NURS 663 SCRIPTED LATEST EXAMS QUESTIONS
AND ANSWERS SURE A+
✔✔PICA - ✔✔___________ usually occurs in children, rarely starts in adulthood
✔✔Intellectual disability, neglect, lack of supervision, developmental delay - ✔✔These
increase risk of PICA:
✔✔Ca, Fe, Zinc, Anemia - ✔✔In PICA, patients may be deficient in _____, _____, and
________. __________ is reported in some cases.
✔✔Clay, starch - ✔✔Eating _________ or _________ can worsen Fe deficiency
✔✔GI, lead or mercury, parasites/intestinal, deficiency - ✔✔In PICA, assess for ______
complications, ___________________ poisoning, ___________________ infection
from soil, and nutritional _____________.
✔✔Order a full physical, screen for missing nutrients
(anemia), and screen for medical issues (lead poisoning). - ✔✔Medical treatment of
PICA:
✔✔Control behavior and environmental factors, CBT therapy, daily logs, assess for
triggers - ✔✔Psych treatment of PICA:
✔✔CBT - ✔✔therapy for PICA
✔✔anxiety, going to school - ✔✔Examine if there is a trigger for eating non food items
such as ________ or ___________________.
✔✔discrete, 2 hours, loss of control - ✔✔BED requires the first two diagnostic criteria
including eating, in a _________ period of time (w/in ___ _____), AND _____________
, ✔✔6 - ✔✔How many diagnostic criteria for BED?
✔✔Discrete eating, loss of control, 1 week/3 months, marked distress, no compensatory
or anorexia, at least 3 - ✔✔In 2-4 words, list each diagnostic criteria for BED
✔✔3, 5, eating more rapid than usual, eating until uncomfortably full, eating large
amounts when not hungry, eating alone, feeling disgusting/depressed/guilty after -
✔✔BED requires at least ____ of the _____ following:
✔✔5 - ✔✔common for all ____ criteria of the 5 options to be met in BED
✔✔bulimia - ✔✔BED has a behavioral indicator for binge eating but ______________
does not
✔✔bulimia, not - ✔✔BED has a distress about binge eating and __________ does
_________
✔✔frequent dieting - ✔✔BED: Lack of purging, excessive exercise, or dietary
restrictions/extreme dieting, but _________ __________ may be reported.
✔✔bariatric - ✔✔Environment where BED is often screened for is the __________
patients electing for surgery
✔✔intended, possible - ✔✔When assessing patient's appetite (for BED), Ask: "Have
you ever eaten more than you ____________?" follow up with, "Did you feel like it
wasn't _________ to stop?"
✔✔vyvanse - ✔✔The only FDA approved med for BED
✔✔frequency - ✔✔Tell patient that the goal of vyvanse is to decrease the ___________
of binge episodes, it's not prescribed for weight loss/obesity
✔✔dry mouth - ✔✔main side effect of vyvanse?
✔✔binge eating, cognitive impairment - ✔✔Topiramate is an anticonvulsant that does
work in reducing ________ __________ and weight gain, BUT leads to ____________
______________ when dosed for effectiveness
✔✔behavior - ✔✔Anti-obesity agents: Targets appetite/weight, but not BED
__________.
✔✔Naltrexone - ✔✔____________: hit or miss, NEI says didn't work well for BED
AND ANSWERS SURE A+
✔✔PICA - ✔✔___________ usually occurs in children, rarely starts in adulthood
✔✔Intellectual disability, neglect, lack of supervision, developmental delay - ✔✔These
increase risk of PICA:
✔✔Ca, Fe, Zinc, Anemia - ✔✔In PICA, patients may be deficient in _____, _____, and
________. __________ is reported in some cases.
✔✔Clay, starch - ✔✔Eating _________ or _________ can worsen Fe deficiency
✔✔GI, lead or mercury, parasites/intestinal, deficiency - ✔✔In PICA, assess for ______
complications, ___________________ poisoning, ___________________ infection
from soil, and nutritional _____________.
✔✔Order a full physical, screen for missing nutrients
(anemia), and screen for medical issues (lead poisoning). - ✔✔Medical treatment of
PICA:
✔✔Control behavior and environmental factors, CBT therapy, daily logs, assess for
triggers - ✔✔Psych treatment of PICA:
✔✔CBT - ✔✔therapy for PICA
✔✔anxiety, going to school - ✔✔Examine if there is a trigger for eating non food items
such as ________ or ___________________.
✔✔discrete, 2 hours, loss of control - ✔✔BED requires the first two diagnostic criteria
including eating, in a _________ period of time (w/in ___ _____), AND _____________
, ✔✔6 - ✔✔How many diagnostic criteria for BED?
✔✔Discrete eating, loss of control, 1 week/3 months, marked distress, no compensatory
or anorexia, at least 3 - ✔✔In 2-4 words, list each diagnostic criteria for BED
✔✔3, 5, eating more rapid than usual, eating until uncomfortably full, eating large
amounts when not hungry, eating alone, feeling disgusting/depressed/guilty after -
✔✔BED requires at least ____ of the _____ following:
✔✔5 - ✔✔common for all ____ criteria of the 5 options to be met in BED
✔✔bulimia - ✔✔BED has a behavioral indicator for binge eating but ______________
does not
✔✔bulimia, not - ✔✔BED has a distress about binge eating and __________ does
_________
✔✔frequent dieting - ✔✔BED: Lack of purging, excessive exercise, or dietary
restrictions/extreme dieting, but _________ __________ may be reported.
✔✔bariatric - ✔✔Environment where BED is often screened for is the __________
patients electing for surgery
✔✔intended, possible - ✔✔When assessing patient's appetite (for BED), Ask: "Have
you ever eaten more than you ____________?" follow up with, "Did you feel like it
wasn't _________ to stop?"
✔✔vyvanse - ✔✔The only FDA approved med for BED
✔✔frequency - ✔✔Tell patient that the goal of vyvanse is to decrease the ___________
of binge episodes, it's not prescribed for weight loss/obesity
✔✔dry mouth - ✔✔main side effect of vyvanse?
✔✔binge eating, cognitive impairment - ✔✔Topiramate is an anticonvulsant that does
work in reducing ________ __________ and weight gain, BUT leads to ____________
______________ when dosed for effectiveness
✔✔behavior - ✔✔Anti-obesity agents: Targets appetite/weight, but not BED
__________.
✔✔Naltrexone - ✔✔____________: hit or miss, NEI says didn't work well for BED
