GALEN COLLEGE OF NURSING | NU 160
MENTAL HEALTH CONCEPTS • EXAM 4 • FALL 2026
Name: ____________________________________ Date: ____________________
50 multiple-choice questions • Choose the single best answer.
1. A client is markedly underweight, fears gaining weight, and insists the body is fat despite evidence
to the contrary. Which disorder best fits the review?
A. Anorexia nervosa.
B. Night eating disorder.
C. Bulimia nervosa.
D. Rumination disorder.
✓ Correct answer: A. Anorexia nervosa.
Rationale: The review defines anorexia by low body weight, intense fear of weight gain, distorted body
image, and failure to recognize its seriousness.
2. A client secretly consumes an unusually large amount of food and then vomits to compensate.
Which pattern is described?
A. Bulimia nervosa.
B. Rumination disorder.
C. Circadian rhythm sleep-wake disorder.
D. Pica.
✓ Correct answer: A. Bulimia nervosa.
Rationale: The review identifies recurrent binge eating followed by compensatory purging as bulimia.
3. Following a starvation period, a client with anorexia begins nutritional rehabilitation. Which
complication should the nurse monitor for closely?
A. Normal sleepwalking behavior.
B. Refeeding syndrome with fluid and electrolyte imbalance.
C. Expected improvement without physical monitoring.
D. A harmless transient increase in appetite only.
✓ Correct answer: B. Refeeding syndrome with fluid and electrolyte imbalance.
Rationale: The review states that refeeding after starvation can produce dangerous fluid and electrolyte
shifts requiring close monitoring.
4. A client repeatedly binges and then fasts or exercises excessively, without vomiting. Which
interpretation is supported by the review?
A. The behavior can still be a nonpurging form of bulimia.
B. The behavior proves normal eating because no vomiting occurs.
C. Bulimia requires induced vomiting in every case.
D. The pattern is necessarily rumination disorder.
✓ Correct answer: A. The behavior can still be a nonpurging form of bulimia.
Rationale: The bulimia section includes fasting and excessive exercise as compensatory methods in
nonpurging bulimia.
, 5. A client with frequent purging has weakness and palpitations. Which physical concern receives
priority in the review?
A. Inability to identify a body image term.
B. A lack of desire for social activities only.
C. A circadian scheduling mismatch.
D. Fluid and electrolyte abnormalities.
✓ Correct answer: D. Fluid and electrolyte abnormalities.
Rationale: Frequent purging can lead to fluid and electrolyte disturbances; medical stabilization comes
first.
6. Which initial goal is prioritized in the review’s treatment plan for an eating disorder with medical
instability?
A. Focus solely on family education.
B. Stabilize existing medical problems.
C. Begin only with long-term vocational planning.
D. Resolve all psychological issues before medical assessment.
✓ Correct answer: B. Stabilize existing medical problems.
Rationale: The review orders treatment goals as medical stabilization, restoration of nutrition and eating,
then emotional issues.
7. A client repeatedly eats chalk over more than a month while continuing to eat ordinary food. What
pattern does the review name?
A. Rumination disorder.
B. Pica.
C. Bulimia nervosa.
D. Night eating disorder.
✓ Correct answer: B. Pica.
Rationale: The review defines pica as persistent ingestion of nonfood substances such as chalk or clay.
8. After eating, a child brings food back into the mouth, rechews it, and swallows it again without
retching. Which disorder is described?
A. Anorexia nervosa.
B. Pica.
C. Rumination disorder.
D. Night eating disorder.
✓ Correct answer: C. Rumination disorder.
Rationale: The review describes regurgitation and rechewing or reswallowing without nausea or retching
as rumination.
MENTAL HEALTH CONCEPTS • EXAM 4 • FALL 2026
Name: ____________________________________ Date: ____________________
50 multiple-choice questions • Choose the single best answer.
1. A client is markedly underweight, fears gaining weight, and insists the body is fat despite evidence
to the contrary. Which disorder best fits the review?
A. Anorexia nervosa.
B. Night eating disorder.
C. Bulimia nervosa.
D. Rumination disorder.
✓ Correct answer: A. Anorexia nervosa.
Rationale: The review defines anorexia by low body weight, intense fear of weight gain, distorted body
image, and failure to recognize its seriousness.
2. A client secretly consumes an unusually large amount of food and then vomits to compensate.
Which pattern is described?
A. Bulimia nervosa.
B. Rumination disorder.
C. Circadian rhythm sleep-wake disorder.
D. Pica.
✓ Correct answer: A. Bulimia nervosa.
Rationale: The review identifies recurrent binge eating followed by compensatory purging as bulimia.
3. Following a starvation period, a client with anorexia begins nutritional rehabilitation. Which
complication should the nurse monitor for closely?
A. Normal sleepwalking behavior.
B. Refeeding syndrome with fluid and electrolyte imbalance.
C. Expected improvement without physical monitoring.
D. A harmless transient increase in appetite only.
✓ Correct answer: B. Refeeding syndrome with fluid and electrolyte imbalance.
Rationale: The review states that refeeding after starvation can produce dangerous fluid and electrolyte
shifts requiring close monitoring.
4. A client repeatedly binges and then fasts or exercises excessively, without vomiting. Which
interpretation is supported by the review?
A. The behavior can still be a nonpurging form of bulimia.
B. The behavior proves normal eating because no vomiting occurs.
C. Bulimia requires induced vomiting in every case.
D. The pattern is necessarily rumination disorder.
✓ Correct answer: A. The behavior can still be a nonpurging form of bulimia.
Rationale: The bulimia section includes fasting and excessive exercise as compensatory methods in
nonpurging bulimia.
, 5. A client with frequent purging has weakness and palpitations. Which physical concern receives
priority in the review?
A. Inability to identify a body image term.
B. A lack of desire for social activities only.
C. A circadian scheduling mismatch.
D. Fluid and electrolyte abnormalities.
✓ Correct answer: D. Fluid and electrolyte abnormalities.
Rationale: Frequent purging can lead to fluid and electrolyte disturbances; medical stabilization comes
first.
6. Which initial goal is prioritized in the review’s treatment plan for an eating disorder with medical
instability?
A. Focus solely on family education.
B. Stabilize existing medical problems.
C. Begin only with long-term vocational planning.
D. Resolve all psychological issues before medical assessment.
✓ Correct answer: B. Stabilize existing medical problems.
Rationale: The review orders treatment goals as medical stabilization, restoration of nutrition and eating,
then emotional issues.
7. A client repeatedly eats chalk over more than a month while continuing to eat ordinary food. What
pattern does the review name?
A. Rumination disorder.
B. Pica.
C. Bulimia nervosa.
D. Night eating disorder.
✓ Correct answer: B. Pica.
Rationale: The review defines pica as persistent ingestion of nonfood substances such as chalk or clay.
8. After eating, a child brings food back into the mouth, rechews it, and swallows it again without
retching. Which disorder is described?
A. Anorexia nervosa.
B. Pica.
C. Rumination disorder.
D. Night eating disorder.
✓ Correct answer: C. Rumination disorder.
Rationale: The review describes regurgitation and rechewing or reswallowing without nausea or retching
as rumination.
