than the general population,
particularly obsessive-compulsive personality disorder.
Believing that the rules do not apply to oneself, that one does
not have any problems, or that one does what one wants would
be expected from persons with antisocial or narcissistic traits.
pp. 335, 337
,A nurse assesses personality traits of a patient with an eating
disorder. Which comment by the patient indicates bulimia
nervosa rather than anorexia nervosa?
Multiple choice question
"I feel good. I feel just fine. I don't have any problems."
"I try to do what my parents want, but I usually don't get things
right."
"If I want to do something, I just do it. I don't like to analyze
things too much."
"I don't look as good as most of my friends. That's why I don't
have many dates." Correct Answers "If I want to do something,
I just do it. I don't like to analyze things too much."
Impulsivity is characteristic of bulimia nervosa. The other
options indicate low self-esteem, feelings of ineffectiveness, and
alexithymia, which are findings in all eating disorders.
p. 343
A nurse is assessing a child who does not like certain foods in
the daily diet. On examination, the nurse notes that the body
mass index (BMI) of the child is very low. What should the
nurse anticipate the diagnosis to be?
Multiple choice question
,Encopresis
Rumination
Elimination disorder
Avoidant/restrictive food intake disorder Correct Answers
Avoidant/restrictive food intake disorder
Avoidant or restrictive food intake is a feeding disorder where
the patient avoids or restricts certain foods right from childhood.
Encopresis is an elimination disorder in which the child
involuntarily or intentionally passes feces. Rumination is a
feeding problem where there is regurgitation with chewing again
and then swallowing or spitting. Elimination disorder is related
to involuntary or intentional passage of urine or feces.
p. 352
A nurse is assessing a patient suffering from bulimia nervosa.
For what reason would the nurse assess the patient for the
presence of dental caries?
Multiple choice question
Vomiting
Binge eating
Ipecac intoxication
, Excessive caloric intake Correct Answers Vomiting
In bulimia nervosa, induced vomiting causes reflux of
hydrochloric acid over the tooth enamel causing dental caries.
Binge eating can cause gastric dilation or rupture and not dental
caries. Ipecac intoxication can cause cardiac failure and not
dental cavities. Excessive caloric intake can lead to the patient
having slightly low to normal body weight.
pp. 343-344, Table 18.4
A nurse is assessing a patient with anorexia nervosa. Which
clinical findings does the nurse expect?
Multiple selection question
Dry skin
Emaciation
High blood pressure
Decreased urine output
Decreased urinary concentration Correct Answers Dry skin
Emaciation
Decreased urine output
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