A nurse is weighing a client who was recently admitted into the eating disorder program. Which of the following actions should the nurse take?

Demand that the client remove hidden objects from their clothing prior to being weighed.

Invite the client to predict their weight beforehand.

Monitor for any extra fluids the client may have consumed prior to being weighed.

Weigh the client each day after their evening meal.

Answer and Explanation

The Correct Answer is B

A. Demand that the client remove hidden objects from their clothing prior to being weighed. While it is important to ensure accurate weight measurement, demanding removal of hidden objects may create a confrontational atmosphere and increase anxiety for the client. A more supportive approach is beneficial in this setting.
B. Invite the client to predict their weight beforehand. Encouraging clients to predict their weight can help engage them in the process and promote a sense of control. This approach may also facilitate a therapeutic conversation about their feelings regarding weight and body image.
C. Monitor for any extra fluids the client may have consumed prior to being weighed. While monitoring fluid intake is important in the overall care of clients with eating disorders, it is not a standard practice to monitor this immediately before weighing unless there is a specific concern about fluid retention or overhydration.
D. Weigh the client each day after their evening meal. Weighing clients daily can contribute to anxiety and unhealthy focus on weight. It is generally more effective to establish a consistent weighing schedule that minimizes distress, such as weekly or bi-weekly measurements, rather than immediately following meals.

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Correct Answer is B

Explanation

A. Functional neurological symptom disorder. This condition involves neurological symptoms, such as paralysis or seizures, that cannot be explained by medical findings. The symptoms are not related to fear of disease or body checking, making this option irrelevant in this scenario.
B. Illness anxiety disorder. This disorder is characterized by excessive worry about having or acquiring a serious illness, often accompanied by behaviors like repeated body checking. Clients misinterpret normal bodily sensations as signs of severe disease, which aligns with the client's described symptoms.
C. Somatic symptom disorder. This disorder involves experiencing physical symptoms that cause significant distress or impairment, but the focus is on the symptoms themselves rather than an excessive fear of disease. The behaviors described in the question are more indicative of illness anxiety disorder.
D. Factitious disorder. This involves intentionally producing or feigning symptoms for the purpose of assuming the sick role, rather than from a fear of disease. The client’s fear and checking behaviors do not fit this disorder's criteria.

A. Orthorexia B. Pica C. Anorexia nervosa D. Rumination disorder

Correct Answer is A

Explanation

A. Orthorexia. Orthorexia is characterized by an unhealthy obsession with eating foods that one considers healthy and the avoidance of foods perceived as unhealthy. The client's report of eliminating specific foods to "eat clean" aligns with this condition, indicating a focus on the quality of food rather than quantity.
B. Pica. Pica is the compulsive consumption of non-food items, such as dirt or chalk. The client's behavior of eliminating foods does not fit this description, as they are not consuming non-nutritive substances.
C. Anorexia nervosa. Anorexia nervosa is an eating disorder characterized by restrictive eating and an intense fear of gaining weight. While clients with anorexia may eliminate foods, the specific focus on "eating clean" suggests a different motivation than the fear of weight gain typically seen in anorexia.
D. Rumination disorder. Rumination disorder involves the repetitive regurgitation of food, which is then re-chewed or re-swallowed, rather than the intentional avoidance of certain foods. This behavior does not relate to the client's reported actions of eliminating foods from their diet.

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A nurse is weighing a client who was recently admitted into the eating disorder program. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who describes extreme fear of having or acquiring a disease. The client is also exhibiting behaviors like repeated body checking. The nurse should identify that the client is exhibiting manifestations of which of the following disorders?

Correct Answer is B

Explanation

A nurse is caring for a client who reports that they have been eliminating specific foods from their diet in order to "eat clean." The nurse should identify that this is an indication of which of the following conditions?

Correct Answer is A

Explanation

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