A nurse is caring for a client with avoidant/restrictive food intake disorder (ARFID) Which assessment finding would be consistent with this diagnosis?

Significant weight loss or failure to achieve expected weight gain.

Recurrent episodes of binge eating followed by inappropriate compensatory behaviors.

Persistent eating of nonnutritive, nonfood substances.

Repeated regurgitation of food.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Significant weight loss or failure to achieve expected weight gain is consistent with the diagnosis of avoidant/restrictive food intake disorder (ARFID) ARFID is characterized by a lack of interest in eating or food, avoidance based on sensory characteristics of food, concern about the aversive consequences of eating, and avoidance of foods due to a previous negative experience. This avoidance can lead to inadequate nutrient intake and, consequently, significant weight loss or the inability to achieve expected weight gain, especially in children.

Choice B rationale:

Recurrent episodes of binge eating followed by inappropriate compensatory behaviors are not indicative of avoidant/restrictive food intake disorder (ARFID) This behavior is more characteristic of bulimia nervosa, which involves cycles of binge eating followed by behaviors like vomiting, laxative use, or excessive exercise to compensate for the overeating.

Choice C rationale:

Persistent eating of nonnutritive, nonfood substances is a characteristic of pica disorder, not avoidant/restrictive food intake disorder (ARFID) Pica involves the consumption of substances such as dirt, paint, hair, or cloth, which have no nutritional value.

Choice D rationale:

Repeated regurgitation of food is a characteristic of rumination disorder, not avoidant/restrictive food intake disorder (ARFID) Rumination disorder involves the regurgitation of food that is then either re-chewed, re-swallowed, or spit out, without an associated medical condition.

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Correct Answer is A

Explanation

Choice A rationale:

Stabilizing the patient's physical condition. For individuals with severe eating disorders, especially anorexia nervosa, the priority is often to address their physical health and stabilize any medical complications arising from malnutrition. This might involve medical interventions, nutritional rehabilitation, and closely monitoring vital signs to prevent serious health consequences.

Choice B rationale:

Addressing the psychological aspects of the disorder. While addressing the psychological aspects is an integral part of treating eating disorders, it's crucial to prioritize physical health when dealing with severe cases. Malnutrition can lead to various medical complications, including electrolyte imbalances, organ damage, and cardiac issues. Without addressing the physical health first, psychological interventions might be less effective.

Choice C rationale:

Preventing relapse and maintaining recovery. Preventing relapse and maintaining recovery are important aspects of long-term treatment, but they become more relevant after the patient's physical condition has been stabilized. Once the immediate physical risks are minimized, efforts can shift toward addressing psychological factors and developing strategies to prevent relapse.

Choice D rationale:

Providing ongoing follow-up care. Ongoing follow-up care is essential for individuals with eating disorders to ensure that they continue to progress in their recovery journey and to monitor any potential relapse signs. However, this becomes more pertinent once the patient's physical condition has been stabilized and initial treatment has been provided.

A. "I might need to be hospitalized to stabilize my physical condition.” B. "Psychotherapy and medication can help address the psychological aspects of my disorder.” C. "Relapse prevention strategies are not necessary once I have recovered.” D. "Social support, such as family involvement or peer support, can be helpful in maintaining recovery.”

Correct Answer is C

Explanation

Choice A rationale:

"I might need to be hospitalized to stabilize my physical condition." Hospitalization is often necessary for individuals with severe eating disorders, such as anorexia nervosa with significant medical complications. Inpatient treatment might be required to stabilize the patient's physical condition, provide proper nutrition, and address any medical complications arising from malnutrition.

Choice B rationale:

"Psychotherapy and medication can help address the psychological aspects of my disorder." Psychotherapy, often including cognitive-behavioral therapy (CBT), and medication can indeed play crucial roles in treating eating disorders. These approaches help address the underlying psychological factors contributing to the disorder and aid in promoting healthier eating behaviors. This statement indicates that the patient understands the comprehensive nature of treatment.

Choice C rationale:

"Relapse prevention strategies are not necessary once I have recovered." This statement is indicative of a misunderstanding about the nature of eating disorders. Relapse prevention strategies are essential to maintain recovery and prevent relapse. Eating disorders have a psychological component, and individuals need to continue practicing healthy behaviors, coping skills, and strategies even after they have made progress in their recovery journey.

Choice D rationale:

"Social support, such as family involvement or peer support, can be helpful in maintaining recovery." Social support is indeed valuable for individuals with eating disorders. Engaging with family, friends, or support groups can contribute to the maintenance of recovery. The statement reflects an accurate understanding of the role of social support in the treatment and recovery process.

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A nurse is caring for a client with avoidant/restrictive food intake disorder (ARFID) Which assessment finding would be consistent with this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with anorexia nervosa. Which treatment approach would be the priority for this patient?

Correct Answer is A

Explanation

A nurse is educating a patient with an eating disorder about the treatment options. Which statement made by the patient indicates a need for further teaching?

Correct Answer is C

Explanation

A nurse is assessing a patient with bulimia nervosa. Which of the following cardiovascular symptoms would the nurse expect to find?

. Which of the following is a characteristic of anorexia nervosa?

A client with binge eating disorder reports feeling guilty and depressed after episodes of binge eating. Which nursing diagnosis is most appropriate for this client?

A client with an eating disorder avoids meals and snacks. What nursing intervention should the nurse implement to address this behavior?

(Question from external source) Which of the following is a common pathophysiological change associated with eating disorders?

A nurse is implementing a care plan for a patient with an eating disorder. The patient says, "I don't want to eat. I'm afraid I'll gain weight." Which response by the nurse is appropriate?

. Which of the following is a characteristic of bulimia nervosa?

A nurse is assessing a patient with an eating disorder. The patient states, "I feel so fat and disgusting." Which response by the nurse is appropriate?