MENTAL HEALTH EXAM 3 RASMUSSEN
WITH CORRECT ANSWERS 2025
A medical-surgical nurse works with a patient diagnosed with a somatic
system disorder. Care planning is facilitated by understanding that the
patient will probably:
a.Readily seek psychiatric counseling.
b.Be resistant to accepting psychiatric help.
c.Attend psychotherapy sessions without
encouragement. correct
d. Be eager to discover the true reasons for physical answers
symptoms. b.Be resistant to accepting psychiatric help.
A patient has blindness related to a functional neurological (conversion)
disorder but is unconcerned about this problem. Which understanding
should guide the nurse's planning for this patient? The patient is:
a.
suppressing accurate feelings regarding the
problem. b.
relieving anxiety through the physical
symptom. c.
meeting needs through
hospitalization. d.
refusing to disclose genuine fears.
correct answers
B
A patient has blindness related to a functional neurological (conversion)
disorder. To help the patient eat, the nurse should:
a.
establish a "buddy" system with other patients who can feed the patient at
each meal. b.
expect the patient to feed him- or herself after explaining the arrangement of
the food on the tray.
c.
direct the patient to locate items on the tray independently and feed self
unassisted. d.
address the needs of other patients in the dining room, and then feed
this patient.
correct answers B
A patient with blindness related to a functional neurological (conversion)
disorder says, "All the doctors and nurses in this hospital stop by often to
check on me. Too bad
,people outside the hospital don't find me interesting." Which nursing
diagnosis is most relevant?
a.
Social
isolation b.
Chronic low self-
esteem c.
Interrupted family
processes d.
Ineffective health correct answers
maintenance B
To assist a patient with a somatic system disorder, a nursing intervention of
high priority is to:
a.
imply that somatic symptoms are
not real. b.
help the patient suppress feelings of
anger. c.
shift the focus from somatic symptoms to
feelings. d.
investigate each physical symptom as it is correct answers C
offered.
A patient who fears serious heart disease was referred to the mental health
center by a cardiologist after extensive diagnostic evaluation showed no
physical illness. The patient says, "I have tightness in my chest and my
heart misses beats. I'm frequently absent from work. I don't go out much
because I need to rest." Which health problem is most likely?
a.
Dysthymic
disorder b.
Antisocial
personality
disorder
c.
Simple somatic symptom correct answers
disorder d. D
Prominent
A health anxiety
nurse assessing a patient with a somatic system disorder is most likely
(hypochondriasis)
to note that the patient:
a. Readily sees a relationship between symptoms and interpersonal
conflicts.
b. Rarely derives personal benefit from the symptoms.
c. Has little difficulty communicating emotional needs.
d. Has altered comfort and activity needs. correct answers D
,To plan effective care for patients with somatic system disorders, the nurse
should understand that patients have difficulty giving up the symptoms
because the symptoms:
a. Are generally chronic.
b. Have a physiological basis.
c. Can be voluntarily controlled.
d. Provide relief from health correct answers
anxiety. D
A patient with a somatic symptom disorder has the nursing diagnosis:
Interrupted family processes, related to patient's disabling symptoms as
evidenced by spouse and children assuming roles and tasks that previously
belonged to patient. An appropriate outcome is that the patient will:
a. Assume roles and functions of the other family
members.
b. Demonstrate a resumption of former roles and
tasks. correct answers
c. Focus energy on problems occurring in the family. B
A
d. woman
Rely on is 5'7" tall,
family weighs
members to160 pounds,
meet and personal
his or her wears a size 8 shoe. She says,
"My feet are huge. I've asked three orthopedists to surgically reduce my
needs.
feet." The patient tries to buy shoes to make her feet look smaller, and in
social settings conceals both feet under a table or chair. Which health
problem is likely?
a.
Dissociative
fugue b.
Prominent pain
disorder
c.
Body dysmorphic
disorder d. correct answers C
Depersonalization
disorder
Which assessment finding best supports dissociative fugue? The
patient states:
a.
"I cannot recall why I'm living in this
town." b.
"I feel as if I'm living in a fuzzy dream
state." c.
"I feel like different parts of my body are
at war." d.
"I feel very anxious and worried about my correct answers
problems." A
A college student observes a roommate going out wearing
uncharacteristically seductive clothing, returning 12 to 24 hours later and
sleeping for 8 to 12 hours. At other
, times, the roommate sits on the floor speaking like a young child. Which
health problem should be considered?
a.
Functional neurological (conversion)
disorder b.
Dissociative identity
disorder c.
Depersonalization
disorder d.
Body dysmorphic
disorder
correct answers
B
A nurse assesses a patient diagnosed with functional neurological
(conversion) disorder. Which comment is most likely from this
patient?
a.
"Since my father died, I've been short of breath and had sharp pains that
go down my left arm, but I think it's just indigestion."
b.
"I have daily problems with nausea, vomiting, and diarrhea. My skin is
very dry and I think I'm getting seriously dehydrated."
c.
"Sexual intercourse is painful. I pretend as if I'm asleep so I can avoid it.
I think it's starting to cause problems with my marriage."
d.
a.
"I get choked very easily and have trouble swallowing when I eat. I think I
Anxiet
might have cancer of the esophagus." correct answers A
y b.
Risk for counsels a patient diagnosed with body dysmorphic disorder.
A nurse
suicide c.
Which nursing diagnosis would be a priority for the plan of care?
Disturbed body
image d.
Ineffective role correct answers
performance B
Select the correct etiology to complete this nursing diagnosis for a
patient with dissociative identity disorder. Disturbed personal
identity, related to:
a.
obsessive fears of harming self or
others. b.
WITH CORRECT ANSWERS 2025
A medical-surgical nurse works with a patient diagnosed with a somatic
system disorder. Care planning is facilitated by understanding that the
patient will probably:
a.Readily seek psychiatric counseling.
b.Be resistant to accepting psychiatric help.
c.Attend psychotherapy sessions without
encouragement. correct
d. Be eager to discover the true reasons for physical answers
symptoms. b.Be resistant to accepting psychiatric help.
A patient has blindness related to a functional neurological (conversion)
disorder but is unconcerned about this problem. Which understanding
should guide the nurse's planning for this patient? The patient is:
a.
suppressing accurate feelings regarding the
problem. b.
relieving anxiety through the physical
symptom. c.
meeting needs through
hospitalization. d.
refusing to disclose genuine fears.
correct answers
B
A patient has blindness related to a functional neurological (conversion)
disorder. To help the patient eat, the nurse should:
a.
establish a "buddy" system with other patients who can feed the patient at
each meal. b.
expect the patient to feed him- or herself after explaining the arrangement of
the food on the tray.
c.
direct the patient to locate items on the tray independently and feed self
unassisted. d.
address the needs of other patients in the dining room, and then feed
this patient.
correct answers B
A patient with blindness related to a functional neurological (conversion)
disorder says, "All the doctors and nurses in this hospital stop by often to
check on me. Too bad
,people outside the hospital don't find me interesting." Which nursing
diagnosis is most relevant?
a.
Social
isolation b.
Chronic low self-
esteem c.
Interrupted family
processes d.
Ineffective health correct answers
maintenance B
To assist a patient with a somatic system disorder, a nursing intervention of
high priority is to:
a.
imply that somatic symptoms are
not real. b.
help the patient suppress feelings of
anger. c.
shift the focus from somatic symptoms to
feelings. d.
investigate each physical symptom as it is correct answers C
offered.
A patient who fears serious heart disease was referred to the mental health
center by a cardiologist after extensive diagnostic evaluation showed no
physical illness. The patient says, "I have tightness in my chest and my
heart misses beats. I'm frequently absent from work. I don't go out much
because I need to rest." Which health problem is most likely?
a.
Dysthymic
disorder b.
Antisocial
personality
disorder
c.
Simple somatic symptom correct answers
disorder d. D
Prominent
A health anxiety
nurse assessing a patient with a somatic system disorder is most likely
(hypochondriasis)
to note that the patient:
a. Readily sees a relationship between symptoms and interpersonal
conflicts.
b. Rarely derives personal benefit from the symptoms.
c. Has little difficulty communicating emotional needs.
d. Has altered comfort and activity needs. correct answers D
,To plan effective care for patients with somatic system disorders, the nurse
should understand that patients have difficulty giving up the symptoms
because the symptoms:
a. Are generally chronic.
b. Have a physiological basis.
c. Can be voluntarily controlled.
d. Provide relief from health correct answers
anxiety. D
A patient with a somatic symptom disorder has the nursing diagnosis:
Interrupted family processes, related to patient's disabling symptoms as
evidenced by spouse and children assuming roles and tasks that previously
belonged to patient. An appropriate outcome is that the patient will:
a. Assume roles and functions of the other family
members.
b. Demonstrate a resumption of former roles and
tasks. correct answers
c. Focus energy on problems occurring in the family. B
A
d. woman
Rely on is 5'7" tall,
family weighs
members to160 pounds,
meet and personal
his or her wears a size 8 shoe. She says,
"My feet are huge. I've asked three orthopedists to surgically reduce my
needs.
feet." The patient tries to buy shoes to make her feet look smaller, and in
social settings conceals both feet under a table or chair. Which health
problem is likely?
a.
Dissociative
fugue b.
Prominent pain
disorder
c.
Body dysmorphic
disorder d. correct answers C
Depersonalization
disorder
Which assessment finding best supports dissociative fugue? The
patient states:
a.
"I cannot recall why I'm living in this
town." b.
"I feel as if I'm living in a fuzzy dream
state." c.
"I feel like different parts of my body are
at war." d.
"I feel very anxious and worried about my correct answers
problems." A
A college student observes a roommate going out wearing
uncharacteristically seductive clothing, returning 12 to 24 hours later and
sleeping for 8 to 12 hours. At other
, times, the roommate sits on the floor speaking like a young child. Which
health problem should be considered?
a.
Functional neurological (conversion)
disorder b.
Dissociative identity
disorder c.
Depersonalization
disorder d.
Body dysmorphic
disorder
correct answers
B
A nurse assesses a patient diagnosed with functional neurological
(conversion) disorder. Which comment is most likely from this
patient?
a.
"Since my father died, I've been short of breath and had sharp pains that
go down my left arm, but I think it's just indigestion."
b.
"I have daily problems with nausea, vomiting, and diarrhea. My skin is
very dry and I think I'm getting seriously dehydrated."
c.
"Sexual intercourse is painful. I pretend as if I'm asleep so I can avoid it.
I think it's starting to cause problems with my marriage."
d.
a.
"I get choked very easily and have trouble swallowing when I eat. I think I
Anxiet
might have cancer of the esophagus." correct answers A
y b.
Risk for counsels a patient diagnosed with body dysmorphic disorder.
A nurse
suicide c.
Which nursing diagnosis would be a priority for the plan of care?
Disturbed body
image d.
Ineffective role correct answers
performance B
Select the correct etiology to complete this nursing diagnosis for a
patient with dissociative identity disorder. Disturbed personal
identity, related to:
a.
obsessive fears of harming self or
others. b.
