NSG 3450 EXAM 3 PRACTICE AND STUDY GUIDE
QUESTIONS WITH DETAILED SOLUTIONS TESTED
AND APPROVED!!!
Which pt statement supports the diagnosis of anorexia nervosa?
a. "I'm terrified of gaining weight."
b. "I wish I had a good friend to talk to"
c. "I've been told I drink way too much alcohol"
d. "I don't get much pleasure out of life anymore" --
ANSWER--A
Obesity can be the end result of a binge-eating ds. The nurse understands that
the best tx option in persons w/ a bingeeating ds promotes:
a. bariatric surgery
b. coping strategies
d. avoidance of public eating
d. appetite suppression meds -- ANSWER--B
Taylor, a psych RN, orients Regina, a pt w/ anorexia nervosa, to the room where
she will be assigned during her stay. after getting Regina settled, the nurse
informs Regina:
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,a. "I need to go through the belongings you have brought w/ you"
b. "you can use the scale in the back room when you need to"
c. "you will be eating 5x a day here"
d. "the daily structure is based around your desire to eat" --
ANSWER--A
Safety measures are of concern in eating-disorder treatments. Pt's w/ anorexia
are supervised closely to monitor: Select all that apply:
a. foods that are eaten
b. attempts at self-induced vomiting
c. relationships w/ other pt's
d. weight -- ANSWER--A, B, D
Malika has been overweight all her life. Now as an adult, she has health
problems r/t her excessive weight. Seeking weight loss assistance at a primary
care facility, Malika is surprised when the nurse practitioner suggests:
a. a trial of SSRI antidepressant therapy
b. mild exercise to start, increasing in intensity over time
c. removing snack foods from the home
d. medications x for HTN -- ANSWER--A
Malika agrees to start losing weight according to the nurse practitioner's
outlined plan. Additional teaching is warranted when Malika states:
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, a. "I am willing to admit I am depressed"
b. "psychotherapy will be part of my tx"
c. "I prefer to have a gastric bypass rather than use this plan"
d. "my comorbid conditions may improve w/ weight loss" --
ANSWER--C
When considering an eating ds, what is a physical criterion for hospital
admission?
a. a daytime HR of <50bpm
b. an oral temp of 100F or more
c. 90% of ideal body weight
d. systolic BP >130mmHg -- ANSWER--A
When considering the need for monitoring, which intervention should the nurse
implement for a pt w/ anorexia? Select all that apply:
a. provide scheduled portion-contolled meals and snacks
b. congratulate pt's for weight gain and behavior that promote weight gain
c. limit time spent in bathroom during periods when not under direct
supervision
d. promote exercise as a method to increase appetite
e. observe pt during and after meals/snacks to ensure that adequate intake is
achieved and maintained -- ANSWER--A,
C, E
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QUESTIONS WITH DETAILED SOLUTIONS TESTED
AND APPROVED!!!
Which pt statement supports the diagnosis of anorexia nervosa?
a. "I'm terrified of gaining weight."
b. "I wish I had a good friend to talk to"
c. "I've been told I drink way too much alcohol"
d. "I don't get much pleasure out of life anymore" --
ANSWER--A
Obesity can be the end result of a binge-eating ds. The nurse understands that
the best tx option in persons w/ a bingeeating ds promotes:
a. bariatric surgery
b. coping strategies
d. avoidance of public eating
d. appetite suppression meds -- ANSWER--B
Taylor, a psych RN, orients Regina, a pt w/ anorexia nervosa, to the room where
she will be assigned during her stay. after getting Regina settled, the nurse
informs Regina:
Page 1 of 24
,a. "I need to go through the belongings you have brought w/ you"
b. "you can use the scale in the back room when you need to"
c. "you will be eating 5x a day here"
d. "the daily structure is based around your desire to eat" --
ANSWER--A
Safety measures are of concern in eating-disorder treatments. Pt's w/ anorexia
are supervised closely to monitor: Select all that apply:
a. foods that are eaten
b. attempts at self-induced vomiting
c. relationships w/ other pt's
d. weight -- ANSWER--A, B, D
Malika has been overweight all her life. Now as an adult, she has health
problems r/t her excessive weight. Seeking weight loss assistance at a primary
care facility, Malika is surprised when the nurse practitioner suggests:
a. a trial of SSRI antidepressant therapy
b. mild exercise to start, increasing in intensity over time
c. removing snack foods from the home
d. medications x for HTN -- ANSWER--A
Malika agrees to start losing weight according to the nurse practitioner's
outlined plan. Additional teaching is warranted when Malika states:
Page 2 of 24
, a. "I am willing to admit I am depressed"
b. "psychotherapy will be part of my tx"
c. "I prefer to have a gastric bypass rather than use this plan"
d. "my comorbid conditions may improve w/ weight loss" --
ANSWER--C
When considering an eating ds, what is a physical criterion for hospital
admission?
a. a daytime HR of <50bpm
b. an oral temp of 100F or more
c. 90% of ideal body weight
d. systolic BP >130mmHg -- ANSWER--A
When considering the need for monitoring, which intervention should the nurse
implement for a pt w/ anorexia? Select all that apply:
a. provide scheduled portion-contolled meals and snacks
b. congratulate pt's for weight gain and behavior that promote weight gain
c. limit time spent in bathroom during periods when not under direct
supervision
d. promote exercise as a method to increase appetite
e. observe pt during and after meals/snacks to ensure that adequate intake is
achieved and maintained -- ANSWER--A,
C, E
Page 3 of 24
