Over the past year, a woman has cooked gourmet meals for her family but eats only tiny servings. This person wears layered loose clothing. Her current weight is 95 pounds and has a loss of 35 pounds. Which medical diagnosis is most likely?
Anorexia nervosa
Binge eating
Eating disorder not otherwise specified
Bulimia nervosa
The Correct Answer is A
A. Key features include severe weight loss, distorted body image, restrictive eating, and preoccupation with food (e.g., cooking for others but eating very little). Wearing loose layers to hide weight is also typical.
B. This disorder involves recurrent episodes of eating large amounts of food, often rapidly, which is not described here.
C. This category is used when symptoms do not fully meet criteria for anorexia or bulimia; the patient’s presentation fits anorexia nervosa criteria.
D. Bulimia involves bingeing and compensatory behaviors like vomiting or laxative use; no binge episodes are described in this case.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A busy family may experience stress, but this alone is not the greatest risk factor for abuse.
B. Multiple caregivers can sometimes create inconsistency in care, but it is not the primary factor.
C. Rural living may limit access to resources, but dementia itself poses a greater risk.
D. Dementia (especially Alzheimer’s disease) significantly increases vulnerability to abuse because of impaired memory, communication, and judgment, which limit the ability to report or stop mistreatment.
Correct Answer is B
Explanation
A. Intervening when a self-mutilating patient attempts to harm self reflects beneficence and nonmaleficence, prioritizing safety rather than autonomy.
B. Supporting the patient to explore alternatives and make their own choice directly respects and promotes the ethical principle of autonomy.
C. Staying with a patient demonstrating a high level of anxiety demonstrates beneficence by providing support, not autonomy.
D. Suggesting restrictions for patients who were fighting reflects justice or safety measures, not the patient’s personal decision-making.
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