NUR 171- Exam 3 Practice Questions
and Correct Answers
Somatization ✅psychological and emotional expression of stress through physical
symptoms
Somatic symptom disorder ✅psychological disorder in which the symptoms take a
somatic (bodily) form without apparent physical cause
Patient will have multiple physical complaints that are real to them (but have no physical
cause)
Illness anxiety disorder ✅Disorder in which patient focuses on one particular issue
(that they are convinced indicates a serious illness/disease)
Fears persist even after medical testing
Conversion disorder ✅Condition in which patient has neurological symptoms with no
neurological diagnosis
Symptoms can include blindness, numbness, inability to walk, paralysis, episodes
resembling epilepsy
Usually patients have la belle indifference
La belle indifference ✅Term used to describe the lack of concern over physical illness;
seen in conversion reactions
Factitious disorder ✅Condition in which patients intentionally produce/complain about
symptoms to gain attention or fulfill the "sick role"
Munchausen's syndrome ✅Form of Factitious disorder that is imposed on another
Common= parent to child (which is a form of child abuse under the law)
Malingering ✅Deliberate faking of a physical or psychological disorder motivated by
gain (disability money, insurance benefits, etc)
Common in Factitious disorder
Anorexia nervosa ✅an eating disorder in which an irrational fear of weight gain
(coupled w/ distorted body image) leads people to starve themselves and have an
obsession around eating/ritual of eating
, May purge after eating
Do not think issue is serious
50, 90, 96.0 ✅Hospital-worthy signs in anorexia nervosa patients:
HR < _______
BP < _______ systolic
Temp < _________
Lanugo ✅Fine, downy hair that can grow on the face and back of patients with
anorexia nervosa
Amenorrhea ✅Absence of menstruation (for at least 3 cycles)
A "goal" of patients with anorexia nervosa (can be caused by a lack of body fat)
85% ✅In patients with anorexia nervosa, body weight is < _______% of the expected
normal weight
Refeeding syndrome ✅metabolic alterations that may occur during nutritional repletion
of starved patients
Patients with anorexia nervosa must be refed slowly to avoid this (often start w/ feeding
tube)
Can be fatal
Bulimia nervosa ✅Eating disorder characterized by frequent episodes of uncontrollable
binging and purging
Common S/S: enlarged parotid glands, dental erosion, petechiae, metabolic alkalosis,
peripheral edema, Russell's sign, muscle weakness, cardiac arrhythmias
Petechiae ✅pinpoint purple or red spots from minute hemorrhages under the skin
Can be seen in faces of patients with bulemia (from strain of vomiting)
Russell's sign ✅Calluses on the fingers of patients with bulemia nervosa
Albumin, out of blood vessels ✅Patients with an eating disorder may have peripheral
edema because the body has less __________, resulting in water flowing __________
Prozac ✅The only approved med to treat bulimia nervosa
and Correct Answers
Somatization ✅psychological and emotional expression of stress through physical
symptoms
Somatic symptom disorder ✅psychological disorder in which the symptoms take a
somatic (bodily) form without apparent physical cause
Patient will have multiple physical complaints that are real to them (but have no physical
cause)
Illness anxiety disorder ✅Disorder in which patient focuses on one particular issue
(that they are convinced indicates a serious illness/disease)
Fears persist even after medical testing
Conversion disorder ✅Condition in which patient has neurological symptoms with no
neurological diagnosis
Symptoms can include blindness, numbness, inability to walk, paralysis, episodes
resembling epilepsy
Usually patients have la belle indifference
La belle indifference ✅Term used to describe the lack of concern over physical illness;
seen in conversion reactions
Factitious disorder ✅Condition in which patients intentionally produce/complain about
symptoms to gain attention or fulfill the "sick role"
Munchausen's syndrome ✅Form of Factitious disorder that is imposed on another
Common= parent to child (which is a form of child abuse under the law)
Malingering ✅Deliberate faking of a physical or psychological disorder motivated by
gain (disability money, insurance benefits, etc)
Common in Factitious disorder
Anorexia nervosa ✅an eating disorder in which an irrational fear of weight gain
(coupled w/ distorted body image) leads people to starve themselves and have an
obsession around eating/ritual of eating
, May purge after eating
Do not think issue is serious
50, 90, 96.0 ✅Hospital-worthy signs in anorexia nervosa patients:
HR < _______
BP < _______ systolic
Temp < _________
Lanugo ✅Fine, downy hair that can grow on the face and back of patients with
anorexia nervosa
Amenorrhea ✅Absence of menstruation (for at least 3 cycles)
A "goal" of patients with anorexia nervosa (can be caused by a lack of body fat)
85% ✅In patients with anorexia nervosa, body weight is < _______% of the expected
normal weight
Refeeding syndrome ✅metabolic alterations that may occur during nutritional repletion
of starved patients
Patients with anorexia nervosa must be refed slowly to avoid this (often start w/ feeding
tube)
Can be fatal
Bulimia nervosa ✅Eating disorder characterized by frequent episodes of uncontrollable
binging and purging
Common S/S: enlarged parotid glands, dental erosion, petechiae, metabolic alkalosis,
peripheral edema, Russell's sign, muscle weakness, cardiac arrhythmias
Petechiae ✅pinpoint purple or red spots from minute hemorrhages under the skin
Can be seen in faces of patients with bulemia (from strain of vomiting)
Russell's sign ✅Calluses on the fingers of patients with bulemia nervosa
Albumin, out of blood vessels ✅Patients with an eating disorder may have peripheral
edema because the body has less __________, resulting in water flowing __________
Prozac ✅The only approved med to treat bulimia nervosa
