Mental health NUR2459 Final Review
Exam Questions All Solved New
Update
Some obese individuals take amphetamines to suppress appetite and help them lose
weight. Which of the following is an adverse effect associated with the use of
amphetamines that makes this practice undesirable?
a. Bradycardia
b. Amenorrhea
c. Tolerance
d. Convulsions - Answers -c. Tolerance
The Maudsley approach to the treatment of adolescents with anorexia nervosa
advances which of the following fundamental concepts?
a. The patient's family should be actively involved in each phase of treatment.
b. Parents should be prohibited from involvement in helping their child eat since 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. - Answers -a. The patient's family should be actively involved in each phase of
treatment.
A client has sought help for his concern that he is binge eating and feels like 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. "Nothing can be done."
b. "Some medications and psychological treatments 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. "Medications can help with weight loss, but there are no medications effective for
reducing binge eating." - Answers -b. "Some medications and psychological treatments
have demonstrated effectiveness in reducing binge eating behaviors."
Which of the following physical manifestations would you expect to assess in a client
suffering from anorexia nervosa?
a. Tachycardia, hypertension, hyperthermia
b. Bradycardia, hypertension, hyperthermia
c. Bradycardia, hypotension, hypothermia
,d. Tachycardia, hypotension, hypothermia - Answers -c. Bradycardia, hypotension,
hypothermia
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) - Answers -c. Fluoxetine (Prozac)
A client is hospitalized on the psychiatric unit with a history and current diagnosis of
bulimia nervosa. Which of the following symptoms would be congruent with this client'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 - Answers -b. Binging, purging,
normal weight, hypokalemia
A 14-year-old client has just been admitted to the psychiatric unit for anorexia nervosa.
She is emaciated and refuses to eat. What is the priority nursing diagnosis for this
client?
a. Complicated grieving
b. Imbalanced nutrition: Less than body requirements.
c. Interrupted family processes
d. Anxiety (severe) - Answers -b. Imbalanced nutrition: Less than body requirements.
The nurse is caring for a client who has been hospitalized with anorexia nervosa and is
severely malnourished. The client 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." - Answers -b. "If you
continue to refuse to take food orally, you will be fed through a nasogastric tube."
A hospitalized client 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." - 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."
A client presents in the emergency department with complaints of suicidal ideation. The
following information is collected by the nurse. Which of these assessment findings
suggests that bulimia nervosa might be a health problem? (Select all that apply.)
a. Parotid glands appear enlarged.
b. Teeth have a "moth-eaten" pattern of tooth decay.
c. Client reports that she takes laxatives daily.
d. Client's weight is within the expected range. - Answers -a. Parotid glands appear
enlarged.
b. Teeth have a "moth-eaten" pattern of tooth decay.
c. Client reports that she takes laxatives daily.
d. Client's weight is within the expected range.
A client diagnosed with borderline personality disorder manipulates the staff in an effort
to fulfill her own desires. All of the following may be examples of manipulative behaviors
in the borderline patient except:
a. Refusal to stay in a room alone, stating, "It's so lonely."
b. Asking the nurse for cigarettes after 30 minutes, knowing the assigned nurse has
explained she must wait 1 hour.
c. Stating to the nurse, "I really like having you for my nurse. You're the best one around
here."
d. Cutting arms with razor blade after discussing dismissal plans with physician. -
Answers -a. Refusal to stay in a room alone, stating, "It's so lonely."
A client on the psychiatric unit has a diagnosis of antisocial personality disorder. Which
of the following characteristics is consistent with this diagnosis?
a. Lack of guilt for wrongdoing
b. Insight into his own behavior
c. Ability to learn from past experiences
d. Compliance with authority - Answers -a. Lack of guilt for wrongdoing
A nurse on the psychiatric unit documents that the client was attempting to use
"splitting" behaviors with staff. This should be interpreted to mean that the client is:
