RASMUSSEN: MENTAL
HEALTH 2 WITH
CORERECT QUESTION
AND ANSWERS
CONFIRMLTD
,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. - correct ans: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, B, F
One-on-one observation is necessary for anyone who has limited control over
suicidal impulses.
- Plastic dishes on trays and the removal of potentially harmful objects from
the patient's possession are measures included in any-level suicide
precautions.
The remaining options are used in less stringent levels of suicide
precautions. - correct ans: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.
c. Keep patient within visual range while awake. Check every 15 to 30
minutes while the patient is sleeping.
d. Check the patient's whereabouts every 15 minutes and make frequent
verbal contacts.
e. Check whereabouts every hour. Make verbal contact at least three times
each shift.
f. Remove all potentially harmful objects from the patient's possession.
ANS: D
The patient is describing phenomena that indicate personal boundary
difficulties. The nurse should maintain an appropriate social distance and not
touch the patient, because the patient is anxious about the inability to
maintain ego boundaries and merging with or being swallowed by the
environment. Physical closeness or touch could precipitate panic. - correct
ans: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:
a. sit close to the patient.
b. place an arm protectively around the patient's shoulders.
c. place a hand on the patient's arm and exert light pressure.
d. maintain a normal social interaction distance from the patient.
During an acute phase of major depression, the client may feel worthless and
deserve bad things to happen personally. - correct ans:4) Which statement
indicates a patient with major depression is most likely outlook on life during
the acute phase of the illness?
HEALTH 2 WITH
CORERECT QUESTION
AND ANSWERS
CONFIRMLTD
,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. - correct ans: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, B, F
One-on-one observation is necessary for anyone who has limited control over
suicidal impulses.
- Plastic dishes on trays and the removal of potentially harmful objects from
the patient's possession are measures included in any-level suicide
precautions.
The remaining options are used in less stringent levels of suicide
precautions. - correct ans: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.
c. Keep patient within visual range while awake. Check every 15 to 30
minutes while the patient is sleeping.
d. Check the patient's whereabouts every 15 minutes and make frequent
verbal contacts.
e. Check whereabouts every hour. Make verbal contact at least three times
each shift.
f. Remove all potentially harmful objects from the patient's possession.
ANS: D
The patient is describing phenomena that indicate personal boundary
difficulties. The nurse should maintain an appropriate social distance and not
touch the patient, because the patient is anxious about the inability to
maintain ego boundaries and merging with or being swallowed by the
environment. Physical closeness or touch could precipitate panic. - correct
ans: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:
a. sit close to the patient.
b. place an arm protectively around the patient's shoulders.
c. place a hand on the patient's arm and exert light pressure.
d. maintain a normal social interaction distance from the patient.
During an acute phase of major depression, the client may feel worthless and
deserve bad things to happen personally. - correct ans:4) Which statement
indicates a patient with major depression is most likely outlook on life during
the acute phase of the illness?
