NSG221/ NSG 221 Exam 3: (New 2024/ 2025
Update) Mental Health Review| Questions
and Verified Answers| 100% Correct| A
Grade– Herzing
QUESTION
For a client diagnosed with anorexia nervosa, which goal takes priority?
Answer:
- Establishing adequate daily nutritional intake
Rationale: According to Maslow's hierarchy of needs, physiologic needs are the most basic.
Adequate daily intake of food and fluids would be of the highest priority for this client.
QUESTION
Which area of the brain has been associated with the symptoms of eating disorders?
Answer:
- Hypothalamus
Rationale: The hypothalamus has been associated with the symptoms of eating disorders.
QUESTION
Which is the most common disorder found in clients diagnosed with bulimia nervosa?
Answer:
- Depression
Rationale: Mood disorders, anxiety disorders, and substance abuse/dependence are frequently
seen in clients with eating disorders. Of those, depression and obsessive-compulsive disorder are
most common.
,QUESTION
Exacerbation of anorexia nervosa results from the client's effort to do what?
Answer:
- Gain control of one part of life
Rationale: A client with anorexia nervosa is unconsciously attempting to gain control over the
only part of the client's life the client feels the client can control. Anorexia does not incorporate
manipulation of family members or work as a means of diminishing conflict. This eating
disorder carries with it a high incidence in families that emphasize achievement.
QUESTION
What behavior is likely a result of an adolescent's attempt to manage the effects of over-
productive parenting?
Answer:
- engaging in severe dieting
Rationale: Two essential tasks of adolescence are the struggle to develop autonomy and the
establishment of a unique identity. Autonomy, or exerting control over oneself and the
environment, may be difficult in families that are overprotective or in which enmeshment (lack
of clear role boundaries) exists. Such families do not support members' efforts to gain
independence, and teenagers may feel as though they have little or no control over their lives.
They begin to control their eating through severe dieting and thus gain control over their weight.
Losing weight becomes reinforcing: By continuing to lose, these clients exert control over one
aspect of their lives. While the remaining options may demonstrative reactive behaviors, they are
not generally associated with over-productive parenting.
QUESTION
Which term describes the conversion of unexpressed emotions into physical symptoms?
Answer:
- Somatization
Rationale: Somatization is a term used to describe the conversion of unexpressed emotions into
physical symptoms. The la belle indifference is a seeming lack of concern or distress for deficits
seen in conversion disorder. Hysteria refers to multiple physical complaints with no organic
,basis. The term psychosomatic is used to convey the connection between the mind and the body
in states of health and illness.
QUESTION
Which is the name given to a direct external benefit that being sick provides, such as relief from
anxiety?
Answer:
- Primary gain
Rationale: Primary gains are the direct external benefits that being sick provides. Secondary
gains are the internal or personal benefits received from others because one is sick. Malingering
is the intentional production of false or grossly exaggerated physical or psychological symptoms.
The la belle indifference is a seeming lack of concern or distress for sudden deficits in sensory or
motor function, as seen in conversion disorder.
QUESTION
The nurse is caring for a client with conversion disorder. The client reports having paralysis of
the right side of the body. Which action by the nurse would constitute a secondary gain?
Answer:
- Feeding the client during mealtime
Rationale: Secondary gains refer to the personal benefits that the client experiences from being
considered sick. In this case, being fed is considered the secondary gain. Discussion about family
and friends with the client is a treatment strategy that may help the client develop insight into the
cause of the condition. Teaching the client techniques of meditation and relaxation is a treatment
strategy that may help the client relieve stress. Discussing the coping strategies that the client
used in the past may help the client identify and integrate those coping strategies in the future.
QUESTION
Which medication classification has been shown to be effective in some cases of somatoform
disorders?
Answer:
- Serotonin reuptake inhibitors (SSRIs)
, Rationale: SSRIs have been shown to be effective in some cases of somatoform disorders.
QUESTION
A client with complex somatic symptom disorder is complaining of significant pain in the
joints. When providing care to this client, which would be most important for the nurse to keep
in mind?
Answer:
- The client's experience of pain is real.
Rationale: Even though there is no medical explanation for the pain, the client's pain is real and
has serious psychosocial implications. Aggressive pharmacologic treatment of the symptoms
must be avoided. Nonpharmacologic strategies, including complementary and alternative
treatments, should be used to assist in pain relief. Outcomes developed need to avoid focusing on
the biologic aspects of the disorder and instead help the client overcome the pain through
biopsychosocial approaches.
QUESTION
A nurse is assessing a client with conversion disorder. The client complains that the client's left
side is paralyzed. Which statement made by the client would indicate "la belle indifférence"?
Answer:
- "My paralysis doesn't bother me. I have accepted my disability."
Rationale: A client with conversion disorder shows a seeming lack of concern or distress about
the functional loss. This behavior is referred to as "la belle indifférence." The statement that the
client wants to be cured indicates that the client is worried about the condition, which is not
characteristic of conversion disorder. The statement that the client will get well soon indicates
that the client is hopeful about getting rid of the illness soon. This attitude is not seen in clients
with conversion disorder. The statement that the client is dependent on others indicates that the
client is very concerned about the illness; this is not an indication of conversion disorder.
QUESTION
The major difference between somatoform disorders and factitious disorders is what?
Update) Mental Health Review| Questions
and Verified Answers| 100% Correct| A
Grade– Herzing
QUESTION
For a client diagnosed with anorexia nervosa, which goal takes priority?
Answer:
- Establishing adequate daily nutritional intake
Rationale: According to Maslow's hierarchy of needs, physiologic needs are the most basic.
Adequate daily intake of food and fluids would be of the highest priority for this client.
QUESTION
Which area of the brain has been associated with the symptoms of eating disorders?
Answer:
- Hypothalamus
Rationale: The hypothalamus has been associated with the symptoms of eating disorders.
QUESTION
Which is the most common disorder found in clients diagnosed with bulimia nervosa?
Answer:
- Depression
Rationale: Mood disorders, anxiety disorders, and substance abuse/dependence are frequently
seen in clients with eating disorders. Of those, depression and obsessive-compulsive disorder are
most common.
,QUESTION
Exacerbation of anorexia nervosa results from the client's effort to do what?
Answer:
- Gain control of one part of life
Rationale: A client with anorexia nervosa is unconsciously attempting to gain control over the
only part of the client's life the client feels the client can control. Anorexia does not incorporate
manipulation of family members or work as a means of diminishing conflict. This eating
disorder carries with it a high incidence in families that emphasize achievement.
QUESTION
What behavior is likely a result of an adolescent's attempt to manage the effects of over-
productive parenting?
Answer:
- engaging in severe dieting
Rationale: Two essential tasks of adolescence are the struggle to develop autonomy and the
establishment of a unique identity. Autonomy, or exerting control over oneself and the
environment, may be difficult in families that are overprotective or in which enmeshment (lack
of clear role boundaries) exists. Such families do not support members' efforts to gain
independence, and teenagers may feel as though they have little or no control over their lives.
They begin to control their eating through severe dieting and thus gain control over their weight.
Losing weight becomes reinforcing: By continuing to lose, these clients exert control over one
aspect of their lives. While the remaining options may demonstrative reactive behaviors, they are
not generally associated with over-productive parenting.
QUESTION
Which term describes the conversion of unexpressed emotions into physical symptoms?
Answer:
- Somatization
Rationale: Somatization is a term used to describe the conversion of unexpressed emotions into
physical symptoms. The la belle indifference is a seeming lack of concern or distress for deficits
seen in conversion disorder. Hysteria refers to multiple physical complaints with no organic
,basis. The term psychosomatic is used to convey the connection between the mind and the body
in states of health and illness.
QUESTION
Which is the name given to a direct external benefit that being sick provides, such as relief from
anxiety?
Answer:
- Primary gain
Rationale: Primary gains are the direct external benefits that being sick provides. Secondary
gains are the internal or personal benefits received from others because one is sick. Malingering
is the intentional production of false or grossly exaggerated physical or psychological symptoms.
The la belle indifference is a seeming lack of concern or distress for sudden deficits in sensory or
motor function, as seen in conversion disorder.
QUESTION
The nurse is caring for a client with conversion disorder. The client reports having paralysis of
the right side of the body. Which action by the nurse would constitute a secondary gain?
Answer:
- Feeding the client during mealtime
Rationale: Secondary gains refer to the personal benefits that the client experiences from being
considered sick. In this case, being fed is considered the secondary gain. Discussion about family
and friends with the client is a treatment strategy that may help the client develop insight into the
cause of the condition. Teaching the client techniques of meditation and relaxation is a treatment
strategy that may help the client relieve stress. Discussing the coping strategies that the client
used in the past may help the client identify and integrate those coping strategies in the future.
QUESTION
Which medication classification has been shown to be effective in some cases of somatoform
disorders?
Answer:
- Serotonin reuptake inhibitors (SSRIs)
, Rationale: SSRIs have been shown to be effective in some cases of somatoform disorders.
QUESTION
A client with complex somatic symptom disorder is complaining of significant pain in the
joints. When providing care to this client, which would be most important for the nurse to keep
in mind?
Answer:
- The client's experience of pain is real.
Rationale: Even though there is no medical explanation for the pain, the client's pain is real and
has serious psychosocial implications. Aggressive pharmacologic treatment of the symptoms
must be avoided. Nonpharmacologic strategies, including complementary and alternative
treatments, should be used to assist in pain relief. Outcomes developed need to avoid focusing on
the biologic aspects of the disorder and instead help the client overcome the pain through
biopsychosocial approaches.
QUESTION
A nurse is assessing a client with conversion disorder. The client complains that the client's left
side is paralyzed. Which statement made by the client would indicate "la belle indifférence"?
Answer:
- "My paralysis doesn't bother me. I have accepted my disability."
Rationale: A client with conversion disorder shows a seeming lack of concern or distress about
the functional loss. This behavior is referred to as "la belle indifférence." The statement that the
client wants to be cured indicates that the client is worried about the condition, which is not
characteristic of conversion disorder. The statement that the client will get well soon indicates
that the client is hopeful about getting rid of the illness soon. This attitude is not seen in clients
with conversion disorder. The statement that the client is dependent on others indicates that the
client is very concerned about the illness; this is not an indication of conversion disorder.
QUESTION
The major difference between somatoform disorders and factitious disorders is what?
