NURl 253/l NUR253l Examl 4l –l (Newl
2026/l 2027l Update)l Conceptsl ofl Mentall
Healthl Nursingl Guide|l Questionsl &l
Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galen
QUESTION
Anorexial nervosal
Answer:
Individuall refusesl tol maintainl al minimallyl normall weightl forl heightl andl expressl anl
intensel fearl ofl gainingl weight
focusl onl control
Chronicl illnessl -l requiresl longl terml tx
-1l yearl -l 50%l relapse
(Canl occurl alongl withl bulimia)
QUESTION
Factorsl thatl influencel recoveryl froml anorexial
Answer:
-thel percentagel ofl ideall bodyl weightl thatl hasl beenl achieved
-thel extentl tol whichl selfl worthl isl definedl byl shapel andl weight
-thel amountl ofl disruptionl existingl inl thel patient'sl personall life
,QUESTION
anorexial nervosal riskl factorsl
Answer:
Geneticl predisposition
Femalel gender
Cognitive-behavioral-learnedl behaviorl withl positivel reinforcements
Culturall influencel -selfl concept
Professionl (ex.l modeling)
QUESTION
Anorexial Clinicall Manifestationsl
Answer:
Lowl weightl -l caloriel restrictionl
Lanugol (finel downyl hairl onl facel andl back)l -l starvation
Amenorrheal -l lowl weight
Bradycardia,l Hypotension,l -l dehydrationl ,l starvationl Hypothermial -l dehydration,l
starvation
Constipationl -starvation
cooll extremitiesl -l starvation
yellowl skinl -l hypercarotenemia
decreasedl bonel densityl -l estrogenl deficiency,l lowl calcium
peripherall edemal -l hypoalbuminemia
impairedl renall functionl -l dehydration
Hypokalemial -l starvation
Anemicl pancytopenial -l starvation
QUESTION
Normall albuminl levelsl
Answer:
3.5-5.5l g/dL
QUESTION
,Anorexial thoughtsl andl behaviorsl
Answer:
-Terrorl ofl gainingl weight
-Preoccupationl withl thoughtsl ofl food
-Viewl selfl asl fat
-Peculiarl handlingl ofl food,l cuttingl intol smalll bites,l pushingl piecesl aroundl onl plate
-Possiblel developmentl ofl rigorousl exercisel regimen
-Possiblel inducedl vomiting,l laxativel use,l excessivel exercise
-Judgesl selfl worthl byl size/weight
QUESTION
Assessmentl ofl PTl withl anorexial
Answer:
Healthl Hx
-perceptionl ofl thel problem
-hxl ofl dieting
-valuel attachedl weight/size
Performl al completel assessmentl andl reviewl ofl systems
Gatherl psychosociall historyl (ex.l overbearingl parents)
Assessl nutritionall patternsl andl fluidl intake
Assessl dailyl activitiesl -l includingl exercise
Reviewl Labs:l electrolytes,l glucose,l thyroidl function,l CBC,l ECG
Identifyl patientl goals
QUESTION
Anorexial -l Medicall stabilizationl
Answer:
Medicall stabilizationl isl priorityl
Hospitalizationl
-extremel electrolytel imbalances
-weighsl belowl 75%l ofl ideall bodyl weight
-lessl thanl 10&l bodyl fat
-daytimel HRl lessl thanl 50bpm
, -systolicl BPl lessl thanl 90
-templ lessl thanl 96
-cardiacl arrhythmias
Goal
-l limitedl weightl restoration
-addressl acutel complicationsl (ex.l electrolytel imbalances,l dysrhythmias,l andl psychicl
issuesl likel suicidall ideation)
QUESTION
Refeedingl syndromel
Answer:
Withl prolongedl starvationl thel bodyl switchesl froml glucosel energyl tol fandl andl proteinl
energy
Refeedingl syndromel isl al potentiall lethall treatmentl complication
-mayl resultl inl fluid-balancel abnormalities,l abnormall glucosel metabolism,l
hypophosphatemia,l hypomagnesemial andl hypokalemia
-Thiaminel deficiencyl mayl alsol occur
Reintroductionl ofl nutrientsl mustl bel slowl tol prevent
QUESTION
Anorexial -l afterl Medicallyl Stablel Interventionsl
Answer:
Incrementall weightl gainl (1lbl everyl otherl dayl underl medicall supervision)
Goall 90%l ofl ideall bodyl weightl whenl womenl menstruate
Addressl underlyingl issuesl withl realisticl goals
Milieul therapy
-supervisedl duringl mealsl
-weightl afterl voidingl -l damel gown,l facel awayl froml thel scale
2026/l 2027l Update)l Conceptsl ofl Mentall
Healthl Nursingl Guide|l Questionsl &l
Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galen
QUESTION
Anorexial nervosal
Answer:
Individuall refusesl tol maintainl al minimallyl normall weightl forl heightl andl expressl anl
intensel fearl ofl gainingl weight
focusl onl control
Chronicl illnessl -l requiresl longl terml tx
-1l yearl -l 50%l relapse
(Canl occurl alongl withl bulimia)
QUESTION
Factorsl thatl influencel recoveryl froml anorexial
Answer:
-thel percentagel ofl ideall bodyl weightl thatl hasl beenl achieved
-thel extentl tol whichl selfl worthl isl definedl byl shapel andl weight
-thel amountl ofl disruptionl existingl inl thel patient'sl personall life
,QUESTION
anorexial nervosal riskl factorsl
Answer:
Geneticl predisposition
Femalel gender
Cognitive-behavioral-learnedl behaviorl withl positivel reinforcements
Culturall influencel -selfl concept
Professionl (ex.l modeling)
QUESTION
Anorexial Clinicall Manifestationsl
Answer:
Lowl weightl -l caloriel restrictionl
Lanugol (finel downyl hairl onl facel andl back)l -l starvation
Amenorrheal -l lowl weight
Bradycardia,l Hypotension,l -l dehydrationl ,l starvationl Hypothermial -l dehydration,l
starvation
Constipationl -starvation
cooll extremitiesl -l starvation
yellowl skinl -l hypercarotenemia
decreasedl bonel densityl -l estrogenl deficiency,l lowl calcium
peripherall edemal -l hypoalbuminemia
impairedl renall functionl -l dehydration
Hypokalemial -l starvation
Anemicl pancytopenial -l starvation
QUESTION
Normall albuminl levelsl
Answer:
3.5-5.5l g/dL
QUESTION
,Anorexial thoughtsl andl behaviorsl
Answer:
-Terrorl ofl gainingl weight
-Preoccupationl withl thoughtsl ofl food
-Viewl selfl asl fat
-Peculiarl handlingl ofl food,l cuttingl intol smalll bites,l pushingl piecesl aroundl onl plate
-Possiblel developmentl ofl rigorousl exercisel regimen
-Possiblel inducedl vomiting,l laxativel use,l excessivel exercise
-Judgesl selfl worthl byl size/weight
QUESTION
Assessmentl ofl PTl withl anorexial
Answer:
Healthl Hx
-perceptionl ofl thel problem
-hxl ofl dieting
-valuel attachedl weight/size
Performl al completel assessmentl andl reviewl ofl systems
Gatherl psychosociall historyl (ex.l overbearingl parents)
Assessl nutritionall patternsl andl fluidl intake
Assessl dailyl activitiesl -l includingl exercise
Reviewl Labs:l electrolytes,l glucose,l thyroidl function,l CBC,l ECG
Identifyl patientl goals
QUESTION
Anorexial -l Medicall stabilizationl
Answer:
Medicall stabilizationl isl priorityl
Hospitalizationl
-extremel electrolytel imbalances
-weighsl belowl 75%l ofl ideall bodyl weight
-lessl thanl 10&l bodyl fat
-daytimel HRl lessl thanl 50bpm
, -systolicl BPl lessl thanl 90
-templ lessl thanl 96
-cardiacl arrhythmias
Goal
-l limitedl weightl restoration
-addressl acutel complicationsl (ex.l electrolytel imbalances,l dysrhythmias,l andl psychicl
issuesl likel suicidall ideation)
QUESTION
Refeedingl syndromel
Answer:
Withl prolongedl starvationl thel bodyl switchesl froml glucosel energyl tol fandl andl proteinl
energy
Refeedingl syndromel isl al potentiall lethall treatmentl complication
-mayl resultl inl fluid-balancel abnormalities,l abnormall glucosel metabolism,l
hypophosphatemia,l hypomagnesemial andl hypokalemia
-Thiaminel deficiencyl mayl alsol occur
Reintroductionl ofl nutrientsl mustl bel slowl tol prevent
QUESTION
Anorexial -l afterl Medicallyl Stablel Interventionsl
Answer:
Incrementall weightl gainl (1lbl everyl otherl dayl underl medicall supervision)
Goall 90%l ofl ideall bodyl weightl whenl womenl menstruate
Addressl underlyingl issuesl withl realisticl goals
Milieul therapy
-supervisedl duringl mealsl
-weightl afterl voidingl -l damel gown,l facel awayl froml thel scale
