Psychiatric Mental Health Nursing by Videbeck

(Nancy Kaufman) #1

456


Chapter Review


456


Chapter Study Guide


➤ MULTIPLE-CHOICE QUESTIONS


Select the best answer for each of the following
questions.



  1. Treating clients with anorexia nervosa with a
    selective serotonin reuptake inhibitor anti-
    depressant such as fluoxetine (Prozac) may
    present which of the following problems?
    A. Clients object to the side effect of weight
    gain.
    B. Fluoxetine can cause appetite suppression
    and weight loss.
    C. Fluoxetine can cause clients to become giddy
    and silly.
    D. Clients with anorexia get no benefit from
    fluoxetine.

  2. Which of the following is an example of a
    cognitive-behavioral technique?
    A. Distraction
    B. Relaxation
    C. Self-monitoring
    D. Verbalization of emotions

  3. The nurse is working with a client with anorexia
    nervosa. Even though the client has been eating
    all her meals and snacks, her weight has re-
    mained unchanged for 1 week. Which of the
    following interventions is indicated?
    A. Supervise the client closely for 2 hours after
    meals and snacks.
    B. Increase the daily caloric intake from 1,500
    to 2,000 calories.
    C. Increase the client’s fluid intake.
    D. Request an order from the physician for
    fluoxetine.

  4. Which of the following statements is true?


A. Anorexia nervosa was not recognized as an
illness until the 1960s.

B. Cultures where beauty is linked to thinness
have an increased risk for eating disorders.
C. Eating disorders are a major health problem
only in the United States and Europe.
D. Persons with anorexia nervosa are popular
with their peers as a result of their thinness.


  1. All but which of the following are initial goals for
    treating the severely malnourished client with
    anorexia nervosa?
    A. Correction of body image disturbance
    B. Correction of electrolyte imbalances
    C. Nutritional rehabilitation
    D. Weight restoration

  2. The nurse is evaluating the progress of a client
    with bulimia. Which of the following behaviors
    would indicate that the client is making positive
    progress?
    A. The client can identify calorie content for
    each meal.
    B. The client identifies healthy ways of coping
    with anxiety.
    C. The client spends time resting in her room
    after meals.
    D. The client verbalizes knowledge of former
    eating patterns as unhealthy.

  3. A teenaged girl is being evaluated for an eating
    disorder. Which of the following would suggest
    anorexia nervosa?
    A. Guilt and shame about eating patterns
    B. Lack of knowledge about food and nutrition
    C. Refusal to talk about food-related topics
    D. Unrealistic perception of body size


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