RASMUSSEN MENTAL HEALTH EXAMINATION
TEST 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ Somatoform Disorders Nursing interventions. Answer: -Offer
explanations and support- Reduces anxiety(Don't reinforce illness)
-Avoid further reinforcement- direct focus away
-Observe and record frequency and intensity of somatic symptoms-
establishes a baseline
-DO NOT imply symptoms are not real (real to pts)
-Assess secondary gains
-Use straightforward approach- avoid power struggle
-Reinforce pts strengths and problem-solving abilities-contributes to
positive self-esteem
-Stress reduction-provides alternative coping strategies and reduces need
for meds
◉ Secondary Gains. Answer: benefits derived from the symptoms alone
Example: the patient is not able to perform the usual family, work, and
social functions, and receives extra attention from loved ones. If the
patient receives the extra attention getting rid of the symptom is even
tougher
,◉ Somatic Pain. Answer: anxiety, play sick, pain in the head, chest,
back, joints, pelvis, dysphagia, nausea, bloating, constipation,
palpitations, dizziness, and SOB. SUICIDE CAN BE A SERIOUS RISK
FOR THESE PTS
◉ Hypochondriasis. Answer: People with hypochondriasis experience
severe distress, and their ability to function in personal, social, and
occupational roles often impaired. Most pts with this disorder present
with FAKE symptoms and preoccupation with the belief of having a
sickness or disease. Excessive preoccupation with having a serious
illness
◉ Conversion Disorder. Answer: Physical symptoms after a traumatic
event- can go away
◉ Conversion Disorder Signs and Symptoms. Answer: Deficits that
affect voluntary motor or sensory functions that suggest a medical
condition when no medical condition exist. Common symptoms are
involuntary movement, seizures, paralysis, abnormal gait, blindness, and
deafness
◉ Conversion Disorder Nursing Interventions. Answer: Behavioral
therapy, family therapy, hypnosis, anxiolytics
, ◉ Dissociative Fugue. Answer: The pt in a fugue state frequently
relocated and assumes a new identity while not recalling previous
identity or placed previously inhabited. The distracters are more
consistent with paranoid schizophrenia, generalized anxiety disorder, or
bipolar disorder. Rather lead simple lives not calling attention to
themselves, as time progresses the person may remember their former
identity and then become amnesic of the time in the fugue state. Usually
precipitated by a traumatic event.
◉ Body Dysmorphic Disorder. Answer: Think Safety, body image, see
body is evil, high risk of harm. Patients with body dysmorphic disorder
feel great shame, hide or withdraw from others, reported higher rates of
suicidal ideation, suicide attempts and completed suicides than
individuals who do not meet criteria for BDD. (Ineffective coping)
◉ Personality Disorders. Answer: Setting firm limits and maintaining
consistency are essential elements in working with people with
personality disorders. Flexibility and providing too many choices does
not help the individual with boundaries and limits. Offering relationship
advice is not professional behavior and can have a negative effect on the
nurse-client relationship. Encouraging the patient to attend daily
activities may be a part of the care plan, but is not as high of a priority as
SETTING LIMITS!
◉ Mal Adaptive. Answer: Compromise; think on problems; socially
isolated due to this type of coping skill
TEST 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ Somatoform Disorders Nursing interventions. Answer: -Offer
explanations and support- Reduces anxiety(Don't reinforce illness)
-Avoid further reinforcement- direct focus away
-Observe and record frequency and intensity of somatic symptoms-
establishes a baseline
-DO NOT imply symptoms are not real (real to pts)
-Assess secondary gains
-Use straightforward approach- avoid power struggle
-Reinforce pts strengths and problem-solving abilities-contributes to
positive self-esteem
-Stress reduction-provides alternative coping strategies and reduces need
for meds
◉ Secondary Gains. Answer: benefits derived from the symptoms alone
Example: the patient is not able to perform the usual family, work, and
social functions, and receives extra attention from loved ones. If the
patient receives the extra attention getting rid of the symptom is even
tougher
,◉ Somatic Pain. Answer: anxiety, play sick, pain in the head, chest,
back, joints, pelvis, dysphagia, nausea, bloating, constipation,
palpitations, dizziness, and SOB. SUICIDE CAN BE A SERIOUS RISK
FOR THESE PTS
◉ Hypochondriasis. Answer: People with hypochondriasis experience
severe distress, and their ability to function in personal, social, and
occupational roles often impaired. Most pts with this disorder present
with FAKE symptoms and preoccupation with the belief of having a
sickness or disease. Excessive preoccupation with having a serious
illness
◉ Conversion Disorder. Answer: Physical symptoms after a traumatic
event- can go away
◉ Conversion Disorder Signs and Symptoms. Answer: Deficits that
affect voluntary motor or sensory functions that suggest a medical
condition when no medical condition exist. Common symptoms are
involuntary movement, seizures, paralysis, abnormal gait, blindness, and
deafness
◉ Conversion Disorder Nursing Interventions. Answer: Behavioral
therapy, family therapy, hypnosis, anxiolytics
, ◉ Dissociative Fugue. Answer: The pt in a fugue state frequently
relocated and assumes a new identity while not recalling previous
identity or placed previously inhabited. The distracters are more
consistent with paranoid schizophrenia, generalized anxiety disorder, or
bipolar disorder. Rather lead simple lives not calling attention to
themselves, as time progresses the person may remember their former
identity and then become amnesic of the time in the fugue state. Usually
precipitated by a traumatic event.
◉ Body Dysmorphic Disorder. Answer: Think Safety, body image, see
body is evil, high risk of harm. Patients with body dysmorphic disorder
feel great shame, hide or withdraw from others, reported higher rates of
suicidal ideation, suicide attempts and completed suicides than
individuals who do not meet criteria for BDD. (Ineffective coping)
◉ Personality Disorders. Answer: Setting firm limits and maintaining
consistency are essential elements in working with people with
personality disorders. Flexibility and providing too many choices does
not help the individual with boundaries and limits. Offering relationship
advice is not professional behavior and can have a negative effect on the
nurse-client relationship. Encouraging the patient to attend daily
activities may be a part of the care plan, but is not as high of a priority as
SETTING LIMITS!
◉ Mal Adaptive. Answer: Compromise; think on problems; socially
isolated due to this type of coping skill
