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Exam 4: NUR256/ NUR 256 Concepts of Mental
Health Nursing Exam Review| Complete Guide with QUESTIONs and Verified Answers| 100% Correct- Galen
QUESTION: What is anorexia nervosa?
Answer: What is Anorexia Nervosa? refusal to maintain a
minimally normal weight, intense fear of gaining weight, often has a need for control
QUESTION: What is bulimia nervosa?
Answer: What is Bulimia Nervosa? binge eating followed by
purging (vomiting, laxatives, diuretics)
QUESTION: What should be assessed for a patient with
anorexia?
Answer: What to assess for Anorexia? How long? How much wt
pt has lost? intake?
QUESTION: What signs and symptoms will a patient with
anorexia have?
Answer: What s/s will anorexia pt have? under-nourished
sunken eyes yellow skin cold extremities dry brittle hair & nails poor skin turgor amenorrhea bradycardia constipation fine hair all over body to help reg temps
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QUESTION: What are some interventions for anorexia?
Answer: What are some interventions for anorexia? Daily
morning wt (face away) distract from exercise Stabilize them medically Coping skills underlying anxiety tx Help identify things they do have control over work on self-esteem small freq meals distract from exercise accompany to bathroom after meals limit exercise
QUESTION: What treatments are used for anorexia?
Answer: Tx for anorexia? SSRI zyprexia provac yoga group &
family therapy
QUESTION: What are signs that eating habits are normalizing
in a patient with anorexia?
Answer: What are signs that eating habits are normalizing?
They will start eating more on their own w/ out being told
QUESTION: What is a potentially lethal treatment complication
that can occur when severely malnourished patients are refed?
Answer: What is a potentially lethal tx complication that can
occur when severely malnourished pts are refed? refeeding syndrome need to consult dietician
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QUESTION: What signs and symptoms will a patient with
bulimia have?
Answer: What s/s will bulimia pt have? healthy looking
difficulty with impulsivity & compulsivity vomiting (self induced) dehydration electrolyte imbalance bradycardia dental caries/tooth erosion russells sign
QUESTION: What is Russell's sign?
Answer: What is Russell's sign? Calluses on knuckles from self-
induced vomiting
QUESTION: Which is easier to treat, bulimia or anorexia, and
why?
Answer: Which is easier to treat bulimia or anorexia? Bulimia
d/t nourishment & shame/want for change
QUESTION: What are some interventions for bulimia?
Answer: What are some interventions for bulimia? coping
strategies identify triggers restric bathroom after meals or monitor stabilize first (concerned w/ electrolytes) health teaching and promotion CBT
QUESTION: What should a patient with bulimia be educated to
watch for?
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Answer: What to educate bulimia pt to watch for? s/s of
electrolyte imbalance
QUESTION: What is pica?
Answer: What is pica? eating non food items
QUESTION: What is rumination disorder?
Answer: What is rumination disorder? Repeated regurgitation,
chewing, and re-swallowing of food
QUESTION: What is avoidant/restrictive food intake disorder?
Answer: What is avoidant/restrictive food intake disorder?
avoiding/restricting food starting in childhood, no distortion of body image
QUESTION: What is the most dangerous substance to withdraw
from?
Answer: What is the 1st most dangerous to withdraw from?
alcohol
QUESTION: What is the second most dangerous substance to
withdraw from?