NUR 326 Mental Health Exam #2 Questions with Correct Answers

A community nurse arrives at a patient's home who has been diagnosed with bulimia nervosa. The nurse finds the client unconscious on the floor. The client has a history of abusing laxatives and purging. To what would the nurse attribute the client's symptoms? A. Increased creatinine and blood urea nitrogen (BUN) levels. B. Abnormal electroencephalopgram (EEG). C. Metabolic Acidosis. D. Metabolic Alkalosis. Correct Answer C. Metabolic Acidosis. A client who is 5' 6" tall and weighs 98 lbs is admitted with a medical diagnosis of anorexia nervosa. What is the primary nursing diagnosis at this time? A. Ineffective coping R/T food obession. B. Altered nutrition: less than body requirements R/T inadequate food intake. C. Risk for injury R/T suicidal tendencies. D. Altered body image R/T perceived obesity. Correct Answer B. Altered nutrition: less than body requirements R/T inadequate food intake. Jill is a patient being seen for bulimia nervosa. She just came back to the unit from lunch and her roommate tells you she is throwing up in the bathroom. The nurse should expect to: A. Restrict the patient to the unit for future meals. B. Plan to monitor patient for 1 hour after meals to keep patient from purging. C. Take away phone privileges from the patient until she can demonstrate healthy and compliant behavior. D. Put the patient on 1 to 1 observations for safety. Correct Answer B. Plan to monitor patient for 1 hour after meals to keep patient from purging. The environment in the home can be a major influence in the development of eating disorders. Which home environment could be associated with the development of an eating disorder? A. The home environment places an overemphasis on food. B. The home environment places loose personal boundaries. C. The home environment has the kids in after school activities. D. The home environment is overprotective and demands perfection. Correct Answer D. The home environment is overprotective and demands perfection.