RASMUSSEN: MENTAL HEALTH EXAM 2 LATEST
VERSION(UPDATED 2024) WITH COMPLETE
SOLUTION
1) fA fpatient fwith fschizophrenia fbegins fto ftalks fabout f"volmers" for fabout f"frangularity"
fhiding fin fthe fwarehouse fat fwork. fThe fterm f"volmers" fshould fbe fdocumented fas f-
fanswers- fA fneologism
2) fA fpatient fwith fsuicidal fimpulses fis fplaced fon fthe fhighest flevel fof fsuicide
fprecautions. fWhich fmeasures fshould fbe fincorporated finto fthe fplan fof fcare fby fthe
fnurse fcaring ffor fthe fpatient? f(More fthan fone fanswer fis fcorrect.) f- fanswersA.Maintain
farm's-length, fone-on-one fnursing fobservation faround fthe fclock.
b. fAllow fno fglass for fmetal fon fmeal ftrays.
f. fRemove fall fpotentially fharmful fobjects ffrom fthe fpatient's fpossession.
3) fA fpatient fdiagnosed fwith fschizophrenia fanxiously fsays, f"I fcan fsee fthe fleft fside fof
fmy fbody fmerging fwith fthe fwall, fthen fmy fface fappears fand fdisappears fin fthe fmirror."
fWhile flistening, fthe fnurse fshould: f- fanswersmaintain fa fnormal fsocial finteraction
fdistance ffrom fthe fpatient.
4) fWhich fstatement findicates fa fpatient fwith fmajor fdepression fis fmost flikely foutlook
fon flife fduring fthe facute fphase fof fthe fillness? f- fanswersDuring fan facute fphase fof
fmajor fdepression, fthe fclient fmay ffeel fworthless fand fdeserve fbad fthings fto fhappen
fpersonally.
5) fA fpatient fdiagnosed fwith fbipolar fdisorder fis fin fthe fmaintenance fphase fof
ftreatment. fThe fpatient fasks, f"Do fI fhave fto fkeep ftaking fthis flithium feven fthough fmy
fmood fis fstable fnow?" fSelect fthe fnurse's fappropriate fresponse. f- fanswersb. f"Taking
fthe fmedication fevery fday fhelps freduce fthe frisk fof fa frelapse."
6) fA fperson fhas fhad fdifficulty fkeeping fa fjob fbecause fof farguing fwith fco-workers fand
faccusing fthem fof fconspiracy. fToday fthe fperson fshouts, f"They're fall fplotting fto
fdestroy fme. fIsn't fthat ftrue?" fSelect fthe fnurse's fmost ftherapeutic fresponse. f-
fanswersb. f"Feeling fthat fpeople fwant fto fdestroy fyou fmust fbe fvery ffrightening."
7) fA fpatient fis fundergoing fa fseries fof fdiagnostic ftests. fThe fpatient fsays, f"Nothing fis
fwrong fwith fme fexcept fa fstubborn fchest fcold." fThe fspouse freports fthe fpatient
fsmokes fand fcoughs fa flot, fhas flost f15 fpounds, fand fis feasily ffatigued. fWhich fdefense
fmechanism fis fthe fpatient fusing? f- fanswersDenial
8) fA fcab fdriver, fstuck fin ftraffic, fbecomes flightheaded, ftremulous, fdiaphoretic,
ftachycardia fand fdyspneic. fA fworkup fin fan femergency fdepartment freveals fno
fpathology. fWhich fmedical fdiagnosis fshould fa fnurse fsuspect, fand fwhat fnursing
fdiagnosis fshould fbe fthe fnurse's ffirst fpriority? f- fanswersPanic fdisorder fand fa fnursing
fdiagnosis fof fanxiety
, 9) fThe fnurse fis fproviding fhealth fteaching ffor fa fpatient fwho fhas fbeen fprescribed
fPhenelzine f(Nardil) ffor fdepression fand fprovides fa fwritten flist fof ffoods fthat fshould fnot
fbe featen fwhile ftaking fthis fmedication. fWhat fis fthe fpotential fproblem fif fthe fpatient fis
fnot fcompliant fwith fthese fdietary frestrictions? f- fanswershypertensive fcrisis
foods fwith ftyramine fin fit f- fanswersAged fmeats for faged fcheeses, fprotein fextracts,
fsour fcream, falcohol, fanchovies, fliver, fsausages, foverripe ffigs, fbananas, favocados,
fchocolate, fsoy fsauce, fbean fcurd, fnatural fyogurt, ffava fbeans—tyramine-containing
ffoods—may fprecipitate fhypertensive fcrisis. fAvoid fchocolate for fcaffeine. f
Herbal: fGinseng, fephedra, fma fhuang, fSt. fJohn's fwort fmay fcause fhypertensive fcrisis.
For fdepression fthat fis frefractory fto fTCAs. fAvoid fcertain ffoods fsuch fas f-
fanswerscheese, fsour fcream, fwine, fbeer, ffigs, fanchovies, fshrimp, fbananas, fand
fchocolate, fand favoid fdrugs f(e.g., fTCAs).
Risk ffor fhypertensive fcrisis:
Avoid fself-medication. fWHY? f- fanswersOTC fpreparations fcontaining
fdextromethorphan, fsympathomimetic fagents, for fantihistamines f(e.g., fcough, fcold, fand
fhay ffever fremedies, fappetite fsuppressants) fcan fprecipitate fsevere fhypertensive
freactions fif ftaken fduring ftherapy for fwithin f2-3 fwk fafter fdiscontinuation fof fan fMAO
finhibitor.
10) fWhich fpiece fof fsubjective fdata fobtained fduring fthe fnurse's fpsychosocial
fassessment fof fa fclient fexperiencing fsevere fanxiety fwould findicate fthe fpossibility fof
fobsessive-compulsive fdisorder? f- fanswersa. f"I fhave fto fkeep fchecking fto fsee fwhere
fmy fcar fkeys fare."
11) fThe fnurse fis fevaluating fthe feffectiveness fof fpsychotropic fmedication fon fnegative
fsymptoms fof fpsychosis. fThe fnurse flooks ffor fa fdecrease fin fwhich fof fthe ffollowing? f-
fanswersA: fAffective fflattening.
11) fThe fnurse fis fevaluating fthe feffectiveness fof fan fantipsychotic fon fnegative
fsymptoms fof fpsychosis. fWhich fof fthe ffollowing fsymptoms fwould fbe fclassified fas
fnegative fsymptoms fof fpsychosis? f- fanswersBlunted faffect
Poverty fof fthought
Loss fof fmotivation
Inability fto fexperience fpleasure for fjoy
12) fA f39-year-old fwoman fis frecently fdivorced fand fis flearning fto fcope fwith fadditional
fstressors. fWhich fof fthe ffollowing fbest fdemonstrate(s) fthat fshe fis futilizing fpositive
fcoping fstrategies fto fmanage fher fstress? f(Select fall fthat fapply). f- fanswers3. fcontrol
fstress fby fincreased fphysical factivity.
4. fchange fher freactions fto fstress fwith fcognitive fbehavioral
therapy.
VERSION(UPDATED 2024) WITH COMPLETE
SOLUTION
1) fA fpatient fwith fschizophrenia fbegins fto ftalks fabout f"volmers" for fabout f"frangularity"
fhiding fin fthe fwarehouse fat fwork. fThe fterm f"volmers" fshould fbe fdocumented fas f-
fanswers- fA fneologism
2) fA fpatient fwith fsuicidal fimpulses fis fplaced fon fthe fhighest flevel fof fsuicide
fprecautions. fWhich fmeasures fshould fbe fincorporated finto fthe fplan fof fcare fby fthe
fnurse fcaring ffor fthe fpatient? f(More fthan fone fanswer fis fcorrect.) f- fanswersA.Maintain
farm's-length, fone-on-one fnursing fobservation faround fthe fclock.
b. fAllow fno fglass for fmetal fon fmeal ftrays.
f. fRemove fall fpotentially fharmful fobjects ffrom fthe fpatient's fpossession.
3) fA fpatient fdiagnosed fwith fschizophrenia fanxiously fsays, f"I fcan fsee fthe fleft fside fof
fmy fbody fmerging fwith fthe fwall, fthen fmy fface fappears fand fdisappears fin fthe fmirror."
fWhile flistening, fthe fnurse fshould: f- fanswersmaintain fa fnormal fsocial finteraction
fdistance ffrom fthe fpatient.
4) fWhich fstatement findicates fa fpatient fwith fmajor fdepression fis fmost flikely foutlook
fon flife fduring fthe facute fphase fof fthe fillness? f- fanswersDuring fan facute fphase fof
fmajor fdepression, fthe fclient fmay ffeel fworthless fand fdeserve fbad fthings fto fhappen
fpersonally.
5) fA fpatient fdiagnosed fwith fbipolar fdisorder fis fin fthe fmaintenance fphase fof
ftreatment. fThe fpatient fasks, f"Do fI fhave fto fkeep ftaking fthis flithium feven fthough fmy
fmood fis fstable fnow?" fSelect fthe fnurse's fappropriate fresponse. f- fanswersb. f"Taking
fthe fmedication fevery fday fhelps freduce fthe frisk fof fa frelapse."
6) fA fperson fhas fhad fdifficulty fkeeping fa fjob fbecause fof farguing fwith fco-workers fand
faccusing fthem fof fconspiracy. fToday fthe fperson fshouts, f"They're fall fplotting fto
fdestroy fme. fIsn't fthat ftrue?" fSelect fthe fnurse's fmost ftherapeutic fresponse. f-
fanswersb. f"Feeling fthat fpeople fwant fto fdestroy fyou fmust fbe fvery ffrightening."
7) fA fpatient fis fundergoing fa fseries fof fdiagnostic ftests. fThe fpatient fsays, f"Nothing fis
fwrong fwith fme fexcept fa fstubborn fchest fcold." fThe fspouse freports fthe fpatient
fsmokes fand fcoughs fa flot, fhas flost f15 fpounds, fand fis feasily ffatigued. fWhich fdefense
fmechanism fis fthe fpatient fusing? f- fanswersDenial
8) fA fcab fdriver, fstuck fin ftraffic, fbecomes flightheaded, ftremulous, fdiaphoretic,
ftachycardia fand fdyspneic. fA fworkup fin fan femergency fdepartment freveals fno
fpathology. fWhich fmedical fdiagnosis fshould fa fnurse fsuspect, fand fwhat fnursing
fdiagnosis fshould fbe fthe fnurse's ffirst fpriority? f- fanswersPanic fdisorder fand fa fnursing
fdiagnosis fof fanxiety
, 9) fThe fnurse fis fproviding fhealth fteaching ffor fa fpatient fwho fhas fbeen fprescribed
fPhenelzine f(Nardil) ffor fdepression fand fprovides fa fwritten flist fof ffoods fthat fshould fnot
fbe featen fwhile ftaking fthis fmedication. fWhat fis fthe fpotential fproblem fif fthe fpatient fis
fnot fcompliant fwith fthese fdietary frestrictions? f- fanswershypertensive fcrisis
foods fwith ftyramine fin fit f- fanswersAged fmeats for faged fcheeses, fprotein fextracts,
fsour fcream, falcohol, fanchovies, fliver, fsausages, foverripe ffigs, fbananas, favocados,
fchocolate, fsoy fsauce, fbean fcurd, fnatural fyogurt, ffava fbeans—tyramine-containing
ffoods—may fprecipitate fhypertensive fcrisis. fAvoid fchocolate for fcaffeine. f
Herbal: fGinseng, fephedra, fma fhuang, fSt. fJohn's fwort fmay fcause fhypertensive fcrisis.
For fdepression fthat fis frefractory fto fTCAs. fAvoid fcertain ffoods fsuch fas f-
fanswerscheese, fsour fcream, fwine, fbeer, ffigs, fanchovies, fshrimp, fbananas, fand
fchocolate, fand favoid fdrugs f(e.g., fTCAs).
Risk ffor fhypertensive fcrisis:
Avoid fself-medication. fWHY? f- fanswersOTC fpreparations fcontaining
fdextromethorphan, fsympathomimetic fagents, for fantihistamines f(e.g., fcough, fcold, fand
fhay ffever fremedies, fappetite fsuppressants) fcan fprecipitate fsevere fhypertensive
freactions fif ftaken fduring ftherapy for fwithin f2-3 fwk fafter fdiscontinuation fof fan fMAO
finhibitor.
10) fWhich fpiece fof fsubjective fdata fobtained fduring fthe fnurse's fpsychosocial
fassessment fof fa fclient fexperiencing fsevere fanxiety fwould findicate fthe fpossibility fof
fobsessive-compulsive fdisorder? f- fanswersa. f"I fhave fto fkeep fchecking fto fsee fwhere
fmy fcar fkeys fare."
11) fThe fnurse fis fevaluating fthe feffectiveness fof fpsychotropic fmedication fon fnegative
fsymptoms fof fpsychosis. fThe fnurse flooks ffor fa fdecrease fin fwhich fof fthe ffollowing? f-
fanswersA: fAffective fflattening.
11) fThe fnurse fis fevaluating fthe feffectiveness fof fan fantipsychotic fon fnegative
fsymptoms fof fpsychosis. fWhich fof fthe ffollowing fsymptoms fwould fbe fclassified fas
fnegative fsymptoms fof fpsychosis? f- fanswersBlunted faffect
Poverty fof fthought
Loss fof fmotivation
Inability fto fexperience fpleasure for fjoy
12) fA f39-year-old fwoman fis frecently fdivorced fand fis flearning fto fcope fwith fadditional
fstressors. fWhich fof fthe ffollowing fbest fdemonstrate(s) fthat fshe fis futilizing fpositive
fcoping fstrategies fto fmanage fher fstress? f(Select fall fthat fapply). f- fanswers3. fcontrol
fstress fby fincreased fphysical factivity.
4. fchange fher freactions fto fstress fwith fcognitive fbehavioral
therapy.
