Question 1

Two years ago, a patient was diagnosed with bulimia nervosa, and she has weighed 90 kg for the past 12 months. The patient is generally happy with her life and indicates that she has no resistance to weight gain. Which is the best medication to help control the obsessive-compulsive behaviour, now that the patient has reached a maintenance weight?

Accepted Answer

Fluoxetine (Prozac) is an SSRI that is effective in treating bulimia nervosa by helping to control obsessive-compulsive behaviors and is often used once the patient has reached a maintenance weight.

Question 2

Which assessment finding for a patient diagnosed with an eating disorder meets criteria for hospitalization?

Accepted Answer

Blood pressure of 78/58 mm Hg is critically low and indicates hemodynamic instability, which is a criterion for hospitalization in patients with eating disorders.

Question 3

Which nursing diagnosis is more appropriate for a patient diagnosed with anorexia nervosa who restricts intake and is 20% below normal weight than for a patient diagnosed with bulimia nervosa who weighs 60 kg and who purges?

Accepted Answer

The patient with anorexia nervosa who restricts intake and is significantly underweight is more likely to have the nursing diagnosis of "Imbalanced nutrition: less than body requirements" due to their inadequate nutritional intake and significant weight loss.

Question 4

Which of the following is a complication of bulimia nervosa?

Accepted Answer

Esophageal tears, also known as Mallory-Weiss tears, can occur due to the repeated vomiting associated with bulimia nervosa.

Question 5

Which personality characteristic is a nurse most likely to assess in a patient diagnosed with anorexia nervosa?

Accepted Answer

Anorexia nervosa is often associated with rigidity and perfectionism, so a nurse is most likely to assess this personality characteristic in a patient with the diagnosis.

Question 6

A nurse finds a patient diagnosed with anorexia nervosa vigorously exercising before gaining the agreed-upon weekly weight. Which response by the nurse is appropriate?

Accepted Answer

A matter-of-fact statement that the nurse's perceptions are different will help to avoid a power struggle. Treatment plans have specific goals for weight restoration. Exercise is limited to promote weight gain. Patients must be held accountable for required behaviors.

Quiz 16: Eating and Feeding Disorders

Which assessment finding for a patient diagnosed with an eating disorder meets criteria for hospitalization?

Which nursing diagnosis is more appropriate for a patient diagnosed with anorexia nervosa who restricts intake and is 20% below normal weight than for a patient diagnosed with bulimia nervosa who weighs 60 kg and who purges?

Which of the following is a complication of bulimia nervosa?

Which personality characteristic is a nurse most likely to assess in a patient diagnosed with anorexia nervosa?

A nurse finds a patient diagnosed with anorexia nervosa vigorously exercising before gaining the agreed-upon weekly weight. Which response by the nurse is appropriate?