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RASMUSSEN MENTAL HEALTH EXAM 2: LATEST VERSION
WITH VERIFIED QUESTIONS AND ACCURATE, DETAILED
ANSWERS FROM TRUSTED SOURCES.
1. Which nursing diagnosis supports the psychoanalytic theory of development
of major depressive disorder? - ANSWER Social isolation R/T self directed
danger
2. Which patient is at the highest risk for the diagnosis of major depressive
disorder? - ANSWER 24 yr old married woman
3. A patient diagnosed with MDD is being considered for ECT. Which patient
teaching should the nurse prioritize? - ANSWER Discuss with the patient
and family expected short term memory loss
4. Which nursing intervention takes priority when working with a newly
admitted patient experiencing suicidal ideations? - ANSWER Monitor the
patient at a close, but irregular intervals.
5. A patient diagnosed with major depressive disorder is prescribed Nardil.
Which teachings should the nurse prioritize? - ANSWER Intruct the patient
& family about the many food-drug & drug-drug interactions?
6. What symptoms would the nurse expect to assess i a patient experiencing
serotonin syndrome? - ANSWER Confusion, restlessness, Tachycardia,
Labile BP, & diaphoresis
,MEDSTUDY.COM
7. Which of the following meds would be classified as Tricyclic
antidepressants? - ANSWER Nortriptyline (Pamelor)
8. Which of the following are examples of anticholinergic side effects from
tricyclic antidepressants? - ANSWER Urinary hesitancy, constipation, and
blurred vision
9. A patient seen in the ED is experiencing irritability, pressured speech, and
increased levels of anxiety. The priority is? - ANSWER Assess vital signs
and complete a physical assessment
10. A patient diagnosed with bipolar 1 in the manic phase is yelling at another
peer in the milieu. The priority intervention is? - ANSWER Calmly redirect
and remove the patient from the milieu.
11. A patient diagnosed with bipolar 1 is experiencing auditory hallucinations
and a flight of ideas. Which meds would you expect to give? - ANSWER
Risperidone (Risperdal) & Lamotrigine (Lamictal)
12. A patient prescribed Lithium is experiencing excessive output of dilute
urine, tremors and muscular irritability. The RN should? - ANSWER Assess
a serum Lithium level of 2.6mEq/L
13. A patient is newly prescribed Lithium carbonate. Which teaching point by
the nurse takes priority? - ANSWER Make sure your salt intake is
consistent.
,MEDSTUDY.COM
14. Which is an example of an behavioral response to a moderate level of
anxiety? - ANSWER Restlessness
15. Which is an example of a physiological response to a panic level of anxiety?
- ANSWER Dilated pupils.
16. A newly admitted patient is diagnosed with PTSD. Which behavioral
symptoms would the nurse expect to assess? - ANSWER Diminished
participation in significant activities.
17. A patient on an in patient unit is experiencing a flash back. Which
intervention takes priority? - ANSWER Maintain and reassure the patient of
his or her safety and security
18. Patienta diagnosed with OCD, Commonly use which defense mechanism? -
ANSWER Undoing
19. A patient diagnosed with OCD, Which behavioral symptoms would the RN
expect to assess? - ANSWER The patient uses excessive hand washing to
relieve anxiety.
20. These meds can be used to treat patients with anxiety disorders: Catapres,
Luvox, Buspar, and Xanax? - ANSWER True
21. Resperidone is to hallucinations as Clonazepam is to ? - ANSWER Anxiety
22. Although symptoms of schizophrenia occur at various times in the life span,
what patient would more likely be diagnosed? - ANSWER A 20 yr old man
, MEDSTUDY.COM
23. The children saying "step on a crack and you break mothers back" is an
example of which type of thinking? - ANSWER Magical thinking
24. The nurse documents that a patient diagnosed with schizophrenia is
expressing a flat affect? What is an example of this symptom? - ANSWER
The patient exhibits no emotional expressions
25. A patient is experiencing paranoid thinking. Which intervention would aid in
facilitating other interventions? - ANSWER Assign consistent staff members
26. Which atypical anti-psychotic med has the highest potential for a patient to
experience serious side effects? - ANSWER Clozapine (Clozaril)
27. A patient with schizophrenia says "We can pan, scan, ran, plan". The nurse
identifies this as? - ANSWER Clang association
28. A schizophrenic patient began taking haldol 1 week ago and is now
exhibiting jerking movements of the neck and mouth. This is? - ANSWER
Dystonia
29. A nursing care plan for a hospitalized patient who is hyperactive in a manic
episode must include? - ANSWER attention to adequate fluid and food
intake
30. An example of a situation crisis is - ANSWER death of a loved one
RASMUSSEN MENTAL HEALTH EXAM 2: LATEST VERSION
WITH VERIFIED QUESTIONS AND ACCURATE, DETAILED
ANSWERS FROM TRUSTED SOURCES.
1. Which nursing diagnosis supports the psychoanalytic theory of development
of major depressive disorder? - ANSWER Social isolation R/T self directed
danger
2. Which patient is at the highest risk for the diagnosis of major depressive
disorder? - ANSWER 24 yr old married woman
3. A patient diagnosed with MDD is being considered for ECT. Which patient
teaching should the nurse prioritize? - ANSWER Discuss with the patient
and family expected short term memory loss
4. Which nursing intervention takes priority when working with a newly
admitted patient experiencing suicidal ideations? - ANSWER Monitor the
patient at a close, but irregular intervals.
5. A patient diagnosed with major depressive disorder is prescribed Nardil.
Which teachings should the nurse prioritize? - ANSWER Intruct the patient
& family about the many food-drug & drug-drug interactions?
6. What symptoms would the nurse expect to assess i a patient experiencing
serotonin syndrome? - ANSWER Confusion, restlessness, Tachycardia,
Labile BP, & diaphoresis
,MEDSTUDY.COM
7. Which of the following meds would be classified as Tricyclic
antidepressants? - ANSWER Nortriptyline (Pamelor)
8. Which of the following are examples of anticholinergic side effects from
tricyclic antidepressants? - ANSWER Urinary hesitancy, constipation, and
blurred vision
9. A patient seen in the ED is experiencing irritability, pressured speech, and
increased levels of anxiety. The priority is? - ANSWER Assess vital signs
and complete a physical assessment
10. A patient diagnosed with bipolar 1 in the manic phase is yelling at another
peer in the milieu. The priority intervention is? - ANSWER Calmly redirect
and remove the patient from the milieu.
11. A patient diagnosed with bipolar 1 is experiencing auditory hallucinations
and a flight of ideas. Which meds would you expect to give? - ANSWER
Risperidone (Risperdal) & Lamotrigine (Lamictal)
12. A patient prescribed Lithium is experiencing excessive output of dilute
urine, tremors and muscular irritability. The RN should? - ANSWER Assess
a serum Lithium level of 2.6mEq/L
13. A patient is newly prescribed Lithium carbonate. Which teaching point by
the nurse takes priority? - ANSWER Make sure your salt intake is
consistent.
,MEDSTUDY.COM
14. Which is an example of an behavioral response to a moderate level of
anxiety? - ANSWER Restlessness
15. Which is an example of a physiological response to a panic level of anxiety?
- ANSWER Dilated pupils.
16. A newly admitted patient is diagnosed with PTSD. Which behavioral
symptoms would the nurse expect to assess? - ANSWER Diminished
participation in significant activities.
17. A patient on an in patient unit is experiencing a flash back. Which
intervention takes priority? - ANSWER Maintain and reassure the patient of
his or her safety and security
18. Patienta diagnosed with OCD, Commonly use which defense mechanism? -
ANSWER Undoing
19. A patient diagnosed with OCD, Which behavioral symptoms would the RN
expect to assess? - ANSWER The patient uses excessive hand washing to
relieve anxiety.
20. These meds can be used to treat patients with anxiety disorders: Catapres,
Luvox, Buspar, and Xanax? - ANSWER True
21. Resperidone is to hallucinations as Clonazepam is to ? - ANSWER Anxiety
22. Although symptoms of schizophrenia occur at various times in the life span,
what patient would more likely be diagnosed? - ANSWER A 20 yr old man
, MEDSTUDY.COM
23. The children saying "step on a crack and you break mothers back" is an
example of which type of thinking? - ANSWER Magical thinking
24. The nurse documents that a patient diagnosed with schizophrenia is
expressing a flat affect? What is an example of this symptom? - ANSWER
The patient exhibits no emotional expressions
25. A patient is experiencing paranoid thinking. Which intervention would aid in
facilitating other interventions? - ANSWER Assign consistent staff members
26. Which atypical anti-psychotic med has the highest potential for a patient to
experience serious side effects? - ANSWER Clozapine (Clozaril)
27. A patient with schizophrenia says "We can pan, scan, ran, plan". The nurse
identifies this as? - ANSWER Clang association
28. A schizophrenic patient began taking haldol 1 week ago and is now
exhibiting jerking movements of the neck and mouth. This is? - ANSWER
Dystonia
29. A nursing care plan for a hospitalized patient who is hyperactive in a manic
episode must include? - ANSWER attention to adequate fluid and food
intake
30. An example of a situation crisis is - ANSWER death of a loved one
