NR 326-Mental Health Exam 2 questions and
answers 2025-2026 update
A community nurse arrives at a patient's home who has been diagnosed with bulimia nervosa. The nurs
finds the client unconscious on the floor. The client has a history of abusing laxatives and purging. T
what would the nurse attribute the client's symptoms?
A. Increased creatinine and blood urea nitrogen (BUN) levels.
B. Abnormal electroencephalopgram (EEG).
C. Metabolic Acidosis.
D. Metabolic Alkalosis. - ANS>>C. Metabolic Acidosis.
A client who is 5' 6" tall and weighs 98 lbs is admitted with a medical diagnosis of anorexia nervosa. Wha
is the primary nursing diagnosis at this time?
A. Ineffective coping R/T food obession.
B. Altered nutrition: less than body requirements R/T inadequate food intake.
C. Risk for injury R/T suicidal tendencies.
D. Altered body image R/T perceived obesity. - ANS>>B. Altered nutrition: less than body requirement
R/T inadequate food intake.
Jill is a patient being seen for bulimia nervosa. She just came back to the unit from lunch and he
roommate tells you she is throwing up in the bathroom. The nurse should expect to:
A. Restrict the patient to the unit for future meals.
B. Plan to monitor patient for 1 hour after meals to keep patient from purging.
C. Take away phone privileges from the patient until she can demonstrate healthy and compliant behavio
D. Put the patient on 1 to 1 observations for safety. - ANS>>B. Plan to monitor patient for 1 hour afte
meals to keep patient from purging.
,The environment in the home can be a major influence in the development of eating disorders. Whic
home environment could be associated with the development of an eating disorder?
A. The home environment places an overemphasis on food.
B. The home environment places loose personal boundaries.
C. The home environment has the kids in after school activities.
D. The home environment is overprotective and demands perfection. - ANS>>D. The home environmen
is overprotective and demands perfection.
fatigue - ANS>>"a subjective lack of physical and/or mental energy that is perceived by the individual o
caregiver to interfere with usual and desired activities"
scope of fatigue - ANS>>No fatigue (full functional status), mild fatigue, moderate fatigue, exhaustio
(impaired functional status)
Markowitz and Rabow three defining characteristics: - ANS>>-perception of generalized weakness
resulting in inability to initiate certain activities
-easy fatiguability and the reduced capacity to maintain performance
-mental fatigue resulting in impaired concentration and loss of memory and emotional stability
normal physiological process for fatigue - ANS>>-fatigue can be considered an expected symptom
experienced by healthy individuals, but it is not considered a normal or expected finding when fatigue i
persistent or severe
-in healthy individuals, fatigue is received by physical and/or cognitive rest
categories of fatigue - ANS>>-each classification of fatigue can further be categorized as:
*temporary
or
*chronic=lasting longer than 6 months
theoretical links to fatigue - ANS>>-there are many models or theories to explain what happens within th
body to cause fatigue, but no single theory completely explains this multidimensional concept
-three leading theories
three leading theories of fatigue - ANS>>*waste product accumulation
*insufficient supply of substances
,*an inflammatory process
common occurring physiological consequences of fatigue - ANS>>-significant changes in a persons lif
that result in the loss of a job, loss of relationships, and inability to care for oneself
-significant psychological consequences, particularly depression
-mortality from suicide was higher in patients than the general population
-poor prognosis for complete long-term resolution of symptoms
risk factors for fatigue across various populations - ANS>>all individuals are potentially at risk for fatigu
populations at greatest risk for fatigue - ANS>>-older adults
-women
individual risk factors for fatigue - ANS>>-underlying conditions
-treatment-related factors
-nutritional status
-lifestyle choices
subjective assessment for fatigue (history) - ANS>>-personal description of the fatigue
-onset and course
-duration and daily pattern
-factors that alleviate or exacerbate
-impact on daily life
objective assessment for fatigue (physical examination) - ANS>>-inspection: general appearance, gai
skin
-palpation: lymph adenopathy, thyroid nodules, and goiter
-auscultation: heart and lungs underlying conditions
common diagnostic tests for fatigue - ANS>>-there are no specific diagnostic markers for fatigu
(diagnostic testing is primarily completed to rule out underlying diseases)
-measurement of motor or cognitive function does not show significant correlations with perceive
fatigue
primary prevention for fatigue - ANS>>-primary prevention focuses on maintaining a healthy lifestyl
including topics like:
*good nutrition
*exercise
, *getting adequate sleep
*managing stress
*vitamin supplements
secondary prevention (screening) for fatigue - ANS>>-no population-wide screening efforts with respec
to fatigue
-high-risk patients or fatigue should be asked additional questions or use a fatigue screening tool
collaborative interventions for fatigue - ANS>>*manage physiological fatigue by managing poor lifestyl
choices and disease
*manage secondary fatigue to treat underlying condition and reduce fatigue
-exercise/rest therapy
-sleep hygiene
-nutrition teaching
-stress management
-pharmacological treatment
-psychological care
Chronic Fatigue Syndrome (CFS) - ANS>>-also called chronic fatigue and immune dysfunction or myalgi
encephalomyelitis
-characterized by debilitating fatigue and associated complaints
-affects 1 million people in the U.S.
-women more than men
Chronic Fatigue Syndrome etiology and pathophysiology - ANS>>-precise mechanisms remain unknow
-many theories about cause
*neuroendocrine abnormalities involving a hypo function of HPA axis and HPG (hypothalamic-pituitary
gonadal) axis
-severe microorganisms
-changes in CNS
chronic fatigue syndorme clinical manifestations - ANS>>-difficult to distinguish between CFS an
fibromyalgia
-onset insidious, intermittent, or sudden
-incapacitating fatigue most common
-associated symptoms may fluctuate
chronic fatigue syndrome diagnostic studies - ANS>>-physical examination and diagnostic studies ru
out other possibilities
answers 2025-2026 update
A community nurse arrives at a patient's home who has been diagnosed with bulimia nervosa. The nurs
finds the client unconscious on the floor. The client has a history of abusing laxatives and purging. T
what would the nurse attribute the client's symptoms?
A. Increased creatinine and blood urea nitrogen (BUN) levels.
B. Abnormal electroencephalopgram (EEG).
C. Metabolic Acidosis.
D. Metabolic Alkalosis. - ANS>>C. Metabolic Acidosis.
A client who is 5' 6" tall and weighs 98 lbs is admitted with a medical diagnosis of anorexia nervosa. Wha
is the primary nursing diagnosis at this time?
A. Ineffective coping R/T food obession.
B. Altered nutrition: less than body requirements R/T inadequate food intake.
C. Risk for injury R/T suicidal tendencies.
D. Altered body image R/T perceived obesity. - ANS>>B. Altered nutrition: less than body requirement
R/T inadequate food intake.
Jill is a patient being seen for bulimia nervosa. She just came back to the unit from lunch and he
roommate tells you she is throwing up in the bathroom. The nurse should expect to:
A. Restrict the patient to the unit for future meals.
B. Plan to monitor patient for 1 hour after meals to keep patient from purging.
C. Take away phone privileges from the patient until she can demonstrate healthy and compliant behavio
D. Put the patient on 1 to 1 observations for safety. - ANS>>B. Plan to monitor patient for 1 hour afte
meals to keep patient from purging.
,The environment in the home can be a major influence in the development of eating disorders. Whic
home environment could be associated with the development of an eating disorder?
A. The home environment places an overemphasis on food.
B. The home environment places loose personal boundaries.
C. The home environment has the kids in after school activities.
D. The home environment is overprotective and demands perfection. - ANS>>D. The home environmen
is overprotective and demands perfection.
fatigue - ANS>>"a subjective lack of physical and/or mental energy that is perceived by the individual o
caregiver to interfere with usual and desired activities"
scope of fatigue - ANS>>No fatigue (full functional status), mild fatigue, moderate fatigue, exhaustio
(impaired functional status)
Markowitz and Rabow three defining characteristics: - ANS>>-perception of generalized weakness
resulting in inability to initiate certain activities
-easy fatiguability and the reduced capacity to maintain performance
-mental fatigue resulting in impaired concentration and loss of memory and emotional stability
normal physiological process for fatigue - ANS>>-fatigue can be considered an expected symptom
experienced by healthy individuals, but it is not considered a normal or expected finding when fatigue i
persistent or severe
-in healthy individuals, fatigue is received by physical and/or cognitive rest
categories of fatigue - ANS>>-each classification of fatigue can further be categorized as:
*temporary
or
*chronic=lasting longer than 6 months
theoretical links to fatigue - ANS>>-there are many models or theories to explain what happens within th
body to cause fatigue, but no single theory completely explains this multidimensional concept
-three leading theories
three leading theories of fatigue - ANS>>*waste product accumulation
*insufficient supply of substances
,*an inflammatory process
common occurring physiological consequences of fatigue - ANS>>-significant changes in a persons lif
that result in the loss of a job, loss of relationships, and inability to care for oneself
-significant psychological consequences, particularly depression
-mortality from suicide was higher in patients than the general population
-poor prognosis for complete long-term resolution of symptoms
risk factors for fatigue across various populations - ANS>>all individuals are potentially at risk for fatigu
populations at greatest risk for fatigue - ANS>>-older adults
-women
individual risk factors for fatigue - ANS>>-underlying conditions
-treatment-related factors
-nutritional status
-lifestyle choices
subjective assessment for fatigue (history) - ANS>>-personal description of the fatigue
-onset and course
-duration and daily pattern
-factors that alleviate or exacerbate
-impact on daily life
objective assessment for fatigue (physical examination) - ANS>>-inspection: general appearance, gai
skin
-palpation: lymph adenopathy, thyroid nodules, and goiter
-auscultation: heart and lungs underlying conditions
common diagnostic tests for fatigue - ANS>>-there are no specific diagnostic markers for fatigu
(diagnostic testing is primarily completed to rule out underlying diseases)
-measurement of motor or cognitive function does not show significant correlations with perceive
fatigue
primary prevention for fatigue - ANS>>-primary prevention focuses on maintaining a healthy lifestyl
including topics like:
*good nutrition
*exercise
, *getting adequate sleep
*managing stress
*vitamin supplements
secondary prevention (screening) for fatigue - ANS>>-no population-wide screening efforts with respec
to fatigue
-high-risk patients or fatigue should be asked additional questions or use a fatigue screening tool
collaborative interventions for fatigue - ANS>>*manage physiological fatigue by managing poor lifestyl
choices and disease
*manage secondary fatigue to treat underlying condition and reduce fatigue
-exercise/rest therapy
-sleep hygiene
-nutrition teaching
-stress management
-pharmacological treatment
-psychological care
Chronic Fatigue Syndrome (CFS) - ANS>>-also called chronic fatigue and immune dysfunction or myalgi
encephalomyelitis
-characterized by debilitating fatigue and associated complaints
-affects 1 million people in the U.S.
-women more than men
Chronic Fatigue Syndrome etiology and pathophysiology - ANS>>-precise mechanisms remain unknow
-many theories about cause
*neuroendocrine abnormalities involving a hypo function of HPA axis and HPG (hypothalamic-pituitary
gonadal) axis
-severe microorganisms
-changes in CNS
chronic fatigue syndorme clinical manifestations - ANS>>-difficult to distinguish between CFS an
fibromyalgia
-onset insidious, intermittent, or sudden
-incapacitating fatigue most common
-associated symptoms may fluctuate
chronic fatigue syndrome diagnostic studies - ANS>>-physical examination and diagnostic studies ru
out other possibilities
