A 19-year old female is being hospitalized with a BMI of 16. For over a year, she has been dieting and has become more withdrawn from friends and family. She continues to perform well in college classes. An ECG showed bradycardia and her temperature is 36C. Physical findings in the patient with Anorexia Nervosa is likely include:
Tachycardia, increased BP
Amenorrhea
Esophageal tears
Increase in bone density
The Correct Answer is B
A. Tachycardia, increased BP: Patients with anorexia nervosa more commonly present with bradycardia and hypotension due to malnutrition, decreased cardiac muscle mass, and autonomic changes. Tachycardia and hypertension are not typical findings.
B. Amenorrhea: Amenorrhea is a common physical manifestation of anorexia nervosa in females. It results from hypothalamic-pituitary-gonadal axis suppression due to low body weight, nutritional deficiencies, and energy imbalance. Menstrual irregularities often precede other complications.
C. Esophageal tears: Esophageal tears are more commonly associated with repeated vomiting in bulimia nervosa, particularly after forceful purging episodes, rather than restrictive anorexia nervosa without purging.
D. Increase in bone density: Anorexia nervosa leads to decreased bone density (osteopenia or osteoporosis) due to low estrogen, poor nutrition, and impaired bone metabolism. Bone density loss increases fracture risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The client will verbalize positive statements about healthy weight and body image: Verbalizing positive self-perception and realistic body image directly addresses the cognitive and emotional aspects of altered body image. It reflects progress toward acceptance and improved self-esteem.
B. The client will not express a preoccupation with food: Reducing food preoccupation relates to eating behaviors rather than directly addressing distorted body image. While important, it does not measure the client’s perception of self.
C. The client will cease strenuous exercise programs: Limiting excessive exercise addresses compensatory behaviors but does not target the client’s distorted body image. Exercise modification supports safety and weight restoration but is not a cognitive outcome.
D. The client will consume adequate calories to sustain normal weight: Adequate caloric intake focuses on physical health and weight restoration, which supports treatment, but it does not directly evaluate the client’s perception or acceptance of body image.
Correct Answer is D
Explanation
A. Provide education on medication adherence: Education on medication adherence supports effective management of depressive symptoms and underlying Alzheimer’s disease. Clear instruction helps prevent missed doses and reduces the risk of symptom exacerbation. Involving caregivers enhances understanding and follow-through with treatment plans.
B. Monitor for suicidal ideation: Expressions of passive death wishes indicate increased risk for suicidal thinking. Ongoing monitoring allows early identification of escalating ideation or changes in intent. Regular assessment supports patient safety and timely intervention.
C. Encourage participation in groups and cognitive stimulation activities: Structured social and cognitive activities can improve mood, reduce isolation, and support cognitive functioning. Engagement in familiar group settings may help maintain routine and provide emotional support.
D. Provide low-stimulation environment at all times: A constantly low-stimulation environment may increase social withdrawal and worsen depressive symptoms. Individuals with depression benefit from appropriate sensory input and social engagement. Environmental modification should balance calmness with meaningful interaction.
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