Nclex-Rn Practice Questions-Care Of The Psychiatric Client - Eating Disorders Part 2
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Question 1 |
An adolescent female client with anorexia nervosa starts outpatient treatment. Which client statement indicates an understanding of the eating disorder?
A | “I’m not worried because no one ever dies from anorexia.” |
B | “I still feel fat even though I’m told that I’m not.” |
C | “My old school friends aren’t important to me anymore.” |
D | “I don’t feel right unless I do an intense workout every day.” |
Question 2 |
A client with bulimia nervosa has a history of severe GI problems caused by excessive purging. The nurse is aware that the client is at risk for which of the following?
A | Renal calculi |
B | Esophageal tears |
C | Focal seizures |
D | Muscle atrophy |
Question 3 |
A female client with anorexia nervosa is receiving care from her family after successfully completing the refeeding stage of treatment. Which nursing intervention takes priority at this time?
A | Providing a strong support system and opportunities to do reality testing |
B | Teaching the family stress-reduction skills to help promote family harmony |
C | Promoting anticipatory grieving over the loss each family member is experiencing |
D | Assisting the family to work on the issues of autonomy and separation |
Question 4 |
A nurse notes severe hypocalcemia in a client with anorexia nervosa. Which history finding supports a diagnosis of osteoporosis?
A | Eating a vegetarian diet |
B | Drinking well water |
C | Going scuba diving |
D | Smoking cigarettes |
Question 5 |
Which psychosocial finding should a nurse expect when assessing a client with anorexia nervosa?
A | Avoidant behavior |
B | Antisocial behavior |
C | Introverted behavior |
D | Hypervigilant behavior |
Question 6 |
What is the most important question for the nurse to ask when assessing the self-esteem of a client with anorexia nervosa?
A | “How would you describe yourself to others?” |
B | “What activities do you enjoy doing with your friends?” |
C | “Do you play any sports at school or in your community?” |
D | “How do you decide how to spend your free time?” |
Question 7 |
What is the priority nursing assessment of a client with an eating disorder?
A | Cultural and gender needs |
B | Substance abuse history |
C | Academic achievement and performance |
D | Level of danger to self or others |
Question 8 |
A client with anorexia nervosa tells a nurse, “I feel so awful and inadequate.” What is the best response by the nurse?
A | “You’re being too hard on yourself.” |
B | “Someday, you’ll feel better about things.” |
C | “Tell me something you like about yourself.” |
D | “Maybe relaxing by yourself will help you feel better.” |
Question 9 |
What is the initial action a nurse should take when a young female client with anorexia nervosa says, “I’ll try to eat something”?
A | Provide a small portion of a healthy food. |
B | Weigh the client before and after eating. |
C | Ask the client what she thinks she can eat. |
D | Suggest the client drink something before eating. |
Question 10 |
A nurse is caring for a client who has anorexia nervosa. They are working on the goal of developing social relationships. The nurse determines the client is meeting the goal when the client does which of the following?
A | The client talks about the value of peer relationships. |
B | The client decides to talk to her parents about her friends. |
C | The client expresses the need to establish trust relationships. |
D | The client attends an activity without prompting from others. |
Question 11 |
A female client with anorexia nervosa is talking to a nurse about her group therapy. Which statement shows the group experience has helped the client?
A | “I feel I’m different and I don’t need a lot of friends.” |
B | “I’ll tell my parents it’s not just me who has problems.” |
C | “I can see how to do things better and become the best.” |
D | “I think I have some unrealistic expectations of myself.” |
Question 12 |
A female client with anorexia nervosa tells a nurse that she has developed hair on most of her body. Which of the following disorders would the nurse most likely expect to be associated with the client’s anorexia nervosa?
A | Anemia |
B | Osteoporosis |
C | Dehydration |
D | Electrolyte imbalance |
Question 13 |
A client with anorexia nervosa has started taking fluoxetine hydrochloride (Prozac). The nurse should closely monitor the client for which of the following?
A | Drowsiness |
B | Dry mouth |
C | Light-headedness |
D | Nausea |
Question 14 |
Parents of a client with anorexia nervosa ask the nurse for information about the risk factors for this disorder. The nurse determines understanding of the information when the parents make which statement?
A | “Risk factors include the inability to be still and emotional lability.” |
B | “Risk factors include a high level of anxiety and disorganized behavior.” |
C | “Risk factors include low self-esteem and problems with family relationships.” |
D | “Risk factors include a lack of life experience and no opportunities to learn skills.” |
Question 15 |
Which goal is best to help a client with anorexia nervosa recognize selfdistortions?
A | Identify the client’s misperceptions of self. |
B | Acknowledge immature and childlike behaviors. |
C | Determine the consequences of a faulty support system. |
D | Recognize the age-appropriate tasks to be accomplished. |
Question 16 |
A nurse is developing a care plan for a family with a member who has anorexia nervosa. What is the most important information for the nurse to include?
A | Coping mechanisms used in the past |
B | Concerns about changes in lifestyle and daily activities |
C | Rejection of feedback from family and significant others |
D | Appropriate eating habits and social behaviors centering on eating |
Question 17 |
An adolescent female client with anorexia nervosa tells a nurse about her outstanding academic achievements and her thoughts about suicide. Which factor must the nurse consider when making a care plan for this client?
A | Self-esteem |
B | Physical illnesses |
C | Paranoid delusions |
D | Relationship avoidance |
Question 18 |
A nurse is analyzing the need for health teaching in a female client with anorexia nervosa who lives in a chaotic family situation. What is the most important question for the nurse to ask the client?
A | “For how many months have your periods been irregular?” |
B | “How often do you think about food in a 24-hour period?” |
C | “What were the circumstances before your eating disorder?” |
D | “How much and what kinds of exercise do you engage in every day?” |
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