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Test Bank For Davis Advantage for Townsend’s Essentials of Psychiatric Mental Health Nursing 9th Edition Karyn Morgan(CHAPTER 21 AND 22)$2.99
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Multiple Choice
Identify the choice that best completes the statement or answers the question.
Which historical perspective would the nurse include when teaching about the home environment
1. and the development of anorexia nervosa?
1. Maintains loose personal boundaries
2. Places an overemphasis on food
3. Is overprotective with emphasis on perfection
4. Condones corporal punishment
The client’s altered body image is evidenced by claims of “being obese,” even though the client is
emaciated. Which outcome criterion is appropriate for this client’s problem?
2. 1. The client will consume adequate calories to sustain normal weight.
2. The client will cease strenuous exercise programs.
3. The client will verbally state a misperception of body image as “fat.”
4. The client will not express a preoccupation with food.
3. The nurse is teaching a client diagnosed with bulimia nervosa about the symptom of tooth enamel
deterioration. Which explanation for this complication of bulimia nervosa should the nurse provide?
1. The emesis is acidic and corrodes the tooth enamel.
2. Purging causes the deNpElUextRiaoSmnIoiNfndGeiTer0tBa0r.y1Cc@aOlcMsiutumv.
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3. Food is rapidly ingested without proper mastication.
4. Poor dental and oral hygiene leads to dental caries.
4. The nurse is teaching a client diagnosed with an eating disorder about behavior-modification
programs. What is the priority rationale for this treatment?
1. It helps the client correct a distorted body image.
2. It addresses the underlying client anger.
3. It manages the client’s psychotic behaviors.
4. It allows clients to maintain control.
5. An adolescent is diagnosed with anorexia nervosa and is hospitalized for severe malnutrition.
Which body mass index (BMI) measurement would the nurse observe upon assessment of this
client?
1. 30
2. 24
3. 20
4. 16
6. The family of a teenager diagnosed with anorexia nervosa becomes defensive when the treatment
team calls for a family meeting to implement the Maudsley approach. Which is the appropriate
nursing response?
1. “Tell me why this family meeting is causing you to be defensive. All clients
are required to participate in two family sessions.”
2. “For the plan to be successful, we need your involvement. The parents establish
, the rules and guidelines around eating.”
3. “While the client is the primary focus, this meeting will provide your child
with family support.”
4. “Clients diagnosed with anorexia nervosa are part of the family system, and
any alteration in family processes needs to be addressed.”
The client diagnosed with bulimia nervosa has been attending an outpatient mental health clinic
7. for several months. Which factor should a nurse identify as an appropriate indicator of a positive
client behavioral change?
1. Gained two pounds in one week
2. Focused conversations on nutritious food
3. Demonstrated healthy coping mechanisms that decreased anxiety
4. Verbalized an understanding of the etiology of the disorder
The nurse is caring for a client diagnosed with binge eating disorder (BED). Which medication
should the nurse administer to the client to decrease binging?
8. 1. Lisdexamfetamine (Vyvanse)
2. Chlorpromazine (Thorazine)
3. Haloperidol (Haldol)
4. Diazepam (Valium)
The nurse is teaching about the differences between the symptoms of anorexia nervosa and the
symptoms of bulimia. Which information should the nurse include?
1. Clients diagnosed with anorexia nervosa experience extreme nutritional
9. deficits, whereas clients
diagnoNEsUexdRawSmiIthiNnbGeuTrli0Bm0.ia1C@nOerMsvtousa
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2. Clients diagnosed with bulimia nervosa experience amenorrhea, whereas clients
diagnosed with anorexia nervosa do not.
3. Clients diagnosed with bulimia nervosa experience hypotension, edema,
and lanugo, whereas clients diagnosed with anorexia nervosa do not.
4. Clients diagnosed with anorexia nervosa have eroded tooth enamel,
whereas clients diagnosed with bulimia nervosa do not.
10. The adolescent diagnosed with a history of anorexia nervosa comes to an outpatient clinic after
being medically cleared. The client states, “Since going back to school, I am nervous, get
apprehensive, and have a hard time eating food.” Which nursing diagnosis would take priority
at this time?
1. Imbalanced nutrition: less than body requirements
2. Disturbed body image/Low self-esteem
3. Impaired verbal communication
4. Anxiety
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
11. The nurse is caring for a client with anorexia nervosa. Which nursing interventions would the
nurse add to the plan of care? (Select all that apply.)
1. Minimize the focus on food and eating
, 2. Limit mealtime to 30 minutes
3. Monitor for 30 minutes after eating
4. Weigh client weekly
5. If weight loss occurs, bargain for restrictions
12. The nurse is teaching about the DSM-5 criteria for the diagnosis of binge eating disorder.
Which statements by the staff indicate successful teaching? (Select all that apply.)
1. “Binge eating occurs exclusively during the course of bulimia nervosa.”
2. “Binge eating occurs, on average, at least once a week for three months.”
3. “Binge eating occurs because of an intense fear of becoming fat.”
4. “Marked distress regarding binge eating is present.”
5. “Marked distress regarding purging is present.”
Completion
Complete each statement.
13. The diagnosis of nervosa includes the symptoms of gross distortion
of body image, preoccupation with food, and refusal to eat.
14. The episodic, uncontrolled, compulsive, rapid ingestion of large quantities of food over a
short period of time is termed .
15. To rid the body of excessive calories, a client diagnosed with bulimia nervosa may engage in
NbEeUhxRaavSmioIriNns,eGwrTh0iBc0.h1Ci@nOclMsutduevsiealf.-
cinodmuced vomiting or the misuse of laxatives, diuretics, or enemas.
, Chapter 21: Eating
Disorders Answer Section
MULTIPLE CHOICE
1. ANS: 3
Chapter: Chapter 21, Eating Disorders
Objective: Identify predisposing factors in the development of eating disorders.
Page:
Heading: Predisposing Factors and Theories of Etiology Associated with Anorexia Nervosa,
Bulimia Nervosa, and BED > Family Influences
Integrated Processes: Teaching and
Learning Client Need: Psychosocial
Integrity Cognitive Level: Application
[Applying] Concept: Addiction and
Behaviors Difficulty: Moderate
Feedback
1 A home environment that maintains loose personal boundaries is not a historical
perspective in the development of anorexia nervosa.
2 A home environment that places an overemphasis on food is not a historical
perspective in the
deNvEeUlxoRapSmmIeinNnteGorTf0aB0n.o1rC@eOxiMsa tnuevrvia
os.ca.om
3 The nurse would include that a home environment that is overprotective and
demands perfection is a historical perspective that has been shown to negatively
influence care. The American Academy for Eating Disorders (AED) stands
firmly against any model of eating disorders in which blame is assigned to the
family. The AED recommends that family be included in the recovery process.
4 A home environment that condones corporal punishment does not typically lead
to anorexia nervosa and is not a historical perspective in the development of
anorexia nervosa.
PTS: 1 CON: Addiction and Behaviors
2. ANS: 3
Chapter: Chapter 21, Eating Disorders
Objective: Formulate nursing diagnoses and outcomes of care for clients with eating disorders.
Page:
Heading: Table 21-3 Care Plan for Client with Eating Disorders: Anorexia Nervosa and Bulimia
Nervosa > Nursing Diagnosis: Disturbed Body Image/Low Self-Esteem
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Analysis
[Analyzing] Concept: Addiction and
Behaviors Difficulty: Moderate
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