NUR 2459 VERIFIED QUESTIONS AND ANSWERS
Some obese individuals take amphetamines to suppress appetite and help them
lose weight. Which of the following is an adverse effect associated with the use of
amphetamines that makes this practice undesirable?
a. Bradycardia
b. Amenorrhea
c. Tolerance
d. Convulsions
c. Tolerance
The Maudsley approach to the treatment of adolescents with anorexia nervosa
advances which of the following fundamental concepts?
a. The patient's family should be actively involved in each phase of treatment.
b. Parents should be prohibited from involvement in helping their child eat since
there are often control issues.
c. Adolescents need to work on developing healthy self-identities before they can
begin to gain weight.
d. Individual psychotherapy is the most effective treatment for adolescents with
anorexia nervosa.
a. The patient's family should be actively involved in each phase of treatment.
A client has sought help for his concern that he is binge eating and feels like it
has "gotten out of control." He asks the nurse what can be done to help him.
Which of the following is the most accurate response?
a. "Nothing can be done."
b. "Some medications and psychological treatments have demonstrated
effectiveness in reducing binge eating behaviors."
c. "The primary problem is obesity. I can help you set up a calorie-restricted diet."
d. "Medications can help with weight loss, but there are no medications effective
for reducing binge eating."
,b. "Some medications and psychological treatments have demonstrated effectiveness in
reducing binge eating behaviors."
Which of the following physical manifestations would you expect to assess in a
client suffering from anorexia nervosa?
a. Tachycardia, hypertension, hyperthermia
b. Bradycardia, hypertension, hyperthermia
c. Bradycardia, hypotension, hypothermia
d. Tachycardia, hypotension, hypothermia
c. Bradycardia, hypotension, hypothermia
Which medication has been used with some success in clients with anorexia
nervosa?
a. Lorcaserin (Belviq)
b. Diazepam (Valium)
c. Fluoxetine (Prozac)
d. Carbamazepine (Tegretol)
c. Fluoxetine (Prozac)
A client is hospitalized on the psychiatric unit with a history and current
diagnosis of bulimia nervosa. Which of the following symptoms would be
congruent with this client's diagnosis?
a. Binging, purging, obesity, hyperkalemia
b. Binging, purging, normal weight, hypokalemia
c. Binging, laxative abuse, amenorrhea, severe weight loss
d. Binging, purging, severe weight loss, hyperkalemia
b. Binging, purging, normal weight, hypokalemia
A 14-year-old client has just been admitted to the psychiatric unit for anorexia
nervosa. She is emaciated and refuses to eat. What is the priority nursing
diagnosis for this client?
, a. Complicated grieving
b. Imbalanced nutrition: Less than body requirements.
c. Interrupted family processes
d. Anxiety (severe)
b. Imbalanced nutrition: Less than body requirements.
The nurse is caring for a client who has been hospitalized with anorexia nervosa
and is severely malnourished. The client continues to refuse to eat. What is the
most appropriate response by the nurse?
a. "You know that if you don't eat, you will die."
b. "If you continue to refuse to take food orally, you will be fed through a
nasogastric tube."
c. "You might as well leave if you are not going to follow your therapy regimen."
d. "You don't have to eat if you don't want to. It is your choice."
b. "If you continue to refuse to take food orally, you will be fed through a nasogastric
tube."
A hospitalized client with bulimia nervosa has stopped vomiting in the hospital
and tells the nurse she is afraid she is going to gain weight. Which is the most
appropriate response by the nurse?
a. "Don't worry. The dietitian will ensure you don't get too many calories in your
diet."
b. "Don't worry about your weight. We are going to work on other problems while
you are in the hospital."
c. "I understand that you are concerned about your weight, and we will talk about
the importance of good nutrition, but for now I want you to tell me about your
recent invitation to join the National Honor Society. That's quite an
accomplishment."
d. "You are not fat, and the staff will ensure that you do not gain weight while you
are in the hospital, because we know that is important to you."
Some obese individuals take amphetamines to suppress appetite and help them
lose weight. Which of the following is an adverse effect associated with the use of
amphetamines that makes this practice undesirable?
a. Bradycardia
b. Amenorrhea
c. Tolerance
d. Convulsions
c. Tolerance
The Maudsley approach to the treatment of adolescents with anorexia nervosa
advances which of the following fundamental concepts?
a. The patient's family should be actively involved in each phase of treatment.
b. Parents should be prohibited from involvement in helping their child eat since
there are often control issues.
c. Adolescents need to work on developing healthy self-identities before they can
begin to gain weight.
d. Individual psychotherapy is the most effective treatment for adolescents with
anorexia nervosa.
a. The patient's family should be actively involved in each phase of treatment.
A client has sought help for his concern that he is binge eating and feels like it
has "gotten out of control." He asks the nurse what can be done to help him.
Which of the following is the most accurate response?
a. "Nothing can be done."
b. "Some medications and psychological treatments have demonstrated
effectiveness in reducing binge eating behaviors."
c. "The primary problem is obesity. I can help you set up a calorie-restricted diet."
d. "Medications can help with weight loss, but there are no medications effective
for reducing binge eating."
,b. "Some medications and psychological treatments have demonstrated effectiveness in
reducing binge eating behaviors."
Which of the following physical manifestations would you expect to assess in a
client suffering from anorexia nervosa?
a. Tachycardia, hypertension, hyperthermia
b. Bradycardia, hypertension, hyperthermia
c. Bradycardia, hypotension, hypothermia
d. Tachycardia, hypotension, hypothermia
c. Bradycardia, hypotension, hypothermia
Which medication has been used with some success in clients with anorexia
nervosa?
a. Lorcaserin (Belviq)
b. Diazepam (Valium)
c. Fluoxetine (Prozac)
d. Carbamazepine (Tegretol)
c. Fluoxetine (Prozac)
A client is hospitalized on the psychiatric unit with a history and current
diagnosis of bulimia nervosa. Which of the following symptoms would be
congruent with this client's diagnosis?
a. Binging, purging, obesity, hyperkalemia
b. Binging, purging, normal weight, hypokalemia
c. Binging, laxative abuse, amenorrhea, severe weight loss
d. Binging, purging, severe weight loss, hyperkalemia
b. Binging, purging, normal weight, hypokalemia
A 14-year-old client has just been admitted to the psychiatric unit for anorexia
nervosa. She is emaciated and refuses to eat. What is the priority nursing
diagnosis for this client?
, a. Complicated grieving
b. Imbalanced nutrition: Less than body requirements.
c. Interrupted family processes
d. Anxiety (severe)
b. Imbalanced nutrition: Less than body requirements.
The nurse is caring for a client who has been hospitalized with anorexia nervosa
and is severely malnourished. The client continues to refuse to eat. What is the
most appropriate response by the nurse?
a. "You know that if you don't eat, you will die."
b. "If you continue to refuse to take food orally, you will be fed through a
nasogastric tube."
c. "You might as well leave if you are not going to follow your therapy regimen."
d. "You don't have to eat if you don't want to. It is your choice."
b. "If you continue to refuse to take food orally, you will be fed through a nasogastric
tube."
A hospitalized client with bulimia nervosa has stopped vomiting in the hospital
and tells the nurse she is afraid she is going to gain weight. Which is the most
appropriate response by the nurse?
a. "Don't worry. The dietitian will ensure you don't get too many calories in your
diet."
b. "Don't worry about your weight. We are going to work on other problems while
you are in the hospital."
c. "I understand that you are concerned about your weight, and we will talk about
the importance of good nutrition, but for now I want you to tell me about your
recent invitation to join the National Honor Society. That's quite an
accomplishment."
d. "You are not fat, and the staff will ensure that you do not gain weight while you
are in the hospital, because we know that is important to you."
