Registered Practical Nurse (RPN) Practice Test

What poor outcome is associated with a diagnosis of anorexia nervosa?

1. Presence of excessive exercising.

2. Presence of vomiting.

3. Presence of anxiety disorders.

4. Presence of family history of eating disorders.

The correct answer is: Presence of vomiting.

The presence of vomiting as a poor outcome associated with anorexia nervosa is relevant because it signifies a maladaptive coping mechanism in response to the overwhelming psychological distress and control issues experienced by individuals with this diagnosis. While the primary feature of anorexia nervosa is severe restriction of food intake leading to significant weight loss, vomiting can occur as a compensatory behavior to prevent weight gain. This behavior contributes to the physical and psychological complications of the disorder, such as electrolyte imbalances, gastrointestinal issues, and further entrenchment of the eating disorder. Additionally, vomiting is often linked with a cycle of anxiety and fear about weight gain, enhancing the severity of the disorder. This outcome signifies a critical area of concern for health professionals, as it highlights the potential for life-threatening medical complications and the necessity for early intervention and comprehensive treatment strategies. Understanding the implications of vomiting in the context of anorexia is vital for effective management and support for those affected.