@PROFDOCDIGITALLIBRARIES
NR 326/ NR326 EXAM 2: (NEW 2025/ 2026
UPDATE) MENTAL HEALTH NURSING REVIEW |
QUESTIONS & ANSWERS| GRADE A+ | 100% CORRECT
(VERIFIED SOLUTIONS)- CHAMBERLAIN
1. What is Anhedonia?: loss of interest or pleasure in things
PR
normally enjoyed
2. Key details about Seclusion/Restraints: 2-4 hour window
NURSE MUST:
O
-provide client needs (food/ water/ toilet)
FD
- monitor circulation and skin under restraints
-seclusion is NEVER offered after Suicide attempt
O
3. What is anergia?: lack of energy/ fatigue
4. what is dysthymia?: chronically depressed, most of the day,
C
more days than not, for at least TWO YEARS
- changes in normal function, but still functioning in social events.
5. what are suicide risk factors?: females more likely to
attempt- males more likely to complete
- active military/veterans/ responders
- LGBTQ
- comorbid mental illness
,@PROFDOCDIGITALLIBRARIES
- family history
- access to lethal method
6. Note about Plan of Care and SI?: - constant supervision
- remove any things that can cause harm
- ensure pt swallows meds
-
SI risk can increase early in treatment with antidepressants
7. what is Mania?: alterations of mood, feelings of
PR
elation, hyperactivity, - possible psychosis
- poor impulse control
-inflated self esteem
O
- psychomotor agitation/irritability
FD
8. what is hypomania?: mild form of mania expressed by:
- excessive hyperactivity
O
-cheerful/expansive-volatile if needs are not fulfilled
-pressured speech from racing thoughts
C
-trouble focusing
-behavior may be inappropriate
-NOT SEVERE ENOUGH to cause marked impairment in
social/occupational functioning
9. what is Bipolar 1?: exhibits signs of Mania
10. what is Bipolar 2?: exhibits signs on hypomania
11. what is lithium?: mood stabilizer
,@PROFDOCDIGITALLIBRARIES
12. lithium risks?: -21 days in order to be effective avoid
dehydration - don't stop abruptly
- run labs for thyroid, kidneys and lithium levels
-Contraindicated in Pregnancy
13. what are early signs of lithium toxicity?: vomiting/diarrhea
mental confusion, sedation, poor coordination, fine hand tremors,
significant worsening GI upset with N/V/Diarrhea
PR
14. what are the types of eating disorders?: anorexia nervosa,
bulimia nervosa, binge eating disorder
15. What is Anorexia Nervosa?: Refusing to eat and maintain
O
weight and expresses an intense fear of gaining weight,
gross distortion of body image,
FD
- "Believe they are fat despite emaciated appearance"
- BMI Level: </= 17 kg/m, extreme low body weight
O
16. types of Anorexia?: 1. Restricting type: weight loss through
C
dieting | fasting | exercise
2. Binging and purging type: self induced
vomiting. use of laxatives/ enemas + use of
diuretics
17. what is Bulimia Nervosa?: Episodic, uncontrolled
compulsive binge eating, often in secret, followed by
inappropriate compensatory behaviors, such as:
, @PROFDOCDIGITALLIBRARIES
- Self induced vomiting | misuse of laxatives/ diuretics | fasting |
excessive exercise
- Person is generally within normal weight range
18. Difference between Bulimia and Anorexia?: Bulimia is
LESS NOTICEABLE- Person is within normal weight range.
Anorexia= lower body weight.
- also shows signs like Russel's sign + tooth decay..
PR
19. what is Binge Eating Disorder (BED)?: recurrent episodes
of eating large amounts
O
with no compensatory behaviors
- Results in obesity: BMI is 30 or greater
FD
- During and episode there is lack of control over eating- leads to
disgust, guilt and depression afterwards
- Occurs at least once a week for at least 3 months
O
20. S/S of Anorexia Nervosa ?: *Tooth
C
decay* , *Russell's sign* - knuckle calluses/
scarring
21. Nursing Interventions for Anorexia
Nervosa: 1. Observe for at least 1 hour after
meals, no alone time or trips to bathroom
without observation
NR 326/ NR326 EXAM 2: (NEW 2025/ 2026
UPDATE) MENTAL HEALTH NURSING REVIEW |
QUESTIONS & ANSWERS| GRADE A+ | 100% CORRECT
(VERIFIED SOLUTIONS)- CHAMBERLAIN
1. What is Anhedonia?: loss of interest or pleasure in things
PR
normally enjoyed
2. Key details about Seclusion/Restraints: 2-4 hour window
NURSE MUST:
O
-provide client needs (food/ water/ toilet)
FD
- monitor circulation and skin under restraints
-seclusion is NEVER offered after Suicide attempt
O
3. What is anergia?: lack of energy/ fatigue
4. what is dysthymia?: chronically depressed, most of the day,
C
more days than not, for at least TWO YEARS
- changes in normal function, but still functioning in social events.
5. what are suicide risk factors?: females more likely to
attempt- males more likely to complete
- active military/veterans/ responders
- LGBTQ
- comorbid mental illness
,@PROFDOCDIGITALLIBRARIES
- family history
- access to lethal method
6. Note about Plan of Care and SI?: - constant supervision
- remove any things that can cause harm
- ensure pt swallows meds
-
SI risk can increase early in treatment with antidepressants
7. what is Mania?: alterations of mood, feelings of
PR
elation, hyperactivity, - possible psychosis
- poor impulse control
-inflated self esteem
O
- psychomotor agitation/irritability
FD
8. what is hypomania?: mild form of mania expressed by:
- excessive hyperactivity
O
-cheerful/expansive-volatile if needs are not fulfilled
-pressured speech from racing thoughts
C
-trouble focusing
-behavior may be inappropriate
-NOT SEVERE ENOUGH to cause marked impairment in
social/occupational functioning
9. what is Bipolar 1?: exhibits signs of Mania
10. what is Bipolar 2?: exhibits signs on hypomania
11. what is lithium?: mood stabilizer
,@PROFDOCDIGITALLIBRARIES
12. lithium risks?: -21 days in order to be effective avoid
dehydration - don't stop abruptly
- run labs for thyroid, kidneys and lithium levels
-Contraindicated in Pregnancy
13. what are early signs of lithium toxicity?: vomiting/diarrhea
mental confusion, sedation, poor coordination, fine hand tremors,
significant worsening GI upset with N/V/Diarrhea
PR
14. what are the types of eating disorders?: anorexia nervosa,
bulimia nervosa, binge eating disorder
15. What is Anorexia Nervosa?: Refusing to eat and maintain
O
weight and expresses an intense fear of gaining weight,
gross distortion of body image,
FD
- "Believe they are fat despite emaciated appearance"
- BMI Level: </= 17 kg/m, extreme low body weight
O
16. types of Anorexia?: 1. Restricting type: weight loss through
C
dieting | fasting | exercise
2. Binging and purging type: self induced
vomiting. use of laxatives/ enemas + use of
diuretics
17. what is Bulimia Nervosa?: Episodic, uncontrolled
compulsive binge eating, often in secret, followed by
inappropriate compensatory behaviors, such as:
, @PROFDOCDIGITALLIBRARIES
- Self induced vomiting | misuse of laxatives/ diuretics | fasting |
excessive exercise
- Person is generally within normal weight range
18. Difference between Bulimia and Anorexia?: Bulimia is
LESS NOTICEABLE- Person is within normal weight range.
Anorexia= lower body weight.
- also shows signs like Russel's sign + tooth decay..
PR
19. what is Binge Eating Disorder (BED)?: recurrent episodes
of eating large amounts
O
with no compensatory behaviors
- Results in obesity: BMI is 30 or greater
FD
- During and episode there is lack of control over eating- leads to
disgust, guilt and depression afterwards
- Occurs at least once a week for at least 3 months
O
20. S/S of Anorexia Nervosa ?: *Tooth
C
decay* , *Russell's sign* - knuckle calluses/
scarring
21. Nursing Interventions for Anorexia
Nervosa: 1. Observe for at least 1 hour after
meals, no alone time or trips to bathroom
without observation
