NUR2459|NUR2459 |Mental health
NUR2459 FINAL REVIEW QUIZ/ANS
(latest update) DISTINCTION!!
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 (CORRECT ANSWERS) c. Tolerance
The Maudsley approach to the treatment of adolescents with anorexia
nervosa 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. (CORRECT ANSWERS) a. The
patient's family should be actively involved in each phase of treatment.
,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." (CORRECT ANSWERS) b. "Some
medications and psychological treatments have demonstrated
effectiveness in reducing binge eating behaviors."
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 (CORRECT ANSWERS) c.
Bradycardia, hypotension, hypothermia
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) (CORRECT ANSWERS) c. Fluoxetine
(Prozac)
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 (CORRECT
ANSWERS) b. Binging, purging, normal weight, hypokalemia
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: Less than body requirements.
c. Interrupted family processes
, d. Anxiety (severe) (CORRECT ANSWERS) b. Imbalanced nutrition:
Less than body requirements.
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."
(CORRECT ANSWERS) b. "If you continue to refuse to take food
orally, you will be fed through a nasogastric tube."
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
NUR2459 FINAL REVIEW QUIZ/ANS
(latest update) DISTINCTION!!
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 (CORRECT ANSWERS) c. Tolerance
The Maudsley approach to the treatment of adolescents with anorexia
nervosa 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. (CORRECT ANSWERS) a. The
patient's family should be actively involved in each phase of treatment.
,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." (CORRECT ANSWERS) b. "Some
medications and psychological treatments have demonstrated
effectiveness in reducing binge eating behaviors."
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 (CORRECT ANSWERS) c.
Bradycardia, hypotension, hypothermia
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) (CORRECT ANSWERS) c. Fluoxetine
(Prozac)
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 (CORRECT
ANSWERS) b. Binging, purging, normal weight, hypokalemia
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: Less than body requirements.
c. Interrupted family processes
, d. Anxiety (severe) (CORRECT ANSWERS) b. Imbalanced nutrition:
Less than body requirements.
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."
(CORRECT ANSWERS) b. "If you continue to refuse to take food
orally, you will be fed through a nasogastric tube."
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
