Mental health NUR2459 final |\ |\ |\ |\
review questions with correct |\ |\ |\ |\
answers
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." |\ |\ |\ |\ |\ |\
review questions with correct |\ |\ |\ |\
answers
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." |\ |\ |\ |\ |\ |\
