MENTAL HEALTH EXAM 2 RASMUSSEN
WITH CORRECT ANSWERS 2025
Which nursing diagnosis supports the psychoanalytic theory of
development of major depressive disorder? correct answers Social
isolation R/T self directed danger
Which patient is at the highest risk for the diagnosis of major
depressive disorder? correct answers 24 yr old married woman
A patient diagnosed with MDD is being considered for ECT. Which patient
teaching should the nurse prioritize? correct answers Discuss with
the patient and family expected short term memory loss
Which nursing intervention takes priority when working with a newly
admitted patient experiencing suicidal ideations? correct answers
Monitor the patient at a close, but irregular intervals.
A patient diagnosed with major depressive disorder is prescribed Nardil.
Which teachings should the nurse prioritize? correct answers
Intruct the patient & family about the many food-drug & drug-drug
interactions?
What symptoms would the nurse expect to assess i a patient
experiencing serotonin syndrome? correct answers Confusion,
restlessness, Tachycardia, Labile BP, & diaphoresis
Which of the following meds would be classified as Tricyclic antidepressants?
correct answers
Nortriptyline (Pamelor)
Which of the following are examples of anticholinergic side effects from
tricyclic antidepressants? correct answers Urinary hesitancy,
constipation, and blurred vision
A patient seen in the ED is experiencing irritability, pressured speech, and
increased levels of anxiety. The priority is? correct answers Assess
vital signs and complete a physical assessment
A patient diagnosed with bipolar 1 in the manic phase is yelling at another
peer in the milieu. The priority intervention is? correct answers Calmly
redirect and remove the patient from the milieu.
, A patient diagnosed with bipolar 1 is experiencing auditory hallucinations
and a flight of ideas. Which meds would you expect to give? correct
answers Risperidone (Risperdal) &
Lamotrigine (Lamictal)
A patient prescribed Lithium is experiencing excessive output of dilute
urine, tremors and muscular irritability. The RN should? correct answers
Assess a serum Lithium level of 2.6mEq/L
A patient is newly prescribed Lithium carbonate. Which teaching point
by the nurse takes priority? correct answers Make sure your salt
intake is consistent.
Which is an example of an behavioral response to a moderate level
of anxiety?
Which is ancorrect
exampleanswers Restlessness
of a physiological response to a panic level of correc
anxiety? answers Dilated pupils. t
A newly admitted patient is diagnosed with PTSD. Which behavioral
symptoms would the nurse expect to assess? correct answers
Diminished participation in significant activities.
A patient on an in patient unit is experiencing a flash back. Which
intervention takes priority? correct answers Maintain and reassure the
patient of his or her safety and security
Patienta diagnosed with OCD, Commonly use which defense mechanism?
correct answers
Undoing
A patient diagnosed with OCD, Which behavioral symptoms would the RN
expect to assess? correct answers The patient uses
excessive hand washing to relieve anxiety.
These meds can be used to treat patients with anxiety disorders:
Catapres, Luvox, Buspar, and Xanax? correct answers True
Resperidone is to hallucinations as Clonazepam is to ?
correct answers Anxiety
Although symptoms of schizophrenia occur at various times in the life
span, what patient would more likely be diagnosed? correct answers
A 20 yr old man
The children saying "step on a crack and you break mothers back" is an
example of which type of thinking? correct answers Magical
thinking
The nurse documents that a patient diagnosed with schizophrenia is
expressing a flat affect? What is an example of this symptom? correct
answers The patient exhibits no emotional
expressions
WITH CORRECT ANSWERS 2025
Which nursing diagnosis supports the psychoanalytic theory of
development of major depressive disorder? correct answers Social
isolation R/T self directed danger
Which patient is at the highest risk for the diagnosis of major
depressive disorder? correct answers 24 yr old married woman
A patient diagnosed with MDD is being considered for ECT. Which patient
teaching should the nurse prioritize? correct answers Discuss with
the patient and family expected short term memory loss
Which nursing intervention takes priority when working with a newly
admitted patient experiencing suicidal ideations? correct answers
Monitor the patient at a close, but irregular intervals.
A patient diagnosed with major depressive disorder is prescribed Nardil.
Which teachings should the nurse prioritize? correct answers
Intruct the patient & family about the many food-drug & drug-drug
interactions?
What symptoms would the nurse expect to assess i a patient
experiencing serotonin syndrome? correct answers Confusion,
restlessness, Tachycardia, Labile BP, & diaphoresis
Which of the following meds would be classified as Tricyclic antidepressants?
correct answers
Nortriptyline (Pamelor)
Which of the following are examples of anticholinergic side effects from
tricyclic antidepressants? correct answers Urinary hesitancy,
constipation, and blurred vision
A patient seen in the ED is experiencing irritability, pressured speech, and
increased levels of anxiety. The priority is? correct answers Assess
vital signs and complete a physical assessment
A patient diagnosed with bipolar 1 in the manic phase is yelling at another
peer in the milieu. The priority intervention is? correct answers Calmly
redirect and remove the patient from the milieu.
, A patient diagnosed with bipolar 1 is experiencing auditory hallucinations
and a flight of ideas. Which meds would you expect to give? correct
answers Risperidone (Risperdal) &
Lamotrigine (Lamictal)
A patient prescribed Lithium is experiencing excessive output of dilute
urine, tremors and muscular irritability. The RN should? correct answers
Assess a serum Lithium level of 2.6mEq/L
A patient is newly prescribed Lithium carbonate. Which teaching point
by the nurse takes priority? correct answers Make sure your salt
intake is consistent.
Which is an example of an behavioral response to a moderate level
of anxiety?
Which is ancorrect
exampleanswers Restlessness
of a physiological response to a panic level of correc
anxiety? answers Dilated pupils. t
A newly admitted patient is diagnosed with PTSD. Which behavioral
symptoms would the nurse expect to assess? correct answers
Diminished participation in significant activities.
A patient on an in patient unit is experiencing a flash back. Which
intervention takes priority? correct answers Maintain and reassure the
patient of his or her safety and security
Patienta diagnosed with OCD, Commonly use which defense mechanism?
correct answers
Undoing
A patient diagnosed with OCD, Which behavioral symptoms would the RN
expect to assess? correct answers The patient uses
excessive hand washing to relieve anxiety.
These meds can be used to treat patients with anxiety disorders:
Catapres, Luvox, Buspar, and Xanax? correct answers True
Resperidone is to hallucinations as Clonazepam is to ?
correct answers Anxiety
Although symptoms of schizophrenia occur at various times in the life
span, what patient would more likely be diagnosed? correct answers
A 20 yr old man
The children saying "step on a crack and you break mothers back" is an
example of which type of thinking? correct answers Magical
thinking
The nurse documents that a patient diagnosed with schizophrenia is
expressing a flat affect? What is an example of this symptom? correct
answers The patient exhibits no emotional
expressions
