NUR 374- Exam 2 ACTUAL UPDATED
QUESTIONS AND CORRECT ANSWERS
Some obese individuals take amphetamines to suppress appetite and help them lose weight.
Which of the following in an adverse effect associated with use of amphetamines that makes
this practice undesirable?
A. Bradycardia
B. Amenorrhea
C. Tolerance
D. Convulsions - CORRECT ANSWERS✅✅C. Tolerance
The Maudsley approach to treatment of adolescents with anorexia nervosa advances which of
the following fundamental concepts?
A. Family should be actively involved in each phase of treatment
B. Parents should be prohibited from involvement in helping their child eat more because
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 - CORRECT ANSWERS✅✅A. Family should be actively involved in each phase
of treatment
John has sought help for his concern that he is binge eating, and he feels 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. "There is nothing that can be done."
B. "There are some medications and psychological treatments that 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. "There are medications that can help with weight loss, but there are no medications
effective for reducing binge eating." - CORRECT ANSWERS✅✅B. "There are some
medications and psychological treatments that have demonstrated effectiveness in reducing
binge eating behaviors."
,Emma, age 14, has just been admitted to the psychiatric unit for anorexia nervosa. She is
emaciated and refuses to eat. What is the primary nursing diagnosis for Emma?
A. Complicated grieving
B. Imbalanced nutrition: Less than body requirements
C. Interrupted family processes
D. Anxiety (severe) - CORRECT ANSWERS✅✅B. Imbalanced nutrition: Less than body
requirements
Which of the following physical manifestations would you expect to assess in a patient
suffering from anorexia nervosa?
A. Tachycardia, hypertension, hyperthermia
B. Bradycardia, hypertension, hyperthermia
C. Bradycardia, hypotension, hypothermia
D. Tachycardia, hypotension, hypothermia - CORRECT ANSWERS✅✅C. Bradycardia,
hypotension, hypothermia
The nurse is caring for a patient who has been hospitalized with anorexia nervosa and is
severely malnourished. The patient 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." - CORRECT
ANSWERS✅✅B. "If you continue to refuse to take food orally, you will be fed through a
nasogastric tube."
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) - CORRECT ANSWERS✅✅C. Fluoxetine (Prozac)
, Marissa is hospitalized on the psychiatric unit. She has a history and current diagnosis of
bulimia nervosa. Which of the following symptoms would be congruent with Marissa'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 - CORRECT ANSWERS✅✅B.
Binging, purging, normal weight, hypokalemia
A hospitalized patient 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." - CORRECT ANSWERS✅✅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."
Mandy presents in the emergency department with complaints of suicidal ideation. The
following data is collected by the nurse. Which of these assessment findings suggests that
bulimia nervosa might be a health problem? (Select all that apply.)
A. Mandy's parotid glands appear enlarged.
B. Mandy's teeth have a "moth eaten" pattern of tooth decay.
C. Mandy reports that she takes laxatives daily.
D. Mandy's weight is within the expected range. - CORRECT ANSWERS✅✅A. Mandy's
parotid glands appear enlarged.
B. Mandy's teeth have a "moth eaten" pattern of tooth decay.
C. Mandy reports that she takes laxatives daily.
D. Mandy's weight is within the expected range.
QUESTIONS AND CORRECT ANSWERS
Some obese individuals take amphetamines to suppress appetite and help them lose weight.
Which of the following in an adverse effect associated with use of amphetamines that makes
this practice undesirable?
A. Bradycardia
B. Amenorrhea
C. Tolerance
D. Convulsions - CORRECT ANSWERS✅✅C. Tolerance
The Maudsley approach to treatment of adolescents with anorexia nervosa advances which of
the following fundamental concepts?
A. Family should be actively involved in each phase of treatment
B. Parents should be prohibited from involvement in helping their child eat more because
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 - CORRECT ANSWERS✅✅A. Family should be actively involved in each phase
of treatment
John has sought help for his concern that he is binge eating, and he feels 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. "There is nothing that can be done."
B. "There are some medications and psychological treatments that 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. "There are medications that can help with weight loss, but there are no medications
effective for reducing binge eating." - CORRECT ANSWERS✅✅B. "There are some
medications and psychological treatments that have demonstrated effectiveness in reducing
binge eating behaviors."
,Emma, age 14, has just been admitted to the psychiatric unit for anorexia nervosa. She is
emaciated and refuses to eat. What is the primary nursing diagnosis for Emma?
A. Complicated grieving
B. Imbalanced nutrition: Less than body requirements
C. Interrupted family processes
D. Anxiety (severe) - CORRECT ANSWERS✅✅B. Imbalanced nutrition: Less than body
requirements
Which of the following physical manifestations would you expect to assess in a patient
suffering from anorexia nervosa?
A. Tachycardia, hypertension, hyperthermia
B. Bradycardia, hypertension, hyperthermia
C. Bradycardia, hypotension, hypothermia
D. Tachycardia, hypotension, hypothermia - CORRECT ANSWERS✅✅C. Bradycardia,
hypotension, hypothermia
The nurse is caring for a patient who has been hospitalized with anorexia nervosa and is
severely malnourished. The patient 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." - CORRECT
ANSWERS✅✅B. "If you continue to refuse to take food orally, you will be fed through a
nasogastric tube."
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) - CORRECT ANSWERS✅✅C. Fluoxetine (Prozac)
, Marissa is hospitalized on the psychiatric unit. She has a history and current diagnosis of
bulimia nervosa. Which of the following symptoms would be congruent with Marissa'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 - CORRECT ANSWERS✅✅B.
Binging, purging, normal weight, hypokalemia
A hospitalized patient 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." - CORRECT ANSWERS✅✅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."
Mandy presents in the emergency department with complaints of suicidal ideation. The
following data is collected by the nurse. Which of these assessment findings suggests that
bulimia nervosa might be a health problem? (Select all that apply.)
A. Mandy's parotid glands appear enlarged.
B. Mandy's teeth have a "moth eaten" pattern of tooth decay.
C. Mandy reports that she takes laxatives daily.
D. Mandy's weight is within the expected range. - CORRECT ANSWERS✅✅A. Mandy's
parotid glands appear enlarged.
B. Mandy's teeth have a "moth eaten" pattern of tooth decay.
C. Mandy reports that she takes laxatives daily.
D. Mandy's weight is within the expected range.
