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Psychiatric-Mental Health Nursing

Review Questions

Psychiatric-Mental Health NursingReview Questions

Review Questions

1 .
The nurse is assessing psychological factors in a client who presents with an eating disorder. What factor is considered a risk factor associated with eating disorders?
  1. poor body image
  2. happy childhood
  3. adoption
  4. being an only child
2 .
During history taking, it is revealed that a client has disordered eating behaviors. What would be considered a ritual or habit seen with eating disorders?
  1. enjoying a meal with family
  2. grocery shopping
  3. cutting food into small pieces
  4. exercising for 30 minutes once a week
3 .
The nurse is assessing risk factors in a client who presents with anorexia nervosa. What factor is considered a risk factor associated with anorexia?
  1. perfectionism personality
  2. being assigned male at birth
  3. having an adopted relative with anorexia
  4. having severe obesity
4 .
A client who you are caring for with anorexia has been prescribed medication. What medication can be used to manage potential comorbidities of this client?
  1. phentermine
  2. orlistat
  3. olanzapine
  4. Wegovy
5 .
How does ARFID differ from anorexia?
  1. It does not involve issues with body image.
  2. It can cause severe nutritional deficiencies.
  3. It is characterized by very low weight.
  4. It can involve restriction of foods.
6 .
What statement best describes what nurses should expect to hear from a client with bulimia when obtaining a history regarding a binge-purge cycle?
  1. A large amount of food is consumed in a longer than normal time frame.
  2. Severe calorie restriction occurs followed by increased laxative use.
  3. Self-induced vomiting occurs after a small low-calorie meal is consumed.
  4. Out-of-control eating occurs followed by self-induced vomiting.
7 .
What is the only FDA-approved medication for bulimia treatment?
  1. fluoxetine
  2. topiramate
  3. olanzapine
  4. bupropion
8 .
What is the only medication that is FDA approved to treat binge eating disorder?
  1. fluoxetine
  2. orlistat
  3. lisdexamfetamine
  4. phentermine
9 .
How does BED compare with bulimia?
  1. There is a loss of control that can occur with food during binge eating episodes in bulimia that are not seen BED.
  2. There are also repeated episodes of eating large quantities of food in a short period of time seen in BED that are not seen in bulimia.
  3. Clients with bulimia and BED are severely obese.
  4. There are no repeated purging behaviors in BED that are seen in bulimia.
10 .
What eating disorder has been associated with pica due to sensory sensitivity?
  1. anorexia nervosa
  2. bulimia nervosa
  3. ARFID
  4. BED
11 .
What is a recommended treatment intervention for pica?
  1. a behavioral therapist educating a parent on redirection strategies
  2. a dietitian adding nonfood items to a client’s menu plans to encourage eating
  3. a nurse allowing a client with pica and iron deficiency anemia to keep starch at the bedside
  4. a parent allowing access to nonfood items to prevent tantrums
12 .
What is considered one of the most effective treatments for rumination disorder?
  1. baclofen
  2. Reglan
  3. diaphragmatic breathing
  4. gum chewing
13 .
What diagnostic test can be used to measure the time it takes for food to move in the gastrointestinal tract and can help determine the cause of symptoms experienced by clients with suspected rumination disorder?
  1. gastric emptying studies
  2. electromyography (EMG)
  3. high-resolution esophageal manometry (HRIM)
  4. high-resolution impedance-pH manometry
14 .
What statement made by the family of a young child with rumination syndrome will make the nurse recognize the need for further teaching?
  1. “If Dee-Dee starts losing weight, we will notify the doctor’s office.”
  2. “Dee-Dee fusses when we make her brush her teeth, so we don’t push it.”
  3. “We understand it could be dangerous for Dee-Dee to get dehydrated.”
  4. “We are all participating in the family therapy sessions.”
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