BNKN601 EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS GRADED A++
Define diagnostic overshadowing and discuss how this contributes to poor
health outcomes:
Where clinicians may focus on symptoms of mental health illness often to the detriment
of other health issues.
This can cause shorter life expectancy and causes secondary effect on ongoing
physical illness on top of mental health
Describe metabolic syndrome
A cluster of abnormal clinician and metabolic findings that result in an increased risk of
developing diabetes, cardiovascular disease and cardiovascular disease mortality
Includes increased BP and insulin resistance
Discuss what metabolic syndrome screening involves
Taking the waist circumfernce, blood pressure, height and weight to calculate the body
mass index. This is completed every three months. Liver function test and fasting lipids
and glucose
Describe three lifestyle interventions nurses may implement to assist with the
management of cardiometabolic health
Nutritional counselling - reducing junk foods, reducing energy intake to prevent weight
gain, increasing fibres, stopping juice and fizzy
Physical activity - providing structured education on lifestyle, advising daily physical
, activity
Switching - consider changing to a weight neutral medication
Why do people with mental illness have poorer diets
Antipsychotic medication can cause increased hunger and decreased satisfaction after
eating. This paired with sugar cravings and low motivation, restricted budgets can all
lead to poorer diet
Name the main three symptoms of anorexia nervosa
- Persistant restriction of energy intake
- Intense fear of weight gain
- Disturbed perception of body weight/shape
Impacts of anoxeria nervosa
- Low mood
- Cognitive impairment
- Increased anxiety
- life threatening medical complications
symptoms of bulimia
Eating large amounts of food uncontrollably (binging)
Vomiting, using laxatives, or using other methods to eliminate food (purging)
Excessive concern about body weight
Depression or changes in mood
Irregular menstrual periods
Unusual dental problems, swollen cheeks or glands, heartburn, or bloating (swelling of
the stomach)
SOLUTIONS GRADED A++
Define diagnostic overshadowing and discuss how this contributes to poor
health outcomes:
Where clinicians may focus on symptoms of mental health illness often to the detriment
of other health issues.
This can cause shorter life expectancy and causes secondary effect on ongoing
physical illness on top of mental health
Describe metabolic syndrome
A cluster of abnormal clinician and metabolic findings that result in an increased risk of
developing diabetes, cardiovascular disease and cardiovascular disease mortality
Includes increased BP and insulin resistance
Discuss what metabolic syndrome screening involves
Taking the waist circumfernce, blood pressure, height and weight to calculate the body
mass index. This is completed every three months. Liver function test and fasting lipids
and glucose
Describe three lifestyle interventions nurses may implement to assist with the
management of cardiometabolic health
Nutritional counselling - reducing junk foods, reducing energy intake to prevent weight
gain, increasing fibres, stopping juice and fizzy
Physical activity - providing structured education on lifestyle, advising daily physical
, activity
Switching - consider changing to a weight neutral medication
Why do people with mental illness have poorer diets
Antipsychotic medication can cause increased hunger and decreased satisfaction after
eating. This paired with sugar cravings and low motivation, restricted budgets can all
lead to poorer diet
Name the main three symptoms of anorexia nervosa
- Persistant restriction of energy intake
- Intense fear of weight gain
- Disturbed perception of body weight/shape
Impacts of anoxeria nervosa
- Low mood
- Cognitive impairment
- Increased anxiety
- life threatening medical complications
symptoms of bulimia
Eating large amounts of food uncontrollably (binging)
Vomiting, using laxatives, or using other methods to eliminate food (purging)
Excessive concern about body weight
Depression or changes in mood
Irregular menstrual periods
Unusual dental problems, swollen cheeks or glands, heartburn, or bloating (swelling of
the stomach)
