NUR 2474 MENTAL HEALTH EXAM 2 QUESTIONS AND
05/19/2026
ANSWER
NUR 2474 Mental Health Exam 2 Questions and answer Rasmussen
collage, Exams of Nursing
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,
5/19/2026
"Do I have to keep taking this lithium even though my mood is stable now?" Select the nurse's
appropriate response.
1
, NUR 2474 MENTAL HEALTH EXAM 2 QUESTIONS AND
05/19/2026
ANSWER
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
9) The nurse is providing health teaching for a patient who has been prescribed Phenelzine (Nardil) for
depression and provides a written list of foods that should not be eaten while taking this medication.
What is the potential problem if the patient is not compliant with these dietary restrictions?
hypertensive crisis
foods with tyramine in it
Aged meats or aged cheeses, protein extracts, sour cream, alcohol, anchovies, liver, sausages,
5/19/2026
overripe figs, bananas, avocados, chocolate, soy sauce, bean curd, natural yogurt, fava beans—
tyramine-containing foods—may precipitate hypertensive crisis. Avoid chocolate or caffeine.
2
, NUR 2474 MENTAL HEALTH EXAM 2 QUESTIONS AND
05/19/2026
ANSWER
Herbal: Ginseng, ephedra, ma huang, St. John's wort may cause hypertensive crisis.
For depression that is refractory to TCAs. Avoid certain foods such as
cheese, sour cream, wine, beer, figs, anchovies, shrimp, bananas, and chocolate, and avoid drugs (e.g.,
TCAs).
Risk for hypertensive crisis:
Avoid self-medication. WHY?
OTC preparations containing dextromethorphan, sympathomimetic agents, or antihistamines (e.g.,
cough, cold, and hay fever remedies, appetite suppressants) can precipitate severe hypertensive
reactions if taken during therapy or within 2-3 wk after discontinuation of an MAO inhibitor.
10) Which piece of subjective data obtained during the nurse's psychosocial assessment of a client
experiencing severe anxiety would indicate the possibility of obsessive-compulsive disorder?
a. "I have to keep checking to see where my car keys are."
11) The nurse is evaluating the effectiveness of psychotropic medication on negative symptoms of
psychosis. The nurse looks for a decrease in which of the following?
A: Affective flattening.
11) The nurse is evaluating the effectiveness of an antipsychotic on negative symptoms of psychosis.
Which of the following symptoms would be classified as negative symptoms of psychosis?
5/19/2026
Blunted affect
Poverty of thought
3
05/19/2026
ANSWER
NUR 2474 Mental Health Exam 2 Questions and answer Rasmussen
collage, Exams of Nursing
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,
5/19/2026
"Do I have to keep taking this lithium even though my mood is stable now?" Select the nurse's
appropriate response.
1
, NUR 2474 MENTAL HEALTH EXAM 2 QUESTIONS AND
05/19/2026
ANSWER
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
9) The nurse is providing health teaching for a patient who has been prescribed Phenelzine (Nardil) for
depression and provides a written list of foods that should not be eaten while taking this medication.
What is the potential problem if the patient is not compliant with these dietary restrictions?
hypertensive crisis
foods with tyramine in it
Aged meats or aged cheeses, protein extracts, sour cream, alcohol, anchovies, liver, sausages,
5/19/2026
overripe figs, bananas, avocados, chocolate, soy sauce, bean curd, natural yogurt, fava beans—
tyramine-containing foods—may precipitate hypertensive crisis. Avoid chocolate or caffeine.
2
, NUR 2474 MENTAL HEALTH EXAM 2 QUESTIONS AND
05/19/2026
ANSWER
Herbal: Ginseng, ephedra, ma huang, St. John's wort may cause hypertensive crisis.
For depression that is refractory to TCAs. Avoid certain foods such as
cheese, sour cream, wine, beer, figs, anchovies, shrimp, bananas, and chocolate, and avoid drugs (e.g.,
TCAs).
Risk for hypertensive crisis:
Avoid self-medication. WHY?
OTC preparations containing dextromethorphan, sympathomimetic agents, or antihistamines (e.g.,
cough, cold, and hay fever remedies, appetite suppressants) can precipitate severe hypertensive
reactions if taken during therapy or within 2-3 wk after discontinuation of an MAO inhibitor.
10) Which piece of subjective data obtained during the nurse's psychosocial assessment of a client
experiencing severe anxiety would indicate the possibility of obsessive-compulsive disorder?
a. "I have to keep checking to see where my car keys are."
11) The nurse is evaluating the effectiveness of psychotropic medication on negative symptoms of
psychosis. The nurse looks for a decrease in which of the following?
A: Affective flattening.
11) The nurse is evaluating the effectiveness of an antipsychotic on negative symptoms of psychosis.
Which of the following symptoms would be classified as negative symptoms of psychosis?
5/19/2026
Blunted affect
Poverty of thought
3
