RASMUSSEN: MENTAL
HEALTH EXAM 2 WITH
COMPLETE QUESTION
AND ANWERS
confirmltd
,1) A patient with schizophrenia begins to talks about "volmers" or about
"frangularity" hiding in the warehouse at work. The term "volmers" should be
documented as - correct ans:- A neologism
2) A patient with suicidal impulses is placed on the highest level of suicide
precautions. Which measures should be incorporated into the plan of care by
the nurse caring for the patient? (More than one answer is correct.) - correct
ans:A.Maintain arm's-length, one-on-one nursing observation around the
clock.
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 merging with the wall, then my face appears and disappears
in the mirror." While listening, the nurse should: - correct ans:maintain a
normal social interaction distance from the patient.
4) Which statement indicates a patient with major depression is most likely
outlook on life during the acute phase of the illness? - correct ans: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 patient asks, "Do I have to keep taking this lithium even
though my mood is stable now?" Select the nurse's appropriate response. -
correct ans:b. "Taking the medication every day helps reduce the risk of a
relapse."
6) A person has had difficulty keeping a job because of arguing with co-
workers and accusing them of conspiracy. Today the person shouts, "They're
all plotting to destroy me. Isn't that true?" Select the nurse's most
therapeutic response. - correct ans:b. "Feeling that people want to destroy
you must be very frightening."
,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 lost 15 pounds, and is easily
fatigued. Which defense mechanism is the patient using? - correct ans: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 diagnosis should a nurse suspect, and what
nursing diagnosis should be the nurse's first priority? - correct ans: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 this medication. What is the
potential problem if the patient is not compliant with these dietary
restrictions? - correct ans:hypertensive crisis
foods with tyramine in it - correct ans: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
ans: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 ans: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 client experiencing severe anxiety would indicate the
possibility of obsessive-compulsive disorder? - correct ans:a. "I have to keep
checking to see where my car keys are."
11) The nurse is evaluating the effectiveness of psychotropic medication on
negative symptoms of psychosis. The nurse looks for a decrease in which of
the following? - correct ans:A: Affective flattening.
11) The nurse is evaluating the effectiveness of an antipsychotic on negative
symptoms of psychosis. Which of the following symptoms would be classified
as negative symptoms of psychosis? - correct ans:Blunted affect
Poverty of thought
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. Which of the following best demonstrate(s) that she is
utilizing positive coping strategies to manage her stress? (Select all that
apply). - correct ans:3. control stress by increased physical activity.
4. change her reactions to stress with cognitive behavioral
therapy.
13) Which nursing diagnosis is likely to apply to an individual with severe and
persistent mental illness who is homeless - correct ans:Chronic low self-
esteem
HEALTH EXAM 2 WITH
COMPLETE QUESTION
AND ANWERS
confirmltd
,1) A patient with schizophrenia begins to talks about "volmers" or about
"frangularity" hiding in the warehouse at work. The term "volmers" should be
documented as - correct ans:- A neologism
2) A patient with suicidal impulses is placed on the highest level of suicide
precautions. Which measures should be incorporated into the plan of care by
the nurse caring for the patient? (More than one answer is correct.) - correct
ans:A.Maintain arm's-length, one-on-one nursing observation around the
clock.
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 merging with the wall, then my face appears and disappears
in the mirror." While listening, the nurse should: - correct ans:maintain a
normal social interaction distance from the patient.
4) Which statement indicates a patient with major depression is most likely
outlook on life during the acute phase of the illness? - correct ans: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 patient asks, "Do I have to keep taking this lithium even
though my mood is stable now?" Select the nurse's appropriate response. -
correct ans:b. "Taking the medication every day helps reduce the risk of a
relapse."
6) A person has had difficulty keeping a job because of arguing with co-
workers and accusing them of conspiracy. Today the person shouts, "They're
all plotting to destroy me. Isn't that true?" Select the nurse's most
therapeutic response. - correct ans:b. "Feeling that people want to destroy
you must be very frightening."
,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 lost 15 pounds, and is easily
fatigued. Which defense mechanism is the patient using? - correct ans: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 diagnosis should a nurse suspect, and what
nursing diagnosis should be the nurse's first priority? - correct ans: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 this medication. What is the
potential problem if the patient is not compliant with these dietary
restrictions? - correct ans:hypertensive crisis
foods with tyramine in it - correct ans: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
ans: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 ans: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 client experiencing severe anxiety would indicate the
possibility of obsessive-compulsive disorder? - correct ans:a. "I have to keep
checking to see where my car keys are."
11) The nurse is evaluating the effectiveness of psychotropic medication on
negative symptoms of psychosis. The nurse looks for a decrease in which of
the following? - correct ans:A: Affective flattening.
11) The nurse is evaluating the effectiveness of an antipsychotic on negative
symptoms of psychosis. Which of the following symptoms would be classified
as negative symptoms of psychosis? - correct ans:Blunted affect
Poverty of thought
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. Which of the following best demonstrate(s) that she is
utilizing positive coping strategies to manage her stress? (Select all that
apply). - correct ans:3. control stress by increased physical activity.
4. change her reactions to stress with cognitive behavioral
therapy.
13) Which nursing diagnosis is likely to apply to an individual with severe and
persistent mental illness who is homeless - correct ans:Chronic low self-
esteem
