NUR2459 MENTAL AND BEHAVIORAL HEALTH
NURSING PRACTICE SOLUTION EXAM WITH
ELITE REVIEW QUESTIONS AND DETAILED
VERIFIED ANSWERS
◉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. . Answer: 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." . Answer: 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 . Answer: 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) . Answer: 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 . Answer: 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) . Answer: 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." .
Answer: 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."
NURSING PRACTICE SOLUTION EXAM WITH
ELITE REVIEW QUESTIONS AND DETAILED
VERIFIED ANSWERS
◉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. . Answer: 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." . Answer: 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 . Answer: 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) . Answer: 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 . Answer: 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) . Answer: 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." .
Answer: 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."
