Galen MH Exam 4 UPDATED ACTUAL
Exam Questions and CORRECT Answers
What is Anorexia Nervosa? - CORRECT ANSWER - refusal to maintain a minimally
normal weight, intense fear of gaining weight, often has a need for control
What is Bulimia Nervosa? - CORRECT ANSWER - binge eating followed by purging
(vomiting, laxatives, diuretics)
What to assess for Anorexia? - CORRECT ANSWER - How long?
How much wt pt has lost?
intake?
What s/s will anorexia pt have? - CORRECT ANSWER - under-nourished
sunken eyes
yellow skin
cold extremities
dry brittle hair & nails
poor skin turgor
amenorrhea
bradycardia
constipation
fine hair all over body to help reg temps
What are some interventions for anorexia? - CORRECT ANSWER - Daily morning wt
(face away)
distract from exercise
Stabilize them medically
Coping skills
,underlying anxiety tx
Help identify things they do have control over
work on self-esteem
small freq meals
distract from exercise
accompany to bathroom after meals
limit exercise
Tx for anorexia? - CORRECT ANSWER - SSRI
zyprexia
provac
yoga
group & family therapy
What are signs that eating habits are normalizing? - CORRECT ANSWER - They will
start eating more on their own w/ out being told
What is a potentially lethal tx complication that can occur when severely malnourished pts are
refed? - CORRECT ANSWER - refeeding syndrome
need to consult dietician
What s/s will bulimia pt have? - CORRECT ANSWER - healthy looking
difficulty with impulsivity & compulsivity
vomiting (self induced)
dehydration
electrolyte imbalance
bradycardia
dental caries/tooth erosion
, russells sign
What is Russell's sign? - CORRECT ANSWER - Calluses on knuckles from self-induced
vomiting
Which is easier to treat bulimia or anorexia? - CORRECT ANSWER - Bulimia d/t
nourishment & shame/want for change
What are some interventions for bulimia? - CORRECT ANSWER - coping strategies
identify triggers
restric bathroom after meals or monitor
stabilize first (concerned w/ electrolytes)
health teaching and promotion
CBT
What to educate bulimia pt to watch for? - CORRECT ANSWER - s/s of electrolyte
imbalance
What is pica? - CORRECT ANSWER - eating non food items
What is rumination disorder? - CORRECT ANSWER - Repeated regurgitation, chewing,
and re-swallowing of food
What is avoidant/restrictive food intake disorder? - CORRECT ANSWER -
avoiding/restricting food starting in childhood, no distortion of body image
What is the 1st most dangerous to withdraw from? - CORRECT ANSWER - alcohol
What is the 2nd most dangerous to withdraw from? - CORRECT ANSWER - benzos
Exam Questions and CORRECT Answers
What is Anorexia Nervosa? - CORRECT ANSWER - refusal to maintain a minimally
normal weight, intense fear of gaining weight, often has a need for control
What is Bulimia Nervosa? - CORRECT ANSWER - binge eating followed by purging
(vomiting, laxatives, diuretics)
What to assess for Anorexia? - CORRECT ANSWER - How long?
How much wt pt has lost?
intake?
What s/s will anorexia pt have? - CORRECT ANSWER - under-nourished
sunken eyes
yellow skin
cold extremities
dry brittle hair & nails
poor skin turgor
amenorrhea
bradycardia
constipation
fine hair all over body to help reg temps
What are some interventions for anorexia? - CORRECT ANSWER - Daily morning wt
(face away)
distract from exercise
Stabilize them medically
Coping skills
,underlying anxiety tx
Help identify things they do have control over
work on self-esteem
small freq meals
distract from exercise
accompany to bathroom after meals
limit exercise
Tx for anorexia? - CORRECT ANSWER - SSRI
zyprexia
provac
yoga
group & family therapy
What are signs that eating habits are normalizing? - CORRECT ANSWER - They will
start eating more on their own w/ out being told
What is a potentially lethal tx complication that can occur when severely malnourished pts are
refed? - CORRECT ANSWER - refeeding syndrome
need to consult dietician
What s/s will bulimia pt have? - CORRECT ANSWER - healthy looking
difficulty with impulsivity & compulsivity
vomiting (self induced)
dehydration
electrolyte imbalance
bradycardia
dental caries/tooth erosion
, russells sign
What is Russell's sign? - CORRECT ANSWER - Calluses on knuckles from self-induced
vomiting
Which is easier to treat bulimia or anorexia? - CORRECT ANSWER - Bulimia d/t
nourishment & shame/want for change
What are some interventions for bulimia? - CORRECT ANSWER - coping strategies
identify triggers
restric bathroom after meals or monitor
stabilize first (concerned w/ electrolytes)
health teaching and promotion
CBT
What to educate bulimia pt to watch for? - CORRECT ANSWER - s/s of electrolyte
imbalance
What is pica? - CORRECT ANSWER - eating non food items
What is rumination disorder? - CORRECT ANSWER - Repeated regurgitation, chewing,
and re-swallowing of food
What is avoidant/restrictive food intake disorder? - CORRECT ANSWER -
avoiding/restricting food starting in childhood, no distortion of body image
What is the 1st most dangerous to withdraw from? - CORRECT ANSWER - alcohol
What is the 2nd most dangerous to withdraw from? - CORRECT ANSWER - benzos
