EXAM
NUR 2459 RASMUSSEN MENTAL HEALTH
EXAM 1 MODULES 1-3 2025-2026
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Your patient is ready for discharge after a 30-day hospitalization for manic depression. About
30 minutes before his discharge, his roommate comes to you and says, 'He is talking crazy.'
When you ask your patient how he is feeling, he states, 'I feel like Superman. I can do
anything. I can fly home today and then become a U.S. Senator.' Which type of mania-related
symptoms is this patient exhibiting?
A. Social.
B. Cognitive.
C. Behavioral.
D. Perceptual.
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B. Cognitive.
Reason: Cognitive symptoms include inflated self-esteem and grandiosity.
You need to assess whether a patient who has a mood disorder is ready for discharge. Which
statement would indicate readiness for discharge?
A. Right now, I can't bathe myself or dress myself, but I feel good about that.
B. Going home will be fun, but if it isn't fun, I can always make my mother help me or tell her
to do so. She better help me.
C. I will take my medicines as I should and know to call the number you gave me if I have bad
thoughts.
D. Taking care of myself is important, but it's okay if I don't want to do anything.
C. I will take my medicines as I should and know to call the number you gave me if I have bad
thoughts.
Reason: Verbalization of a plan for help and demonstration of care are realistic discharge
criteria.
An angry patient is in the community room. She picks up a chair and uses it to hit another
patient on the head. When you come into the community room, what should your first
response to the patient holding the chair be?
A. Are you crazy? Hitting people can hurt them!
B. Hitting others is unacceptable. Please put the chair completely down on the floor.
C. How would you like it if I hit you over the head with a chair?
D. You're in big trouble now. It's probably prison you are looking at!
B. Hitting others is unacceptable. Please put the chair completely down on the floor.
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Reason: Use words to indicate your lack of acceptance of the patient's behavior in a
nonthreatening voice or tone.
A 22-year-old female is admitted to the unit following a suicide attempt. She has a 2-week
history of depression as well as a history of abusing multiple substances and anorexia
nervosa. What is your first nursing priority?
A. Socialization.
B. Contracting for eating behavior.
C. Safety.
D. Administering the Beck depression scale.
C. Safety.
Reason: Safety is the major principle underlying psychiatric nursing.
Gerald was admitted to the psychiatric acute care unit because he stood in the center of a
main two-way street in his underwear and a T-shirt, shouting, 'I am being held against my will.
I have personal rights.' Gerald was diagnosed with bipolar disorder, manic type. Which of the
following interventions will add to everyone's safety in the acute care environment?
A. Have hectic surroundings.
B. Have consistent unit routines.
C. Minimize staff interventions.
D. Medicate the patient only if he has private health insurance.
B. Have consistent unit routines.
Reason: Quiet environments with consistent routines will help calm patients and add to
safety.
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EXAM
Your patient has just been physically cleaned up after slicing his left arm 8 times. To show an
appropriate evaluative response, which of the following would be your best statement?
A. I could care less if you cut yourself. It doesn't hurt me.
B. If you wouldn't cut yourself, you would have a much happier life.
C. You are lucky someone found you in time. Now you can help us make you better.
D. The behavior of cutting is not acceptable.
D. The behavior of cutting is not acceptable.
Reason: Focus on the behavior, not the person. Be neutral, but not indifferent.
A 22-year-old female was admitted to the mental health unit with major depression and
suicidal ideation. She has a history of cutting her wrists intermittently throughout the last 2
years. On days 1 and 2, the patient stays in her room and eats only 20% of her meals. On day 3,
she eats 80% of her meals and is talking to others in group. The nurse should consider that the
patient is
A. Showing improvement.
B. Highly suicidal.
C. Exhibiting mood swings.
D. In need of electroshock therapy.
A. Showing improvement.
Reason: The patient improvement is based on increased socialization and increased appetite.
A 21-year-old patient has a diagnosis of schizophrenia and is stuporous, yet exhibits sudden,
excessive motor activity with repetitive sit-ups. What is this behavior called?
A. Delusional.
B. Hallucinogenic.
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