Full Study Guide for NUR 253: Concepts of Mental Health Nursing (Exam 4); Eating Disorders, Substance Use, and End-of-Life Care; Galen College of Nursing; Updated 2025/2026 Version with NCLEX-Style Q&A. PDF INSTANT A+ MATERIAL.

The Ultimate Exam 4 Study Guide for NUR 253. This premium, 2025/2026 Updated Edition is a specialized final-tier resource focusing on compulsive behaviors and the terminal stages of care. It provides a deep dive into the physiological and psychological management of eating disorders, the complexities of addiction and withdrawal, and the nurse's role in providing a dignified end-of-life experience. Key Topics Covered: Eating Disorders (Anorexia vs. Bulimia): * Anorexia Nervosa: Criteria for hospitalization (BMI 15, heart rate 40 bpm, electrolyte imbalance). Focus on "refeeding syndrome" as a critical complication. Bulimia Nervosa: Recognition of Russell's Sign (calluses on knuckles) and parotid gland swelling. Priority nursing intervention: Monitoring the patient for 60 minutes after meals. Substance Use Disorders & Withdrawal: Alcohol Withdrawal: Timeline of symptoms from tremors (6–12 hours) to Delirium Tremens (48–72 hours). Emergency management of Wernicke-Korsakoff syndrome with thiamine. Opioid Crisis: Recognizing the triad of overdose (pinpoint pupils, respiratory depression, coma) and the administration of Naloxone (Narcan). End-of-Life Care: * Therapeutic Communication: Mastering the "presence" and "active listening" required when a patient reaches the Acceptance stage of grief. Symptom Management: Pharmacological and non-pharmacological interventions for pain, dyspnea ("death rattle"), and terminal agitation. Addiction Pharmacology: Mastery of medications like Disulfiram (Antabuse), Methadone, and Buprenorphine for long-term recovery support. Exam 4 Quick Review Summary: | Topic | Critical Nursing Priority | | :--- | :--- | | Refeeding Syndrome | Monitor for sudden shifts in electrolytes (especially phosphorus). | | Alcohol Withdrawal | Maintain safety and administer benzodiazepines (CIWA protocol). | | Anorexia Severity | BMI 15 is classified as "Extreme" or "Severe" (per DSM-5). | | Laxative Abuse | Educate that laxatives do not prevent calorie absorption; they cause dehydration. | This study guide includes NCLEX-Style Practice Questions with Rationales, ensuring Galen students are prepared for the high-stakes clinical scenarios presented in the final NUR 253 examination. NUR 253 Exam 4, Galen College of Nursing, Anorexia vs Bulimia Nursing, Refeeding Syndrome Phosphorus, Alcohol Withdrawal Timeline CIWA, Opioid Overdose Narcan, End-of-Life Care Nursing, Disulfiram Antabuse Education, Russell's Sign Bulimia, NUR 253 Study Guide 2026.