Rasmussen: Mental Health
Exam 2 Latest
Version(Updated 2024) with
complete solution
1. 1) v A v patient v with v schizophrenia v begins v to v talks v about v "volmers" v hiding
v in v the vwarehouse vat vwork. vThe vterm v"volmers" vshould vbe vdocumented vas:
a. neologism
b. concrete vthinking
c. thought vinsertion
d. idea vof vreference: vANS: vA
v v
,- A vneologism vis va vnewly vcoined vword vhaving vspecial vmeaning vto vthe vpatient. v"Volmer" vis vnot va vknown
vcommon vnoun.
- Concrete vthinking vrefers vto vthe vinability vto vthink vabstractly.
- Thought vinsertion vrefers vto vthoughts vof vothers vthat vare vimplanted vin vone's vmind.
- An videa vof vreference vis va vtype vof vdelusion vin vwhich vtrivial vevents vare vgiven vpersonal vsignificance.
2. 2) vA vpatient vwith vsuicidal vimpulses vis vplaced von vthe vhighest vlevel vof
vsuicide vprecautions. vWhich vmeasures vshould vbe vincorporated vinto vthe vplan
vof vcare vby vthe vnurse vcaring vfor vthe vpatient? v(More vthan vone vanswer vis
vcorrect.)
a. Maintain v arm's-length, v one-on-one v nursing v observation v around v the v clock.
b. Allow v no v glass v or v metal v on v meal v trays.
c. Keep v patient v within v visual v range v while v awake. v Check v every v 15 v to v 30
v minutes vwhile vthe vpatient vis vsleeping.
d. Check vthe vpatient's vwhereabouts vevery v15 vminutes vand vmake vfrequent
vverbal vcontacts.
e. Check vwhereabouts vevery vhour. vMake vverbal vcontact vat vleast vthree vtimes veach
v shift.
f. Remove vall vpotentially vharmful vobjects vfrom vthe vpatient's vpossession.: vANS: vA,
v v
,vB, vF
One-on-one vobservation vis vnecessary vfor vanyone vwho vhas vlimited vcontrol vover vsuicidal vimpulses.
- vPlastic vdishes von vtrays vand vthe vremoval vof vpotentially vharmful vobjects vfrom vthe vpatient's vpossession vare
vmeasures vincluded vin vany-level vsuicide vprecautions.
v v
, The vremaining voptions vare vused vin vless vstringent vlevels vof vsuicide vprecautions.
3. 3) vA vpatient vdiagnosed vwith vschizophrenia vanxiously vsays, v"I vcan vsee vthe vleft
vside v of v my v body v merging v with v the v wall, v then v my v face v appears v and
v disappears vin vthe vmirror." vWhile vlistening, vthe vnurse vshould:
a. sit vclose vto vthe vpatient.
b. place v an v arm v protectively v around v the v patient's v shoulders.
c. place v a v hand v on v the v patient's v arm v and v exert v light v pressure.
d. maintain va vnormal vsocial vinteraction vdistance vfrom vthe vpatient.: vANS: vD
The vpatient vis vdescribing vphenomena vthat vindicate vpersonal vboundary vdiflculties. vThe vnurse vshould vmaintain van
vappropriate vsocial vdistance vand vnot vtouch vthe vpatient, vbecause vthe vpatient vis vanxious vabout vthe vinability vto vmaintain vego
v boundaries vand vmerging vwith vor vbeing vswallowed vby vthe venvironment. vPhysical vcloseness vor vtouch vcould
vprecipitate vpanic.
4. 4) v Which v statement v indicates v a v patient v with v major v depression v is v most
v likely
v v
Exam 2 Latest
Version(Updated 2024) with
complete solution
1. 1) v A v patient v with v schizophrenia v begins v to v talks v about v "volmers" v hiding
v in v the vwarehouse vat vwork. vThe vterm v"volmers" vshould vbe vdocumented vas:
a. neologism
b. concrete vthinking
c. thought vinsertion
d. idea vof vreference: vANS: vA
v v
,- A vneologism vis va vnewly vcoined vword vhaving vspecial vmeaning vto vthe vpatient. v"Volmer" vis vnot va vknown
vcommon vnoun.
- Concrete vthinking vrefers vto vthe vinability vto vthink vabstractly.
- Thought vinsertion vrefers vto vthoughts vof vothers vthat vare vimplanted vin vone's vmind.
- An videa vof vreference vis va vtype vof vdelusion vin vwhich vtrivial vevents vare vgiven vpersonal vsignificance.
2. 2) vA vpatient vwith vsuicidal vimpulses vis vplaced von vthe vhighest vlevel vof
vsuicide vprecautions. vWhich vmeasures vshould vbe vincorporated vinto vthe vplan
vof vcare vby vthe vnurse vcaring vfor vthe vpatient? v(More vthan vone vanswer vis
vcorrect.)
a. Maintain v arm's-length, v one-on-one v nursing v observation v around v the v clock.
b. Allow v no v glass v or v metal v on v meal v trays.
c. Keep v patient v within v visual v range v while v awake. v Check v every v 15 v to v 30
v minutes vwhile vthe vpatient vis vsleeping.
d. Check vthe vpatient's vwhereabouts vevery v15 vminutes vand vmake vfrequent
vverbal vcontacts.
e. Check vwhereabouts vevery vhour. vMake vverbal vcontact vat vleast vthree vtimes veach
v shift.
f. Remove vall vpotentially vharmful vobjects vfrom vthe vpatient's vpossession.: vANS: vA,
v v
,vB, vF
One-on-one vobservation vis vnecessary vfor vanyone vwho vhas vlimited vcontrol vover vsuicidal vimpulses.
- vPlastic vdishes von vtrays vand vthe vremoval vof vpotentially vharmful vobjects vfrom vthe vpatient's vpossession vare
vmeasures vincluded vin vany-level vsuicide vprecautions.
v v
, The vremaining voptions vare vused vin vless vstringent vlevels vof vsuicide vprecautions.
3. 3) vA vpatient vdiagnosed vwith vschizophrenia vanxiously vsays, v"I vcan vsee vthe vleft
vside v of v my v body v merging v with v the v wall, v then v my v face v appears v and
v disappears vin vthe vmirror." vWhile vlistening, vthe vnurse vshould:
a. sit vclose vto vthe vpatient.
b. place v an v arm v protectively v around v the v patient's v shoulders.
c. place v a v hand v on v the v patient's v arm v and v exert v light v pressure.
d. maintain va vnormal vsocial vinteraction vdistance vfrom vthe vpatient.: vANS: vD
The vpatient vis vdescribing vphenomena vthat vindicate vpersonal vboundary vdiflculties. vThe vnurse vshould vmaintain van
vappropriate vsocial vdistance vand vnot vtouch vthe vpatient, vbecause vthe vpatient vis vanxious vabout vthe vinability vto vmaintain vego
v boundaries vand vmerging vwith vor vbeing vswallowed vby vthe venvironment. vPhysical vcloseness vor vtouch vcould
vprecipitate vpanic.
4. 4) v Which v statement v indicates v a v patient v with v major v depression v is v most
v likely
v v
