NUR 326 MENTAL HEALTH EXAM 2 |2024-2025 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS ) ALREADY GRADED A+.
A community nurse arrives at a patient's home who has been
diagnosed with bulimia nervosa. The nurse finds the client
unconscious on the floor. The client has a history of abusing
laxatives and purging. To what would the nurse attribute the client's
symptoms?
A. Increased creatinine and blood urea nitrogen (BUN) levels.
B. Abnormal electroencephalopgram (EEG).
C. Metabolic Acidosis.
D. Metabolic Alkalosis. - ANSWER -C. Metabolic Acidosis.
A client who is 5' 6" tall and weighs 98 lbs is admitted with a medical
diagnosis of anorexia nervosa. What is the primary nursing diagnosis
at this time?
A. Ineffective coping R/T food obession.
B. Altered nutrition: less than body requirements R/T inadequate food
intake.
C. Risk for injury R/T suicidal tendencies.
D. Altered body image R/T perceived obesity. - ANSWER -B. Altered
nutrition: less than body requirements R/T inadequate food intake.
Jill is a patient being seen for bulimia nervosa. She just came back to
the unit from lunch and her roommate tells you she is throwing up in
the bathroom. The nurse should expect to:
,A. Restrict the patient to the unit for future meals.
B. Plan to monitor patient for 1 hour after meals to keep patient from
purging.
C. Take away phone privileges from the patient until she can
demonstrate healthy and compliant behavior.
D. Put the patient on 1 to 1 observations for safety. - ANSWER -B.
Plan to monitor patient for 1 hour after meals to keep patient from
purging.
The environment in the home can be a major influence in the
development of eating disorders. Which home environment could be
associated with the development of an eating disorder? A. The
home environment places an overemphasis on food.
B. The home environment places loose personal boundaries.
C. The home environment has the kids in after school activities.
D. The home environment is overprotective and demands perfection. -
ANSWER -D. The home environment is overprotective and
demands perfection.
----- - ANSWER -------
,fatigue - ANSWER -"a subjective lack of physical and/or mental
energy that is perceived by the individual or caregiver to interfere
with usual and desired activities"
scope of fatigue - ANSWER -No fatigue (full functional status), mild
fatigue, moderate fatigue, exhaustion (impaired functional status)
Markowitz and Rabow three defining characteristics: - ANSWER -
perception of generalized weakness, resulting in inability to initiate
certain activities
-easy fatiguability and the reduced capacity to maintain performance -
mental fatigue resulting in impaired concentration and loss of
memory and emotional stability
normal physiological process for fatigue - ANSWER --fatigue can be
considered an expected symptom experienced by healthy individuals,
but it is not considered a normal or expected finding when fatigue is
persistent or severe
-in healthy individuals, fatigue is received by physical and/or
cognitive rest
categories of fatigue - ANSWER --each classification of fatigue can
further be categorized as:
*temporary or
*chronic=lasting longer than 6 months
, theoretical links to fatigue - ANSWER --there are many models or
theories to explain what happens within the body to cause fatigue,
but no single theory completely explains this multidimensional
concept -three leading theories
three leading theories of fatigue - ANSWER -*waste product
accumulation
*insufficient supply of substances
*an inflammatory process
common occurring physiological consequences of fatigue - ANSWER
--significant changes in a persons life that result in the loss of a job,
loss of relationships, and inability to care for oneself
-significant psychological consequences, particularly depression -
mortality from suicide was higher in patients than the general
population
-poor prognosis for complete long-term resolution of symptoms
risk factors for fatigue across various populations - ANSWER -all
individuals are potentially at risk for fatigue
populations at greatest risk for fatigue - ANSWER --older adults
-women
individual risk factors for fatigue - ANSWER --underlying conditions
-treatment-related factors
-nutritional status
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS ) ALREADY GRADED A+.
A community nurse arrives at a patient's home who has been
diagnosed with bulimia nervosa. The nurse finds the client
unconscious on the floor. The client has a history of abusing
laxatives and purging. To what would the nurse attribute the client's
symptoms?
A. Increased creatinine and blood urea nitrogen (BUN) levels.
B. Abnormal electroencephalopgram (EEG).
C. Metabolic Acidosis.
D. Metabolic Alkalosis. - ANSWER -C. Metabolic Acidosis.
A client who is 5' 6" tall and weighs 98 lbs is admitted with a medical
diagnosis of anorexia nervosa. What is the primary nursing diagnosis
at this time?
A. Ineffective coping R/T food obession.
B. Altered nutrition: less than body requirements R/T inadequate food
intake.
C. Risk for injury R/T suicidal tendencies.
D. Altered body image R/T perceived obesity. - ANSWER -B. Altered
nutrition: less than body requirements R/T inadequate food intake.
Jill is a patient being seen for bulimia nervosa. She just came back to
the unit from lunch and her roommate tells you she is throwing up in
the bathroom. The nurse should expect to:
,A. Restrict the patient to the unit for future meals.
B. Plan to monitor patient for 1 hour after meals to keep patient from
purging.
C. Take away phone privileges from the patient until she can
demonstrate healthy and compliant behavior.
D. Put the patient on 1 to 1 observations for safety. - ANSWER -B.
Plan to monitor patient for 1 hour after meals to keep patient from
purging.
The environment in the home can be a major influence in the
development of eating disorders. Which home environment could be
associated with the development of an eating disorder? A. The
home environment places an overemphasis on food.
B. The home environment places loose personal boundaries.
C. The home environment has the kids in after school activities.
D. The home environment is overprotective and demands perfection. -
ANSWER -D. The home environment is overprotective and
demands perfection.
----- - ANSWER -------
,fatigue - ANSWER -"a subjective lack of physical and/or mental
energy that is perceived by the individual or caregiver to interfere
with usual and desired activities"
scope of fatigue - ANSWER -No fatigue (full functional status), mild
fatigue, moderate fatigue, exhaustion (impaired functional status)
Markowitz and Rabow three defining characteristics: - ANSWER -
perception of generalized weakness, resulting in inability to initiate
certain activities
-easy fatiguability and the reduced capacity to maintain performance -
mental fatigue resulting in impaired concentration and loss of
memory and emotional stability
normal physiological process for fatigue - ANSWER --fatigue can be
considered an expected symptom experienced by healthy individuals,
but it is not considered a normal or expected finding when fatigue is
persistent or severe
-in healthy individuals, fatigue is received by physical and/or
cognitive rest
categories of fatigue - ANSWER --each classification of fatigue can
further be categorized as:
*temporary or
*chronic=lasting longer than 6 months
, theoretical links to fatigue - ANSWER --there are many models or
theories to explain what happens within the body to cause fatigue,
but no single theory completely explains this multidimensional
concept -three leading theories
three leading theories of fatigue - ANSWER -*waste product
accumulation
*insufficient supply of substances
*an inflammatory process
common occurring physiological consequences of fatigue - ANSWER
--significant changes in a persons life that result in the loss of a job,
loss of relationships, and inability to care for oneself
-significant psychological consequences, particularly depression -
mortality from suicide was higher in patients than the general
population
-poor prognosis for complete long-term resolution of symptoms
risk factors for fatigue across various populations - ANSWER -all
individuals are potentially at risk for fatigue
populations at greatest risk for fatigue - ANSWER --older adults
-women
individual risk factors for fatigue - ANSWER --underlying conditions
-treatment-related factors
-nutritional status
