Mental Health Final (Real)

171 Questions | Total Attempts: 421

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Mental Health Quizzes & Trivia

Questions and Answers
  • 1. 
    An 18-year-old referred to the mental health center often cooks gourmet meals but eats only tiny portions. The patient wears layers of loose clothing saying, “I like the style.” The patient’s weight dropped from 130 to 95 pounds. She has amenorrhea. Which diagnosis is most likely?
    • A. 

      Eating disorder not otherwise specified

    • B. 

      Anorexia nervosa

    • C. 

      Bulimia nervosa

    • D. 

      Binge eating

  • 2. 
    Disturbed body image is the nursing diagnosis for a patient with an eating disorder. Which outcome indicator is most applicable to this diagnosis?
    • A. 

      Weight, muscle, and fat congruence with height, frame, age, and sex

    • B. 

      Calorie intake within required parameters of treatment plan

    • C. 

      Weight at established normal range for the patient

    • D. 

      Patient satisfaction with body appearance

  • 3. 
    A patient referred to the eating disorders clinic lost 35 pounds over 3 months. To assess eating patterns, the nurse should ask:
    • A. 

      “Do you often feel fat?”

    • B. 

      “Who plans the family meals?”

    • C. 

      “What do you eat in a typical day?”

    • D. 

      “What do you think about your present weight?

  • 4. 
    A history reveals that a patient virtually stopped eating 5 months ago and lost 25% of body weight. The nurse says, “Describe what you think about your present weight and how you look.” Which response would be most consistent with anorexia nervosa?
    • A. 

      I’m fat and ugly.”

    • B. 

      “What I think about myself is my business.”

    • C. 

      “I’m grossly underweight, but I cover it well.”

    • D. 

      “I’m a few pounds overweight, but I can live with it.”

  • 5. 
    A patient has anorexia nervosa. The history shows the patient virtually stopped eating 5 months ago and lost 25% of body weight. The serum potassium is 2.7 mg/dL. Which nursing diagnosis applies?
    • A. 

      Adult failure to thrive related to abuse of laxatives, as evidenced by electrolyte imbalances and

    • B. 

      Ineffective health maintenance related to self-induced vomiting, as evidenced by swollen parotid glands and hyperkalemia

    • C. 

      Disturbed energy field related to physical exertion in excess of energy produced through caloric intake, as evidenced by weight loss and hyperkalemia

    • D. 

      Imbalanced nutrition: less than body requirements related to refusal to eat, as evidenced by loss of 25% of body weight and hypokalemia

  • 6. 
    A patient with anorexia nervosa is treated as an outpatient. Select the desired outcome related to the nursing diagnosis Imbalanced nutrition: less than body requirements. Within 1 week, the patient will:
    • A. 

      Gain 1 to 2 pounds.

    • B. 

      Exercise 1 hour daily.

    • C. 

      Take a laxative every 3 days.

    • D. 

      Weigh self accurately using balanced scales.

  • 7. 
    Therapeutic nutrition begins for a patient with anorexia nervosa who is 70% of ideal body weight. Which nursing intervention is most important to add to the plan of care?
    • A. 

      Communicate empathy for the patient’s feelings.

    • B. 

      Observe for adverse effects associated with refeeding.

    • C. 

      Teach patient about psychological origins of the disorder.

    • D. 

      Direct the patient to balance energy expenditure and caloric intake.

  • 8. 
    A patient with anorexia nervosa is resistant to weight gain. What is the rationale for establishing a contract with the patient to participate in measures to produce a specified weekly weight gain
    • A. 

      Severe anxiety concerning eating is expected, so objective and subjective data must be routinely collected.

    • B. 

      Patient involvement in decision making increases sense of control and promotes adherence.

    • C. 

      Because of risks of physical problems from refeeding, the patient’s consent is essential.

    • D. 

      A team approach to treatment planning ensures that physical and emotional needs are met.

  • 9. 
    A nurse monitors a patient with anorexia nervosa for complications of refeeding. Which assessment is most important?
    • A. 

      Pupillary reaction to light

    • B. 

      Temperature measurements

    • C. 

      Reports of serum electrolytes

    • D. 

      Complaints of sleep disturbances

  • 10. 
    A psychiatric clinical nurse specialist uses cognitive therapy with a patient with anorexia nervosa. Which statement by the nurse supports this type of therapy?
    • A. 

      “What are your feelings about not eating foods you prepare?”

    • B. 

      “You seem to feel much better about yourself when you eat something.”

    • C. 

      “It must be difficult to talk about private matters to someone you just met.”

    • D. 

      “Being thin doesn’t seem to solve problems. You’re thin now but still unhappy

  • 11. 
    A student transfers from a hometown college to a university 200 miles away after breaking up with her boyfriend of 2 years. She was slow to make friends at the university. The history shows a close relationship with her mother and sister. She began eating large quantities when she felt sad, and then she induced vomiting. When the student’s schoolwork declined, she sought help from the university health clinic. During the initial interview, what priority issue should the nurse address?
    • A. 

      Losses

    • B. 

      Sleep patterns

    • C. 

      School activities

    • D. 

      Menstrual flow

  • 12. 
    What behavior signals that a nurse caring for a patient with bulimia nervosa is experiencing rescue feelings? The nurse:
    • A. 

      Makes nonjudgmental comments.

    • B. 

      Refers the patient to a self-help group for persons with eating disorders.

    • C. 

      Teaches the patient about signs of increased anxiety and ways to intervene.

    • D. 

      Determines the patient has poor eating habits and provides a diet to follow.

  • 13. 
    A nursing diagnosis for a patient with bulimia nervosa is Ineffective coping related to feelings of loneliness and isolation, as evidenced by use of overeating and self-induced vomiting to comfort self. Select the best outcome related to this diagnosis. Within 2 weeks, the patient will:
    • A. 

      Appropriately express angry feelings.

    • B. 

      Verbalize two positive things about self.

    • C. 

      Verbalize the importance of eating a balanced diet.

    • D. 

      Identify two alternative methods of coping with loneliness and isolation.

  • 14. 
    Which nursing intervention has highest priority for a patient with bulimia nervosa?
    • A. 

      Assist the patient to identify triggers to binge eating.

    • B. 

      Provide remedial consequences for weight loss.

    • C. 

      Assess for signs of impulsive eating.

    • D. 

      Explore needs for health teaching.

  • 15. 
    One bed is available on the eating disorders unit. Which patient should be admitted? The patient whose assessment findings show the weight dropped from:
    • A. 

      150 to 102 pounds over a 4-month period. Vital signs: temperature, 96.1° F; pulse, 38 beats/min; blood pressure 64/42 mm Hg.

    • B. 

      120 to 90 pounds over a 3-month period. Vital signs: temperature, 97.2° F; pulse, 50 beats/min; blood pressure 70/50 mm Hg.

    • C. 

      110 to 70 pounds over a 4-month period. Vital signs: temperature 97.6° F; pulse, 60 beats/min; blood pressure 80/66 mm Hg.

    • D. 

      90 to 78 pounds over a 5-month period. Vital signs: temperature, 98.6° F; pulse, 62 beats/min; blood pressure 74/48 mm Hg. 90 to 78 pounds over a 5-month period. Vital signs: temperature, 98.6° F; pulse, 62 beats/min; blood pressure 74/48 mm Hg. 90 to 78 pounds over a 5-month period. Vital signs: temperature, 98.6° F; pulse, 62 beats/min; blood pressure 74/48 mm Hg.

  • 16. 
    A patient has recently been under significant stress and worked long hours. At home, the patient watches television and eats until going to bed. The patient is too tired to exercise and has gained 25 pounds in 1 month. A desired outcome for the patient is to recognize anxiety that precedes binge eating and reduce it. Which intervention addresses the outcome
    • A. 

      Teach stress-reduction techniques such as relaxation and imagery.

    • B. 

      Encourage the patient to design and implement an exercise program.

    • C. 

      Explore ways in which the patient may feel more in control of the environment.

    • D. 

      Encourage the patient to attend a support group such as Overeaters Anonymous.

  • 17. 
    A patient’s body is covered by fine, downy hair. The patient weighs 70 pounds and is 5 feet 4 inches tall. Which term should be documented?
    • A. 

      Amenorrhea

    • B. 

      Alopecia

    • C. 

      Lanugo

    • D. 

      Stupor

  • 18. 
    A patient admitted to the eating disorders unit has yellow skin, the extremities are cold, and the heart rate is 42 bpm. The patient weighs 70 pounds; height is 5 feet 4 inches. The patient is quiet during the assessment saying only, “I will not eat until I lose enough weight to look thin.” Select the best initial nursing diagnosis.
    • A. 

      Anxiety related to fear of weight gain

    • B. 

      Disturbed body image related to weight loss

    • C. 

      Ineffective coping related to lack of conflict resolution skills

    • D. 

      Imbalanced nutrition: less than body requirements related to self-starvation

  • 19. 
    A nurse conducts group therapy on the eating disorders unit. Sessions are scheduled immediately after meals. What is the rationale?
    • A. 

      Provide a forum for journaling about foods eaten.

    • B. 

      Shift the patients’ focus from food to psychotherapy.

    • C. 

      Promote processing of anxiety associated with eating.

    • D. 

      Focus on weight control mechanisms and food preparation.

  • 20. 
    Which assessment finding is most associated with bulimia nervosa?
    • A. 

      Prominent parotid glands

    • B. 

      Peripheral edema

    • C. 

      Thin, brittle hair

    • D. 

      Amenorrhea

  • 21. 
    Which personality characteristic is most likely in a patient with anorexia nervosa?
    • A. 

      Open displays of emotion

    • B. 

      Perfectionism

    • C. 

      Optimism

    • D. 

      Flexibility

  • 22. 
    Which finding for a patient with an eating disorder most clearly indicates the need for hospitalization?
    • A. 

      Weight 15% below ideal weight

    • B. 

      Urine output less than 30 mL/hr

    • C. 

      Serum potassium 3.4 mEq/L

    • D. 

      Pulse rate 54 beats/min

  • 23. 
    Which statement is most likely from a patient with anorexia nervosa?
    • A. 

      Im fat and ugly

    • B. 

      I have nice eyes

    • C. 

      Im thin for my height

    • D. 

      My mom hates me

  • 24. 
    Which nursing diagnosis is more relevant for a patient with anorexia nervosa who restricts intake and is 20% below normal weight than for a 130-pound patient with bulimia nervosa who purges?
    • A. 

      Powerlessness

    • B. 

      Ineffective coping

    • C. 

      Disturbed body image

    • D. 

      Imbalanced nutrition: less than body requirements

  • 25. 
    Which theme is most likely during family therapy with parents, siblings, and a teen patient with anorexia nervosa who engages in provocative behavior?
    • A. 

      Stable coalitions between family members

    • B. 

      Interpreting negative messages as positive

    • C. 

      Competition between the patient and father

    • D. 

      Lack of trust in the patient by family members