Rasmussen: Mental Health Exam 2 questions with
verified answers
. A client diagnosed with nyctophobia has recently started systematic
desensitization therapy. The nurse understands this therapy will help the client
through which of the following techniques? Ans✓✓✓ The client will gradually be
exposed to the situation until they do not experience panic level anxiety
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 Ans✓✓✓ - A neologism
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? Ans✓✓✓ a. "I have to keep checking to see
where my car keys are."
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? Ans✓✓✓ Blunted affect
Poverty of thought
Loss of motivation
Inability to experience pleasure or joy
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? Ans✓✓✓ A: Affective flattening.
,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).
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 Ans✓✓✓ 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 Ans✓✓✓ Urinary retention
15) Which individual in the emergency department should be considered at the
highest risk for completing suicide? Ans✓✓✓ d. A 79-year-old single white man
with cancer of the prostate gland.
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? Ans✓✓✓ Neuroleptic malignant syndrome
17) A patient with catatonic schizophrenia exhibits little spontaneous movement
and demonstrates waxy flexibility. Which patient needs are of priority importance
Ans✓✓✓ 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 say they feel helpless to foster compliance. Which
treatment strategy should the nurse discuss with the health care provider?
Ans✓✓✓ Use of a long-acting antipsychotic preparation
19) Which documentation indicates that the treatment plan for a patient
diagnosed with acute mania has been effective? Ans✓✓✓ Converses with few
interruptions; clothing matches; participates in activities."
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.) 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.
20) A priority nursing intervention for a patient diagnosed with major depressive
disorder is Ans✓✓✓ carefully and inconspicuously observing the patient around
the clock.
21) A nurse plans health teaching for a patient with generalized anxiety disorder
who begins a new prescription for lorazepam (Ativan). What information should
be included? (Select all that apply). Ans✓✓✓ a. Caution in use of machinery
c. The importance of caffeine restriction
d. Avoidance of alcohol and other sedatives
22) A patient is experiencing moderate anxiety. The nurse encourages the patient
to talk about feelings and concerns. What is the rationale for this intervention?
verified answers
. A client diagnosed with nyctophobia has recently started systematic
desensitization therapy. The nurse understands this therapy will help the client
through which of the following techniques? Ans✓✓✓ The client will gradually be
exposed to the situation until they do not experience panic level anxiety
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 Ans✓✓✓ - A neologism
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? Ans✓✓✓ a. "I have to keep checking to see
where my car keys are."
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? Ans✓✓✓ Blunted affect
Poverty of thought
Loss of motivation
Inability to experience pleasure or joy
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? Ans✓✓✓ A: Affective flattening.
,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).
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 Ans✓✓✓ 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 Ans✓✓✓ Urinary retention
15) Which individual in the emergency department should be considered at the
highest risk for completing suicide? Ans✓✓✓ d. A 79-year-old single white man
with cancer of the prostate gland.
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? Ans✓✓✓ Neuroleptic malignant syndrome
17) A patient with catatonic schizophrenia exhibits little spontaneous movement
and demonstrates waxy flexibility. Which patient needs are of priority importance
Ans✓✓✓ 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 say they feel helpless to foster compliance. Which
treatment strategy should the nurse discuss with the health care provider?
Ans✓✓✓ Use of a long-acting antipsychotic preparation
19) Which documentation indicates that the treatment plan for a patient
diagnosed with acute mania has been effective? Ans✓✓✓ Converses with few
interruptions; clothing matches; participates in activities."
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.) 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.
20) A priority nursing intervention for a patient diagnosed with major depressive
disorder is Ans✓✓✓ carefully and inconspicuously observing the patient around
the clock.
21) A nurse plans health teaching for a patient with generalized anxiety disorder
who begins a new prescription for lorazepam (Ativan). What information should
be included? (Select all that apply). Ans✓✓✓ a. Caution in use of machinery
c. The importance of caffeine restriction
d. Avoidance of alcohol and other sedatives
22) A patient is experiencing moderate anxiety. The nurse encourages the patient
to talk about feelings and concerns. What is the rationale for this intervention?
