Rasmussen: Mental Health Exam 2
Complete set with Questions and
100% correct and verified Answers
the warehouse at work. The term "volmers" should be documented as - correct answer-
neologism
✅
1) A patient with schizophrenia begins to talks about "volmers" or about "frangularity" hiding in
-A
2) A patient with suicidal impulses is placed on the highest level of suicide precautions. Which
than one answer is correct.) - correct answer-
observation around the clock.
✅
measures should be incorporated into the plan of care by the nurse caring for the patient? (More
A.Maintain arm's-length, one-on-one nursing
b. Allow no glass or metal on meal trays.
f. Remove all potentially harmful objects from the patient's possession.
3) A patient diagnosed with schizophrenia anxiously says, "I can see the left side of my body
nurse should: - correct answer- ✅
merging with the wall, then my face appears and disappears in the mirror." While listening, the
maintain a normal social interaction distance from the patient.
the acute phase of the illness? - correct answer- ✅
4) Which statement indicates a patient with major depression is most likely outlook on life during
During an acute phase of major depression,
the client may feel worthless and deserve bad things to happen personally.
5) A patient diagnosed with bipolar disorder is in the maintenance phase of treatment. The
the nurse's appropriate response. - correct answer-
helps reduce the risk of a relapse."
✅
patient asks, "Do I have to keep taking this lithium even though my mood is stable now?" Select
b. "Taking the medication every day
6) A person has had difficulty keeping a job because of arguing with co-workers and accusing
Select the nurse's most therapeutic response. - correct answer-
to destroy you must be very frightening."
✅
them of conspiracy. Today the person shouts, "They're all plotting to destroy me. Isn't that true?"
b. "Feeling that people want
7) A patient is undergoing a series of diagnostic tests. The patient says, "Nothing is wrong with
me except a stubborn chest cold." The spouse reports the patient smokes and coughs a lot, has
answer- ✅
lost 15 pounds, and is easily fatigued. Which defense mechanism is the patient using? - correct
Denial
8) A cab driver, stuck in traffic, becomes lightheaded, tremulous, diaphoretic, tachycardia and
dyspneic. A workup in an emergency department reveals no pathology. Which medical
priority? - correct answer-✅
diagnosis should a nurse suspect, and what nursing diagnosis should be the nurse's first
Panic disorder and a nursing diagnosis of anxiety
9) The nurse is providing health teaching for a patient who has been prescribed Phenelzine
(Nardil) for depression and provides a written list of foods that should not be eaten while taking
restrictions? - correct answer-✅
this medication. What is the potential problem if the patient is not compliant with these dietary
✅
hypertensive crisis
foods with tyramine in it - correct answer- Aged meats or aged cheeses, protein extracts,
sour cream, alcohol, anchovies, liver, sausages, overripe figs, bananas, avocados, chocolate,
soy sauce, bean curd, natural yogurt, fava beans—tyramine-containing foods—may precipitate
hypertensive crisis. Avoid chocolate or caffeine.
Herbal: Ginseng, ephedra, ma huang, St. John's wort may cause hypertensive crisis.
✅
For depression that is refractory to TCAs. Avoid certain foods such as - correct answer-
cheese, sour cream, wine, beer, figs, anchovies, shrimp, bananas, and chocolate, and avoid
drugs (e.g., TCAs).
, Risk for hypertensive crisis:
Avoid self-medication. WHY? - correct answer- ✅ OTC preparations containing
dextromethorphan, sympathomimetic agents, or antihistamines (e.g., cough, cold, and hay fever
remedies, appetite suppressants) can precipitate severe hypertensive reactions if taken during
therapy or within 2-3 wk after discontinuation of an MAO inhibitor.
10) Which piece of subjective data obtained during the nurse's psychosocial assessment of a
disorder? - correct answer-✅
client experiencing severe anxiety would indicate the possibility of obsessive-compulsive
a. "I have to keep checking to see where my car keys are."
of psychosis. The nurse looks for a decrease in which of the following? - correct answer-
Affective flattening.
✅
11) The nurse is evaluating the effectiveness of psychotropic medication on negative symptoms
A:
11) The nurse is evaluating the effectiveness of an antipsychotic on negative symptoms of
psychosis? - correct answer-
Poverty of thought
✅
psychosis. Which of the following symptoms would be classified as negative symptoms of
Blunted affect
Loss of motivation
Inability to experience pleasure or joy
12) A 39-year-old woman is recently divorced and is learning to cope with additional stressors.
manage her stress? (Select all that apply). - correct answer-
physical activity.
✅
Which of the following best demonstrate(s) that she is utilizing positive coping strategies to
3. control stress by increased
4. change her reactions to stress with cognitive behavioral
therapy.
illness who is homeless - correct answer- ✅
13) Which nursing diagnosis is likely to apply to an individual with severe and persistent mental
Chronic low self-esteem
14) A patient with depression is receiving imipramine (Tofranil) 200 mg every night at bedtime.
✅
Which assessment finding would prompt the nurse to collaborate with the health care provider
regarding potentially hazardous side effects of this - correct answer- Urinary retention
completing suicide? - correct answer-
prostate gland.
✅
15) Which individual in the emergency department should be considered at the highest risk for
d. A 79-year-old single white man with cancer of the
16) The nurse is caring for a patient who takes antipsychotic medications and has developed
muscle rigidity, hyperpyrexia, diaphoresis, and drooling. Which of the following adverse effects
✅
of antipsychotic educations is most likely causing these symptoms? - correct answer-
Neuroleptic malignant syndrome
17) A patient with catatonic schizophrenia exhibits little spontaneous movement and
✅
demonstrates waxy flexibility. Which patient needs are of priority importance - correct answer-
Physiologic
18) A nurse works with a patient with paranoid schizophrenia regarding the importance of
medication management. The patient repeatedly says, "I don't like taking pills." Family members
with the health care provider? - correct answer-
preparation
✅
say they feel helpless to foster compliance. Which treatment strategy should the nurse discuss
Use of a long-acting antipsychotic
mania has been effective? - correct answer-
matches; participates in activities."
✅
19) Which documentation indicates that the treatment plan for a patient diagnosed with acute
Converses with few interruptions; clothing
correct answer- ✅
20) A priority nursing intervention for a patient diagnosed with major depressive disorder is -
carefully and inconspicuously observing the patient around the clock.
Complete set with Questions and
100% correct and verified Answers
the warehouse at work. The term "volmers" should be documented as - correct answer-
neologism
✅
1) A patient with schizophrenia begins to talks about "volmers" or about "frangularity" hiding in
-A
2) A patient with suicidal impulses is placed on the highest level of suicide precautions. Which
than one answer is correct.) - correct answer-
observation around the clock.
✅
measures should be incorporated into the plan of care by the nurse caring for the patient? (More
A.Maintain arm's-length, one-on-one nursing
b. Allow no glass or metal on meal trays.
f. Remove all potentially harmful objects from the patient's possession.
3) A patient diagnosed with schizophrenia anxiously says, "I can see the left side of my body
nurse should: - correct answer- ✅
merging with the wall, then my face appears and disappears in the mirror." While listening, the
maintain a normal social interaction distance from the patient.
the acute phase of the illness? - correct answer- ✅
4) Which statement indicates a patient with major depression is most likely outlook on life during
During an acute phase of major depression,
the client may feel worthless and deserve bad things to happen personally.
5) A patient diagnosed with bipolar disorder is in the maintenance phase of treatment. The
the nurse's appropriate response. - correct answer-
helps reduce the risk of a relapse."
✅
patient asks, "Do I have to keep taking this lithium even though my mood is stable now?" Select
b. "Taking the medication every day
6) A person has had difficulty keeping a job because of arguing with co-workers and accusing
Select the nurse's most therapeutic response. - correct answer-
to destroy you must be very frightening."
✅
them of conspiracy. Today the person shouts, "They're all plotting to destroy me. Isn't that true?"
b. "Feeling that people want
7) A patient is undergoing a series of diagnostic tests. The patient says, "Nothing is wrong with
me except a stubborn chest cold." The spouse reports the patient smokes and coughs a lot, has
answer- ✅
lost 15 pounds, and is easily fatigued. Which defense mechanism is the patient using? - correct
Denial
8) A cab driver, stuck in traffic, becomes lightheaded, tremulous, diaphoretic, tachycardia and
dyspneic. A workup in an emergency department reveals no pathology. Which medical
priority? - correct answer-✅
diagnosis should a nurse suspect, and what nursing diagnosis should be the nurse's first
Panic disorder and a nursing diagnosis of anxiety
9) The nurse is providing health teaching for a patient who has been prescribed Phenelzine
(Nardil) for depression and provides a written list of foods that should not be eaten while taking
restrictions? - correct answer-✅
this medication. What is the potential problem if the patient is not compliant with these dietary
✅
hypertensive crisis
foods with tyramine in it - correct answer- Aged meats or aged cheeses, protein extracts,
sour cream, alcohol, anchovies, liver, sausages, overripe figs, bananas, avocados, chocolate,
soy sauce, bean curd, natural yogurt, fava beans—tyramine-containing foods—may precipitate
hypertensive crisis. Avoid chocolate or caffeine.
Herbal: Ginseng, ephedra, ma huang, St. John's wort may cause hypertensive crisis.
✅
For depression that is refractory to TCAs. Avoid certain foods such as - correct answer-
cheese, sour cream, wine, beer, figs, anchovies, shrimp, bananas, and chocolate, and avoid
drugs (e.g., TCAs).
, Risk for hypertensive crisis:
Avoid self-medication. WHY? - correct answer- ✅ OTC preparations containing
dextromethorphan, sympathomimetic agents, or antihistamines (e.g., cough, cold, and hay fever
remedies, appetite suppressants) can precipitate severe hypertensive reactions if taken during
therapy or within 2-3 wk after discontinuation of an MAO inhibitor.
10) Which piece of subjective data obtained during the nurse's psychosocial assessment of a
disorder? - correct answer-✅
client experiencing severe anxiety would indicate the possibility of obsessive-compulsive
a. "I have to keep checking to see where my car keys are."
of psychosis. The nurse looks for a decrease in which of the following? - correct answer-
Affective flattening.
✅
11) The nurse is evaluating the effectiveness of psychotropic medication on negative symptoms
A:
11) The nurse is evaluating the effectiveness of an antipsychotic on negative symptoms of
psychosis? - correct answer-
Poverty of thought
✅
psychosis. Which of the following symptoms would be classified as negative symptoms of
Blunted affect
Loss of motivation
Inability to experience pleasure or joy
12) A 39-year-old woman is recently divorced and is learning to cope with additional stressors.
manage her stress? (Select all that apply). - correct answer-
physical activity.
✅
Which of the following best demonstrate(s) that she is utilizing positive coping strategies to
3. control stress by increased
4. change her reactions to stress with cognitive behavioral
therapy.
illness who is homeless - correct answer- ✅
13) Which nursing diagnosis is likely to apply to an individual with severe and persistent mental
Chronic low self-esteem
14) A patient with depression is receiving imipramine (Tofranil) 200 mg every night at bedtime.
✅
Which assessment finding would prompt the nurse to collaborate with the health care provider
regarding potentially hazardous side effects of this - correct answer- Urinary retention
completing suicide? - correct answer-
prostate gland.
✅
15) Which individual in the emergency department should be considered at the highest risk for
d. A 79-year-old single white man with cancer of the
16) The nurse is caring for a patient who takes antipsychotic medications and has developed
muscle rigidity, hyperpyrexia, diaphoresis, and drooling. Which of the following adverse effects
✅
of antipsychotic educations is most likely causing these symptoms? - correct answer-
Neuroleptic malignant syndrome
17) A patient with catatonic schizophrenia exhibits little spontaneous movement and
✅
demonstrates waxy flexibility. Which patient needs are of priority importance - correct answer-
Physiologic
18) A nurse works with a patient with paranoid schizophrenia regarding the importance of
medication management. The patient repeatedly says, "I don't like taking pills." Family members
with the health care provider? - correct answer-
preparation
✅
say they feel helpless to foster compliance. Which treatment strategy should the nurse discuss
Use of a long-acting antipsychotic
mania has been effective? - correct answer-
matches; participates in activities."
✅
19) Which documentation indicates that the treatment plan for a patient diagnosed with acute
Converses with few interruptions; clothing
correct answer- ✅
20) A priority nursing intervention for a patient diagnosed with major depressive disorder is -
carefully and inconspicuously observing the patient around the clock.
