ESTUDYR
MENTAL HEALTH NUR2459 FINAL REVIEW QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) | ASSURED SUCCESS
Amphetamine Use & Appetite Suppression
1. Some obese individuals take amphetamines to suppress appetite. An undesirable adverse effect
is:
A. Bradycardia
B. Amenorrhea
C. Tolerance
D. Convulsions
Rationale: Tachyphylaxis (tolerance) develops rapidly, reducing long-term efficacy.
Family-Based Treatment (Maudsley Approach)
2. The Maudsley approach for adolescent anorexia nervosa asserts:
A. The patient’s family should be prohibited from helping
B. Adolescents must develop identity before weight gain
C. Individual psychotherapy alone is most effective
D. The patient’s family should be actively involved in each phase
Rationale: Family-based treatment empowers parents to refeed and support the adolescent.
Binge-Eating Disorder
3. A client reports binge eating “out of control.” The nurse’s most accurate response is:
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—let’s set up a diet.”
D. “Medications help weight loss but none reduce binges.”
Rationale: Cognitive-behavioral therapy and certain SSRIs or lisdexamfetamine can reduce
binges.
Physical Manifestations of Anorexia
4. In a client with anorexia nervosa, you expect:
A. Tachycardia, hypertension, hyperthermia
B. Bradycardia, hypertension, hyperthermia
C. Bradycardia, hypotension, hypothermia
,ESTUDYR
D. Tachycardia, hypotension, hypothermia
Rationale: Starvation leads to low heart rate, low blood pressure, and low body temperature.
Pharmacotherapy in Anorexia
5. Which medication has shown some success in anorexia nervosa?
A. Lorcaserin (Belviq)
B. Diazepam (Valium)
C. Fluoxetine (Prozac)
D. Carbamazepine (Tegretol)
Rationale: Fluoxetine may help maintain weight gain and treat comorbid depression.
Bulimia Nervosa Presentation
6. A client with bulimia nervosa would likely present with:
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
Rationale: Purging causes electrolyte loss (hypokalemia) but weight often remains within
normal range.
Priority Nursing Diagnoses
7. A 14-year-old emaciated anorexic refuses to eat. Priority nursing diagnosis:
A. Complicated grieving
B. Imbalanced nutrition: less than body requirements
C. Interrupted family processes
D. Severe anxiety
Rationale: Physiological needs (nutrition) take priority per Maslow’s hierarchy.
Managing Food Refusal
8. For a client who refuses oral intake in anorexia, the most appropriate response is:
A. “You know if you don’t eat, you will die.”
B. “If you continue to refuse, we will institute NG feeding.”
C. “You might as well leave.”
,ESTUDYR
D. “It’s your choice; you don’t have to eat.”
Rationale: Firm limit setting with alternative (NG tube) enforces life-preserving treatment.
Therapeutic Response in Bulimia
9. A bulimic client stops purging and fears weight gain. The most therapeutic response is:
A. “Don’t worry—the dietitian will limit your calories.”
B. “We’ll work on other problems.”
C. “I understand your concern; let’s discuss your recent achievements for balance.”
D. “You are not fat; staff will prevent weight gain.”
Rationale: Acknowledges feelings, then refocuses on strengths and broader issues.
Bulimia Assessment Clues (Select All)
10. Suicidal client—findings suggesting bulimia nervosa include:
A. Enlarged parotid glands
B. “Moth-eaten” tooth decay
C. Daily laxative use
D. Weight within expected range
Rationale: Salivary gland hypertrophy, enamel erosion, laxative abuse, and normal weight are
classic.
Additional Questions
Nutritional and Metabolic Complications
11. Refeeding syndrome risk is highest when feeding is resumed in a severely malnourished
anorexic due to:
A. Hyperglycemia
B. Hypophosphatemia
C. Hypoglycemia
D. Hyperkalemia
Rationale: Rapid insulin surge drives phosphate into cells, causing dangerous electrolyte
imbalance.
12. Osteopenia in chronic anorexia occurs due to:
A. Excessive calcium intake
B. Hypoestrogenism and malnutrition
C. High protein diet
, ESTUDYR
D. Vitamin D toxicity
Rationale: Low estrogen and poor nutrition impair bone density.
Psychosocial Interventions
13. In family therapy for anorexia, the initial focus is:
A. Individual identity formation
B. Weight restoration under parental control
C. Autonomy from parents
D. Exploring childhood trauma
Rationale: Empowering parents to restore weight is core of Maudsley approach.
14. Motivational interviewing with a binge-eater emphasizes:
A. Confrontation
B. Eliciting client’s own reasons for change
C. Denial of problem
D. Prescriptive advice only
Rationale: Collaborative, non-judgmental approach enhances motivation.
Co-Morbidities & Screening
15. Screening for depression in eating-disorder clients is essential because:
A. Depression is rare in this population
B. Co-occurrence worsens prognosis
C. Depression prevents eating only in bulimia
D. Eating disorders protect against depression
Rationale: Depression increases risk of self-harm and treatment non-adherence.
16. Anorexia nervosa highest mortality is associated with:
A. Accidental injury
B. Cardiac arrhythmia from electrolyte imbalance
C. Osteoporosis
D. Obesity
Rationale: Hypokalemia and bradycardia predispose to fatal arrhythmias.
Advanced Pharmacotherapy
17. Lisdexamfetamine (Vyvanse) is FDA-approved for:
A. Anorexia nervosa
B. Bulimia nervosa
C. Binge-eating disorder
D. Obesity only
Rationale: Reduces binge frequency and supports weight control.
MENTAL HEALTH NUR2459 FINAL REVIEW QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) | ASSURED SUCCESS
Amphetamine Use & Appetite Suppression
1. Some obese individuals take amphetamines to suppress appetite. An undesirable adverse effect
is:
A. Bradycardia
B. Amenorrhea
C. Tolerance
D. Convulsions
Rationale: Tachyphylaxis (tolerance) develops rapidly, reducing long-term efficacy.
Family-Based Treatment (Maudsley Approach)
2. The Maudsley approach for adolescent anorexia nervosa asserts:
A. The patient’s family should be prohibited from helping
B. Adolescents must develop identity before weight gain
C. Individual psychotherapy alone is most effective
D. The patient’s family should be actively involved in each phase
Rationale: Family-based treatment empowers parents to refeed and support the adolescent.
Binge-Eating Disorder
3. A client reports binge eating “out of control.” The nurse’s most accurate response is:
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—let’s set up a diet.”
D. “Medications help weight loss but none reduce binges.”
Rationale: Cognitive-behavioral therapy and certain SSRIs or lisdexamfetamine can reduce
binges.
Physical Manifestations of Anorexia
4. In a client with anorexia nervosa, you expect:
A. Tachycardia, hypertension, hyperthermia
B. Bradycardia, hypertension, hyperthermia
C. Bradycardia, hypotension, hypothermia
,ESTUDYR
D. Tachycardia, hypotension, hypothermia
Rationale: Starvation leads to low heart rate, low blood pressure, and low body temperature.
Pharmacotherapy in Anorexia
5. Which medication has shown some success in anorexia nervosa?
A. Lorcaserin (Belviq)
B. Diazepam (Valium)
C. Fluoxetine (Prozac)
D. Carbamazepine (Tegretol)
Rationale: Fluoxetine may help maintain weight gain and treat comorbid depression.
Bulimia Nervosa Presentation
6. A client with bulimia nervosa would likely present with:
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
Rationale: Purging causes electrolyte loss (hypokalemia) but weight often remains within
normal range.
Priority Nursing Diagnoses
7. A 14-year-old emaciated anorexic refuses to eat. Priority nursing diagnosis:
A. Complicated grieving
B. Imbalanced nutrition: less than body requirements
C. Interrupted family processes
D. Severe anxiety
Rationale: Physiological needs (nutrition) take priority per Maslow’s hierarchy.
Managing Food Refusal
8. For a client who refuses oral intake in anorexia, the most appropriate response is:
A. “You know if you don’t eat, you will die.”
B. “If you continue to refuse, we will institute NG feeding.”
C. “You might as well leave.”
,ESTUDYR
D. “It’s your choice; you don’t have to eat.”
Rationale: Firm limit setting with alternative (NG tube) enforces life-preserving treatment.
Therapeutic Response in Bulimia
9. A bulimic client stops purging and fears weight gain. The most therapeutic response is:
A. “Don’t worry—the dietitian will limit your calories.”
B. “We’ll work on other problems.”
C. “I understand your concern; let’s discuss your recent achievements for balance.”
D. “You are not fat; staff will prevent weight gain.”
Rationale: Acknowledges feelings, then refocuses on strengths and broader issues.
Bulimia Assessment Clues (Select All)
10. Suicidal client—findings suggesting bulimia nervosa include:
A. Enlarged parotid glands
B. “Moth-eaten” tooth decay
C. Daily laxative use
D. Weight within expected range
Rationale: Salivary gland hypertrophy, enamel erosion, laxative abuse, and normal weight are
classic.
Additional Questions
Nutritional and Metabolic Complications
11. Refeeding syndrome risk is highest when feeding is resumed in a severely malnourished
anorexic due to:
A. Hyperglycemia
B. Hypophosphatemia
C. Hypoglycemia
D. Hyperkalemia
Rationale: Rapid insulin surge drives phosphate into cells, causing dangerous electrolyte
imbalance.
12. Osteopenia in chronic anorexia occurs due to:
A. Excessive calcium intake
B. Hypoestrogenism and malnutrition
C. High protein diet
, ESTUDYR
D. Vitamin D toxicity
Rationale: Low estrogen and poor nutrition impair bone density.
Psychosocial Interventions
13. In family therapy for anorexia, the initial focus is:
A. Individual identity formation
B. Weight restoration under parental control
C. Autonomy from parents
D. Exploring childhood trauma
Rationale: Empowering parents to restore weight is core of Maudsley approach.
14. Motivational interviewing with a binge-eater emphasizes:
A. Confrontation
B. Eliciting client’s own reasons for change
C. Denial of problem
D. Prescriptive advice only
Rationale: Collaborative, non-judgmental approach enhances motivation.
Co-Morbidities & Screening
15. Screening for depression in eating-disorder clients is essential because:
A. Depression is rare in this population
B. Co-occurrence worsens prognosis
C. Depression prevents eating only in bulimia
D. Eating disorders protect against depression
Rationale: Depression increases risk of self-harm and treatment non-adherence.
16. Anorexia nervosa highest mortality is associated with:
A. Accidental injury
B. Cardiac arrhythmia from electrolyte imbalance
C. Osteoporosis
D. Obesity
Rationale: Hypokalemia and bradycardia predispose to fatal arrhythmias.
Advanced Pharmacotherapy
17. Lisdexamfetamine (Vyvanse) is FDA-approved for:
A. Anorexia nervosa
B. Bulimia nervosa
C. Binge-eating disorder
D. Obesity only
Rationale: Reduces binge frequency and supports weight control.
