Final Exam: NUR 2459 / NUR2459 (Latest
2023/2024) Mental and Behavioral Health
Nursing Exam Review |Complete Guide with
Verified Answers| Rasmussen
❖ Drugs for paranoid, schizotypal, and borderline personality disorders
✓ Answer: antipsychotics treat psychotic decompensations
❖ Anorexia Nervosa
✓ Answer: morbid fear of obesity, distorted body image, preoccupation of food,
refusal to eat
❖ Physiological symptoms of Anorexia Nervosa
✓ Answer: Hypothermia
✓ Bradycardia
✓ Hypotension
✓ Edema
✓ Lanugo
✓ Amenorrhea
✓ Metabolic changes
❖ restricting type of anorexia nervosa
✓ Answer: type of anorexia nervosa in which weight gain is prevented by refusal to
eat
❖ binge-eating/purging type of anorexia nervosa
✓ Answer: individuals attempt to lose weight by forcing themselves to vomit after
meals, by misusing laxatives and diuretics, and by engaging in excessive exercise
❖ Bulimia Nervosa Symptoms
✓ Answer: -Normal to slightly low weight
~ -Dental caries, tooth erosion
~ -Parotid swelling
~ -Gastric dilation, rupture
~ -Calluses on fingers (Russell’s sign)
~ -Peripheral edema
~ -Anemia and leukopenia
~ -Muscle weakening
~ -Abnormal laboratory values (hypokalemia, hyponatremia, hypomagnesemia,
hypophosphatemia)
~ -Electrolyte imbalances
~ -Cardiomyopathy – cardia failure
❖ purging type of bulimia nervosa
✓ Answer: Forced vomiting
~ Misusing laxatives, diuretics, or enemas
❖ non-purging type bulimia nervosa
✓ Answer: client may also compensate for binge eating through other means such
as exercise excessively and misuse of laxatives, diuretics, products or enemas.
❖ Risk factors for Bulimia Nervosa
✓ Answer: helplessness, ineffectiveness, depression, distorted body image, loss of
control, confusion regarding self-identity, rigidity, ritualism, separation conflict,
familial factors, environmental factors, biological factors
❖ Conflict Avoidance Theory
✓ Answer: the active avoidance of discussing concerns, annoyances, and conflict
with another person because they are afraid of either of the outcomes
❖ cognitive distortions
✓ Answer: Overgeneralization, all-or-nothing thinking, catastrophizing,
personalization, emotional reasoning
❖ Nursing interventions for eating disorders
✓ Answer: weight on schedule each morning in least amount of clothing possible,
monitor vitals tid, involve client input, observe during meal and 1 hr after, explain
privileges for compliance, avoid challenging or bargaining, discuss ways to
control problematic areas of life, provide teaching, use cognitive-behavioral
approach and behavior modification
❖ Psychopharmacology for eating disorders
✓ Answer: only to treat the symptoms; SSRIs and SNRIs- fluoxetine 60 mg 3x
daily
❖ Treatment modalities for eating disorders
✓ Answer: behavior modification, individual therapy, family therapy