NR 606 Week 8 Final Exam - Solved

1. A 17-year-old female with anorexia nervosa presents with BMI 16.5 and denies purging behaviors. She reports excessive exercise and intense fear of weight gain. Which is the priority treatment goal? Reduce distorted cognitions about body image Eliminate excessive exercise Restore weight Improve family dynamics Answer: C. Restore weight 2. Which factor is most strongly associated with the development of anorexia nervosa? A. Anxiety B. Depression C. Family expectations regarding weight D. Trauma Answer: D. Trauma 3. A PMHNP is initiating treatment for anorexia nervosa in an outpatient setting. Which intervention is most appropriate as first-line? A. SSRI therapy B. Cognitive behavioral therapy C. Antipsychotic medication D. Mood stabilizer Answer: B. Cognitive behavioral therapy 4. Which treatment modality is most effective for adolescents with anorexia nervosa? A. Individual CBT B. Psychodynamic therapy C. Family-based therapy D. Group therapy Answer: C. Family-based therapy 5. A client with anorexia nervosa is medically stable. Which setting is most appropriate for ongoing treatment? A. Inpatient hospitalization B. Residential treatment C. Partial hospitalization D. Outpatient therapy Answer: D. Outpatient therapy 6. Which laboratory finding is most commonly associated with anorexia nervosa? A. Hyperkalemia B. Leukocytosis C. Anemia D. Hyperglycemia Answer: C. Anemia 7. A PMHNP is evaluating a client with suspected eating disorder. Which screening tool is most appropriate? A. PHQ-9 B. GAD-7 C. SCOFF D. HAM-D Answer: C. SCOFF 8. Which of the following best differentiates anorexia nervosa from bulimia nervosa? A. Fear of weight gain B. Distorted body image C. Significantly low body weight D. Compensatory behaviors Answer: C. Significantly low body weight 9. Which complication is most specific to bulimia nervosa? A. Lanugo B. Bradycardia C. Enamel erosion D. Hypothermia Answer: C. Enamel erosion 10. A client with anorexia nervosa begins nutritional rehabilitation. Which complication is most important to monitor initially? A. Hypernatremia B. Refeeding syndrome C. Hypercalcemia D. Elevated liver enzymes Answer: B. Refeeding syndrome 11. Which neurotransmitter systems are most implicated in eating disorders? A. Acetylcholine and GABA B. Dopamine and serotonin C. Histamine and glutamate D. Norepinephrine and epinephrine Answer: B. Dopamine and serotonin 12. Which client statement reflects a core cognitive distortion seen in anorexia nervosa? A. “I feel anxious after eating.” B. “I need to be perfect in everything I do.” C. “I am overweight even though others say I am too thin.” D. “I exercise to reduce stress.” Answer: C. Distorted body perception 13. Which of the following is a primary indication for inpatient hospitalization in anorexia nervosa? A. Mild weight loss B. Family conflict C. Severe electrolyte imbalance D. Poor insight Answer: C. Severe electrolyte imbalance 14. Which behavior is most characteristic of anorexia nervosa? A. Binge eating followed by purging B. Restrictive intake with excessive exercise C. Emotional eating during stress D. Nighttime overeating Answer: B. Restrictive intake with excessive exercise 15. Which comorbid condition is most commonly treated pharmacologically in anorexia nervosa? A. Psychosis B. Bipolar disorder C. Depression D. ADHD Answer: C. Depression 16. A 16-year-old female with anorexia nervosa presents with