Question

What is the main issue for adolescents with anorexia nervosa?

Answer 1

Correct Answers:

Body image

Rationale :

💙 Adolescents with anorexia nervosa struggle most with a distorted body image, believing they are overweight even when severely underweight.

💙 This distortion fuels restrictive eating, compulsive exercising, and obsessive calorie control.

💙 Their perception of their body is irrational and resistant to reassurance, making it a core pathology in the disorder.

💙 Body image disturbance leads to denial of illness severity, making treatment difficult.

💙 Addressing body image distortion is crucial for long-term recovery and relapse prevention.

❌ Incorrect Options

❌ Control

– Control issues exist, but they arise because of body-image distortion, not as the primary problem.

❌ Appropriate behavior

– Anorexia is not a behavioral etiquette issue; it is a psychiatric disorder.

❌ Anxiety

– Anxiety is common, but it is a symptom, not the root cause.

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Answer 2

Correct Answers:

Type 1 diabetics deliberately underuse insulin

Rationale :

💛 Diabulimia occurs when Type 1 diabetics intentionally omit or reduce insulin to lose weight rapidly.

💛 Without insulin, glucose cannot enter cells, leading to fat breakdown and drastic weight loss.

💛 This is extremely dangerous and can cause DKA, organ failure, or death.

💛 It is both an eating disorder and a form of medical manipulation of insulin therapy.

💛 Treatment requires coordinated diabetes education + mental health support.

❌ Incorrect Options

❌ Fixation on pure foods

– This describes orthorexia, not diabulimia.

❌ Type 2 diabetics avoid meds

– Diabulimia is specific to Type 1 diabetes.

❌ Binge eating episodes

– This describes bulimia, not diabulimia.

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Answer 3

Correct Answers:

The 18-year-old who is moving out of her parents' home and into his college dorm room

Rationale :

💜 Maturational loss is a normal developmental milestone that involves letting go of previous roles or environments.

💜 Moving to a college dorm signifies transitioning from adolescence to adulthood.

💜 This change brings independence but also loss of childhood security and familiarity.

💜 It is expected, predictable, and part of healthy development.

💜 Therefore, it perfectly fits the definition of maturational loss.

❌ Incorrect Options

❌80-year-old losing stamina

– This is a situational or age-related functional loss, not maturational.

❌20-year-old HIV diagnosis

– This is a situational or traumatic loss.

❌Hurricane survivor

– This is a catastrophic loss, not maturational.

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Answer 4

Correct Answers:

2.1

Rationale :

Calcitriol dose calculation

Order: 11.5 mcg

Available: 11 mcg / 2 mL

Work:

Use formula:

🏷️ Dose required ÷ Dose available × Volume = mL

→ 11.5 ÷ 11 × 2 mL

→ 1.045 × 2 = 2.09 mL

Rounded = 2.1 mL

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Answer 5

Correct Answers:

Establish rapport and gain the client's cooperation in her care

Rationale :

💙 Clients with anorexia nervosa often have poor insight, high anxiety, and extreme resistance to treatment.

💙 Building rapport reduces defensiveness and increases willingness to participate in nutrition goals.

💙 Trust allows the client to open up about fears, distorted thoughts, and eating patterns.

💙 Cooperation is essential before any cognitive or nutritional interventions can succeed.

💙 Establishing rapport is the therapeutic foundation for all other treatment steps.

❌ Incorrect Options

❌ Discussing the mirror image

– Too confrontational early on; increases resistance.

❌Avoiding weight discussions

– Reinforces denial.

❌Letting her choose foods

– Clients with anorexia will choose restrictive or unsafe options.

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Answer 6

Correct Answers:

Request that they allow the medication at least 2 more weeks to take effect

Rationale :

💙 SSRIs like sertraline typically require 4–6 weeks to reach full therapeutic effect.

💙 It is normal for clients to feel little or no improvement in the first 1–2 weeks.

💙 Educating the client on expected timelines reduces unnecessary medication changes.

💙 This reassurance increases adherence and prevents premature discontinuation.

💙 The nurse promotes realistic expectations without minimizing the client’s concerns.

❌ Incorrect Answers

❌ Reassure they’ll feel better soon

– Too vague; lacks teaching and may feel dismissive.

❌ Schedule same-day appointment

– Not necessary unless symptoms worsen or suicidal ideation emerges.

❌ Report to provider

– No need yet; this is expected early in treatment.

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Answer 7

Correct Answers:

Mashed potatoes, ground beef patty, corn, green beans, apple pie

Rationale :

💛 Tyramine must be avoided when on MAOI medications to prevent hypertensive crisis.

💛 Meal A contains fresh meats and vegetables, none of which undergo aging, curing, or fermentation.

💛 No aged cheese, no smoked meats, no yeast breads, and no chocolate are included.

💛 This meal represents a low-tyramine, safe dietary choice.

💛 It aligns perfectly with MAOI diet guidelines.

❌ Incorrect Answers

❌Cheddar cheese + smoked sausage

– Both high in tyramine and dangerous.

❌Hot dogs + cheddar + banana bread

– Processed meats + aged cheese = unsafe.

❌Ham + avocado + chocolate cake

– Ham is cured; chocolate also triggers crisis.

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Answer 8

Correct Answers:

Gently discuss the meaning of the hoarded items with the client, assess for underlying anxiety or fear of loss, and collaborate with social services to develop a gradual decluttering plan

Rationale :

💜 Hoarding often stems from anxiety, fear of loss, trauma, or cognitive decline.

💜 Forced removal worsens anxiety and breaks trust.

💜 A gradual, collaborative plan protects both safety and emotional well-being.

💜 Understanding the emotional attachment helps uncover underlying mental-health needs.

💜 Social services support environmental cleanup, safety planning, and ongoing therapy.

❌ Incorrect Answers

❌ Remove items while client is away

– Violates trust, increases distress, worsens hoarding.

❌ Immediately discard items

– Too aggressive; unsafe emotionally.

❌Ignore hoarding

– Safety issue; cannot be ignored.

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Answer 9

Correct Answers:

Nocturnal myoclonus

Rationale :

💚 Nocturnal myoclonus causes repetitive limb jerks early in sleep.

💚 Movements occur at predictable intervals (20–60 seconds).

💚 It disrupts sleep continuity and may cause daytime fatigue.

💚 Common in older adults but can occur at any age.

💚 It is distinct from insomnia, hypersomnia, or narcolepsy.

❌ Incorrect Answers

❌ Hypersomnia

– Excessive sleep, not jerking movements.

❌ Narcolepsy

– Sudden sleep episodes; no rhythmic jerks.

❌ Insomnia

– Difficulty sleeping, not involuntary limb movements.

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Answer 10

Correct Answers:

"Who or what has helped you through crisis situations in the past?"

Rationale :

💙 Crisis assessment includes evaluating past coping strategies, support systems, and resilience.

💙 This question reveals internal and external resources the client relies on.

💙 It guides the nurse in creating an individualized care plan based on strengths.

💙 Understanding past coping predicts how the client may respond to current stress.

💙 It also helps identify gaps that may need intervention.

❌ Incorrect Answers

❌ Support system

– Useful but not about past crisis coping.

❌ Understanding diagnosis

– Assesses insight, not loss history or coping.

❌Asking if the doctor was understood

– Tests comprehension, not crisis experience.

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PN NJ Eve Mental Health Exam 2025

No.

1 :
What is the main issue for adolescents with anorexia nervosa?

2 :
The nurse is reviewing a client's chart and notes a diagnosis of diabulimia. Which statement is correct about diabulimia?

❌ Incorrect Options

3 :
Which situation is an example of a maturational loss?

4 :
The nurse working on the mental health unit receives a new order from the healthcare provider:
Order: Calcitriol 11.5 mcg IV
Available: Calcitriol 11mcg/2mL
How many milliliters should the nurse administer?

Work:

❌ Incorrect Options

6 :
The mental health clinic nurse receives a call from the client that was seen in the office 2 weeks ago. The client was prescribed sertraline (Lustral) and reports to the nurse that they aren't feeling better. What is the nurse's best action?

7 :
The nurse teaching a client about a tyramine-restricted diet would approve which meal?

8 :
The older client is found to be hoarding newspapers, old clothing, and spoiled food in their home. Which nursing intervention is most appropriate to promote the client's safety and mental well-being?

9 :
What is the disorder that interrupts normal sleep patterns and is characterized by repeated, brief jerks of the arms and legs that occur every 20 to 6 seconds during the beginning of sleep?

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PN NJ Eve Mental Health Exam 2025

No.

1 : What is the main issue for adolescents with anorexia nervosa?

2 : The nurse is reviewing a client's chart and notes a diagnosis of diabulimia. Which statement is correct about diabulimia?

❌ Incorrect Options

3 : Which situation is an example of a maturational loss?

4 : The nurse working on the mental health unit receives a new order from the healthcare provider:Order: Calcitriol 11.5 mcg IVAvailable: Calcitriol 11mcg/2mLHow many milliliters should the nurse administer?

Work:

❌ Incorrect Options

6 : The mental health clinic nurse receives a call from the client that was seen in the office 2 weeks ago. The client was prescribed sertraline (Lustral) and reports to the nurse that they aren't feeling better. What is the nurse's best action?

7 : The nurse teaching a client about a tyramine-restricted diet would approve which meal?

8 : The older client is found to be hoarding newspapers, old clothing, and spoiled food in their home. Which nursing intervention is most appropriate to promote the client's safety and mental well-being?

9 : What is the disorder that interrupts normal sleep patterns and is characterized by repeated, brief jerks of the arms and legs that occur every 20 to 6 seconds during the beginning of sleep?

1 :
What is the main issue for adolescents with anorexia nervosa?

2 :
The nurse is reviewing a client's chart and notes a diagnosis of diabulimia. Which statement is correct about diabulimia?

3 :
Which situation is an example of a maturational loss?

4 :
The nurse working on the mental health unit receives a new order from the healthcare provider:
Order: Calcitriol 11.5 mcg IV
Available: Calcitriol 11mcg/2mL
How many milliliters should the nurse administer?

6 :
The mental health clinic nurse receives a call from the client that was seen in the office 2 weeks ago. The client was prescribed sertraline (Lustral) and reports to the nurse that they aren't feeling better. What is the nurse's best action?

7 :
The nurse teaching a client about a tyramine-restricted diet would approve which meal?

8 :
The older client is found to be hoarding newspapers, old clothing, and spoiled food in their home. Which nursing intervention is most appropriate to promote the client's safety and mental well-being?

9 :
What is the disorder that interrupts normal sleep patterns and is characterized by repeated, brief jerks of the arms and legs that occur every 20 to 6 seconds during the beginning of sleep?