2024 RASMUSSEN MENTAL HEALTH
EXAM 2 REAL EXAM QUESTIONS AND
CORRECT ANSWERS
1) lA lpa�ent lwith lschizophrenia lbegins lto ltalks labout l"volmers" lor labout l"frangularity" lhiding lin lthe
lwarehouse lat lwork. lThe lterm l"volmers" lshould lbe ldocumented las l- l✔✔- lA lneologism
2) lA lpa�ent lwith lsuicidal limpulses lis lplaced lon lthe lhighest llevel lof lsuicide lprecau�ons. lWhich
lmeasures lshould lbe lincorporated linto lthe lplan lof lcare lby lthe lnurse lcaring lfor lthe lpa�ent? l(More
lthan lone lanswer lis lcorrect.) l- l✔✔A.Maintain larm's-length, lone-on-one lnursing lobserva�on laround
lthe lclock.
b. lAllow lno lglass lor lmetal lon lmeal ltrays.
f. lRemove lall lpoten�ally lharmful lobjects lfrom lthe lpa�ent's lpossession.
3) lA lpa�ent ldiagnosed lwith lschizophrenia lanxiously lsays, l"I lcan lsee lthe lle� lside lof lmy lbody lmerging
lwith lthe lwall, lthen lmy lface lappears land ldisappears lin lthe lmirror." lWhile llistening, lthe lnurse lshould:
l- l✔✔maintain la lnormal lsocial linterac�on ldistance lfrom lthe lpa�ent.
4) lWhich lstatement lindicates la lpa�ent lwith lmajor ldepression lis lmost llikely loutlook lon llife lduring
lthe lacute lphase lof lthe lillness? l- l✔✔During lan lacute lphase lof lmajor ldepression, lthe lclient lmay lfeel
lworthless land ldeserve lbad lthings lto lhappen lpersonally.
5) lA lpa�ent ldiagnosed lwith lbipolar ldisorder lis lin lthe lmaintenance lphase lof ltreatment. lThe lpa�ent
lasks, l"Do lI lhave lto lkeep ltaking lthis llithium leven lthough lmy lmood lis lstable lnow?" lSelect lthe lnurse's
lappropriate lresponse. l- l✔✔b. l"Taking lthe lmedica�on levery lday lhelps lreduce lthe lrisk lof la lrelapse."
6) lA lperson lhas lhad ldi�culty lkeeping la ljob lbecause lof larguing lwith lco-workers land laccusing lthem
lof lconspiracy. lToday lthe lperson lshouts, l"They're lall lplo�ng lto ldestroy lme. lIsn't lthat ltrue?" lSelect
lthe lnurse's lmost ltherapeu�c lresponse. l- l✔✔b. l"Feeling lthat lpeople lwant lto ldestroy lyou lmust lbe
lvery lfrightening."
, 7) lA lpa�ent lis lundergoing la lseries lof ldiagnos�c ltests. lThe lpa�ent lsays, l"Nothing lis lwrong lwith lme
lexcept la lstubborn lchest lcold." lThe lspouse lreports lthe lpa�ent lsmokes land lcoughs la llot, lhas llost l15
lpounds, land lis leasily lfa�gued. lWhich ldefense lmechanism lis lthe lpa�ent lusing? l- l✔✔Denial
8) lA lcab ldriver, lstuck lin ltra�c, lbecomes llightheaded, ltremulous, ldiaphore�c, ltachycardia land
ldyspneic. lA lworkup lin lan lemergency ldepartment lreveals lno lpathology. lWhich lmedical ldiagnosis
lshould la lnurse lsuspect, land lwhat lnursing ldiagnosis lshould lbe lthe lnurse's l�rst lpriority? l- l✔✔Panic
ldisorder land la lnursing ldiagnosis lof lanxiety
9) lThe lnurse lis lproviding lhealth lteaching lfor la lpa�ent lwho lhas lbeen lprescribed lPhenelzine l(Nardil)
lfor ldepression land lprovides la lwri en llist lof lfoods lthat lshould lnot lbe leaten lwhile ltaking lthis
lmedica�on. lWhat lis lthe lpoten�al lproblem lif lthe lpa�ent lis lnot lcompliant lwith lthese ldietary
lrestric�ons? l- l✔✔hypertensive lcrisis
foods lwith ltyramine lin lit l- l✔✔Aged lmeats lor laged lcheeses, lprotein lextracts, lsour lcream, lalcohol,
lanchovies, lliver, lsausages, loverripe l�gs, lbananas, lavocados, lchocolate, lsoy lsauce, lbean lcurd, lnatural
lyogurt, lfava lbeans—tyramine-containing lfoods—may lprecipitate lhypertensive lcrisis. lAvoid lchocolate
lor lca eine. l
Herbal: lGinseng, lephedra, lma lhuang, lSt. lJohn's lwort lmay lcause lhypertensive lcrisis.
For ldepression lthat lis lrefractory lto lTCAs. lAvoid lcertain lfoods lsuch las l- l✔✔cheese, lsour lcream, lwine,
lbeer, l�gs, lanchovies, lshrimp, lbananas, land lchocolate, land lavoid ldrugs l(e.g., lTCAs).
Risk lfor lhypertensive lcrisis:
Avoid lself-medica�on. lWHY? l- l✔✔OTC lprepara�ons lcontaining ldextromethorphan, lsympathomime�c
lagents, lor lan�histamines l(e.g., lcough, lcold, land lhay lfever lremedies, lappe�te lsuppressants) lcan
lprecipitate lsevere lhypertensive lreac�ons lif ltaken lduring ltherapy lor lwithin l2-3 lwk la�er
ldiscon�nua�on lof lan lMAO linhibitor.
10) lWhich lpiece lof lsubjec�ve ldata lobtained lduring lthe lnurse's lpsychosocial lassessment lof la lclient
lexperiencing lsevere lanxiety lwould lindicate lthe lpossibility lof lobsessive-compulsive ldisorder? l- l✔✔a.
l"I lhave lto lkeep lchecking lto lsee lwhere lmy lcar lkeys lare."
11) lThe lnurse lis levalua�ng lthe le ec�veness lof lpsychotropic lmedica�on lon lnega�ve lsymptoms lof
lpsychosis. lThe lnurse llooks lfor la ldecrease lin lwhich lof lthe lfollowing? l- l✔✔A: lA ec�ve l a ening.
EXAM 2 REAL EXAM QUESTIONS AND
CORRECT ANSWERS
1) lA lpa�ent lwith lschizophrenia lbegins lto ltalks labout l"volmers" lor labout l"frangularity" lhiding lin lthe
lwarehouse lat lwork. lThe lterm l"volmers" lshould lbe ldocumented las l- l✔✔- lA lneologism
2) lA lpa�ent lwith lsuicidal limpulses lis lplaced lon lthe lhighest llevel lof lsuicide lprecau�ons. lWhich
lmeasures lshould lbe lincorporated linto lthe lplan lof lcare lby lthe lnurse lcaring lfor lthe lpa�ent? l(More
lthan lone lanswer lis lcorrect.) l- l✔✔A.Maintain larm's-length, lone-on-one lnursing lobserva�on laround
lthe lclock.
b. lAllow lno lglass lor lmetal lon lmeal ltrays.
f. lRemove lall lpoten�ally lharmful lobjects lfrom lthe lpa�ent's lpossession.
3) lA lpa�ent ldiagnosed lwith lschizophrenia lanxiously lsays, l"I lcan lsee lthe lle� lside lof lmy lbody lmerging
lwith lthe lwall, lthen lmy lface lappears land ldisappears lin lthe lmirror." lWhile llistening, lthe lnurse lshould:
l- l✔✔maintain la lnormal lsocial linterac�on ldistance lfrom lthe lpa�ent.
4) lWhich lstatement lindicates la lpa�ent lwith lmajor ldepression lis lmost llikely loutlook lon llife lduring
lthe lacute lphase lof lthe lillness? l- l✔✔During lan lacute lphase lof lmajor ldepression, lthe lclient lmay lfeel
lworthless land ldeserve lbad lthings lto lhappen lpersonally.
5) lA lpa�ent ldiagnosed lwith lbipolar ldisorder lis lin lthe lmaintenance lphase lof ltreatment. lThe lpa�ent
lasks, l"Do lI lhave lto lkeep ltaking lthis llithium leven lthough lmy lmood lis lstable lnow?" lSelect lthe lnurse's
lappropriate lresponse. l- l✔✔b. l"Taking lthe lmedica�on levery lday lhelps lreduce lthe lrisk lof la lrelapse."
6) lA lperson lhas lhad ldi�culty lkeeping la ljob lbecause lof larguing lwith lco-workers land laccusing lthem
lof lconspiracy. lToday lthe lperson lshouts, l"They're lall lplo�ng lto ldestroy lme. lIsn't lthat ltrue?" lSelect
lthe lnurse's lmost ltherapeu�c lresponse. l- l✔✔b. l"Feeling lthat lpeople lwant lto ldestroy lyou lmust lbe
lvery lfrightening."
, 7) lA lpa�ent lis lundergoing la lseries lof ldiagnos�c ltests. lThe lpa�ent lsays, l"Nothing lis lwrong lwith lme
lexcept la lstubborn lchest lcold." lThe lspouse lreports lthe lpa�ent lsmokes land lcoughs la llot, lhas llost l15
lpounds, land lis leasily lfa�gued. lWhich ldefense lmechanism lis lthe lpa�ent lusing? l- l✔✔Denial
8) lA lcab ldriver, lstuck lin ltra�c, lbecomes llightheaded, ltremulous, ldiaphore�c, ltachycardia land
ldyspneic. lA lworkup lin lan lemergency ldepartment lreveals lno lpathology. lWhich lmedical ldiagnosis
lshould la lnurse lsuspect, land lwhat lnursing ldiagnosis lshould lbe lthe lnurse's l�rst lpriority? l- l✔✔Panic
ldisorder land la lnursing ldiagnosis lof lanxiety
9) lThe lnurse lis lproviding lhealth lteaching lfor la lpa�ent lwho lhas lbeen lprescribed lPhenelzine l(Nardil)
lfor ldepression land lprovides la lwri en llist lof lfoods lthat lshould lnot lbe leaten lwhile ltaking lthis
lmedica�on. lWhat lis lthe lpoten�al lproblem lif lthe lpa�ent lis lnot lcompliant lwith lthese ldietary
lrestric�ons? l- l✔✔hypertensive lcrisis
foods lwith ltyramine lin lit l- l✔✔Aged lmeats lor laged lcheeses, lprotein lextracts, lsour lcream, lalcohol,
lanchovies, lliver, lsausages, loverripe l�gs, lbananas, lavocados, lchocolate, lsoy lsauce, lbean lcurd, lnatural
lyogurt, lfava lbeans—tyramine-containing lfoods—may lprecipitate lhypertensive lcrisis. lAvoid lchocolate
lor lca eine. l
Herbal: lGinseng, lephedra, lma lhuang, lSt. lJohn's lwort lmay lcause lhypertensive lcrisis.
For ldepression lthat lis lrefractory lto lTCAs. lAvoid lcertain lfoods lsuch las l- l✔✔cheese, lsour lcream, lwine,
lbeer, l�gs, lanchovies, lshrimp, lbananas, land lchocolate, land lavoid ldrugs l(e.g., lTCAs).
Risk lfor lhypertensive lcrisis:
Avoid lself-medica�on. lWHY? l- l✔✔OTC lprepara�ons lcontaining ldextromethorphan, lsympathomime�c
lagents, lor lan�histamines l(e.g., lcough, lcold, land lhay lfever lremedies, lappe�te lsuppressants) lcan
lprecipitate lsevere lhypertensive lreac�ons lif ltaken lduring ltherapy lor lwithin l2-3 lwk la�er
ldiscon�nua�on lof lan lMAO linhibitor.
10) lWhich lpiece lof lsubjec�ve ldata lobtained lduring lthe lnurse's lpsychosocial lassessment lof la lclient
lexperiencing lsevere lanxiety lwould lindicate lthe lpossibility lof lobsessive-compulsive ldisorder? l- l✔✔a.
l"I lhave lto lkeep lchecking lto lsee lwhere lmy lcar lkeys lare."
11) lThe lnurse lis levalua�ng lthe le ec�veness lof lpsychotropic lmedica�on lon lnega�ve lsymptoms lof
lpsychosis. lThe lnurse llooks lfor la ldecrease lin lwhich lof lthe lfollowing? l- l✔✔A: lA ec�ve l a ening.
