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This document, "NU 160 Exam 4", covers key concepts in psychiatric-mental health nursing, including
eating disorders (anorexia, bulimia, binge-eating disorder, pica, and rumination disorder), grief and loss
(Kubler-Ross stages), and gerontological nursing (medical education and substance abuse concerns in
older adults). The document provides 50 questions with correct answers and detailed explanations,
serving as a study guide and review material for students to understand and reinforce their knowledge of
these topics. By using this document, students can effectively review and study key concepts for exam
preparation and improve their understanding of the subject matter.
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EXAM QUESTIONS
QUESTION 1
What are the main eating disorders you must know?
CORRECT ANSWER
Anorexia nervosa, bulimia nervosa, binge-eating d/o, pica, rumination d/o.
RATIONALE: These five eating disorders are identified as the main types because they are classified by the Diagnostic
and Statistical Manual of Mental Disorders (DSM-5) as distinct mental health conditions characterized by abnormal eating
habits and a distorted body image. By acknowledging these disorders, healthcare professionals can provide targeted
treatment and support to individuals affected, addressing the unique needs of each condition.
QUESTION 2
Key s/s of anorexia nervosa?
CORRECT ANSWER
severe wt loss, intense fear of gaining wt, distorted body image, lanugo, bradycardia, hypothermia,
amenorrhea.
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, RATIONALE: This set of symptoms aligns with anorexia nervosa because it encompasses both the physical
manifestations of severe malnutrition, such as bradycardia and hypothermia, as well as the psychological and behavioral
characteristics, like intense fear of gaining weight and distorted body image, which are hallmarks of the disorder. The
presence of lanugo, a sign of malnutrition, and amenorrhea, a marker of hormonal imbalance, further supports the
diagnosis of anorexia nervosa.
QUESTION 3
Key s/s of bulimia nervosa?
CORRECT ANSWER
binge eating followed by compensatory behaviors(vomiting, laxatives), normal or slightly low wt, dental
erosion, enlarged parotid glands, calluses(Russell's sign).
RATIONALE: Bulimia nervosa is characterized by a cycle of binge eating followed by compensatory behaviors to prevent
weight gain, which is evident in the provided symptoms such as vomiting and laxative use. The combination of these
behaviors, despite maintaining a normal or slightly low weight, and physical signs like dental erosion and enlarged
parotid glands, is a hallmark of bulimia nervosa and distinguishes it from other eating disorders.
QUESTION 4
Signs of binge-eating d/o?
CORRECT ANSWER
recurrent binge episodes w/o purging, obesity risk, guilt/shame after episodes.
RATIONALE: The phrase "recurrent binge episodes w/o purging, obesity risk, guilt/shame after episodes" is a correct
description of signs of binge-eating disorder because it accurately identifies the key characteristics of the condition,
including the occurrence of recurring episodes of excessive food consumption without purging, increased risk of obesity,
and feelings of guilt or shame after episodes.
This description is specific to binge-eating disorder, as it distinguishes it from other eating disorders such as bulimia
nervosa, which typically involves purging behaviors.
QUESTION 5
what is pica?
CORRECT ANSWER
eating non-food substances(chalk, dirt, paper) for @ least 1 month.
RATIONALE: Pica is the correct answer because it is a term specifically used to describe the eating or consuming of non-
food substances, such as chalk, dirt, or paper, which is a distinct and recognizable behavior in psychology and medicine.
This definition is widely accepted in the field of psychiatry and is supported by established medical literature.
QUESTION 6
What is rumination disorder?
CORRECT ANSWER
Repeated regurgitation and rechewing of food.
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