MENTAL HEALTH NUR2459 FINAL REVIEW QUESTIONS |
DETAILED ANSWERS | 100% CORRECT
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 - 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. - 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." - 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 - 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) - 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 - 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) - 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." - 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."
c. "I understand that you are concerned about your weight, and we will talk about the
importance of good nutrition, but for now I want you to tell me about your recent
invitation to join the National Honor Society. That's quite an accomplishment."
d. "You are not fat, and the staff will ensure that you do not gain weight while you are in
the hospital, because we know that is important to you." - c. "I understand that you are
concerned about your weight, and we will talk about the importance of good nutrition,
but sfor snow sI swant syou sto stell sme sabout syour srecent sinvitation sto sjoin sthe sNational sHonor
sSociety. sThat's squite san saccomplishment."
A sclient spresents sin sthe semergency sdepartment swith scomplaints sof ssuicidal sideation.
sThe sfollowing sinformation sis scollected sby sthe snurse. sWhich sof sthese sassessment
sfindings ssuggests sthat sbulimia snervosa smight sbe sa shealth sproblem? s(Select sall sthat
sapply.)
a. sParotid sglands sappear senlarged.
b. sTeeth shave sa s"moth-eaten" spattern sof stooth sdecay.
c. sClient sreports sthat sshe stakes slaxatives sdaily.
d. sClient's sweight sis swithin sthe sexpected srange. s- s sa. sParotid sglands sappear senlarged.
b. sTeeth shave sa s"moth-eaten" spattern sof stooth sdecay.
c. sClient sreports sthat sshe stakes slaxatives sdaily.
d. sClient's sweight sis swithin sthe sexpected srange.
A sclient sdiagnosed swith sborderline spersonality sdisorder smanipulates sthe sstaff sin san
seffort sto sfulfill sher sown sdesires. sAll sof sthe sfollowing smay sbe sexamples sof smanipulative
sbehaviors sin sthe sborderline spatient sexcept:
a. sRefusal sto sstay sin sa sroom salone, sstating, s"It's sso slonely."
b. sAsking sthe snurse sfor scigarettes safter s30 sminutes, sknowing sthe sassigned snurse shas
sexplained sshe smust swait s1 shour.
c. sStating sto sthe snurse, s"I sreally slike shaving syou sfor smy snurse. sYou're sthe sbest sone
saround shere."
d. sCutting sarms swith srazor sblade safter sdiscussing sdismissal splans swith sphysician. s- s sa.
sRefusal sto sstay sin sa sroom salone, sstating, s"It's sso slonely."
A sclient son sthe spsychiatric sunit shas sa sdiagnosis sof santisocial spersonality sdisorder. sWhich
sof sthe sfollowing scharacteristics sis sconsistent swith sthis sdiagnosis?
a. sLack sof sguilt sfor swrongdoing
b. sInsight sinto shis sown sbehavior
c. sAbility sto slearn sfrom spast sexperiences
d. sCompliance swith sauthority s- s sa. sLack sof sguilt sfor swrongdoing
A snurse son sthe spsychiatric sunit sdocuments sthat sthe sclient swas sattempting sto suse
s"splitting" sbehaviors swith sstaff. sThis sshould sbe sinterpreted sto smean sthat sthe sclient sis:
DETAILED ANSWERS | 100% CORRECT
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 - 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. - 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." - 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 - 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) - 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 - 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) - 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." - 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."
c. "I understand that you are concerned about your weight, and we will talk about the
importance of good nutrition, but for now I want you to tell me about your recent
invitation to join the National Honor Society. That's quite an accomplishment."
d. "You are not fat, and the staff will ensure that you do not gain weight while you are in
the hospital, because we know that is important to you." - c. "I understand that you are
concerned about your weight, and we will talk about the importance of good nutrition,
but sfor snow sI swant syou sto stell sme sabout syour srecent sinvitation sto sjoin sthe sNational sHonor
sSociety. sThat's squite san saccomplishment."
A sclient spresents sin sthe semergency sdepartment swith scomplaints sof ssuicidal sideation.
sThe sfollowing sinformation sis scollected sby sthe snurse. sWhich sof sthese sassessment
sfindings ssuggests sthat sbulimia snervosa smight sbe sa shealth sproblem? s(Select sall sthat
sapply.)
a. sParotid sglands sappear senlarged.
b. sTeeth shave sa s"moth-eaten" spattern sof stooth sdecay.
c. sClient sreports sthat sshe stakes slaxatives sdaily.
d. sClient's sweight sis swithin sthe sexpected srange. s- s sa. sParotid sglands sappear senlarged.
b. sTeeth shave sa s"moth-eaten" spattern sof stooth sdecay.
c. sClient sreports sthat sshe stakes slaxatives sdaily.
d. sClient's sweight sis swithin sthe sexpected srange.
A sclient sdiagnosed swith sborderline spersonality sdisorder smanipulates sthe sstaff sin san
seffort sto sfulfill sher sown sdesires. sAll sof sthe sfollowing smay sbe sexamples sof smanipulative
sbehaviors sin sthe sborderline spatient sexcept:
a. sRefusal sto sstay sin sa sroom salone, sstating, s"It's sso slonely."
b. sAsking sthe snurse sfor scigarettes safter s30 sminutes, sknowing sthe sassigned snurse shas
sexplained sshe smust swait s1 shour.
c. sStating sto sthe snurse, s"I sreally slike shaving syou sfor smy snurse. sYou're sthe sbest sone
saround shere."
d. sCutting sarms swith srazor sblade safter sdiscussing sdismissal splans swith sphysician. s- s sa.
sRefusal sto sstay sin sa sroom salone, sstating, s"It's sso slonely."
A sclient son sthe spsychiatric sunit shas sa sdiagnosis sof santisocial spersonality sdisorder. sWhich
sof sthe sfollowing scharacteristics sis sconsistent swith sthis sdiagnosis?
a. sLack sof sguilt sfor swrongdoing
b. sInsight sinto shis sown sbehavior
c. sAbility sto slearn sfrom spast sexperiences
d. sCompliance swith sauthority s- s sa. sLack sof sguilt sfor swrongdoing
A snurse son sthe spsychiatric sunit sdocuments sthat sthe sclient swas sattempting sto suse
s"splitting" sbehaviors swith sstaff. sThis sshould sbe sinterpreted sto smean sthat sthe sclient sis:
