Chapter 23 Eating and Sleeping Disorders

Chapter 23  Eating and Sleeping Disorders

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Trends that have contributed to the recent increase in eating disorders in the United States include a(n):
a.
More competitive workplace
b.
Increase in the number of divorces
c.
Focus on being thin as a measure of attractiveness
d.
Increase in the number of nonnutritional foods consumed

ANS: C
In most modern societies, a high value is placed on a slim body.

DIF: Cognitive Level: Knowledge REF: p. 261 OBJ: 1
TOP: Eating Disorders KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity

2. What is the main issue for adolescents with anorexia?
a.
Anxiety
b.
Control
c.
Body image
d.
Appropriate behavior

ANS: B
The main issue for teenage anorectics is control.

DIF: Cognitive Level: Knowledge REF: p. 263 OBJ: 2
TOP: Anorexia Nervosa KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity

3. Which disorder is associated with persons with a body weight that is normal or even slightly above average?
a.
Pica
b.
Bulimia
c.
Obesity
d.
Anorexia nervosa

ANS: B
Often, a bulimic has a body weight that is normal or even slightly above average. Pica is a disorder in which the individual is eating abnormal substances. Obese individuals are above normal weight, and individuals with anorexia nervosa have less than normal weight.

DIF: Cognitive Level: Knowledge REF: p. 264 OBJ: 2
TOP: Bulimia KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity

4. The persistent eating of nonfood items such as clay, laundry starch, insects, leaves, or pebbles that lasts for longer than 1 month is called:
a.
Pica
b.
Bulimia
c.
Rumination
d.
Regurgitation

ANS: A
Pica is the persistent eating of nonfood items that persists longer than 1 month and often is associated with a severe vitamin or mineral deficiency. Bulimia refers to an eating disorder that is commonly characterized by bingeing and purging; rumination is a rare disorder that refers to regurgitation and rechewing of food; regurgitation refers to partially digested food brought up into the mouth.

DIF: Cognitive Level: Knowledge REF: p. 267 OBJ: 1
TOP: Other Eating Disorders KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity

5. The main focus of medical management for anorexia is to:
a.
Encourage rapid weight gain.
b.
Encourage the client to eat voluntarily.
c.
Teach more appropriate food choices.
d.
Keep the client from developing additional problems.

ANS: B
The main focus is to encourage the client to consume food voluntarily because this will allow for continued normal food consumption. Too rapid weight gain will lead to a feeling of loss of control, which could induce inappropriate eating behaviors again. Teaching appropriate food choices and keeping the client from developing additional problems occur as a part of the psychological management of the disorder.

DIF: Cognitive Level: Comprehension REF: p. 267 OBJ: 5
TOP: Treatments and Therapies KEY: Nursing Process Step: Planning
MSC: Client Needs: Psychosocial Integrity