NUR 138 LATEST 2026 STUDY GUIDE EXAM QUESTIONS
AND SOLUTIONS RATED A+
✔✔Aorexia Nervosa - ✔✔Potentially deadly eating disorder where an individual loses
more weight than is healthy for their age and height. Pts have a fear of gaining weight.
They engage in dieting and exercising to the point of dangerous malnutrition to avoid
gaining weight. Women with goal oriented families are at higher risk. Other behaviors
include self induced vomiting, diuretics, laxitives, and diet pills.
Manifestations: brittle hair and nails, skin is dry and yellow, fine hair over body, feel cols,
drop in bp and hr, brittle bones, irregular heart rhythm, potentially death
✔✔Bulimia Nervosa (BN) - ✔✔Condition where individuls binge on food or have
episodes of overeating in which they feel a loss of control. After binging, they use
vomiting or laxatives to prevent weight gain. Binge eating is the rapid consumption of
large amounts of food in a small time frame. Frequently undiagnosed because they are
usually overweight or normal weight. Mainly effects females.
Signs of BN: lots products in the trash, like food and laxatives. Menstrual irregularity,
depression mood, stomach pain, chronic sore throat, damage to the teeth, scars on
knuckles, swollen cheeks, severe dehydration, electrolyte disorders
✔✔Binge eating disorders - ✔✔Periods of rapid food consumption, where they are
unable to stop eating. Can cause a sense of relief or fulfillment that is followed by grief
and disgust.
✔✔Eating disorders Collaboration - ✔✔Diagnostic tests: anorexia- albumin, total
protein, electrolyte levels, CBC, bone density scan, ECG, kidney, liver, and thyroid test.
Bulemia-identify signs of cavity or gum infection, loss of emamal. Assess for dry mouth,
rashes, pouchlike cheeks, cuts on fingers.
BED- physical exam, blood and urine tests
Pharm- AN: antidepressents, antipsycotics, and mood stabilizers. BN- prozac is the only
medication approved for BN. lessens purging behavior. Increases suicide risk. BED-
antidepressants, prozac,
Nonpharm: AN individual, group, family based therapy. Maudsley approch where parent
take control of what they are eating. BN- CBT, family therapy. BED- CBT
CAM: chamomile tea, acupunture, mindfulness, yoga, biofeedback
✔✔Nursing Process: eating disorders - ✔✔Assessment: significant weight change,
nutritional status, weight, height, BMI, skin assessment, oral mucosa, shape of
abdomen, bowel sounds, assess teeth and gums.
, Diagnosis: risk for injury, fluid volume deficit, disturbed body image, anxiety, low self
esteem.
Planning: remain free of injury, maintain fluid balance, free of purging, participates in
therapy
Implementation: protect client for physiological effects, identify and treat cause, prevent
injury, encourage healthy behaviors, constant supervision, create theraputic
relationship, establish trust
Evaluation: remain free from injury, vitals are normal, denies lightheadedness, does not
purge, participates in therapy
✔✔post-traumatic stress disorder (PTSD) - ✔✔Characterized in which an individual who
is exposed to a traumatic event develops intrusive symptoms like recurrent nightmares,
avoiding reminising of the traumatic event, negative changes in mood, hypervigilence
✔✔PTSD patho and etiology - ✔✔Patho- traumatic events can trigger PTSD like car
crash, war, or abuse. It manifests through several different signs like fear-based
reexperiecning, alterations in emotions and behavioral state, dysphoric mood,
alterations in arousal. Flashback are reccurrence of images, sounds, smells, or feelings
of the event.
Etiology: Can occur at any age
Risk factor: military, law enforcement, EMS, firefighters, based on severity of the event,
no support after trauma, history of trauma, preexisting mental illness. Most likey to use
drugs and alcohol to cope.
✔✔Manifestations PTSD - ✔✔Emotional numbness, hyperarousal, sleep disturabnces,
restless, agitation, poor concentration, dissociation, alcohol abuse, severe anxiety,
flashbacks, acute distress when reminded of the event, trouble with affection,
nightmare, depression, guilt, suicidal thoughts.
Child manifesations: sleep problems, fear of being seperated from parents, agression,
regression, changes in mood, may act out trauma through drawings or play time
✔✔PTSD collaboration - ✔✔Pharm: holistic approach, short term benzodiazepines,
SSRI like zoloft and paxil, and prazosin for nightmares
Nonpharm: Eye movement desensitization and reprocessing is a form of therapy that
includes CBT and body centered therapy. Allows patient to reprocess trauma by
focusing internally on the traumatic event while focusing on different stimuli. Exposure
therapy, family based therapy, acupuncture.
AND SOLUTIONS RATED A+
✔✔Aorexia Nervosa - ✔✔Potentially deadly eating disorder where an individual loses
more weight than is healthy for their age and height. Pts have a fear of gaining weight.
They engage in dieting and exercising to the point of dangerous malnutrition to avoid
gaining weight. Women with goal oriented families are at higher risk. Other behaviors
include self induced vomiting, diuretics, laxitives, and diet pills.
Manifestations: brittle hair and nails, skin is dry and yellow, fine hair over body, feel cols,
drop in bp and hr, brittle bones, irregular heart rhythm, potentially death
✔✔Bulimia Nervosa (BN) - ✔✔Condition where individuls binge on food or have
episodes of overeating in which they feel a loss of control. After binging, they use
vomiting or laxatives to prevent weight gain. Binge eating is the rapid consumption of
large amounts of food in a small time frame. Frequently undiagnosed because they are
usually overweight or normal weight. Mainly effects females.
Signs of BN: lots products in the trash, like food and laxatives. Menstrual irregularity,
depression mood, stomach pain, chronic sore throat, damage to the teeth, scars on
knuckles, swollen cheeks, severe dehydration, electrolyte disorders
✔✔Binge eating disorders - ✔✔Periods of rapid food consumption, where they are
unable to stop eating. Can cause a sense of relief or fulfillment that is followed by grief
and disgust.
✔✔Eating disorders Collaboration - ✔✔Diagnostic tests: anorexia- albumin, total
protein, electrolyte levels, CBC, bone density scan, ECG, kidney, liver, and thyroid test.
Bulemia-identify signs of cavity or gum infection, loss of emamal. Assess for dry mouth,
rashes, pouchlike cheeks, cuts on fingers.
BED- physical exam, blood and urine tests
Pharm- AN: antidepressents, antipsycotics, and mood stabilizers. BN- prozac is the only
medication approved for BN. lessens purging behavior. Increases suicide risk. BED-
antidepressants, prozac,
Nonpharm: AN individual, group, family based therapy. Maudsley approch where parent
take control of what they are eating. BN- CBT, family therapy. BED- CBT
CAM: chamomile tea, acupunture, mindfulness, yoga, biofeedback
✔✔Nursing Process: eating disorders - ✔✔Assessment: significant weight change,
nutritional status, weight, height, BMI, skin assessment, oral mucosa, shape of
abdomen, bowel sounds, assess teeth and gums.
, Diagnosis: risk for injury, fluid volume deficit, disturbed body image, anxiety, low self
esteem.
Planning: remain free of injury, maintain fluid balance, free of purging, participates in
therapy
Implementation: protect client for physiological effects, identify and treat cause, prevent
injury, encourage healthy behaviors, constant supervision, create theraputic
relationship, establish trust
Evaluation: remain free from injury, vitals are normal, denies lightheadedness, does not
purge, participates in therapy
✔✔post-traumatic stress disorder (PTSD) - ✔✔Characterized in which an individual who
is exposed to a traumatic event develops intrusive symptoms like recurrent nightmares,
avoiding reminising of the traumatic event, negative changes in mood, hypervigilence
✔✔PTSD patho and etiology - ✔✔Patho- traumatic events can trigger PTSD like car
crash, war, or abuse. It manifests through several different signs like fear-based
reexperiecning, alterations in emotions and behavioral state, dysphoric mood,
alterations in arousal. Flashback are reccurrence of images, sounds, smells, or feelings
of the event.
Etiology: Can occur at any age
Risk factor: military, law enforcement, EMS, firefighters, based on severity of the event,
no support after trauma, history of trauma, preexisting mental illness. Most likey to use
drugs and alcohol to cope.
✔✔Manifestations PTSD - ✔✔Emotional numbness, hyperarousal, sleep disturabnces,
restless, agitation, poor concentration, dissociation, alcohol abuse, severe anxiety,
flashbacks, acute distress when reminded of the event, trouble with affection,
nightmare, depression, guilt, suicidal thoughts.
Child manifesations: sleep problems, fear of being seperated from parents, agression,
regression, changes in mood, may act out trauma through drawings or play time
✔✔PTSD collaboration - ✔✔Pharm: holistic approach, short term benzodiazepines,
SSRI like zoloft and paxil, and prazosin for nightmares
Nonpharm: Eye movement desensitization and reprocessing is a form of therapy that
includes CBT and body centered therapy. Allows patient to reprocess trauma by
focusing internally on the traumatic event while focusing on different stimuli. Exposure
therapy, family based therapy, acupuncture.
