RASMUSSEN MENTAL HEALTH - EXAM
3 WITH CORRECT ANSWERS 2025
Somatoform Disorders correct answersCharacterized by the presence of
one or more physical symptoms accompanied by abnormal thoughts,
feelings, and behavioral reactions in response to these symptoms, often in
the absence of known physical findings or medical illnesses that would
explain them. Somatization may be used for secondary gains such as
attention and decreased responsibilities.
Often undergo unnecessary surgeries, invasive diagnostic procedures, and
drug trials, all of which can be life-threatening.
Hypochondriasis or Illness Anxiety Disorder correct answersPreoccupied with
having or eventually developing a serious illness.
May or may not present with somatic symptoms, and if they do, the
symptoms are usually mild.
High level of anxiety and alarm about their health lasting at least 6
months, and may either excessively check for problems or avoid medical
care.
Hypochondriasis Nursing Interventions correct answersThe most common
symptoms are pain, gastric or intestinal distress, palpitations, dizziness,
shortness of breath, sexual dysfunction, neurological symptoms, and
fatigue.
Nurses role is to assess for any objective data and to explain the health
complaints. Show concern, but avoid fostering dependency.
Conversion Disorder correct answersThis disorder presents with one or more
symptoms of impaired motor or sensory function. Findings are incompatible
with or an exaggeration of recognized neurological conditions and are not
better explained by another mental or medical disorder.
Most common are blindness, deafness, paralysis, inability to talk.
Symptoms are beyond conscious control and are related directly to
conflict .
Conversion Disorder Assessment correct answersRule out physiological
causes for symptoms or deficits.
Physical limitation or disability, feelings of guilt, anxiety, or frustration.
Low self esteem and feelings of inadequacy, unexpressed anger/guilt,
conflict.
,Secondary gain is attention, decrease in workload, decreased responsibilities.
Conversion Disorder Nursing Interventions correct answersEncourage
independence in ADL's in a matter of fact manner.
Factitious Disorder Imposed On Self or Munchausen Syndrome correct
answersRefers to the deliberate fabrication of symptoms or self-injury,
without obvious external reward or gain. The patient identifies
himself/herself in a deceptive manner to others as sick or impaired. This
disorder is further specified as a single episode or recurrent.
Malingering correct answersDifferent from Factitious disorder because
there is an external incentive such as missing work, evading criminal
prosecution, obtaining financial gain. Symptoms stop as soon as they
gain what they wanted.
Munchausen Nursing Interventions correct answers- Explore the needs
being met by the client, assist with identification of alternative ways to
meet needs.
- Teach the client to relate feelings and conflicts with the physical
symptoms.
-Convey understanding that symptoms are real to the client, assure
illness has been ruled out.
- Explore the source of the anxiety, stimulate verbalization of the anxiety.
-Encourage relaxation techniques, use pain assessment scale
implement pain reduction.
- Report and assess any new physical complaint, provide positive
feedback.
- Encourage diversional activities, encourage the client to recognize
their emotions.
Dissociative Disorders correct answersA disturbance in the normally well-
integrated continuum of consciousness, memory, identity, and
perception.
Dissociation is an unconscious defense mechanism to protect the
individual against overwhelming anxiety related to past trauma, and
ranges from minor to severe in presentation.
Patients with dissociative disorders have intact reality testing, meaning
they are not delusional or hallucinating.
Dissociative Fugue correct answersThe patient in a fugue state frequently
relocates and assumes a new identity while not recalling previous identity or
places previously inhabited.
The distracters are more consistent with paranoid schizophrenia,
generalized anxiety disorder, or bipolar disorder. Head injury,
posttraumatic stress disorder, or a neurological disorder should also be
considered.
Dissociative Amnesia correct answersRelated to a traumatic incident,
and may be accompanied by a fugue where the patient flees from their
normal life to another
, location and starts a new life. Gradually over time, memories of the original
life may be triggered. Patients can become confused and embarrassed when
the amnesia subsides and memory returns.
Dissociative Identity Disorder correct answersThe most severe of the
dissociative disorders. Disruption of identity by two or more distinct
personality states. Involves discontinuity in the sense of self,
accompanied by alterations in affect, behavior, memory, and
functioning. Patients lose time, meaning they do not have memory of
periods of time ranging from minutes to weeks.
The patient is often unaware of the other personalities. Each alternate
personality has its own pattern of personality, perception, and memories.
Body Dysmorphic Disorder correct answersA highly distressing and
impairing disorder that ranges along the continuum from distressing to
delusional severity. Patients with BDD usually have a normal appearance
and the average age of onset is younger than 20 years. They have
preoccupation with an imagined defective body part; obsessional thinking,
compulsive behaviors and impairment of normal social activities related to
academic or occupational functioning. Individuals with BDD are frequently
concerned with the face, skin, genitalia, thighs, hips, and hair.
There is a high risk of completed suicide.
Personality Disorders correct answersSetting firm limits and maintaining
consistency are essential elements in working with people with personality
disorders. Flexibility and providing too many choices does not help the
individual with boundaries and limits.
Encouraging the patient to attend daily activities may be a part of the
care plan, but highest priority is setting limits.
Cluster A Type correct answersOdd and eccentric - Schizoid,
Schizotypal, and Paranoid.
Schizoid Personality Disorder correct answersInability to enter close
relationships, social detachment, interest in solidarity activities.
Aloof, indifferent, restricted expressions of emotion, lack of interest in
others.
Schizotypal Personality Disorder correct answersUnusual thoughts, speech
or behavior patterns, relationship deficits.
Suspicious, paranoid, magical thinking, odd thoughts/speech.
Paranoid Personality Disorder correct answersSuspiciousness and mistrust
of others, argumentative.
Hostile, aloof, rigid, critical, controlling, grandiose thoughts.
3 WITH CORRECT ANSWERS 2025
Somatoform Disorders correct answersCharacterized by the presence of
one or more physical symptoms accompanied by abnormal thoughts,
feelings, and behavioral reactions in response to these symptoms, often in
the absence of known physical findings or medical illnesses that would
explain them. Somatization may be used for secondary gains such as
attention and decreased responsibilities.
Often undergo unnecessary surgeries, invasive diagnostic procedures, and
drug trials, all of which can be life-threatening.
Hypochondriasis or Illness Anxiety Disorder correct answersPreoccupied with
having or eventually developing a serious illness.
May or may not present with somatic symptoms, and if they do, the
symptoms are usually mild.
High level of anxiety and alarm about their health lasting at least 6
months, and may either excessively check for problems or avoid medical
care.
Hypochondriasis Nursing Interventions correct answersThe most common
symptoms are pain, gastric or intestinal distress, palpitations, dizziness,
shortness of breath, sexual dysfunction, neurological symptoms, and
fatigue.
Nurses role is to assess for any objective data and to explain the health
complaints. Show concern, but avoid fostering dependency.
Conversion Disorder correct answersThis disorder presents with one or more
symptoms of impaired motor or sensory function. Findings are incompatible
with or an exaggeration of recognized neurological conditions and are not
better explained by another mental or medical disorder.
Most common are blindness, deafness, paralysis, inability to talk.
Symptoms are beyond conscious control and are related directly to
conflict .
Conversion Disorder Assessment correct answersRule out physiological
causes for symptoms or deficits.
Physical limitation or disability, feelings of guilt, anxiety, or frustration.
Low self esteem and feelings of inadequacy, unexpressed anger/guilt,
conflict.
,Secondary gain is attention, decrease in workload, decreased responsibilities.
Conversion Disorder Nursing Interventions correct answersEncourage
independence in ADL's in a matter of fact manner.
Factitious Disorder Imposed On Self or Munchausen Syndrome correct
answersRefers to the deliberate fabrication of symptoms or self-injury,
without obvious external reward or gain. The patient identifies
himself/herself in a deceptive manner to others as sick or impaired. This
disorder is further specified as a single episode or recurrent.
Malingering correct answersDifferent from Factitious disorder because
there is an external incentive such as missing work, evading criminal
prosecution, obtaining financial gain. Symptoms stop as soon as they
gain what they wanted.
Munchausen Nursing Interventions correct answers- Explore the needs
being met by the client, assist with identification of alternative ways to
meet needs.
- Teach the client to relate feelings and conflicts with the physical
symptoms.
-Convey understanding that symptoms are real to the client, assure
illness has been ruled out.
- Explore the source of the anxiety, stimulate verbalization of the anxiety.
-Encourage relaxation techniques, use pain assessment scale
implement pain reduction.
- Report and assess any new physical complaint, provide positive
feedback.
- Encourage diversional activities, encourage the client to recognize
their emotions.
Dissociative Disorders correct answersA disturbance in the normally well-
integrated continuum of consciousness, memory, identity, and
perception.
Dissociation is an unconscious defense mechanism to protect the
individual against overwhelming anxiety related to past trauma, and
ranges from minor to severe in presentation.
Patients with dissociative disorders have intact reality testing, meaning
they are not delusional or hallucinating.
Dissociative Fugue correct answersThe patient in a fugue state frequently
relocates and assumes a new identity while not recalling previous identity or
places previously inhabited.
The distracters are more consistent with paranoid schizophrenia,
generalized anxiety disorder, or bipolar disorder. Head injury,
posttraumatic stress disorder, or a neurological disorder should also be
considered.
Dissociative Amnesia correct answersRelated to a traumatic incident,
and may be accompanied by a fugue where the patient flees from their
normal life to another
, location and starts a new life. Gradually over time, memories of the original
life may be triggered. Patients can become confused and embarrassed when
the amnesia subsides and memory returns.
Dissociative Identity Disorder correct answersThe most severe of the
dissociative disorders. Disruption of identity by two or more distinct
personality states. Involves discontinuity in the sense of self,
accompanied by alterations in affect, behavior, memory, and
functioning. Patients lose time, meaning they do not have memory of
periods of time ranging from minutes to weeks.
The patient is often unaware of the other personalities. Each alternate
personality has its own pattern of personality, perception, and memories.
Body Dysmorphic Disorder correct answersA highly distressing and
impairing disorder that ranges along the continuum from distressing to
delusional severity. Patients with BDD usually have a normal appearance
and the average age of onset is younger than 20 years. They have
preoccupation with an imagined defective body part; obsessional thinking,
compulsive behaviors and impairment of normal social activities related to
academic or occupational functioning. Individuals with BDD are frequently
concerned with the face, skin, genitalia, thighs, hips, and hair.
There is a high risk of completed suicide.
Personality Disorders correct answersSetting firm limits and maintaining
consistency are essential elements in working with people with personality
disorders. Flexibility and providing too many choices does not help the
individual with boundaries and limits.
Encouraging the patient to attend daily activities may be a part of the
care plan, but highest priority is setting limits.
Cluster A Type correct answersOdd and eccentric - Schizoid,
Schizotypal, and Paranoid.
Schizoid Personality Disorder correct answersInability to enter close
relationships, social detachment, interest in solidarity activities.
Aloof, indifferent, restricted expressions of emotion, lack of interest in
others.
Schizotypal Personality Disorder correct answersUnusual thoughts, speech
or behavior patterns, relationship deficits.
Suspicious, paranoid, magical thinking, odd thoughts/speech.
Paranoid Personality Disorder correct answersSuspiciousness and mistrust
of others, argumentative.
Hostile, aloof, rigid, critical, controlling, grandiose thoughts.
