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Exam (elaborations)

Rasmussen Mental Health Exam 2 Study Guide 2026 | Psychiatric Nursing Exam Review

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Rasmussen Mental Health Exam 2 Study Guide 2026 | Psychiatric Nursing Exam Review

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Rasmussen: Mental Health Exam 2 ,./ ,./ ,./ ,./




ANS: A ,./




-
A neologism is a newly coined word having special meaning t
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


o the patient. "Volmer" is not a known common noun.
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./



- Concrete thinking refers to the inability to think abstractly.
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./



-
Thought insertion refers to thoughts of others that are implante
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


d in one's mind.
,./ ,./ ,./ ,./



-
An idea of reference is a type of delusion in which trivial even
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


ts are given personal significance. - correct answer ✔ ✔
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


1) A patient with schizophrenia begins to talks about "volmer
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


s" hiding in the warehouse at work. The term "volmers" should
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,.


be documented as:
/ ,./ ,./

,a. neologism
,./ ,./



b. concrete thinking
,./ ,./ ,./



c. thought insertion
,./ ,./ ,./



d. idea of reference
,./ ,./ ,./




ANS: A, B, F ,./ ,./ ,./




One-on-
one observation is necessary for anyone who has limited contro
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


l over suicidal impulses.
,./ ,./ ,./ ,./




-
Plastic dishes on trays and the removal of potentially harmful
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


objects from the patient's possession are measures included in a
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


ny-level suicide precautions. ,./ ,./ ,./




The remaining options are used in less stringent levels of suicid
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


e precautions. - correct answer ✔ ✔
,./ ,./ ,./ ,./ ,./


2) A patient with suicidal impulses is placed on the highest le
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


vel of suicide precautions. Which measures should be incorpora
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./

,ted into the plan of care by the nurse caring for the patient? (M
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


ore than one answer is correct.)
,./ ,./ ,./ ,./ ,./




a. Maintain arm's-length, one-on-
,./ ,./ ,./


one nursing observation around the clock.
,./ ,./ ,./ ,./ ,./



b. Allow no glass or metal on meal trays.
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./



c. Keep patient within visual range while awake. Check every
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


15 to 30 minutes while the patient is sleeping.
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./



d. Check the patient's whereabouts every 15 minutes and make
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


frequent verbal contacts. ,./ ,./



e. Check whereabouts every hour. Make verbal contact at least
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


three times each shift.,./ ,./ ,./



f. Remove all potentially harmful objects from the patient's pos
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


session.


ANS: D ,./




The patient is describing phenomena that indicate personal bou
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


ndary difficulties. The nurse should maintain an appropriate soc
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


ial distance and not touch the patient, because the patient is anx
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


ious about the inability to maintain ego boundaries and mergin
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


g with or being swallowed by the environment. Physical closen
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./

, ess or touch could precipitate panic. - correct answer ✔ ✔
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


3) A patient diagnosed with schizophrenia anxiously says, "I
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


can see the left side of my body merging with the wall, then m
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


y face appears and disappears in the mirror." While listening, t
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


he nurse should:
,./ ,./




a. sit close to the patient.
,./ ,./ ,./ ,./ ,./ ,./



b. place an arm protectively around the patient's shoulders.
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./



c. place a hand on the patient's arm and exert light pressure.
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./



d. maintain a normal social interaction distance from the patien
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


t.


During an acute phase of major depression, the client may feel
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


worthless and deserve bad things to happen personally. - ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


correct answer ✔ ✔
,./ ,./ ,./


4) Which statement indicates a patient with major depression
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


is most likely outlook on life during the acute phase of the illne
,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./ ,./


ss?


ANS: B ,./ ,./

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