The nurse provides care for a client with anorexia nervosa. The nurse knows which statements aretrue regarding anorexia nervosa?

Clients diagnosed with anorexia nervosa often see themselves as overweight.

Anorexia Nervosa has the highest mortality of all mental disorders.

Clients diagnosed with anorexia nervosa often see themselves as emaciated and underweight.

Clients diagnosed with anorexia nervosa are self-indulgent.

Answer and Explanation

Correct Answer : A,B

Option a. Clients diagnosed with anorexia nervosa often see themselves as overweight is true. Anorexia nervosa is characterized by a distorted body image and an intense fear of gaining weight. Even when they are severely underweight, individuals with anorexia nervosa may perceive themselves as being overweight.

Option b. Anorexia Nervosa has the highest mortality of all mental disorders is true. Anorexia nervosa is a serious mental illness that can have severe physical and psychological consequences, including death.

Option c. Clients diagnosed with anorexia nervosa often see themselves as emaciated and underweight is not true. As mentioned above, individuals with anorexia nervosa often have a distorted body image and may perceive themselves as being overweight even when they are severely underweight.

Option d. Clients diagnosed with anorexia nervosa are self-indulgent is not true. Anorexia nervosa is a complex mental illness that is not caused by self-indulgence.

Option e. Adolescent females are most aﬀected is true. While anorexia nervosa can aﬀect individuals of any gender and age, it is most diagnosed in adolescent females.

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Correct Answer is D

Explanation

Refeeding syndrome is a potentially life-threatening complication that can occur when a person with anorexia nervosa or other forms of malnutrition begins to eat again after a period of starvation. It is characterized by electrolyte imbalances and ﬂuid shifts that can lead to cardiovascular dysfunction, including heart failure and arrhythmias. Therefore, when caring for a patient with anorexia nervosa who is being refed, it is important for the nurse to closely monitor the patient’s cardiovascular system for signs of dysfunction.

Option a. Endocrine system dysfunction can occur in patients with anorexia nervosa, but it is not typically associated with refeeding syndrome.

Option b. Respiratory system dysfunction can occur in patients with anorexia nervosa, but it is not typically associated with refeeding syndrome.

Option c. Musculoskeletal system dysfunction can occur in patients with anorexia nervosa, but it is not typically associated with refeeding syndrome.

A. Hold the medication and refuse to administer additional doses for 3 days. B. Notify the health care provider immediately and give 4 liters of ﬂuids. C. Prior to giving the next dose, notify the health care provider of these symptoms and hold the next dose until new orders from provider. D. Document the client's symptoms and continue with medication as prescribed.

Correct Answer is C

Explanation

Diarrhea, vomiting, and drowsiness are potential signs of lithium toxicity, which can be a serious and potentially life-threatening condition. If a client who is being treated with lithium carbonate develops these symptoms, the nurse should notify the health care provider immediately and hold the next dose of medication until new orders are received from the provider.

Option a. Hold the medication and refuse to administer additional doses for 3 days is not an appropriate action because it does not involve notifying the health care provider or obtaining new orders.

Option b. Notify the health care provider immediately and give 4 liters of ﬂuids is not an appropriate action because it involves administering ﬂuids without obtaining orders from the health care provider.

Option d. Document the client’s symptoms and continue with medication as prescribed is not an appropriate action because it does not involve notifying the health care provider or holding the next dose of medication.

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The nurse provides care for a client with anorexia nervosa. The nurse knows which statements aretrue regarding anorexia nervosa?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nursing care plan for a patient with anorexia nervosa includes the intervention “monitor for complications of refeed. “Which system should a registered nurse closely monitor for dysfunction? Select one:

Correct Answer is D

Explanation

A client who is being treated with lithium carbonate for bipolar disorder type I begins to develop diarrhea, vomiting, and drowsiness. Which action should the registered nurse take? Select one:

Correct Answer is C

Explanation

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A nurse is caring for several clients who are attending community-based mental health programs. Which Of the following clients should the nurse plan to visit first? Select one:

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