RASMUSSEN MENTAL HEALTH EXAM REVIEW
UPDATED COMPLETE QUESTIONS AND
ANSWERS GRADED A+
◉ Beck's Cognitive Triad. Answer: Believed that people develop
depression through psychological predisposition of early life
experiences. Even in positive circumstances, Beck believed that
depressed people still process things in a negative way. He believed
there are three automatic negative thoughts (Becks Cognitive triad).
1. A negative, self depreciating view of self.
2. A pessimistic view of the world.
3. The belief that negative reinforcement will continue.
◉ How Cognitive Behavioral therapy works.. Answer: Changing the
way a patient thinks will help relieve depression syndrome.
1. Identifying and testing negative cognition.
2. Developing alternative thinking patterns.
3. Rehearsing new cognitive and behavioral responses.
◉ Risk for suicide- questions to ask. Answer: Ask directly-Are you
thinking of or have you been thinking of killing yourself?
Ask if the person has a plan- When you think about suicide, do you
have a way that you might do this?
,Determine the lethality of the plan- How detailed is the plan? How
lethal is the proposed method? Do they have a gun?
Gather information about risk factors- age, sex, medical problems,
unemployment, lives alone.
Is there a history of a suicide attempt?
Collaborate with other staff involved and come up with a safety plan?
Is there anyone that can stay with patient at home?
Does this person know the signs of suicidal ideations?
◉ Suicide high risk. Answer: Psychiatric disorder, potentially lethal
suicide attempt or persistent ideations with strong intent or suicide
rehearsal.-Suicide precautions
◉ Suicide moderate risk. Answer: Multiple risk factors, suicidal
ideations with plan but no intent or behavior. -Develop crisis plan and
give emergency crisis numbers
◉ Suicide low risk. Answer: Modified risk factors, thoughts of death,
no plan, no intent or behavior.- Outpatient referral, give emergency
crisis numbers.
◉ Nursing Diagnosis for depression. Answer: Risk for suicide
Risk for self-mutilation
Ineffective coping
Hopeless
Chronic low self-esteem
, Impaired social interaction
Imbalanced nutrition
Constipation
Disturbed sleep pattern
Spiritual distress
Decisional conflict
Social isolation
Risk for loneliness
Self-neglect
Sexual dysfunction
◉ Interventions for depression: Communication. Answer: 1. Help the
patient question assumptions and beliefs to reconstruct a healthier and
more hopeful attitude about the future.
2.Help the patient identify cognitive distortions that encourage
negative self appraisal: overgeneralization (I have....He always), self-
blame (blames self for everything perceived as negative), mind
reading (assumes other do not like him without any evidence)
discounting of positive attributes ( focuses on the negative).
3.Encourage activities that raise self esteem (problem solving skills,
coping skills, assertiveness skills).
4. Encourage physical activity- can reduce tension, alleviate
depression/anxiety and improve self concept.
5. Encourage formation of supportive relationships- support groups,
therapy, peer support.
6. Provide information referrals, when needed, spiritual.
UPDATED COMPLETE QUESTIONS AND
ANSWERS GRADED A+
◉ Beck's Cognitive Triad. Answer: Believed that people develop
depression through psychological predisposition of early life
experiences. Even in positive circumstances, Beck believed that
depressed people still process things in a negative way. He believed
there are three automatic negative thoughts (Becks Cognitive triad).
1. A negative, self depreciating view of self.
2. A pessimistic view of the world.
3. The belief that negative reinforcement will continue.
◉ How Cognitive Behavioral therapy works.. Answer: Changing the
way a patient thinks will help relieve depression syndrome.
1. Identifying and testing negative cognition.
2. Developing alternative thinking patterns.
3. Rehearsing new cognitive and behavioral responses.
◉ Risk for suicide- questions to ask. Answer: Ask directly-Are you
thinking of or have you been thinking of killing yourself?
Ask if the person has a plan- When you think about suicide, do you
have a way that you might do this?
,Determine the lethality of the plan- How detailed is the plan? How
lethal is the proposed method? Do they have a gun?
Gather information about risk factors- age, sex, medical problems,
unemployment, lives alone.
Is there a history of a suicide attempt?
Collaborate with other staff involved and come up with a safety plan?
Is there anyone that can stay with patient at home?
Does this person know the signs of suicidal ideations?
◉ Suicide high risk. Answer: Psychiatric disorder, potentially lethal
suicide attempt or persistent ideations with strong intent or suicide
rehearsal.-Suicide precautions
◉ Suicide moderate risk. Answer: Multiple risk factors, suicidal
ideations with plan but no intent or behavior. -Develop crisis plan and
give emergency crisis numbers
◉ Suicide low risk. Answer: Modified risk factors, thoughts of death,
no plan, no intent or behavior.- Outpatient referral, give emergency
crisis numbers.
◉ Nursing Diagnosis for depression. Answer: Risk for suicide
Risk for self-mutilation
Ineffective coping
Hopeless
Chronic low self-esteem
, Impaired social interaction
Imbalanced nutrition
Constipation
Disturbed sleep pattern
Spiritual distress
Decisional conflict
Social isolation
Risk for loneliness
Self-neglect
Sexual dysfunction
◉ Interventions for depression: Communication. Answer: 1. Help the
patient question assumptions and beliefs to reconstruct a healthier and
more hopeful attitude about the future.
2.Help the patient identify cognitive distortions that encourage
negative self appraisal: overgeneralization (I have....He always), self-
blame (blames self for everything perceived as negative), mind
reading (assumes other do not like him without any evidence)
discounting of positive attributes ( focuses on the negative).
3.Encourage activities that raise self esteem (problem solving skills,
coping skills, assertiveness skills).
4. Encourage physical activity- can reduce tension, alleviate
depression/anxiety and improve self concept.
5. Encourage formation of supportive relationships- support groups,
therapy, peer support.
6. Provide information referrals, when needed, spiritual.
