PSYC 5015 Chapter 26: Eating Disorders: Nursing Care of Persons with Eating and Weight (Portage)

Chapter 26: Eating Disorders: Nursing Care of Persons with Eating and Weight The nurse is performing an assessment of the family dynamics for a client with an eating disorder. Which issue observed by the nurse is an indicator of why the client may be experiencing an eating disorder?  The family appears to lack interest in the client.  The client has overprotective parents.  There are multiple siblings in the household.  The client has supportive and encouraging relationships. The nurse has been teaching a client about bulimia. Which statement by the client indicates that the teaching has been effective?  "I'll take my medication when I feel the urge to binge."  "I'll eat small meals and snacks regularly."  "I'll limit my intake of carbohydrates and fats."  "I know if I eat pasta, I'll binge." Which of the following terms describes a lack of clear role boundaries?  Enmeshment  Satiety  Autonomy  Empathy A client diagnosed with anorexia nervosa weighs 78% of their ideal body weight and continues to state that they are “fat.” Which symptom does the nurse identify?  negative self-concept  drive for thinness  low self-esteem  body image distortion The nurse is talking with family members of a client with an eating disorder that state, “What is the best way for us to show support during this time?” Which will the nurse inform the family as the most supportive action they can take?  Focus on food intake, calories, and weight.  Give positive reinforcement for weight gain.  Give the client emotional support.  Give the client unlimited access to foods that the client enjoys. A psychiatric-mental health nurse is self-reflecting on their own feelings while caring for clients diagnosed with an eating disorder. Which point is important to consider when self-reflecting as a health care professional?  Become upset when the client does not take the nurse's advice on a situation.  Praise the client for being good after the client resists purging.  Act as the client's authority figure when educating the client.  Keep in mind the client’s perspective and fears while gaining weight. A client meets some (but not all) of the diagnostic criteria for anorexia nervosa. Despite having lost considerable weight, the client's weight is within the normal range. The nurse understands that based on DSM-5 criteria, this client would most likely be diagnosed with which of following?  Anorexia nervosa  Eating disorder not otherwise specified  Bulimia nervosa  Binge eating disorder Fluoxetine includes a black box warning concerning which of the following?  Myocardial infarction  Stroke  Suicidality in children and adolescents  Renal failure When working with a client with anorexia nervosa, which of the following nursing diagnoses is most difficult to resolve successfully?  Imbalanced nutrition: less than body requirements