RASMUSSEN: MENTAL HEALTH EXAM 2
WITH CORRECT ANSWERS 2025
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 answers- 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
answersA.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 answersmaintain 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
answersDuring 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 answersb. "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 answersb. "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
answersDenial
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 answersPanic 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 answershypertensive crisis
foods with tyramine in it correct answersAged 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 answerscheese, 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 answersOTC 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
answersa. "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 answersA: 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 answersBlunted 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 answers3. control stress by increased physical activity.
WITH CORRECT ANSWERS 2025
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 answers- 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
answersA.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 answersmaintain 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
answersDuring 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 answersb. "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 answersb. "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
answersDenial
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 answersPanic 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 answershypertensive crisis
foods with tyramine in it correct answersAged 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 answerscheese, 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 answersOTC 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
answersa. "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 answersA: 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 answersBlunted 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 answers3. control stress by increased physical activity.
