NURS 663 EXAM 2 | COMPLETE QUESTIONS AND ANSWERS | 2025 LATEST UPDATED | ALREADY
GRADED A+
Anorexia Nervosa
"RID" - correct answer R: Restriction of intake leading to significantly low body weight
I: Intense fear of weight gain
D: Disturbance in perception of one's weight or body image
When Anorexia Nervosa is Diagnosed - correct answer When a person's weighs at least 15%
less than their normal/idea body weight
Anorexia Nervosa
Subtype Restricting Type - correct answer Extreme diet, fasting, excessive exercise
Anorexia Nervosa
Subtype Binge/Purge Type - correct answer Self-induced vomiting, laxative abuse, diuretic
abuse, enemas
(Significantly low body weight/Low BMI)
Differentiating Anorexia Nervosa Binge/Purge Type from Bulimia Nervosa - correct answer
Anorexia nervosa has significantly low body weight / low BMI
Anorexia Nervosa
Severity Based on BMI - correct answer Mild: > 17
Moderate: 16-16.99
Severe: 15-15.99
Extreme: < 15
Anorexia Nervosa
Treatment - correct answer - Behavioral, interpersonal, cognitive, and family therapies
- Assessments both psychological and physical
- Psychological and behavioral interventions are key
- Nutritional interventions are required
Pharmacological interventions have limited role with the exception of treating co-morbidities
(MDD, GAD)
Anorexia Nervosa
,NURS 663 EXAM 2 | COMPLETE QUESTIONS AND ANSWERS | 2025 LATEST UPDATED | ALREADY
GRADED A+
Conclusion - correct answer - Least prevalent, the most obvious due to obvious low weight
- No FDA medication, treat co-occurring mood disorders (MDD, GAD with SSRI)
Bulimia Nervosa
"Bulimics Over-Consume Pasteries" - correct answer B: recurrent Binge episodes (1x/wk x 3
months)
O: Out of control overeating
C: excessive Concern with body shape/weight
P: Purging or other compensatory behaviors
Bulimia Nervosa
Severity Based on # of Episodes/week - correct answer Mild: 1-3/wk
Moderate: 4-7/wk
Severe: 8-13/wk
Extreme: 14+/wk
Bulimia Nervosa
Pharmacological Interventions - correct answer fluoxetine (Prozac) only FDA-approved, higher
dose used than for MDD
Bulimia Nervosa
Conclusion - correct answer - Second most-prevalent, easier to hide
- fluoxetine (Prozac) FDA-approved, treat co-occurring disorders if needed (mood stabilizer for
MDD treatment-resistant)
Binge Eating Disorder
"Binge-Eaters Overeat" - correct answer B: recurrent Binge episodes (1x/wk x 3 months)
O: Out of control overeating
Plus 3 or more of the following:
1. Eat fast past full
2. Feast when not famished
3. Flushed and flustered and feeling disgusted
,NURS 663 EXAM 2 | COMPLETE QUESTIONS AND ANSWERS | 2025 LATEST UPDATED | ALREADY
GRADED A+
Binge-Eating Disorder - correct answer - A sense of lack of control overeating during the
episode
- Occurring AT LEAST 1x per week for 3 MONTHS
- Associated with marked distress
Binge Episodes are Associated with ≥ 3 of the Following: - correct answer - Eating more rapidly
than usual
- Eating until feeling uncomfortably full
- Eating large amounts of food when not feeling physically hungry
- Eating alone because of feeling embarrassed by how much one is eating
- Feeling disgusted with oneself, depressed or guilty afterwards
(Common for all 5 to be present)
Binge-Eating Disorder
Severity Based on # of Episodes/week - correct answer Mild: 1-3/wk
Moderate: 4-7/wk
Severe: 8-13/wk
Extreme: 14+/wk
Binge Eating Disorder
Pharmacological Interventions - correct answer lisdexamfetamine (Vyvanse): Currently the only
FDA approved medication
Topiramate: Causes cognitive dysfunction when dosed for effectiveness
Anti-obesity agents target appetite and weight, but no the behavior
Naltrexone: "Hit or miss," results
Baclofen: Some evidence it reduces automatic behaviors, it can take high doses; do not abruptly
disrupt due to possible psychosis
Dasotraline: In phase 3 for BED and dual-acting DA and NE reuptake inhibitor, shows promise,
not on the market yet
Binge-Eating Disorder
Conclusion - correct answer - Most prevalent, often not screened for
, NURS 663 EXAM 2 | COMPLETE QUESTIONS AND ANSWERS | 2025 LATEST UPDATED | ALREADY
GRADED A+
- Known as a "shameful secret"
- lisdexamefetamine (Vyvanse) only FDA-approved medication
Bulimia Nervosa and BED
Treatment - correct answer - Individual therapy, dynamic psychotherapy, behavioral
interventions (CBT) (stay with patient 2-3 hours after they eat to ensure no vomiting)
- Stepped care to facilitate CBT
- SSRIs and CBT: mixed reviews
Bulimia nervosa & BED
Overconcern With Shape and Weight - correct answer Bulimia nervosa: Overconcern about
shape and weight required for diagnosis
BED: Not part of the diagnosis criteria, although frequently present
Bulimia Nervosa & BED
Presence of Compensatory Behaviors - correct answer Bulimia nervosa: Regular compensatory
behaviors
BED: No regular compensatory behaviors
Bulimia Nervosa & BED
Behavioral Indicators for Binge Eating - correct answer Bulimia Nervosa: Not part of diagnostic
criteria
BED: Required for diagnosis
Bulimia Nervosa & BED
Distress About Binge Eating - correct answer Bulimia nervosa: Not part of diagnostic criteria
BED: Marked distress about binge eating
Bulimia Nervosa & BED
Both Include - correct answer - Loss of control
GRADED A+
Anorexia Nervosa
"RID" - correct answer R: Restriction of intake leading to significantly low body weight
I: Intense fear of weight gain
D: Disturbance in perception of one's weight or body image
When Anorexia Nervosa is Diagnosed - correct answer When a person's weighs at least 15%
less than their normal/idea body weight
Anorexia Nervosa
Subtype Restricting Type - correct answer Extreme diet, fasting, excessive exercise
Anorexia Nervosa
Subtype Binge/Purge Type - correct answer Self-induced vomiting, laxative abuse, diuretic
abuse, enemas
(Significantly low body weight/Low BMI)
Differentiating Anorexia Nervosa Binge/Purge Type from Bulimia Nervosa - correct answer
Anorexia nervosa has significantly low body weight / low BMI
Anorexia Nervosa
Severity Based on BMI - correct answer Mild: > 17
Moderate: 16-16.99
Severe: 15-15.99
Extreme: < 15
Anorexia Nervosa
Treatment - correct answer - Behavioral, interpersonal, cognitive, and family therapies
- Assessments both psychological and physical
- Psychological and behavioral interventions are key
- Nutritional interventions are required
Pharmacological interventions have limited role with the exception of treating co-morbidities
(MDD, GAD)
Anorexia Nervosa
,NURS 663 EXAM 2 | COMPLETE QUESTIONS AND ANSWERS | 2025 LATEST UPDATED | ALREADY
GRADED A+
Conclusion - correct answer - Least prevalent, the most obvious due to obvious low weight
- No FDA medication, treat co-occurring mood disorders (MDD, GAD with SSRI)
Bulimia Nervosa
"Bulimics Over-Consume Pasteries" - correct answer B: recurrent Binge episodes (1x/wk x 3
months)
O: Out of control overeating
C: excessive Concern with body shape/weight
P: Purging or other compensatory behaviors
Bulimia Nervosa
Severity Based on # of Episodes/week - correct answer Mild: 1-3/wk
Moderate: 4-7/wk
Severe: 8-13/wk
Extreme: 14+/wk
Bulimia Nervosa
Pharmacological Interventions - correct answer fluoxetine (Prozac) only FDA-approved, higher
dose used than for MDD
Bulimia Nervosa
Conclusion - correct answer - Second most-prevalent, easier to hide
- fluoxetine (Prozac) FDA-approved, treat co-occurring disorders if needed (mood stabilizer for
MDD treatment-resistant)
Binge Eating Disorder
"Binge-Eaters Overeat" - correct answer B: recurrent Binge episodes (1x/wk x 3 months)
O: Out of control overeating
Plus 3 or more of the following:
1. Eat fast past full
2. Feast when not famished
3. Flushed and flustered and feeling disgusted
,NURS 663 EXAM 2 | COMPLETE QUESTIONS AND ANSWERS | 2025 LATEST UPDATED | ALREADY
GRADED A+
Binge-Eating Disorder - correct answer - A sense of lack of control overeating during the
episode
- Occurring AT LEAST 1x per week for 3 MONTHS
- Associated with marked distress
Binge Episodes are Associated with ≥ 3 of the Following: - correct answer - Eating more rapidly
than usual
- Eating until feeling uncomfortably full
- Eating large amounts of food when not feeling physically hungry
- Eating alone because of feeling embarrassed by how much one is eating
- Feeling disgusted with oneself, depressed or guilty afterwards
(Common for all 5 to be present)
Binge-Eating Disorder
Severity Based on # of Episodes/week - correct answer Mild: 1-3/wk
Moderate: 4-7/wk
Severe: 8-13/wk
Extreme: 14+/wk
Binge Eating Disorder
Pharmacological Interventions - correct answer lisdexamfetamine (Vyvanse): Currently the only
FDA approved medication
Topiramate: Causes cognitive dysfunction when dosed for effectiveness
Anti-obesity agents target appetite and weight, but no the behavior
Naltrexone: "Hit or miss," results
Baclofen: Some evidence it reduces automatic behaviors, it can take high doses; do not abruptly
disrupt due to possible psychosis
Dasotraline: In phase 3 for BED and dual-acting DA and NE reuptake inhibitor, shows promise,
not on the market yet
Binge-Eating Disorder
Conclusion - correct answer - Most prevalent, often not screened for
, NURS 663 EXAM 2 | COMPLETE QUESTIONS AND ANSWERS | 2025 LATEST UPDATED | ALREADY
GRADED A+
- Known as a "shameful secret"
- lisdexamefetamine (Vyvanse) only FDA-approved medication
Bulimia Nervosa and BED
Treatment - correct answer - Individual therapy, dynamic psychotherapy, behavioral
interventions (CBT) (stay with patient 2-3 hours after they eat to ensure no vomiting)
- Stepped care to facilitate CBT
- SSRIs and CBT: mixed reviews
Bulimia nervosa & BED
Overconcern With Shape and Weight - correct answer Bulimia nervosa: Overconcern about
shape and weight required for diagnosis
BED: Not part of the diagnosis criteria, although frequently present
Bulimia Nervosa & BED
Presence of Compensatory Behaviors - correct answer Bulimia nervosa: Regular compensatory
behaviors
BED: No regular compensatory behaviors
Bulimia Nervosa & BED
Behavioral Indicators for Binge Eating - correct answer Bulimia Nervosa: Not part of diagnostic
criteria
BED: Required for diagnosis
Bulimia Nervosa & BED
Distress About Binge Eating - correct answer Bulimia nervosa: Not part of diagnostic criteria
BED: Marked distress about binge eating
Bulimia Nervosa & BED
Both Include - correct answer - Loss of control
