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📋 DOCUMENT OVERVIEW 47 Qs
This document, "NU 160 Mental Health Final Exam," covers specific topics such as anorexia, bulimia,
binge eating disorder, autism, Alzheimer's disease, dementia, and delirium. The document provides 47
questions with correct answers and detailed explanations, giving students a comprehensive review of
mental health concepts. Students can use this resource to study, review, and understand the concepts,
leveraging the provided explanations to clarify and reinforce their knowledge for exam preparation.
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EXAM QUESTIONS
QUESTION 1
Anorexia patients will have what symptom? What intervention is needed?
CORRECT ANSWER
Anorexia patients are underweight; thus they can have a lack of sub-q fat. Because of this they typically
display s/s of being cold. We will provide them with a blanket or extra layers to warm them up, as they are
cold.
RATIONALE: Individuals with anorexia often have a lack of subcutaneous (sub-q) fat due to their underweight status,
which can lead to decreased insulation and a sensation of coldness. Providing a blanket or extra layers to warm them up
is a reasonable intervention to address this symptom, as it directly addresses the underlying physical issue of reduced
body fat.
QUESTION 2
If patient has Bulimia, we should monitor for?
CORRECT ANSWER
We should monitor for their electrolyte levels, but specifically their potassium. Potassium is vital because
abnormal levels is dangerous as it can cause heart dysrhythmias. Think: bulimia patients binge eat and
than pure (throw up) which is why their potassium gets abnormal
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, RATIONALE: Patients with bulimia are at risk of electrolyte imbalances due to frequent vomiting, which can lead to
abnormal potassium levels. Abnormal potassium levels are particularly concerning as they can cause heart dysrhythmias,
a potentially life-threatening condition, making it a critical parameter to monitor in these patients.
QUESTION 3
How do we treat Bulimic patients?
CORRECT ANSWER
We treat them with antidepressants and psychotherapy.
RATIONALE: Antidepressants are commonly prescribed to treat Bulimia Nervosa as they help alleviate symptoms of
depression, anxiety, and obsessive-compulsive behaviors, which are often associated with the disorder. Psychotherapy,
particularly cognitive-behavioral therapy (CBT), is also a crucial component of treatment as it enables patients to identify
and change negative thought patterns and behaviors that contribute to their Bulimic episodes.
QUESTION 4
What specifically in regards to Bulimic patients should we be careful about?
CORRECT ANSWER
We must be mindful that they excessively care about their weight and body image. They can be
embarrassed that they did not meet their weight goal and be shameful about it.
RATIONALE: Bulimic patients often struggle with body image issues and intense self-criticism, which can be exacerbated
by societal pressure to achieve a certain weight or appearance. Being mindful of these concerns is crucial to creating a
non-judgmental and supportive environment that encourages open discussion and fosters trust in therapy.
QUESTION 5
What are the normal potassium levels?
CORRECT ANSWER
3.5 - 5.0; thus be mindful because professor said that the levels are important. Might ask something along
the lines of what electrolyte imbalance in regards to a bulimic patient should we be most concerned of?
RATIONALE: The student is linking the normal potassium levels to the context of a bulimic patient, suggesting that
electrolyte imbalances are crucial in this scenario, and thus the focus is on the lower end of the normal range (3.5)
rather than the upper limit (5.0). This reasoning is correct because a bulimic patient is more likely to experience
hypokalemia (low potassium levels) due to frequent vomiting, making the lower end of the normal range the more
clinically relevant value.
QUESTION 6
Describe the symptoms of a patient with a BED (binge eating disorder).
CORRECT ANSWER
Patients with a binge eating disorder will eat high carbohydrate foods in a short amount of time, but after
eating they will have an intense emotional response: weeping, crying, will feel guilt. Will be in emotional
distress after.
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