Nclex-Rn Practice Questions-Care Of The Psychiatric Client – Eating Disorders Part 1

Nclex-Rn Practice Questions-Care Of The Psychiatric Client - Eating Disorders Part 1

Please wait while the activity loads.
If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled.

If loading fails, click here to try again

Start

Congratulations - you have completed Nclex-Rn Practice Questions-Care Of The Psychiatric Client - Eating Disorders Part 1.

You scored %%SCORE%% out of %%TOTAL%%.

Your performance has been rated as %%RATING%%

Your answers are highlighted below.

Question 1

A parent with a daughter who was diagnosed with bulimia nervosa asks a nurse, “How can my child have an eating disorder when she isn’t underweight?” What is the most appropriate response by the nurse?

A	“A person with bulimia nervosa can maintain a normal weight.”
B	“It’s hard to face this type of problem in a person you love.”
C	“At first, there is no weight loss; it comes later in the disease.”
D	“This is a serious problem even though there is no weight loss.”

Question 2

Monoamine oxidase inhibitors (MAOIs) have been prescribed for a client with bulimia nervosa. What is the most important information for the nurse to give the client?

A	“Drink several glasses of water with each dose.”
B	“Do not eat foods that contain tyramine, such as cheese, cottage cheese, pickled herring, and salami.”
C	“Watch for bleeding and bruising.”
D	“Call your provider if you have tremors or feel anxious or agitated.”

Question 3

A nurse is working with a female client with anorexia nervosa who has acrocyanosis in her extremities. Which short-term goal is most important for the client?

A	Do daily range-of-motion exercises.
B	Eat some fatty foods daily.
C	Check neurological reflexes.
D	Promote adequate circulation.

Question 4

A nurse plans to include the parents of a client with anorexia nervosa in therapy sessions along with the client. What fact should the nurse remember about parents of clients with anorexia?

A	They tend to overprotect their children.
B	They usually have a history of substance abuse.
C	They maintain emotional distance from their children.
D	They alternate between loving and rejecting their children.

Question 5

A client with anorexia nervosa is having problems with peer relationships. The nurse determines that which of the following is the best communication strategy?

A	Use concrete language and maintain a focus on reality.
B	Direct the client to talk about what is causing the anxiety.
C	Teach the client to communicate feelings and express self appropriately.
D	Confront the client about being depressed and self-absorbed.

Question 6

A client with anorexia nervosa tells a nurse, “My parents never hug me or say I’ve done anything right.” What is the most appropriate nursing intervention?

A	Teach the family principles of assertive behavior.
B	Discuss the difficulties the family has in social situations.
C	Help the family convey a positive attitude toward the client.
D	Explore the family’s ability to express affection appropriately.

Question 7

A client with anorexia nervosa tells a nurse, “I’ll never have the slender body I want.” What is the most appropriate intervention by the nurse?

A	Call a family meeting to get help from the parents.
B	Help the client work on developing a realistic body image.
C	Make an appointment to see the dietitian on a weekly basis.
D	Develop an exercise program the client can do twice a week.

Question 8

A client with anorexia nervosa attended psychoeducational sessions on principles of adequate nutrition. Which statement by the client indicates the teaching was effective?

A	“I eat while I’m doing things to distract myself.”
B	“I eat all my food at night right before I go to bed.”
C	“I eat small amounts of food slowly at every meal.”
D	“I eat only when I’m with my family and trying to be social.”

Question 9

What is the treatment team’s priority in planning the care of a client with an eating disorder?

A	Preventing the client from performing any muscle-building exercises
B	Keeping the client on bed rest until she attains a specified weight
C	Meeting daily to discuss manipulation and countertransference
D	Monitoring the client’s weight and vital signs daily

Question 10

Which statement from a bulimic client shows that she understands the concept of relapse?

A	“If I can’t maintain control over things, I’ll have problems.”
B	“If I have problems, then that says I haven’t learned much.”
C	“If this illness becomes chronic, I won’t be able to handle it.”
D	“If I have problems, I can start over again and not feel hopeless.”

Question 11

A female client with bulimia nervosa tells a nurse she was doing well until last week, when she had a fight with her father. Which nursing intervention is most appropriate?

A	Examine the relationship between feelings and eating.
B	Discuss the importance of therapy for the entire family.
C	Encourage the client to avoid certain family members.
D	Identify daily stressors and learn stress management skills.

Question 12

Which statement indicates to the nurse that a female client with bulimia nervosa is making progress in interrupting the binge-purge cycle?

A	“I called my friend the last two times I got upset.”
B	“I know I’ll have this problem with eating forever.”
C	“I started asking my mother or sister to watch me eat each meal.”
D	“I can have my boyfriend bring me home from parties if I want to purge.”

Question 13

A female client with bulimia nervosa tells a nurse her major problem is eating too much food in a short period of time and then vomiting. Which shortterm goal is the most important?

A	Help the client understand every person has a satiety level.
B	Encourage the client to verbalize fears and concerns about food.
C	Determine the amount of food the client will eat without purging.
D	Obtain a therapy appointment to look at the emotional causes of bulimia nervosa.

Question 14

Which nursing diagnosis should have the highest priority in the plan of care for a client with an eating disorder?

A	Interrupted family processes
B	Imbalanced nutrition: Less than body requirements
C	Disturbed body image
D	Ineffective coping

Question 15

A mother of a female client with bulimia nervosa asks a nurse if bulimia nervosa will stop her daughter from menstruating. What is the best response by the nurse?

A	“All women with anorexia nervosa or bulimia nervosa will have amenorrhea.”
B	“When your daughter is bingeing and purging, she won’t have normal periods.”
C	“The eating disorder must be ongoing for your daughter’s menstrual cycle to change.”
D	“Women with bulimia nervosa may have a normal or abnormal menstrual cycle, depending on the severity of the problem.”

Question 16

A female client with bulimia nervosa is discussing her abnormal eating behaviors with the nurse. Which statement by the client indicates an understanding of the disorder?

A	“When my loneliness gets to me, I start to binge.”
B	“I know that when my life gets better, I’ll eat right.”
C	“I know I waste food and waste my money on food.”
D	“After my parents’ divorce, I’ll talk about bingeing and purging.”

Question 17

A nurse is assessing a client with bulimia nervosa for possible substance abuse. What is the most important question for the nurse to ask the client?

A	“Have you ever used diet pills?”
B	“Where would you go to buy drugs?”
C	“At what age did you start drinking?”
D	“Do your peers ever offer you drugs?”

Question 18

A female client is talking to a nurse about her binge-purge cycle. What is the most appropriate question for the nurse to ask the client?

A	“Do you know how to stop the binge-purge cycle?”
B	“Does the binge-purge cycle help you lose weight?”
C	“Can the binge-purge cycle take away your anxiety?”
D	“How often do you go through the binge-purge cycle?”

Question 19

Which statement made by the client about the binge-purge cycle that occurs with bulimia nervosa indicates understanding of the disorder?

A	“There are emotional triggers connected to bingeing.”
B	“Over time, people usually grow out of bingeing behaviors.”
C	“Bingeing isn’t the problem; purging is the issue to address.”
D	“When a person gets too hungry, there’s a tendency to binge.”

Question 20

A nurse is talking to a client with bulimia nervosa about the complications of laxative abuse. Which statement by the client indicates that the client understands the risks?

A	“I don’t really have much taste for food, so there’s no loss in getting it out of my system more quickly.”
B	“Laxatives help me get rid of extra calories before they’re added to my body. I know I just shouldn’t eat the extra calories to begin with.”
C	“Laxatives are over-the-counter medications that have no harmful effect.”
D	“Using laxatives prevents my body from absorbing essential nutrients, such as protein, fat, and calcium.”

Question 21

A client with bulimia nervosa asks a nurse, “How can I ask for help from my family?” What is the most appropriate response by the nurse?

A	“When you ask for help, make sure you really need it.”
B	“Have you ever asked for help before?”
C	“Ask family members to spend time with you at mealtime.”
D	“Think about how you can handle this situation without help.”

Question 22

A client with a diagnosis of bulimia nervosa is working on relationship issues. Which nursing intervention is the most important?

A	Have the client work on developing social skills.
B	Focus on how relationships cause bulimic behavior.
C	Help the client identify feelings about relationships.
D	Discuss how to prevent getting overinvolved in relationships.

Question 23

A young female client with bulimia nervosa tells the nurse she wants to lessen her feelings of powerlessness. What is the most important short-term goal?

A	Learn problem-solving skills.
B	Decrease symptoms of anxiety.
C	Perform self-care activities daily.
D	Verbalize how to set limits with others.

Question 24

Which of the following responses from a client should the nurse address first?

A	“My life is over if I gain weight.”
B	“I feel dizzy and light-headed when I get up.”
C	“My teeth hurt.”
D	“I don’t have the same hard grip with my hands as I used to.”

Question 25

The nurse has instructed a client with an eating disorder about Prozac (fluoxetine). The nurse determines that teaching has been effective when the client makes which statement?

A	“I can eat anything and anytime I want. This medication will control my eating.”
B	“I can drive my car as soon as I get home”
C	“I should call my provider if I have cravings for large amounts of food.”
D	“It may take 1 to 3 weeks for this medication to be effective for me.”

Question 26

The nurse is aware that which assessment finding distinguishes bulimia nervosa from binge-eating disorder?

A	Binge-eating disorder is not associated with the regular use of inappropriate compensatory behaviors (such as purging, fasting, and excessive exercise).
B	Binge eating occurs at least two times a week in bulimia nervosa but not in binge-eating disorder.
C	Bulimia nervosa clients eat food within a 2-hour time frame in amounts that surpass any amount most people would eat in a similar period of time.
D	A sense of lack of control over eating during the episode is found in a client with a binge-eating disorder.

Once you are finished, click the button below. Any items you have not completed will be marked incorrect. Get Results

There are 26 questions to complete.

related categories

Nclex Practice Questions Nclex-Nursing Resources

Nclex-Rn Practice Questions-Care Of The Psychiatric Client – Eating Disorders Part 1

Nclex-Rn Practice Questions-Care Of The Psychiatric Client - Eating Disorders Part 1

related categories

Related posts

Leave a Reply Cancel reply