,NUR 253 Exam 4 – Mental Health Nursing –
Actual Questions & Answers (GCN) 100%
Guarantee Pass
1. The nurse is caring for a client with anorexia nervosa.
Which intervention is a priority during the acute phase
of treatment?
A) Encourage the client to set their own meal plan
B) Monitor for signs of refeeding syndrome
C) Allow the client to exercise freely
D) Encourage the client to weigh themselves daily
Correct Answer: B
Rationale: Refeeding syndrome is a life-threatening
complication of refeeding in malnourished clients. The
nurse should monitor for electrolyte imbalances
(especially phosphorus, potassium, magnesium) and
cardiovascular instability. Hypophosphatemia is the
hallmark finding .
2. Which assessment finding is consistent with anorexia
nervosa?
,A) Binge eating followed by purging
B) Intense fear of gaining weight with restriction of food
intake
C) Eating large amounts of food in a short period
D) Body weight that is within normal range
Correct Answer: B
Rationale: Anorexia nervosa is characterized by
restriction of food intake leading to significantly low body
weight, intense fear of gaining weight, and disturbance in
body image. Binge eating and purging are more
characteristic of bulimia nervosa .
3. A client with bulimia nervosa would have which
finding?
A) Body weight significantly below ideal
B) Recurrent episodes of binge eating followed by
inappropriate compensatory behaviors
C) Amenorrhea
D) Intense fear of gaining weight without compensatory
behaviors
, Correct Answer: B
Rationale: Bulimia nervosa is characterized by recurrent
episodes of binge eating followed by inappropriate
compensatory behaviors (vomiting, laxative use,
excessive exercise). Body weight is often within normal
range .
4. The nurse is teaching a client with binge-eating
disorder. Which treatment is most effective?
A) Stimulant medications only
B) Cognitive-behavioral therapy (CBT) focused on binge
eating
C) Bariatric surgery
D) Phentermine only
Correct Answer: B
Rationale: CBT is the most effective treatment for binge-
eating disorder, addressing maladaptive thoughts and
behaviors related to binge episodes. Medication may be
adjunctive .
Actual Questions & Answers (GCN) 100%
Guarantee Pass
1. The nurse is caring for a client with anorexia nervosa.
Which intervention is a priority during the acute phase
of treatment?
A) Encourage the client to set their own meal plan
B) Monitor for signs of refeeding syndrome
C) Allow the client to exercise freely
D) Encourage the client to weigh themselves daily
Correct Answer: B
Rationale: Refeeding syndrome is a life-threatening
complication of refeeding in malnourished clients. The
nurse should monitor for electrolyte imbalances
(especially phosphorus, potassium, magnesium) and
cardiovascular instability. Hypophosphatemia is the
hallmark finding .
2. Which assessment finding is consistent with anorexia
nervosa?
,A) Binge eating followed by purging
B) Intense fear of gaining weight with restriction of food
intake
C) Eating large amounts of food in a short period
D) Body weight that is within normal range
Correct Answer: B
Rationale: Anorexia nervosa is characterized by
restriction of food intake leading to significantly low body
weight, intense fear of gaining weight, and disturbance in
body image. Binge eating and purging are more
characteristic of bulimia nervosa .
3. A client with bulimia nervosa would have which
finding?
A) Body weight significantly below ideal
B) Recurrent episodes of binge eating followed by
inappropriate compensatory behaviors
C) Amenorrhea
D) Intense fear of gaining weight without compensatory
behaviors
, Correct Answer: B
Rationale: Bulimia nervosa is characterized by recurrent
episodes of binge eating followed by inappropriate
compensatory behaviors (vomiting, laxative use,
excessive exercise). Body weight is often within normal
range .
4. The nurse is teaching a client with binge-eating
disorder. Which treatment is most effective?
A) Stimulant medications only
B) Cognitive-behavioral therapy (CBT) focused on binge
eating
C) Bariatric surgery
D) Phentermine only
Correct Answer: B
Rationale: CBT is the most effective treatment for binge-
eating disorder, addressing maladaptive thoughts and
behaviors related to binge episodes. Medication may be
adjunctive .
