NUR 214 (Mental Health - Test 4) NCLEX Style Practice Questions and Answers
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Course
NUR 214
Institution
NUR 214
The nurse is providing care to a preadolescent client who was recently diagnosed with bulimia nervosa. The client's mother states, "I am very weight and exercise conscious, and I try to ensure my children stay in shape and eat well so that they can succeed in life. I have no idea how my daughter de...
NUR 214 (Mental Health - Test 4) NCLEX
Style Practice Questions and Answers
The nurse is providing care to a preadolescent client who was recently diagnosed with
bulimia nervosa. The client's mother states, "I am very weight and exercise conscious,
and I try to ensure my children stay in shape and eat well so that they can succeed in
life. I have no idea how my daughter developed bulimia. She must have inherited a
genetic tendency for bulimia from her birth mother." Based on this data, which
conclusion by the nurse is the most appropriate?
A) The mother's focus on diet, exercise, and achievement fostered the client's eating
disorder
B) The client must have inherited a genetic predisposition for eating disorders
C) The client must have a neurotransmitter abnormality
D) The mother is setting a good example for the client with her eating and exercise
habits
**P-29** ✅A
(The mother's focus on diet, exercise, and achievement fostered the client's eating
disorder)
During a routine physical examination, a preadolescent client tells the nurse, "I am too
fat, and I'm going to do whatever I can to look like the girls on the cover of fashion
magazines." The nurse should plan care for this client based on which risk factor for
eating disorders?
A) A desire for a long-term profession
B) Societal influences on body weight
C) Unrealistic expectations
D) Family influences on body weight
**P-29** ✅B
(Societal influences on body weight)
The nurse is providing care to a client who is diagnosed with bulimia. Which clinical
manifestations does the nurse anticipate when conducting the client's physical
assessment? (Select all that apply)
A) Increased urine output
B) Hoarseness when speaking
C) Poor skin turgor
D) Low body temperature
,E) Elevated blood pressure
**P-29** ✅B & C
(Hoarseness when speaking)
(Poor skin turgor)
A client who has been admitted with an eating disorder tells the nurse, "No matter what I
do, I continue to be fat." Which of the following is the priority nursing diagnosis when
planning care for this client?
A) Ineffective Coping
B) Disturbed Body Image
C) Impaired Tissue Integrity
D) Deficient Knowledge
**P-29** ✅B
(Disturbed Body Image)
A client tells the nurse that the thought of eating makes her anxious and nervous, so
she just avoids eating altogether. Which of the following actions would be highest
priority when planning care for this client?
A) Providing instruction on the role of nutrition in normal menstruation
B) Providing instruction on the importance of nutrition for vital signs and muscle tone
C) Undertaking interventions to address anxiety and feelings of being in control
D) Providing instruction on appropriate nutritional intake
**P-29** ✅C
(Undertaking interventions to address anxiety and feelings of being in control)
The nurse is providing care to a client who has been diagnosed with anorexia nervosa.
Which assessment findings indicate that the client has met some of the treatment goals
related to the disease process? (Select all that apply)
A) The client is observed wearing wrinkled clothes, listening to a portable music device,
and staring out the window
B) The client states that her menstrual cycle is regular and she is learning to prepare
meals
C) The client's vital signs are within normal limits
D) The client's current weight is 75% of normal after 2 years of treatment
E) The client is overheard telling her mother that she will eat dinner if her mother buys
her new jeans
, **P-29** ✅B & C
(The client states that her menstrual cycle is regular and she is learning to prepare
meals)
(The client's vital signs are within normal limits)
An adolescent client who currently weighs 50% of expected body weight tells the nurse,
"I get upset and can't eat because my mother is constantly forcing food on me." Which
treatments are indicated for this client? (Select all that apply)
A) Family-based psychotherapy
B) Hospitalization
C) Behavior modification
D) Medication to increase appetite
E) Placement with a foster family
**P-29** ✅A, B, & C
(Family-based psychotherapy)
(Hospitalization)
(Behavior modification)
A nurse who works in the emergency department is assessing a client with bulimia
nervosa. Which assessment findings indicate that the client is dehydrated? (Select all
that apply)
A) Dry mouth
B) Hypertension
C) Concentrated urine
D) General weakness
E) Poor skin turgor
**P-29** ✅A, C, D, & E
(Dry mouth)
(Concentrated urine)
(General weakness)
(Poor skin turgor)
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