Mental health NUR2459 final review
questions and answers 2025
Some .obese .individuals .take .amphetamines .to .suppress .appetite .and .help .the
m .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 .- .ANS✓✓-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 .sinc
e .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. .- .ANS✓✓-
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 .effectiv
eness .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 .effectiv
e .for .reducing .binge .eating." .- .ANS✓✓-
b. ."Some .medications .and .psychological .treatments .have .demonstrated .effectiv
eness .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 .- .ANS✓✓-
c. .Bradycardia, .hypotension, .hypothermia
Which .medication .has .been .used .with .some .success .in .clients .with .anorexia .n
ervosa?
a. .Lorcaserin .(Belviq)
b. .Diazepam .(Valium)
c. .Fluoxetine .(Prozac)
d. .Carbamazepine .(Tegretol) .- .ANS✓✓-c. .Fluoxetine .(Prozac)
A .client .is .hospitalized .on .the .psychiatric .unit .with .a .history .and .current .diagno
sis .of .bulimia .nervosa. .Which .of .the .following .symptoms .would .be .congruent .w
ith .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 .- .ANS✓✓-
b. .Binging, .purging, .normal .weight, .hypokalemia
A .14-year-
old .client .has .just .been .admitted .to .the .psychiatric .unit .for .anorexia .nervosa. .S
he .is .emaciated .and .refuses .to .eat. .What .is .the .priority .nursing .diagnosis .for .th
is .client?
a. .Complicated .grieving
b. .Imbalanced .nutrition: .Less .than .body .requirements.
c. .Interrupted .family .processes
d. .Anxiety .(severe) .- .ANS✓✓-
b. .Imbalanced .nutrition: .Less .than .body .requirements.
The .nurse .is .caring .for .a .client .who .has .been .hospitalized .with .anorexia .nervos
a .and .is .severely .malnourished. .The .client .continues .to .refuse .to .eat. .What .is .t
he .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 .naso
gastric .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." .- .ANS✓✓-b. ."If
.you .continue .to .refuse .to .take .food .orally, .you .will .be .fed .through .a .nasogastri
c .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 .you
r .diet."
b. ."Don't .worry .about .your .weight. .We .are .going .to .work .on .other .problems .wh
ile .you .are .in .the .hospital."
c. ."I .understand .that .you .are .concerned .about .your .weight, .and .we .will .talk .abo
ut .the .importance .of .good .nutrition, .but .for .now .I .want .you .to .tell .me .about .yo
ur .recent .invitation .to .join .the .National .Honor .Society. .That's .quite .an .accompli
shment."
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." .- .ANS✓✓-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 .accomplish
ment."
A .client .presents .in .the .emergency .department .with .complaints .of .suicidal .ideat
ion. .The .following .information .is .collected .by .the .nurse. .Which .of .these .assess
ment .findings .suggests .that .bulimia .nervosa .might .be .a .health .problem? .
(Select .all .that .apply.)
a. .Parotid .glands .appear .enlarged.
b. .Teeth .have .a ."moth-eaten" .pattern .of .tooth .decay.
c. .Client .reports .that .she .takes .laxatives .daily.
d. .Client's .weight .is .within .the .expected .range. .- .ANS✓✓-
a. .Parotid .glands .appear .enlarged.
b. .Teeth .have .a ."moth-eaten" .pattern .of .tooth .decay.
c. .Client .reports .that .she .takes .laxatives .daily.
d. .Client's .weight .is .within .the .expected .range.
A .client .diagnosed .with .borderline .personality .disorder .manipulates .the .staff .in .
an .effort .to .fulfill .her .own .desires. .All .of .the .following .may .be .examples .of .man
ipulative .behaviors .in .the .borderline .patient .except:
a. .Refusal .to .stay .in .a .room .alone, .stating, ."It's .so .lonely."
b. .Asking .the .nurse .for .cigarettes .after .30 .minutes, .knowing .the .assigned .nurse
.has .explained .she .must .wait .1 .hour.
c. .Stating .to .the .nurse, ."I .really .like .having .you .for .my .nurse. .You're .the .best .o
ne .around .here."
d. .Cutting .arms .with .razor .blade .after .discussing .dismissal .plans .with .physicia
n. .- .ANS✓✓-a. .Refusal .to .stay .in .a .room .alone, .stating, ."It's .so .lonely."
A .client .on .the .psychiatric .unit .has .a .diagnosis .of .antisocial .personality .disord
er. .Which .of .the .following .characteristics .is .consistent .with .this .diagnosis?
a. .Lack .of .guilt .for .wrongdoing
questions and answers 2025
Some .obese .individuals .take .amphetamines .to .suppress .appetite .and .help .the
m .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 .- .ANS✓✓-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 .sinc
e .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. .- .ANS✓✓-
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 .effectiv
eness .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 .effectiv
e .for .reducing .binge .eating." .- .ANS✓✓-
b. ."Some .medications .and .psychological .treatments .have .demonstrated .effectiv
eness .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 .- .ANS✓✓-
c. .Bradycardia, .hypotension, .hypothermia
Which .medication .has .been .used .with .some .success .in .clients .with .anorexia .n
ervosa?
a. .Lorcaserin .(Belviq)
b. .Diazepam .(Valium)
c. .Fluoxetine .(Prozac)
d. .Carbamazepine .(Tegretol) .- .ANS✓✓-c. .Fluoxetine .(Prozac)
A .client .is .hospitalized .on .the .psychiatric .unit .with .a .history .and .current .diagno
sis .of .bulimia .nervosa. .Which .of .the .following .symptoms .would .be .congruent .w
ith .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 .- .ANS✓✓-
b. .Binging, .purging, .normal .weight, .hypokalemia
A .14-year-
old .client .has .just .been .admitted .to .the .psychiatric .unit .for .anorexia .nervosa. .S
he .is .emaciated .and .refuses .to .eat. .What .is .the .priority .nursing .diagnosis .for .th
is .client?
a. .Complicated .grieving
b. .Imbalanced .nutrition: .Less .than .body .requirements.
c. .Interrupted .family .processes
d. .Anxiety .(severe) .- .ANS✓✓-
b. .Imbalanced .nutrition: .Less .than .body .requirements.
The .nurse .is .caring .for .a .client .who .has .been .hospitalized .with .anorexia .nervos
a .and .is .severely .malnourished. .The .client .continues .to .refuse .to .eat. .What .is .t
he .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 .naso
gastric .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." .- .ANS✓✓-b. ."If
.you .continue .to .refuse .to .take .food .orally, .you .will .be .fed .through .a .nasogastri
c .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 .you
r .diet."
b. ."Don't .worry .about .your .weight. .We .are .going .to .work .on .other .problems .wh
ile .you .are .in .the .hospital."
c. ."I .understand .that .you .are .concerned .about .your .weight, .and .we .will .talk .abo
ut .the .importance .of .good .nutrition, .but .for .now .I .want .you .to .tell .me .about .yo
ur .recent .invitation .to .join .the .National .Honor .Society. .That's .quite .an .accompli
shment."
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." .- .ANS✓✓-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 .accomplish
ment."
A .client .presents .in .the .emergency .department .with .complaints .of .suicidal .ideat
ion. .The .following .information .is .collected .by .the .nurse. .Which .of .these .assess
ment .findings .suggests .that .bulimia .nervosa .might .be .a .health .problem? .
(Select .all .that .apply.)
a. .Parotid .glands .appear .enlarged.
b. .Teeth .have .a ."moth-eaten" .pattern .of .tooth .decay.
c. .Client .reports .that .she .takes .laxatives .daily.
d. .Client's .weight .is .within .the .expected .range. .- .ANS✓✓-
a. .Parotid .glands .appear .enlarged.
b. .Teeth .have .a ."moth-eaten" .pattern .of .tooth .decay.
c. .Client .reports .that .she .takes .laxatives .daily.
d. .Client's .weight .is .within .the .expected .range.
A .client .diagnosed .with .borderline .personality .disorder .manipulates .the .staff .in .
an .effort .to .fulfill .her .own .desires. .All .of .the .following .may .be .examples .of .man
ipulative .behaviors .in .the .borderline .patient .except:
a. .Refusal .to .stay .in .a .room .alone, .stating, ."It's .so .lonely."
b. .Asking .the .nurse .for .cigarettes .after .30 .minutes, .knowing .the .assigned .nurse
.has .explained .she .must .wait .1 .hour.
c. .Stating .to .the .nurse, ."I .really .like .having .you .for .my .nurse. .You're .the .best .o
ne .around .here."
d. .Cutting .arms .with .razor .blade .after .discussing .dismissal .plans .with .physicia
n. .- .ANS✓✓-a. .Refusal .to .stay .in .a .room .alone, .stating, ."It's .so .lonely."
A .client .on .the .psychiatric .unit .has .a .diagnosis .of .antisocial .personality .disord
er. .Which .of .the .following .characteristics .is .consistent .with .this .diagnosis?
a. .Lack .of .guilt .for .wrongdoing
