Rasmussen: Mental Health Exam 2
Latest Version(Updated 2026)
with complete solution
Terms in this set (102)
1) A patient with schizophrenia begins to - A neologism
talks about "volmers" or about "frangularity"
hiding in the warehouse at work. The term
"volmers" should be documented as
2) A patient with suicidal impulses is placed A.Maintain arm's-length, one-on-one nursing observation
on the highest level of suicide precautions. around the clock.
Which measures should be incorporated b. Allow no glass or metal on meal trays.
into the plan of care by the nurse caring for f. Remove all potentially harmful objects from the
the patient? (More than one answer is patient's possession.
correct.)
3) A patient diagnosed with schizophrenia maintain a normal social interaction distance from the patient.
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:
, 4) Which statement indicates a patient with During an acute phase of major depression, the client
major depression is most likely outlook on may feel worthless and deserve bad things to happen
life during the acute phase of the personally.
illness?
5) A patient diagnosed with bipolar disorder b. "Taking the medication every day helps reduce the risk of
is in the maintenance phase of treatment. a relapse."
The patient asks, "Do I have to keep taking
this lithium even though my mood is stable
now?" Select the nurse's appropriate
response.
6) A person has had difficulty keeping a job b. "Feeling that people want to destroy you must be very
because of arguing with co-workers and frightening."
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.
7) A patient is undergoing a series of Denial
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?
8) A cab driver, stuck in traffic, becomes Panic disorder and a nursing diagnosis of anxiety
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?
9) The nurse is providing health teaching hypertensive crisis
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?
foods with tyramine in it 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. cheese, sour cream, wine, beer, figs, anchovies, shrimp,
Avoid certain foods such as bananas, and chocolate, and avoid drugs (e.g., TCAs).
Latest Version(Updated 2026)
with complete solution
Terms in this set (102)
1) A patient with schizophrenia begins to - A neologism
talks about "volmers" or about "frangularity"
hiding in the warehouse at work. The term
"volmers" should be documented as
2) A patient with suicidal impulses is placed A.Maintain arm's-length, one-on-one nursing observation
on the highest level of suicide precautions. around the clock.
Which measures should be incorporated b. Allow no glass or metal on meal trays.
into the plan of care by the nurse caring for f. Remove all potentially harmful objects from the
the patient? (More than one answer is patient's possession.
correct.)
3) A patient diagnosed with schizophrenia maintain a normal social interaction distance from the patient.
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:
, 4) Which statement indicates a patient with During an acute phase of major depression, the client
major depression is most likely outlook on may feel worthless and deserve bad things to happen
life during the acute phase of the personally.
illness?
5) A patient diagnosed with bipolar disorder b. "Taking the medication every day helps reduce the risk of
is in the maintenance phase of treatment. a relapse."
The patient asks, "Do I have to keep taking
this lithium even though my mood is stable
now?" Select the nurse's appropriate
response.
6) A person has had difficulty keeping a job b. "Feeling that people want to destroy you must be very
because of arguing with co-workers and frightening."
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.
7) A patient is undergoing a series of Denial
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?
8) A cab driver, stuck in traffic, becomes Panic disorder and a nursing diagnosis of anxiety
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?
9) The nurse is providing health teaching hypertensive crisis
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?
foods with tyramine in it 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. cheese, sour cream, wine, beer, figs, anchovies, shrimp,
Avoid certain foods such as bananas, and chocolate, and avoid drugs (e.g., TCAs).
