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NCM 105 - CARE OF CLIENTS WITH MALADAPTIVEPATTERNSOF BEHAVIOR EXAM QUESTIONS AND ANSWERSLATESTUPDATE 2024/2025 ALL ANSWERS 100% CORRECTVERIFIEDGUARANTEED TO SCORE A+ FOR SUCCESS

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NCM 105 - CARE OF CLIENTS WITH MALADAPTIVEPATTERNSOF BEHAVIOR EXAM QUESTIONS AND ANSWERSLATESTUPDATE 2024/2025 ALL ANSWERS 100% CORRECTVERIFIEDGUARANTEED TO SCORE A+ FOR SUCCESSINSTRUCTION: Please choose the correct answer. Color RED your chosenanswer.Add rationalization to your chosen answer and coloritBLUE.EATING DISORDERS 1. Which of the following is least likely to contributetobuilding an effective therapeutic alliance betweenthenurseandan anorectic patient? A.Establishing disciplined eating through the nurse’sauthoritarian approach with the patient B.Avoiding the stance of a parental role in ordertofosterasense of empowerment C.Offering a highly structured approach in treatingseverelyunderweight patients D.Contracting with the outpatient person about treatmentterms• Authoritarian approach style is exemplified whenaleaderdictates policies and procedures, decides whatgoalsaretobe achieved, and directs and controls all activitieswithoutany meaningful participation by the subordinates.Suchaleader has full control of the team, leavinglowautonomywithin the group. With this kind of approach totheclient’swith anorexia, the nurse and the client wouldbeabletohave unity for their mutual benefit. Page 2 of 44 AGRADESTUVIA 2 CONFIDENIAL 2. The Nurse is developing a plan of care for a femaleclientwith anorexia nervosa. Which action should the nurseincludeinthe plan? A.Provide privacy during meals B.Set-up a strict eating plan for the client C.Encourage client to exercise to reduce anxietyD.Restrict visits with the family • Establishing a consistent eating plan and monitoringclient’s weight are important to this disorder.3. The Nurse is caring for a client diagnosed withbulimia.Themost appropriate initial goal for a client diagnosedwithbulimia is? A.Encourage to avoid foods B.Identify anxiety causing situations C.Eat only three meals a day D.Avoid shopping plenty of groceries • Bulimia disorder generally is maladaptive copingresponsetostress and underlying issues. The client shouldidentifyanxiety causing situation that stimulate the bulimicbehavior and then learn new ways of coping withtheanxiety4. The Nurse is working in a mental health facility;thenursepriority nursing intervention for a newly admittedclientwithbulimia nervosa would be to? A.Teach client to measure I & O B.Involve client in planning daily meal C.Observe client during meals D.Monitor client continuously • Measuring intake and output includes number ofmealsandsnacks per day, types and amount of foods and liquidsconsumed and situations, when and where eatingoccurs.Byteaching the client proper measurements of intakeandoutput, they would be able to self-imposed calorierestriction and dieting behaviour which is veryimportantsothat they would be aware of their current situation.Also, Page 3 of 44 AGRADESTUVIA 3 CONFIDENIAL by doing such, the client will be more indulgedtothetreatment process. 5. The Nurse is aware that the major health complicationassociated with intractable anorexia nervosa wouldbe?A.Cardiac dysrhythmias resulting to cardiac arrestB.Glucose intolerance resulting in protracted hypoglycemiaC.Endocrine imbalance causing cold amenorrhea D.Decreased metabolism causing cold intolerance • These clients have severely depleted levels ofsodiumandpotassium because of their starvation diet andenergyexpenditure, these electrolytes are necessary forcardiacfunctioning. 6. The Nurse is aware that the signs & symptoms thatwouldbemost specific for diagnosis anorexia are? A.Excessive weight loss, amenorrhea & abdominal distensionB.Slow pulse, 10% weight loss & alopecia C.Compulsive behavior, excessive fears & nausea D.Excessive activity, memory lapses & an increasedpulse• These are the major signs of anorexia nervosa.Weightlossis excessive (15% of expected weight) 7. A characteristic that would suggest to a Nurse thatanadolescent may have bulimia would be: A.Frequent regurgitation & re-swallowing of foodB.Previous history of gastritis C.Badly stained teeth D.Positive body image • Dental enamel erosion occurs from repeated self-inducedvomiting and since client is bulimic, an attempttoavoidgaining weight by purging what was consumed ismostlikelyto happen. 8. Which of the following is an example of all-or-nothing Page 4 of 44 AGRADESTUVIA 4 CONFIDENIAL thinking, which is a frequent cognitive distortionofpatientswith an eating disorder? A.“If I allow myself to gain weight, I’ll becomeimmense.”B.“I’m unpopular because I’m fat.” C.“When I’m thin, I’m powerful.” D.“When people say I look better, they’re reallythinkingIlook fat.” Page 5

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NCM 105
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AGRADESTUVIA 2024/2025 AGRADESTUVIA STORE




NCM 105 - CARE OF CLIENTS WITH MALADAPTIVE PATTERNS
OF BEHAVIOR EXAM QUESTIONS AND ANSWERS LATEST
UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED
GUARANTEED TO SCORE A+ FOR SUCCESS


INSTRUCTION:
Please choose the correct answer. Color RED your chosen answer.
Add rationalization to your chosen answer and color it BLUE.

EATING DISORDERS


1. Which of the following is least likely to contribute to
building an effective therapeutic alliance between the nurse and
an anorectic patient?
A.Establishing disciplined eating through the nurse’s
authoritarian approach with the patient
B.Avoiding the stance of a parental role in order to foster a
sense of empowerment
C.Offering a highly structured approach in treating severely
underweight patients
D.Contracting with the outpatient person about treatment terms
• Authoritarian approach style is exemplified when a leader
dictates policies and procedures, decides what goals are to
be achieved, and directs and controls all activities without
any meaningful participation by the subordinates. Such a
leader has full control of the team, leaving low autonomy
within the group. With this kind of approach to the client’s
with anorexia, the nurse and the client would be able to
have unity for their mutual benefit.


Page 1 of 44
AGRADESTUVIA 1 CONFIDENIAL

,2. The Nurse is developing a plan of care for a female client
with anorexia nervosa. Which action should the nurse include in
the plan?
A.Provide privacy during meals
B.Set-up a strict eating plan for the client
C.Encourage client to exercise to reduce anxiety
D.Restrict visits with the family
• Establishing a consistent eating plan and monitoring
client’s weight are important to this disorder.

3. The Nurse is caring for a client diagnosed with bulimia. The
most appropriate initial goal for a client diagnosed with
bulimia is?
A.Encourage to avoid foods
B.Identify anxiety causing situations
C.Eat only three meals a day
D.Avoid shopping plenty of groceries
• Bulimia disorder generally is maladaptive coping response to
stress and underlying issues. The client should identify
anxiety causing situation that stimulate the bulimic
behavior and then learn new ways of coping with the anxiety

4. The Nurse is working in a mental health facility; the
nursepriority nursing intervention for a newly admitted client
withbulimia nervosa would be to?
A.Teach client to measure I & O
B.Involve client in planning daily meal
C.Observe client during meals
D.Monitor client continuously
• Measuring intake and output includes number of meals and
snacks per day, types and amount of foods and liquids
consumed and situations, when and where eating occurs. By
teaching the client proper measurements of intake and
output, they would be able to self-imposed calorie
restriction and dieting behaviour which is very important so
that they would be aware of their current situation. Also,

Page 2 of 44
AGRADESTUVIA 2 CONFIDENIAL

, by doing such, the client will be more indulged to the
treatment process.


5. The Nurse is aware that the major health complication
associated with intractable anorexia nervosa would be?
A.Cardiac dysrhythmias resulting to cardiac arrest
B.Glucose intolerance resulting in protracted hypoglycemia
C.Endocrine imbalance causing cold amenorrhea
D.Decreased metabolism causing cold intolerance
• These clients have severely depleted levels of sodium and
potassium because of their starvation diet and energy
expenditure, these electrolytes are necessary for cardiac
functioning.


6. The Nurse is aware that the signs & symptoms that would be
most specific for diagnosis anorexia are?
A.Excessive weight loss, amenorrhea & abdominal distension
B.Slow pulse, 10% weight loss & alopecia
C.Compulsive behavior, excessive fears & nausea
D.Excessive activity, memory lapses & an increased pulse
• These are the major signs of anorexia nervosa. Weight loss
is excessive (15% of expected weight)

7. A characteristic that would suggest to a Nurse that an
adolescent may have bulimia would be:
A.Frequent regurgitation & re-swallowing of food
B.Previous history of gastritis
C.Badly stained teeth
D.Positive body image
• Dental enamel erosion occurs from repeated self-induced
vomiting and since client is bulimic, an attempt to avoid
gaining weight by purging what was consumed is most likely
to happen.

8. Which of the following is an example of all-or-nothing
Page 3 of 44
AGRADESTUVIA 3 CONFIDENIAL

, thinking, which is a frequent cognitive distortion of patients
with an eating disorder?
A.“If I allow myself to gain weight, I’ll become immense.”
B.“I’m unpopular because I’m fat.”
C.“When I’m thin, I’m powerful.”
D.“When people say I look better, they’re really thinking I
look fat.”




Page 4 of 44
AGRADESTUVIA 4 CONFIDENIAL

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