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

Increased levels of cortisol and thyroid hormones.

Decreased levels of growth hormone and insulin.

Altered levels of leptin and ghrelin.

Elevated levels of sex hormones and growth hormone.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Increased levels of cortisol and thyroid hormones. While stress-induced changes in cortisol levels can be seen in individuals with eating disorders, they are not the primary pathophysiological changes associated with these disorders. Cortisol plays a role in the body's response to stress and can contribute to weight gain, but altered levels of other hormones have a more direct impact on eating behaviors in individuals with eating disorders.

Choice B rationale:

Decreased levels of growth hormone and insulin. Growth hormone and insulin do play a role in metabolism and growth, but their levels are not commonly altered in eating disorders in the same way that hormones like leptin and ghrelin are. Altered levels of growth hormone and insulin can lead to metabolic disturbances, but these are not the hallmark changes seen in individuals with eating disorders.

Choice C rationale:

Altered levels of leptin and ghrelin. This is the correct choice. Leptin and ghrelin are two hormones that play a significant role in regulating hunger and satiety. Leptin, produced by adipose tissue, signals to the brain when energy stores are sufficient, thereby reducing appetite. Ghrelin, produced by the stomach, stimulates appetite and promotes food intake. In individuals with eating disorders, these hormones can become dysregulated, leading to disrupted hunger and fullness cues, and contributing to the development and maintenance of the disorder.

Choice D rationale:

Elevated levels of sex hormones and growth hormone. Elevated levels of sex hormones are not a primary pathophysiological change associated with eating disorders. Growth hormone, while important for growth and metabolism, is not a central player in the hormonal changes that drive eating disorder behaviors. Leptin and ghrelin are more directly involved in the dysregulation of eating behaviors seen in these disorders.

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Correct Answer is C

Explanation

Choice A rationale:

This response oversimplifies the issue and places the blame on the patient's behavior. It may contribute to feelings of guilt and shame, hindering open communication about their struggles.

Choice B rationale:

While the intention behind this response is positive, it reinforces the patient's focus on appearance. It's important to shift the focus from external appearance to overall health and well-being.

Choice C rationale:

This response is empathetic and acknowledges the common struggle that individuals with eating disorders face. It validates the patient's feelings while also indicating that they are not alone in their experiences.

Choice D rationale:

This response dismisses the patient's concerns and implies that their feelings are insignificant. It's essential to validate and address the patient's feelings rather than deflecting their concerns.

A. Bradycardia and tachycardia. B. Hypertension and mitral valve prolapse. C. Orthostatic hypotension and arrhythmias. D. Pericardial effusion and cardiomyopathy.

Correct Answer is C

Explanation

Choice A rationale:

Bradycardia and tachycardia. While these cardiovascular symptoms can occur in eating disorders, they are more commonly associated with anorexia nervosa rather than bulimia nervosa. Bradycardia (slow heart rate) is often seen in individuals with severe anorexia due to the body's adaptive response to conserve energy. Tachycardia (rapid heart rate) can occur as a compensatory mechanism in response to dehydration and electrolyte imbalances, particularly in those with anorexia. However, in bulimia nervosa, the rapid cycle of binge eating and purging is more likely to lead to electrolyte imbalances that cause other symptoms.

Choice B rationale:

Hypertension and mitral valve prolapse. Hypertension (high blood pressure) is not a common cardiovascular symptom of bulimia nervosa. Mitral valve prolapse, which involves the improper closing of the heart's mitral valve, is also not a typical cardiovascular manifestation of bulimia nervosa. Eating disorders primarily affect the electrical conduction system of the heart and can lead to rhythm disturbances.

Choice C rationale:

Orthostatic hypotension and arrhythmias. This is the correct choice. Orthostatic hypotension, which is a drop in blood pressure upon standing, is a common cardiovascular symptom of bulimia nervosa. It is often a result of dehydration and electrolyte imbalances caused by frequent vomiting and laxative use. Arrhythmias (irregular heart rhythms) can also occur due to electrolyte imbalances, particularly low levels of potassium, which can disrupt the heart's electrical activity.

Choice D rationale:

Pericardial effusion and cardiomyopathy. While pericardial effusion (accumulation of fluid around the heart) and cardiomyopathy (disease of the heart muscle) can occur in individuals with eating disorders, they are not the most common cardiovascular symptoms. These conditions usually result from prolonged malnutrition and severe electrolyte imbalances, which can occur in both anorexia nervosa and bulimia nervosa. However, orthostatic hypotension and arrhythmias are more characteristic of bulimia nervosa.

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

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Naxlex Comprehensive Predictor Exams

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

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?

Correct Answer is C

Explanation

A nurse is assessing a client with possible bulimia nervosa. Which findings would support this diagnosis? Select all that apply.

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

A nurse is caring for a patient with an eating disorder. Which statement indicates effective psychological care?

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?

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 nurse is caring for a client with anorexia nervosa. Which statement by the nurse is most appropriate?

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

(Select all that apply):. A nurse is planning a care plan for a patient with an eating disorder. Which nursing interventions are appropriate for this patient? Select all that apply.