Rasmussen Mental Health
Exam 2 Latest Version
(Updated 2024) | Complete
Questions and Answers with
Rationales
MENTAL HEALTH
PAGEMASTER
, 1) A patient with schizophrenia begins to talks about "volmers" or about "frangularity"
hiding in the warehouse at work. The term "volmers" should be documented as
- A neologism
2) A patient with suicidal impulses is placed on the highest level of suicide precautions.
Which measures should be incorporated into the plan of care by the nurse caring for the
patient? (More than one answer is correct.)
a.Maintain arm's-length, one-on-one nursing observation around the clock.
b. Allow no glass or metal on meal trays.
f. Remove all potentially harmful objects from the patient's possession.
3) A patient diagnosed with schizophrenia anxiously says, "I can see the left side of my body
merging with the wall, then my face appears and disappears in the mirror." While listening,
the nurse should:
maintain a normal social interaction distance from the patient.
4) Which statement indicates a patient with major depression is most likely outlook on life
during the acute phase of the illness? During an acute phase of major depression, the
client may feel worthless and deserve bad things to happen personally.
5) A patient diagnosed with bipolar disorder is in the maintenance phase of treatment. The
patient asks, "Do I have to keep taking this lithium even though my mood is stable now?"
Select the nurse's appropriate response.
b. "Taking the medication every day helps reduce the risk of a relapse."
6) A person has had difficulty keeping a job because of arguing with co-workers and accusing
them of conspiracy. Today the person shouts, "They're all plotting to destroy me. Isn't that
true?" Select the nurse's most therapeutic response.
b. "Feeling that people want to destroy you must be very frightening."
7) A patient is undergoing a series of diagnostic tests. The patient says, "Nothing is wrong
with me except a stubborn chest cold." The spouse reports the patient smokes and coughs a
lot, has lost 15 pounds, and is easily fatigued. Which defense mechanism is the patient using?
Denial
8) A cab driver, stuck in traffic, becomes lightheaded, tremulous, diaphoretic, tachycardia
and dyspneic. A workup in an emergency department reveals no pathology. Which medical
diagnosis should a nurse suspect, and what nursing diagnosis should be the nurse's first
priority?
Panic disorder and a nursing diagnosis of anxiety
Exam 2 Latest Version
(Updated 2024) | Complete
Questions and Answers with
Rationales
MENTAL HEALTH
PAGEMASTER
, 1) A patient with schizophrenia begins to talks about "volmers" or about "frangularity"
hiding in the warehouse at work. The term "volmers" should be documented as
- A neologism
2) A patient with suicidal impulses is placed on the highest level of suicide precautions.
Which measures should be incorporated into the plan of care by the nurse caring for the
patient? (More than one answer is correct.)
a.Maintain arm's-length, one-on-one nursing observation around the clock.
b. Allow no glass or metal on meal trays.
f. Remove all potentially harmful objects from the patient's possession.
3) A patient diagnosed with schizophrenia anxiously says, "I can see the left side of my body
merging with the wall, then my face appears and disappears in the mirror." While listening,
the nurse should:
maintain a normal social interaction distance from the patient.
4) Which statement indicates a patient with major depression is most likely outlook on life
during the acute phase of the illness? During an acute phase of major depression, the
client may feel worthless and deserve bad things to happen personally.
5) A patient diagnosed with bipolar disorder is in the maintenance phase of treatment. The
patient asks, "Do I have to keep taking this lithium even though my mood is stable now?"
Select the nurse's appropriate response.
b. "Taking the medication every day helps reduce the risk of a relapse."
6) A person has had difficulty keeping a job because of arguing with co-workers and accusing
them of conspiracy. Today the person shouts, "They're all plotting to destroy me. Isn't that
true?" Select the nurse's most therapeutic response.
b. "Feeling that people want to destroy you must be very frightening."
7) A patient is undergoing a series of diagnostic tests. The patient says, "Nothing is wrong
with me except a stubborn chest cold." The spouse reports the patient smokes and coughs a
lot, has lost 15 pounds, and is easily fatigued. Which defense mechanism is the patient using?
Denial
8) A cab driver, stuck in traffic, becomes lightheaded, tremulous, diaphoretic, tachycardia
and dyspneic. A workup in an emergency department reveals no pathology. Which medical
diagnosis should a nurse suspect, and what nursing diagnosis should be the nurse's first
priority?
Panic disorder and a nursing diagnosis of anxiety
