Mental health NUR2459 final review questions with correct answers

Mental health NUR2459 final |\ |\ |\ |\




review questions with correct |\ |\ |\ |\




answers

Some obese individuals take amphetamines to suppress appetite
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and help them lose weight. Which of the following is an adverse
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effect associated with the use of amphetamines that makes this
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practice undesirable? |\




a. Bradycardia
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b. Amenorrhea
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c. Tolerance
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d. Convulsions - CORRECT ANSWERS ✔✔c. Tolerance
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The Maudsley approach to the treatment of adolescents with
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anorexia nervosa advances which of the following fundamental
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concepts?


a. The patient's family should be actively involved in each phase of
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treatment.
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b. Parents should be prohibited from involvement in helping their
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child eat since there are often control issues.
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c. Adolescents need to work on developing healthy self-identities
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before they can begin to gain weight.
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,d. Individual psychotherapy is the most effective treatment for
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adolescents with anorexia nervosa. - CORRECT ANSWERS ✔✔a. |\ |\ |\ |\ |\ |\ |\ |\



The patient's family should be actively involved in each phase of
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treatment.


A client has sought help for his concern that he is binge eating and
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feels like it has "gotten out of control." He asks the nurse what can
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be done to help him. Which of the following is the most accurate
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response?


a. "Nothing can be done."
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b. "Some medications and psychological treatments have
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demonstrated effectiveness in reducing binge eating behaviors." |\ |\ |\ |\ |\ |\




c. "The primary problem is obesity. I can help you set up a calorie-
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restricted diet." |\




d. "Medications can help with weight loss, but there are no
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medications effective for reducing binge eating." - CORRECT |\ |\ |\ |\ |\ |\ |\ |\



ANSWERS ✔✔b. "Some medications and psychological treatments |\ |\ |\ |\ |\ |\ |\



have demonstrated effectiveness in reducing binge eating
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behaviors."


Which of the following physical manifestations would you expect
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to assess in a client suffering from anorexia nervosa?
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a. Tachycardia, hypertension, hyperthermia
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b. Bradycardia, hypertension, hyperthermia
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c. Bradycardia, hypotension, hypothermia
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,d. Tachycardia, hypotension, hypothermia - CORRECT ANSWERS
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✔✔c. Bradycardia, hypotension, hypothermia
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Which medication has been used with some success in clients with
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anorexia nervosa?
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a. Lorcaserin (Belviq)
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b. Diazepam (Valium)
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c. Fluoxetine (Prozac)
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d. Carbamazepine (Tegretol) - CORRECT ANSWERS ✔✔c.
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Fluoxetine (Prozac) |\




A client is hospitalized on the psychiatric unit with a history and
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current diagnosis of bulimia nervosa. Which of the following
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symptoms would be congruent with this client's diagnosis?
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a. Binging, purging, obesity, hyperkalemia
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b. Binging, purging, normal weight, hypokalemia
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c. Binging, laxative abuse, amenorrhea, severe weight loss
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d. Binging, purging, severe weight loss, hyperkalemia - CORRECT
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ANSWERS ✔✔b. Binging, purging, normal weight, hypokalemia
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A 14-year-old client has just been admitted to the psychiatric unit
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for anorexia nervosa. She is emaciated and refuses to eat. What is
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the priority nursing diagnosis for this client?
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a. Complicated grieving
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, b. Imbalanced nutrition: Less than body requirements.
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c. Interrupted family processes
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d. Anxiety (severe) - CORRECT ANSWERS ✔✔b. Imbalanced
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nutrition: Less than body requirements. |\ |\ |\ |\




The nurse is caring for a client who has been hospitalized with
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anorexia nervosa and is severely malnourished. The client
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continues to refuse to eat. What is the most appropriate response
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by the nurse?
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a. "You know that if you don't eat, you will die."
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b. "If you continue to refuse to take food orally, you will be fed
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through a nasogastric tube." |\ |\ |\




c. "You might as well leave if you are not going to follow your
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therapy regimen." |\




d. "You don't have to eat if you don't want to. It is your choice." -
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CORRECT ANSWERS ✔✔b. "If you continue to refuse to take food |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



orally, you will be fed through a nasogastric tube."
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A hospitalized client with bulimia nervosa has stopped vomiting in
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the hospital and tells the nurse she is afraid she is going to gain
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weight. Which is the most appropriate response by the nurse?
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a. "Don't worry. The dietitian will ensure you don't get too many
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calories in your diet." |\ |\ |\




b. "Don't worry about your weight. We are going to work on other
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problems while you are in the hospital." |\ |\ |\ |\ |\ |\