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2025 RASMUSSEN MENTAL HEALTH
EXAM 2 REAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH
RATIONALES.A GRADE (COMPLETE
EXAM)
1) A patient with schizophrenia begins to talks about "volmers" hiding in the
warehouse at work. The term "volmers" should be documented as:
a. neologism
b. concrete thinking
c. thought insertion
d. idea of reference - ANS: A
- A neologism is a newly coined word having special meaning to the
patient. "Volmer" is not a known common noun.
- Concrete thinking refers to the inability to think abstractly.
- Thought insertion refers to thoughts of others that are implanted in one's
mind.
- An idea of reference is a type of delusion in which trivial events are given
personal significance.
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?
1
, 2
a. "I have to keep checking to see where my car keys are."
b. "My legs feel weak most of the time."
c. "I'm afraid to go out in public."
d. "I keep reliving the rape." - ANSANS: A
Recurring doubt (obsessive thinking) and the need to check (compulsive
behavior) suggest obsessive-compulsive disorder. The repetitive behavior
is designed to decrease anxiety but fails and must be repeated. Option B is
more in keeping with a somatoform disorder. Option C is associated with
agoraphobia and option D with posttraumatic stress disorder.
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? - ANSBlunted affect
Poverty of thought
Loss of motivation
Inability to experience pleasure or joy
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.
B: Bizarre behavior.
C: Illogicality.
D: Somatic delusions. - ANSA: Affective flattening.
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, 3
Reason:
Negative symptoms of psychosis involve a diminution or loss of normal
functioning. They include affective flattening, alogia (restricted thought and
speech), avolution/apathy (lack of behavior initiation), and
anhedonia/asociality (inability to experience pleasure or maintain social
contacts). Positive symptoms of psychosis involve an excess or distortion
of normal functioning. These include psychotic disorders of thinking
(delusions) and disorganization of speech (illogicality) and behavior.
12) A 39-year-old woman is recently divorced and is learning to cope with
additional stressors. Which of the following best demonstrate(s) that she is
utilizing positive coping strategies to manage her stress? (Select all that
apply).
1. alter her general lifestyle by moving to another area.
2. arrange to increase her job hours, to avoid home life.
3. control stress by increased physical activity.
4. change her reactions to stress with cognitive behavioral
therapy. - ANSANS: 3, 4
3. control stress by increased physical activity.
4. change her reactions to stress with cognitive behavioral
therapy.
13) Which nursing diagnosis is likely to apply to an individual with severe
and persistent mental illness who is homeless?
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2025 RASMUSSEN MENTAL HEALTH
EXAM 2 REAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH
RATIONALES.A GRADE (COMPLETE
EXAM)
1) A patient with schizophrenia begins to talks about "volmers" hiding in the
warehouse at work. The term "volmers" should be documented as:
a. neologism
b. concrete thinking
c. thought insertion
d. idea of reference - ANS: A
- A neologism is a newly coined word having special meaning to the
patient. "Volmer" is not a known common noun.
- Concrete thinking refers to the inability to think abstractly.
- Thought insertion refers to thoughts of others that are implanted in one's
mind.
- An idea of reference is a type of delusion in which trivial events are given
personal significance.
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?
1
, 2
a. "I have to keep checking to see where my car keys are."
b. "My legs feel weak most of the time."
c. "I'm afraid to go out in public."
d. "I keep reliving the rape." - ANSANS: A
Recurring doubt (obsessive thinking) and the need to check (compulsive
behavior) suggest obsessive-compulsive disorder. The repetitive behavior
is designed to decrease anxiety but fails and must be repeated. Option B is
more in keeping with a somatoform disorder. Option C is associated with
agoraphobia and option D with posttraumatic stress disorder.
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? - ANSBlunted affect
Poverty of thought
Loss of motivation
Inability to experience pleasure or joy
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.
B: Bizarre behavior.
C: Illogicality.
D: Somatic delusions. - ANSA: Affective flattening.
2
, 3
Reason:
Negative symptoms of psychosis involve a diminution or loss of normal
functioning. They include affective flattening, alogia (restricted thought and
speech), avolution/apathy (lack of behavior initiation), and
anhedonia/asociality (inability to experience pleasure or maintain social
contacts). Positive symptoms of psychosis involve an excess or distortion
of normal functioning. These include psychotic disorders of thinking
(delusions) and disorganization of speech (illogicality) and behavior.
12) A 39-year-old woman is recently divorced and is learning to cope with
additional stressors. Which of the following best demonstrate(s) that she is
utilizing positive coping strategies to manage her stress? (Select all that
apply).
1. alter her general lifestyle by moving to another area.
2. arrange to increase her job hours, to avoid home life.
3. control stress by increased physical activity.
4. change her reactions to stress with cognitive behavioral
therapy. - ANSANS: 3, 4
3. control stress by increased physical activity.
4. change her reactions to stress with cognitive behavioral
therapy.
13) Which nursing diagnosis is likely to apply to an individual with severe
and persistent mental illness who is homeless?
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