MENTAL HEALTH NURSING FINAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS
Eating disorders Co-morbitities - ANS✅✅Depression and anxiety
disorders (particularly social phobias) are common co-morbidities
Incidence of OCD is as high as 25% in individuals with anorexia nervosa
Personality disorders may occur in 42-75% of individuals with eating
disorders
Link exists between trauma and eating disorders
Anorexia - Nursing Assessment - ANS✅✅General:
- Physical: Electrolytes, weight, hair, skin, pulse, temperature
- Perception of the problem
- Eating habits
- History of dieting
- Methods to achieve weight loss/control
- Value attached to weight
- Social functioning
- Mental status
Self assessment
,Anorexia Nervosa - thoughts and behaviours - ANS✅✅- terror of gaining
weight
- preoccupation w/food
- view of self as fat even when emaciated
- peculiar handling of food --> cutting food into small bits / pushing pieces
of food around plate
- possible development of rigorous exercise regimen
- possible self-induced vomiting, use of laxatives and diuretics
- cognition so disturbed that individual judges self-worth by weight
Anorexia Nervosa - ANS✅✅individuals who refuse to maintain weight for
their height; fear of gaining weight
some restrict food intake, where others binge eat and purge
Bulimia Nervosa - ANS✅✅individuals who binge eat and then
compensate with behaviours such as self-induced vomiting, fasting,
excessive exercise and using medications such as laxatives and diuretics
Binge Eating Disorder - ANS✅✅individuals who engage in repeated
episodes of binge eating but do not regularly use compensatory behaviours
Eating Disorder NOS - ANS✅✅includes disorders that do not meet the
criteria for either anorexia, bulimia or binge eating, which are all
characterized by a significant disturbance in the perception of body shape
and weight
, Eating Disorders - epidemiology - ANS✅✅Most eating disorders begin in
early teens to mid-20s
Incidence: Women
- Anorexia nervosa—0.9%
- Bulimia nervosa—1.5%
- Binge eating disorder—3.5%
Incidence: Men
- Anorexia nervosa—0.3%
- Bulimia nervosa—0.5%
- Binge eating disorder—2%
Many people with disordered eating patterns do not present for help
Statistics do not reflect the magnitude of the problem
Anorexia Nervosa - signs / symptoms - ANS✅✅- low weight
- amenorrhea
- yellow skin
- lanugo
- cold extremities
- peripheral edema
- muscle weakness
- constipation
- abnormal lab values
- abnormal CT/EEG
AND CORRECT VERIFIED ANSWERS
Eating disorders Co-morbitities - ANS✅✅Depression and anxiety
disorders (particularly social phobias) are common co-morbidities
Incidence of OCD is as high as 25% in individuals with anorexia nervosa
Personality disorders may occur in 42-75% of individuals with eating
disorders
Link exists between trauma and eating disorders
Anorexia - Nursing Assessment - ANS✅✅General:
- Physical: Electrolytes, weight, hair, skin, pulse, temperature
- Perception of the problem
- Eating habits
- History of dieting
- Methods to achieve weight loss/control
- Value attached to weight
- Social functioning
- Mental status
Self assessment
,Anorexia Nervosa - thoughts and behaviours - ANS✅✅- terror of gaining
weight
- preoccupation w/food
- view of self as fat even when emaciated
- peculiar handling of food --> cutting food into small bits / pushing pieces
of food around plate
- possible development of rigorous exercise regimen
- possible self-induced vomiting, use of laxatives and diuretics
- cognition so disturbed that individual judges self-worth by weight
Anorexia Nervosa - ANS✅✅individuals who refuse to maintain weight for
their height; fear of gaining weight
some restrict food intake, where others binge eat and purge
Bulimia Nervosa - ANS✅✅individuals who binge eat and then
compensate with behaviours such as self-induced vomiting, fasting,
excessive exercise and using medications such as laxatives and diuretics
Binge Eating Disorder - ANS✅✅individuals who engage in repeated
episodes of binge eating but do not regularly use compensatory behaviours
Eating Disorder NOS - ANS✅✅includes disorders that do not meet the
criteria for either anorexia, bulimia or binge eating, which are all
characterized by a significant disturbance in the perception of body shape
and weight
, Eating Disorders - epidemiology - ANS✅✅Most eating disorders begin in
early teens to mid-20s
Incidence: Women
- Anorexia nervosa—0.9%
- Bulimia nervosa—1.5%
- Binge eating disorder—3.5%
Incidence: Men
- Anorexia nervosa—0.3%
- Bulimia nervosa—0.5%
- Binge eating disorder—2%
Many people with disordered eating patterns do not present for help
Statistics do not reflect the magnitude of the problem
Anorexia Nervosa - signs / symptoms - ANS✅✅- low weight
- amenorrhea
- yellow skin
- lanugo
- cold extremities
- peripheral edema
- muscle weakness
- constipation
- abnormal lab values
- abnormal CT/EEG
