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NSG 3450/ NSG3450 Exam 3 – Mental Health Guide| Galen (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A

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NSG 3450/ NSG3450 Exam 3 – Mental Health Guide| Galen (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A QUESTION Anorexia Thoughts and Behaviors Answer: Terror of gaining weight Preoccupation with thoughts of food View of self as fat even when emaciated Peculiar handling of food; cutting food into small bits Pushing pieces of food around plate Possible development of rigorous exercise regimen Possible self-induced vomiting, use of laxatives and diuretics Cognition so disturbed that individual judges self-worth by his or her weight QUESTION Physical Anorexia Findings Answer: Low weight Amenorrhea Yellow skin Lanugo Cold extremities Muscle weakening Constipation Abnormal laboratory values QUESTION Lanugo Answer: Fine, downy hair on the face and back of a restricting anorexia patient. QUESTION Hypercarotenemia Answer: A condition in which carotenoids accumulate in the adipose tissue, causing the skin to appear yellow-orange. QUESTION Anorexia Hospitalization Criteria Answer: Extreme electrolyte imbalance Weighs below 75% of ideal body weight Less than 10% body fat Daytime heart rate less than 50 bpm SBP less than 90 Temp less than 96 Cardiac arrhythmias QUESTION Anorexia Hospitalization Goal Answer: Immediate medical stabilization Incremental weight gain 90% of ideal body weight, typically when women menstruate Once medically stable, eating disorder can be addressed on an outpatient basis. QUESTION Anorexia Interventions Answer: Milieu therapy Focus should be on eating behaviors Discussions about appearance must be raised carefully as the patient can misinterpret, establish rapport Nutrition consult Is&Os Weights same scale, same time, after void Coping skills to reduce anxiety QUESTION Monitor for Refeeding Syndrome Answer: With prolonged starvation, the body switches how it uses energy sources. No longer glucose-based energy, but breaks down fat and protein. Insulin stimulates glycogen, fat, and protein synthesis, requires phosphate and magnesium. Potentially lethal treatment complication. Can result in fluid-balance, abnormal glucose metabolism, hypophosphatemia, hypomagnesemia, and hypokalemia. Thiamine deficiency Reintroduction of nutrients must proceed slowly to avoid this syndrome. QUESTION Anorexia Pharmacologic Interventions Answer: FDA has not approved any drugs for the treatment of anorexia nervosa. Research does not support the use of pharmacological agents to treat the core symptoms. SSRI Fluoxetine can reduce obsessive-compulsive behavior after the patient has reached a maintenance weight. QUESTION Bulimia Nervosa Co-Morbidities Answer:

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NSGl 3450/l NSG3450l Examl 3l –l Mentall
Healthl Guide|l Galenl (Latestl 2026/l 2027l
Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Anorexial Thoughtsl andl Behaviors
Answer:
Terrorl ofl gainingl weight

Preoccupationl withl thoughtsl ofl food

Viewl ofl selfl asl fatl evenl whenl emaciated

Peculiarl handlingl ofl food;l cuttingl foodl intol smalll bits

Pushingl piecesl ofl foodl aroundl plate

Possiblel developmentl ofl rigorousl exercisel regimen

Possiblel self-inducedl vomiting,l usel ofl laxativesl andl diuretics

Cognitionl sol disturbedl thatl individuall judgesl self-worthl byl hisl orl herl weight



Q:l Physicall Anorexial Findings
Answer:
Lowl weight

Amenorrhea

Yellowl skin

Lanugo

,Coldl extremities

Musclel weakening

Constipation

Abnormall laboratoryl values



Q:l Lanugo
Answer:
Fine,l downyl hairl onl thel facel andl backl ofl al restrictingl anorexial patient.



Q:l Hypercarotenemia
Answer:
Al conditionl inl whichl carotenoidsl accumulatel inl thel adiposel tissue,l causingl thel skinl tol
appearl yellow-orange.



Q:l Anorexial Hospitalizationl Criteria
Answer:
Extremel electrolytel imbalance

Weighsl belowl 75%l ofl ideall bodyl weight

Lessl thanl 10%l bodyl fat

Daytimel heartl ratel lessl thanl 50l bpm

SBPl lessl thanl 90

Templ lessl thanl 96

Cardiacl arrhythmias

,Q:l Anorexial Hospitalizationl Goal
Answer:
Immediatel medicall stabilization

Incrementall weightl gain

90%l ofl ideall bodyl weight,l typicallyl whenl womenl menstruate

Oncel medicallyl stable,l eatingl disorderl canl bel addressedl onl anl outpatientl basis.



Q:l Anorexial Interventions
Answer:
Milieul therapy

Focusl shouldl bel onl eatingl behaviors

Discussionsl aboutl appearancel mustl bel raisedl carefullyl asl thel patientl canl misinterpret,l
establishl rapportl

Nutritionl consult

Is&Os

Weightsl samel scale,l samel time,l afterl void

Copingl skillsl tol reducel anxiety



Q:l Monitorl forl Refeedingl Syndrome
Answer:
Withl prolongedl starvation,l thel bodyl switchesl howl itl usesl energyl sources.

Nol longerl glucose-basedl energy,l butl breaksl downl fatl andl protein.

, Insulinl stimulatesl glycogen,l fat,l andl proteinl synthesis,l requiresl phosphatel andl
magnesium.l

Potentiallyl lethall treatmentl complication.

Canl resultl inl fluid-balance,l abnormall glucosel metabolism,l hypophosphatemia,l
hypomagnesemia,l andl hypokalemia.l

Thiaminel deficiency

Reintroductionl ofl nutrientsl mustl proceedl slowlyl tol avoidl thisl syndrome.



Q:l Anorexial Pharmacologicl Interventions
Answer:
FDAl hasl notl approvedl anyl drugsl forl thel treatmentl ofl anorexial nervosa.

Researchl doesl notl supportl thel usel ofl pharmacologicall agentsl tol treatl thel corel
symptoms.

SSRIl Fluoxetinel canl reducel obsessive-compulsivel behaviorl afterl thel patientl hasl reachedl
al maintenancel weight.



Q:l Bulimial Nervosal Co-Morbidities
Answer:
Depressivel disorders

Bipolarl disorders

Anxietyl disorders

Borderlinel andl histrionicl personalityl disorders

Alcoholl andl substancel usel inl 1/3l ofl patients

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