Examl 4:l NUR253l /l NURl 253l (NEWl
2025/l 2026l Update)l Conceptsl ofl Mentall
Healthl Nursingl Guide|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galen
QUESTION
Anorexial nervosa
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 anorexia
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 factors
Answer:
Geneticl predisposition
Femalel gender
Cognitive-behavioral-learnedl behaviorl withl positivel reinforcements
Culturall influencel -selfl concept
,Professionl (ex.l modeling)
QUESTION
Anorexial Clinicall Manifestations
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 levels
Answer:
3.5-5.5l g/dL
QUESTION
Anorexial thoughtsl andl behaviors
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 anorexia
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 stabilization
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 syndrome
, 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 Interventions
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
Thel focusl shouldl bel onl eatingl behavior,l feelingsl ofl anxiety,l dysphoria,l lowl self-esteem,l
lackl ofl control
Approachl discussionsl aboutl physicall appearancel cautiouslyl -l ptl mayl misinterpret
Therapyl (group,l family,l individual)l shownl mostl beneficial
Healthl promotionl -l learningl morel constructivel copingl skills,l decision-makingl skills,l andl
supervisedl groceryl shopping.l Asl thel patientl progressesl considerl eatingl inl restaurants
QUESTION
Psychopharmacologicall Therapyl forl Anorexia
Answer:
SSRIl -l fluoxetinel (Prozac)l
-helpsl tol reducel obsessivel compulsivel behaviorsl butl onlyl afterl thel patientl hasl reachedl
al maintenancel weight.
QUESTION
Bulimial Nervosa
2025/l 2026l Update)l Conceptsl ofl Mentall
Healthl Nursingl Guide|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galen
QUESTION
Anorexial nervosa
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 anorexia
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 factors
Answer:
Geneticl predisposition
Femalel gender
Cognitive-behavioral-learnedl behaviorl withl positivel reinforcements
Culturall influencel -selfl concept
,Professionl (ex.l modeling)
QUESTION
Anorexial Clinicall Manifestations
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 levels
Answer:
3.5-5.5l g/dL
QUESTION
Anorexial thoughtsl andl behaviors
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 anorexia
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 stabilization
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 syndrome
, 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 Interventions
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
Thel focusl shouldl bel onl eatingl behavior,l feelingsl ofl anxiety,l dysphoria,l lowl self-esteem,l
lackl ofl control
Approachl discussionsl aboutl physicall appearancel cautiouslyl -l ptl mayl misinterpret
Therapyl (group,l family,l individual)l shownl mostl beneficial
Healthl promotionl -l learningl morel constructivel copingl skills,l decision-makingl skills,l andl
supervisedl groceryl shopping.l Asl thel patientl progressesl considerl eatingl inl restaurants
QUESTION
Psychopharmacologicall Therapyl forl Anorexia
Answer:
SSRIl -l fluoxetinel (Prozac)l
-helpsl tol reducel obsessivel compulsivel behaviorsl butl onlyl afterl thel patientl hasl reachedl
al maintenancel weight.
QUESTION
Bulimial Nervosa
