NURS 4010 LATEST 2026 EXAM MANUAL QUESTIONS
AND SOLUTIONS GUARANTEE A+
✔✔avoidant personality disorder - ✔✔A personality disorder characterized by consistent
discomfort and restraint in social situations, overwhelming feelings of inadequacy, and
extreme sensitivity to negative evaluation. May have experienced parental rejection;
reared in families where they are criticized or belittled
✔✔dependent personality disorder - ✔✔-A personality disorder characterized by a
pattern of clinging and obedience, fear of separation, and an ongoing need to be taken
care of.
-higher incidence in females and symptoms may appear earlier in life
-children with chronic illness or separation anxiety at higher risk
-unable to make decisions on their own
✔✔Obsessive compulsive personality disorder - ✔✔-a personality disorder
characterized by preoccupation with orderliness, perfection, and control
-type A personality
-devotion to productivity to the exclusion of personal pleasure
-commonly the oldest children and reared in controlling households
✔✔Medication's used to treat personality disorder SYMPTOMS - ✔✔Therapy is gold
standard
Cluster A: antipsychotic
Cluster B: SSRI's , mood stabilizers, sometimes antipsychotics
Cluster C: anti-anxiety, SSRI's, Buspar
✔✔anorexia nervosa - ✔✔-serious mental illness
-onset usually 13-20
-Pathologic drive for thinness and a disturbed body image which leads to self-starvation
-Characterized by intense and irrational beliefs about ones' shape and weight with fear
of gaining weight
-usually resolved within 5 years but can be chronic
✔✔anticipated complications of anorexia nervosa - ✔✔Extraordinarily thin hair,
hypotensive (<90/50), bradycardia (<60), fine lanugo hair on face, amenorrhea,
hypokalemia, metabolic acidosis when purging, anemic leukopenia, hypoglycemia,
hypophosphatemia, constipation r/t slow gastric emptying, gastorparesis and distention,
fatigue, syncope, low back pain, malnutrition causing reduced muscle mass (low CO),
osteoporosis
✔✔anorexia-caution with IV fluids - ✔✔-needs to be weight based (like peds); too fast
can go into pulmonary edema, mitral valve prolapse, spontaneous pneumothorax
,✔✔Refeeding syndrome - ✔✔-catastrophic cardiopulmonary collapse r/t shift in
electrolytes into the cell from the insulin released when Cho becomes glucose; more
detail in the article given but need to be admitted to hospital on ICU telemetry unit
✔✔bulemia nervosa - ✔✔-binge eating with subsequent purging, body image distortion;
binging and purging usually done in secret
-Binging can be done anywhere from just times of high stress to 10+ times a day
-More common than anorexia but can also be overlapped
-Abuse of laxatives, diet pills, exercise, etc
-Affects females more then males
-Up to 15% of adolescents and college age women
-Purging can be over exercise or vomiting
-Onset is 18-25 but can occur at any point of the lifespan
-Person can be at any weight (normal, obese, thin)
✔✔anticipated complications of bulimia - ✔✔-electrolyte imbalances r/t purging,
hypokalemia causing dysrhythmias, syrup of ipecac resulting in cardiomyopathy, GI
abnormalities, dental erosion, calicos on hands and knuckles, risk of metabolic
alkalosis, dysphasia, heart burn, hoarse voice, rebound constipation r/t laxative abuse,
enlarged parotid glands, esophageal spasms
-need to not let them go to the bathroom an hour after eating
✔✔binge eating disorder - ✔✔-significant binge-eating episodes, followed by distress,
disgust, or guilt, but without the compensatory purging, fasting, or excessive exercise
that marks bulimia nervosa
-up to 40% of obese clients
-SSRI's may help
✔✔night eating syndrome - ✔✔Consuming a third or more of daily food intake after the
evening meal and getting out of bed at least once during the night to have a high-calorie
snack. In the morning, individuals with night eating syndrome are not hungry and do not
usually eat breakfast. These individuals do not binge during their night eating and
seldom purge.
· Report feeling depressed in the evening
· Effects obese pts seeking gastric bypass
✔✔Older adult-statistics - ✔✔-Numbers are growing
-More men are married age 65 and older than women; women often have less income
bc of pay disparity/stayed home with children
-Most do not live in institutions (Nursing homes, etc)
-Women have a higher poverty rate; less likely to have environmental and food
safety/healthcare resources
-Many of them work or are seeking work
-Have 1 chronic health condition
-Depression is not uncommon, and suicide is an issue
, ✔✔psychological concepts: memory - ✔✔some is affected but not all; severe
impairment would not be normal aging
✔✔psychological concepts: intellectuality intact - ✔✔incompetence has to be proven for
a guardian to make environmental/medical decisions
✔✔psychological concepts: learning ability - ✔✔intact but slower
✔✔physiological concepts: social interactions - ✔✔need to ensure social interaction,
more commonly seeing "elder orphans" who dont have family to assist them with ADL's,
going to dr appointments, etc
✔✔Adaptation to tasks of aging - ✔✔-loss/ grief- may be friends, family, ability
-attachment to others
-self-identity may change r/t environment
-death
✔✔Palliative care and Hospice care - ✔✔-Follow their advance directives and health
care power of attorney
-Important to think about what measures we would want for our lives if something were
to happen
-DNR, DNR comfort care only, etc
-Look at advance directives for mental health treatment; legal document
-Advance directives need to have two witnesses who are not providing care
-Depression, anxiety and substance abuse are all most common mental health
disorders for the elderly
-She talked about the other documents a lot so definitely read over
✔✔what does sexuality encompass? - ✔✔communication, intimacy, responsibility, self-
affirmation, mutual pleasure, love, sensuality
✔✔Five aspects of sexuality - ✔✔-genetic identity: chromosomal gender
-gender identity: persons perception of their own maleness or femaleness; ask people
preferred pronouns
-Gender role: societal expectations
-Sexual orientation: how a person is romantically attracted
-Gender expression: outward manifestation of one's gender identity; how they dress,
vocal tone, hairstyle
want to ask everyone how they identify and what pronouns they use
✔✔Principles of nursing assessment - ✔✔-self awareness: our own attitude about
sexuality
-understanding
-conduct interview in private area
AND SOLUTIONS GUARANTEE A+
✔✔avoidant personality disorder - ✔✔A personality disorder characterized by consistent
discomfort and restraint in social situations, overwhelming feelings of inadequacy, and
extreme sensitivity to negative evaluation. May have experienced parental rejection;
reared in families where they are criticized or belittled
✔✔dependent personality disorder - ✔✔-A personality disorder characterized by a
pattern of clinging and obedience, fear of separation, and an ongoing need to be taken
care of.
-higher incidence in females and symptoms may appear earlier in life
-children with chronic illness or separation anxiety at higher risk
-unable to make decisions on their own
✔✔Obsessive compulsive personality disorder - ✔✔-a personality disorder
characterized by preoccupation with orderliness, perfection, and control
-type A personality
-devotion to productivity to the exclusion of personal pleasure
-commonly the oldest children and reared in controlling households
✔✔Medication's used to treat personality disorder SYMPTOMS - ✔✔Therapy is gold
standard
Cluster A: antipsychotic
Cluster B: SSRI's , mood stabilizers, sometimes antipsychotics
Cluster C: anti-anxiety, SSRI's, Buspar
✔✔anorexia nervosa - ✔✔-serious mental illness
-onset usually 13-20
-Pathologic drive for thinness and a disturbed body image which leads to self-starvation
-Characterized by intense and irrational beliefs about ones' shape and weight with fear
of gaining weight
-usually resolved within 5 years but can be chronic
✔✔anticipated complications of anorexia nervosa - ✔✔Extraordinarily thin hair,
hypotensive (<90/50), bradycardia (<60), fine lanugo hair on face, amenorrhea,
hypokalemia, metabolic acidosis when purging, anemic leukopenia, hypoglycemia,
hypophosphatemia, constipation r/t slow gastric emptying, gastorparesis and distention,
fatigue, syncope, low back pain, malnutrition causing reduced muscle mass (low CO),
osteoporosis
✔✔anorexia-caution with IV fluids - ✔✔-needs to be weight based (like peds); too fast
can go into pulmonary edema, mitral valve prolapse, spontaneous pneumothorax
,✔✔Refeeding syndrome - ✔✔-catastrophic cardiopulmonary collapse r/t shift in
electrolytes into the cell from the insulin released when Cho becomes glucose; more
detail in the article given but need to be admitted to hospital on ICU telemetry unit
✔✔bulemia nervosa - ✔✔-binge eating with subsequent purging, body image distortion;
binging and purging usually done in secret
-Binging can be done anywhere from just times of high stress to 10+ times a day
-More common than anorexia but can also be overlapped
-Abuse of laxatives, diet pills, exercise, etc
-Affects females more then males
-Up to 15% of adolescents and college age women
-Purging can be over exercise or vomiting
-Onset is 18-25 but can occur at any point of the lifespan
-Person can be at any weight (normal, obese, thin)
✔✔anticipated complications of bulimia - ✔✔-electrolyte imbalances r/t purging,
hypokalemia causing dysrhythmias, syrup of ipecac resulting in cardiomyopathy, GI
abnormalities, dental erosion, calicos on hands and knuckles, risk of metabolic
alkalosis, dysphasia, heart burn, hoarse voice, rebound constipation r/t laxative abuse,
enlarged parotid glands, esophageal spasms
-need to not let them go to the bathroom an hour after eating
✔✔binge eating disorder - ✔✔-significant binge-eating episodes, followed by distress,
disgust, or guilt, but without the compensatory purging, fasting, or excessive exercise
that marks bulimia nervosa
-up to 40% of obese clients
-SSRI's may help
✔✔night eating syndrome - ✔✔Consuming a third or more of daily food intake after the
evening meal and getting out of bed at least once during the night to have a high-calorie
snack. In the morning, individuals with night eating syndrome are not hungry and do not
usually eat breakfast. These individuals do not binge during their night eating and
seldom purge.
· Report feeling depressed in the evening
· Effects obese pts seeking gastric bypass
✔✔Older adult-statistics - ✔✔-Numbers are growing
-More men are married age 65 and older than women; women often have less income
bc of pay disparity/stayed home with children
-Most do not live in institutions (Nursing homes, etc)
-Women have a higher poverty rate; less likely to have environmental and food
safety/healthcare resources
-Many of them work or are seeking work
-Have 1 chronic health condition
-Depression is not uncommon, and suicide is an issue
, ✔✔psychological concepts: memory - ✔✔some is affected but not all; severe
impairment would not be normal aging
✔✔psychological concepts: intellectuality intact - ✔✔incompetence has to be proven for
a guardian to make environmental/medical decisions
✔✔psychological concepts: learning ability - ✔✔intact but slower
✔✔physiological concepts: social interactions - ✔✔need to ensure social interaction,
more commonly seeing "elder orphans" who dont have family to assist them with ADL's,
going to dr appointments, etc
✔✔Adaptation to tasks of aging - ✔✔-loss/ grief- may be friends, family, ability
-attachment to others
-self-identity may change r/t environment
-death
✔✔Palliative care and Hospice care - ✔✔-Follow their advance directives and health
care power of attorney
-Important to think about what measures we would want for our lives if something were
to happen
-DNR, DNR comfort care only, etc
-Look at advance directives for mental health treatment; legal document
-Advance directives need to have two witnesses who are not providing care
-Depression, anxiety and substance abuse are all most common mental health
disorders for the elderly
-She talked about the other documents a lot so definitely read over
✔✔what does sexuality encompass? - ✔✔communication, intimacy, responsibility, self-
affirmation, mutual pleasure, love, sensuality
✔✔Five aspects of sexuality - ✔✔-genetic identity: chromosomal gender
-gender identity: persons perception of their own maleness or femaleness; ask people
preferred pronouns
-Gender role: societal expectations
-Sexual orientation: how a person is romantically attracted
-Gender expression: outward manifestation of one's gender identity; how they dress,
vocal tone, hairstyle
want to ask everyone how they identify and what pronouns they use
✔✔Principles of nursing assessment - ✔✔-self awareness: our own attitude about
sexuality
-understanding
-conduct interview in private area
