Update ) Diagnosis and
Management in Psychiatric-Mental
Health II Practicum | Questions and
Answers | 100% Correct | Grade A -
Chamberlain
Question:
Which of the following symptoms is consistent with anorexia nervosa binge-
eating/purging type?
avoiding eating to help control weight gain
not being bothered about weight gain
regularly using laxatives
eating only certain types of foods
Answer:
Binge eating/purging type anorexia nervosa is a type of eating disorder that
involves regularly engaging in purging activities, such as vomiting or the
misuse of laxatives, diuretics, or enemas, to help control weight gain.
,Question:
pica treatment
Answer:
- Initial testing should include a CBC and zinc level. (Iron deficiency anemia
and zinc deficiency may cause pica.)
- Lead testing is appropriate
- Behavior modification therapy using a rewards system
- There are currently no medications approved to treat pica. Olanzapine may
be prescribed off-label to reduce impulsive eating;
Question:
SCOFF tool
Answer:
- questionnaire that is looking at your inner attitudes and feelings about food.
- self-administered 5 question: 1 point for each "yes"
- A score of 2 or more indicates a likely case of eating disorder
,Question:
treatment anorexia nervosa
Answer:
- primary goal is weight gain and reduction of unhealthy habits (restrictive
eating, excessive exercise, laxative use)
- family therapy and cognitive behavior therapy are effective modalities
- Medications can also help address comorbid psychopathologies such as
depressive disorders, anxiety disorders, and obsessive-compulsive disorders
- majority managed outpatient
Question:
treatment bulemia and BED
Answer:
- combining antidepressant medications with psychotherapy (first line
fluoxetine)
- Bupropion should be avoided due to the risk of seizures in clients with active
symptoms of bulimia nervosa
- Lisdexamfetamine has been approved for moderate to severe BED in adults
- no medications are currently FDA approved for children or adolescents with
BED
, Question:
treatment ARIF
Answer:
- newer diagnosis; therefore, there is limited literature about treatment and
no medication is specifically indicated for use in this disorder
- family-based therapy
Question:
Annual Prevalence of Use of Various Drugs
Answer:
38.3% will use alcohol
24.6% will use marijuana
27.1% will vape or smoke cigarettes
9.2% will use illicit drugs other than marijuana