MENTAL HEALTH NUR2459 FINAL
REVIEW QUESTIONS & ANSWERS
(RATED A+)
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 - ANSWERc. 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. - ANSWERa. The patient's family should be actively involved in
each phase of treatment.
Engel identifies which of the following as successful resolution of the grief process?
a. When the bereaved person can talk about the loss without crying
b. When the bereaved person no longer talks about the lost entity
c. When the bereaved person puts all remembrances of the loss out of sight
d. When the bereaved person can discuss both positive and negative aspects about
the lost entity - ANSWERd. When the bereaved person can discuss both positive
and negative aspects about the lost entity
Which of the following is thought to facilitate the grief process?
a. The ability to grieve in anticipation of the loss
b. The ability to grieve alone without interference from others
c. Having recently grieved for another loss
d. Taking personal responsibility for the loss - ANSWERa. The ability to grieve in
anticipation of the loss
,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." - ANSWERb. "If you
continue to refuse to take food orally, you will be fed through a nasogastric tube."
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." - ANSWERb. "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 - ANSWERc. 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) - ANSWERc. 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 - ANSWERb. 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) - ANSWERb. Imbalanced nutrition: Less than body requirements.
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." - ANSWERc. "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."
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 problem? (Select all that
apply.)
a. Parotid glands appear enlarged.
b. Teeth have a "moth-eaten" pattern of tooth decay.
c. Client reports that she takes laxatives daily.
d. Client's weight is within the expected range. - ANSWERa. Parotid glands appear
enlarged.
b. Teeth have a "moth-eaten" pattern of tooth decay.
c. Client reports that she takes laxatives daily.
d. Client's weight is within the expected range.
A client diagnosed with borderline personality disorder manipulates the staff in an
effort to fulfill her own desires. All of the following may be examples of manipulative
behaviors in the borderline patient except:
a. Refusal to stay in a room alone, stating, "It's so lonely."
b. Asking the nurse for cigarettes after 30 minutes, knowing the assigned nurse has
explained she must wait 1 hour.
c. Stating to the nurse, "I really like having you for my nurse. You're the best one
around here."
REVIEW QUESTIONS & ANSWERS
(RATED A+)
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 - ANSWERc. 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. - ANSWERa. The patient's family should be actively involved in
each phase of treatment.
Engel identifies which of the following as successful resolution of the grief process?
a. When the bereaved person can talk about the loss without crying
b. When the bereaved person no longer talks about the lost entity
c. When the bereaved person puts all remembrances of the loss out of sight
d. When the bereaved person can discuss both positive and negative aspects about
the lost entity - ANSWERd. When the bereaved person can discuss both positive
and negative aspects about the lost entity
Which of the following is thought to facilitate the grief process?
a. The ability to grieve in anticipation of the loss
b. The ability to grieve alone without interference from others
c. Having recently grieved for another loss
d. Taking personal responsibility for the loss - ANSWERa. The ability to grieve in
anticipation of the loss
,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." - ANSWERb. "If you
continue to refuse to take food orally, you will be fed through a nasogastric tube."
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." - ANSWERb. "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 - ANSWERc. 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) - ANSWERc. 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 - ANSWERb. 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) - ANSWERb. Imbalanced nutrition: Less than body requirements.
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." - ANSWERc. "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."
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 problem? (Select all that
apply.)
a. Parotid glands appear enlarged.
b. Teeth have a "moth-eaten" pattern of tooth decay.
c. Client reports that she takes laxatives daily.
d. Client's weight is within the expected range. - ANSWERa. Parotid glands appear
enlarged.
b. Teeth have a "moth-eaten" pattern of tooth decay.
c. Client reports that she takes laxatives daily.
d. Client's weight is within the expected range.
A client diagnosed with borderline personality disorder manipulates the staff in an
effort to fulfill her own desires. All of the following may be examples of manipulative
behaviors in the borderline patient except:
a. Refusal to stay in a room alone, stating, "It's so lonely."
b. Asking the nurse for cigarettes after 30 minutes, knowing the assigned nurse has
explained she must wait 1 hour.
c. Stating to the nurse, "I really like having you for my nurse. You're the best one
around here."
