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. Extreme anxiety with brief dazed periods describes depersonalization or dissociative episodes, but not a fugue, because identity and travel are not involved.
B. Feeling like the body is unreal or shrinking is indicative of depersonalization-derealization disorder, not dissociative fugue.
C. Unfamiliar clothes and blackouts without alcohol may suggest dissociative identity disorder, as multiple identities or personality states are involved.
D. Dissociative fugue involves sudden, unexpected travel away from one’s home or workplace, inability to recall the past, and confusion about personal identity or assumption of a new identity. The scenario describes disappearance, travel, and memory loss consistent with dissociative fugue.
Correct Answer is C
Explanation
A. Singing carols is calm, unlikely to trigger combat-related flashbacks.
B. A seashore outing is generally peaceful and not typically a PTSD trigger.
C. Fireworks mimic gunfire and explosions, which can easily trigger flashbacks, hypervigilance, and distress in combat veterans with PTSD.
D. Halloween can be stimulating, but not as direct a combat reminder as fireworks.
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