NUR 2459 Mental health Final review questions
1. Some obese individuals take amphetamines to suppress appetite and help them lose weight.
Which of the following is an adverse effect associated with the use of amphetamines that makes
this practice undesirable?
a. Bradycardia
b. Amenorrhea
c. Tolerance
d. Convulsions
Answer
c. Tolerance
2. The Maudsley approach to the treatment of adolescents with anorexia ner- vosa advances
which of the following fundamental concepts?
a. The patient's family should be actively involved in each phase of treatment.
b. Parents should be prohibited from involvement in helping their child eat since there are often
control issues.
c. Adolescents need to work on developing healthy self-identities before they can begin to gain
weight.
d. Individual psychotherapy is the most effective treatment for adolescents with anorexia
nervosa.
Answer
a. The patient's family should be actively involved in each phase of treatment.
3. A client has sought help for his concern that he is binge eating and feels like it has "gotten
out of control." He asks the nurse what can be done to help him. Which of the following is the
most accurate response?
a. "Nothing can be done."
b. "Some medications and psychological treatments have demonstrated effectiveness in
,reducing binge eating behaviors."
c. "The primary problem is obesity. I can help you set up a calorie-restricted diet."
d. "Medications can help with weight loss, but there are no medications effective for reducing
binge eating."
Answer
b. "Some medications and psychological treatments have demonstrated effectiveness in
reducing binge eating behaviors."
4. Which of the following physical manifestations would you expect to assess in a client
suffering from anorexia nervosa?
a. Tachycardia, hypertension, hyperthermia
b. Bradycardia, hypertension, hyperthermia
c. Bradycardia, hypotension, hypothermia
d. Tachycardia, hypotension, hypothermia
Answer
c. Bradycardia, hypotension, hypothermia
5. Which medication has been used with some success in clients with anorexia nervosa?
a. Lorcaserin (Belviq)
b. Diazepam (Valium)
c. Fluoxetine (Prozac)
d. Carbamazepine (Tegretol)
Answer
c. Fluoxetine (Prozac)
,6. A client is hospitalized on the psychiatric unit with a history and current diagnosis of
bulimia nervosa. Which of the following symptoms would be congruent with this client's
diagnosis?
a. Binging, purging, obesity, hyperkalemia
b. Binging, purging, normal weight, hypokalemia
c. Binging, laxative abuse, amenorrhea, severe weight loss
d. Binging, purging, severe weight loss, hyperkalemia
Answer
b. Binging, purging, normal weight, hypokalemia
7. A 14-year-old client has just been admitted to the psychiatric unit for anorexia nervosa. She is
emaciated and refuses to eat. What is the priority nursing diagnosis for this client?
a. Complicated grieving
b. Imbalanced nutrition
Answer
Less than body requirements.
c. Interrupted family processes
d. Anxiety (severe)
Answer
b. Imbalanced nutrition
Answer
Less than body requirements.
, 8. The nurse is caring for a client who has been hospitalized with anorexia nervosa and is
severely malnourished. The client continues to refuse to eat. What is the most appropriate
response by the nurse?
a. "You know that if you don't eat, you will die."
b. "If you continue to refuse to take food orally, you will be fed through a nasogastric tube."
c. "You might as well leave if you are not going to follow your therapy regimen."
d. "You don't have to eat if you don't want to. It is your choice."
Answer
b. "If you continue to refuse to take food orally, you will be fed through a nasogastric tube."
9. A hospitalized client with bulimia nervosa has stopped vomiting in the hospital and tells the
nurse she is afraid she is going to gain weight. Which is the most appropriate response by the
nurse?
a. "Don't worry. The dietitian will ensure you don't get too many calories in
your diet."
b. "Don't worry about your weight. We are going to work on other problems while you are in
the hospital."
c. "I understand that you are concerned about your weight, and we will talk about the
importance of good nutrition, but for now I want you to tell me about your recent invitation to
join the National Honor Society. That's quite an accomplishment."
d. "You are not fat, and the staff will ensure that you do not gain weight while you are in the
hospital, because we know that is important to you."
Answer
c. "I understand that you are concerned about your weight, and we will talk about the
importance of good nutrition, but for now I want you to tell me about your recent invitation to
join the National Honor Society. That's quite an accomplishment."
10. A client presents in the emergency department with complaints of suicidal ideation. The
following information is collected by the nurse. Which of these assessment findings suggests
that bulimia nervosa might be a health prob- lem? (Select all that apply.)
1. Some obese individuals take amphetamines to suppress appetite and help them lose weight.
Which of the following is an adverse effect associated with the use of amphetamines that makes
this practice undesirable?
a. Bradycardia
b. Amenorrhea
c. Tolerance
d. Convulsions
Answer
c. Tolerance
2. The Maudsley approach to the treatment of adolescents with anorexia ner- vosa advances
which of the following fundamental concepts?
a. The patient's family should be actively involved in each phase of treatment.
b. Parents should be prohibited from involvement in helping their child eat since there are often
control issues.
c. Adolescents need to work on developing healthy self-identities before they can begin to gain
weight.
d. Individual psychotherapy is the most effective treatment for adolescents with anorexia
nervosa.
Answer
a. The patient's family should be actively involved in each phase of treatment.
3. A client has sought help for his concern that he is binge eating and feels like it has "gotten
out of control." He asks the nurse what can be done to help him. Which of the following is the
most accurate response?
a. "Nothing can be done."
b. "Some medications and psychological treatments have demonstrated effectiveness in
,reducing binge eating behaviors."
c. "The primary problem is obesity. I can help you set up a calorie-restricted diet."
d. "Medications can help with weight loss, but there are no medications effective for reducing
binge eating."
Answer
b. "Some medications and psychological treatments have demonstrated effectiveness in
reducing binge eating behaviors."
4. Which of the following physical manifestations would you expect to assess in a client
suffering from anorexia nervosa?
a. Tachycardia, hypertension, hyperthermia
b. Bradycardia, hypertension, hyperthermia
c. Bradycardia, hypotension, hypothermia
d. Tachycardia, hypotension, hypothermia
Answer
c. Bradycardia, hypotension, hypothermia
5. Which medication has been used with some success in clients with anorexia nervosa?
a. Lorcaserin (Belviq)
b. Diazepam (Valium)
c. Fluoxetine (Prozac)
d. Carbamazepine (Tegretol)
Answer
c. Fluoxetine (Prozac)
,6. A client is hospitalized on the psychiatric unit with a history and current diagnosis of
bulimia nervosa. Which of the following symptoms would be congruent with this client's
diagnosis?
a. Binging, purging, obesity, hyperkalemia
b. Binging, purging, normal weight, hypokalemia
c. Binging, laxative abuse, amenorrhea, severe weight loss
d. Binging, purging, severe weight loss, hyperkalemia
Answer
b. Binging, purging, normal weight, hypokalemia
7. A 14-year-old client has just been admitted to the psychiatric unit for anorexia nervosa. She is
emaciated and refuses to eat. What is the priority nursing diagnosis for this client?
a. Complicated grieving
b. Imbalanced nutrition
Answer
Less than body requirements.
c. Interrupted family processes
d. Anxiety (severe)
Answer
b. Imbalanced nutrition
Answer
Less than body requirements.
, 8. The nurse is caring for a client who has been hospitalized with anorexia nervosa and is
severely malnourished. The client continues to refuse to eat. What is the most appropriate
response by the nurse?
a. "You know that if you don't eat, you will die."
b. "If you continue to refuse to take food orally, you will be fed through a nasogastric tube."
c. "You might as well leave if you are not going to follow your therapy regimen."
d. "You don't have to eat if you don't want to. It is your choice."
Answer
b. "If you continue to refuse to take food orally, you will be fed through a nasogastric tube."
9. A hospitalized client with bulimia nervosa has stopped vomiting in the hospital and tells the
nurse she is afraid she is going to gain weight. Which is the most appropriate response by the
nurse?
a. "Don't worry. The dietitian will ensure you don't get too many calories in
your diet."
b. "Don't worry about your weight. We are going to work on other problems while you are in
the hospital."
c. "I understand that you are concerned about your weight, and we will talk about the
importance of good nutrition, but for now I want you to tell me about your recent invitation to
join the National Honor Society. That's quite an accomplishment."
d. "You are not fat, and the staff will ensure that you do not gain weight while you are in the
hospital, because we know that is important to you."
Answer
c. "I understand that you are concerned about your weight, and we will talk about the
importance of good nutrition, but for now I want you to tell me about your recent invitation to
join the National Honor Society. That's quite an accomplishment."
10. A client presents in the emergency department with complaints of suicidal ideation. The
following information is collected by the nurse. Which of these assessment findings suggests
that bulimia nervosa might be a health prob- lem? (Select all that apply.)
