Rasmussen: Mental Health Exam 2 Latest Version(Updated 2024) with complete solution

Rasmussen: Mental Health Exam 2 Latest


Version(Updated 2024) with complete


solution




1. 1) A patient with schizophrenia begins to talks about "volmers" or about "frangularity"
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hiding in the warehouse at work. The term "volmers" should be documentedas.
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…ANS…Aneologism v v




2. 2) A patient with suicidal impulses is placed on the highest level of suicide precautions.
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v Which measures should be incorporated into the plan of care by the nurse caring for the
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patient? (More than one answer is correct.).
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…ANS… A.Maintain arm's-length, one-on-one nursing observation around the clock.
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b. Allow no glass or metal on meal trays.
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f. Remove all potentially harmfu l objects from the patient's possession.
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3. 3) A patient diagnosed with schizophrenia anxiously says, "I can see the left side of my
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,v body merging with the wall, then my face appears and disappears in the mirror." While
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v listening, the nurse should.
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…ANS… maintain a normal social interaction distance from thepatient.
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4. 4) Which statement indicates a patient with major depression is most likely outlookon
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lifeduringtheacutephaseoftheillness?
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…ANS… Duringanacutephaseofmajor depression, the client may feel worthless and deserve bad things to happen
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v personally.




5. 5) A patient diagnosed with bipolar disorder is in the maintenance phase of treatment.
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v The patient asks, "Do I have to keep taking this lithium even though my mood is stable
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v now?" Select the nurse's appropriate response.
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…ANS…b."Takingthe medication every day helps reduce the risk of a relapse."
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6. 6) A person has had difficulty keeping a job because of arguing with co-work- ers and
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v accusing them of conspiracy. Today the person shouts, "They're all plotting to destroy
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v me. Isn't that true?" Select the nurse's most therapeutic response.
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, …ANS… b. "Feeling that people want to destroy you must be very frightening."
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7. 7)A patient is undergoing a series of diagnostic tests. The patient says, "Nothing is wrong
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v with me except a stubborn chest cold." The spouse reports the patient smokes and
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v coughs a lot, has lost 15 pounds, and is easily fatigued. Which defense mechanism is the
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v patient using? v




…ANS… Denial v




8. 8) A cab driver, stuck in traffic, becomes lightheaded, tremulous, diaphoretic, tachycardia
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v and dyspneic. A workup in an emergency department reveals no pathology. Which medical
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v diagnosis should a nurse suspect, and what nursing diagnosis should be the nurse's first priority?
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…ANS… Panic disorder and a nursing diagnosis ofanxiety
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