MENTAL HEALTH EXAM 2 RASMUSSEN
QUESTIONS AND ANSWERS WITH
VERIFIED SOLUTIONS 2024
Which nursing diagnosis supports the psychoanalytic theory of development of major depressive
disorder? - ANSWER Social isolation R/T self directed danger
Which patient is at the highest risk for the diagnosis of major depressive disorder? - ANSWER 24 yr old
married woman
A patient diagnosed with MDD is being considered for ECT. Which patient teaching should the nurse
prioritize? - ANSWER Discuss with the patient and family expected short term memory loss
Which nursing intervention takes priority when working with a newly admitted patient experiencing
suicidal ideations? - ANSWER Monitor the patient at a close, but irregular intervals.
A patient diagnosed with major depressive disorder is prescribed Nardil. Which teachings should the
nurse prioritize? - ANSWER Intruct the patient & family about the many food-drug & drug-drug
interactions?
What symptoms would the nurse expect to assess i a patient experiencing serotonin syndrome? -
ANSWER Confusion, restlessness, Tachycardia, Labile BP, & diaphoresis
Which of the following meds would be classified as Tricyclic antidepressants? - ANSWER Nortriptyline
(Pamelor)
Which of the following are examples of anticholinergic side effects from tricyclic antidepressants? -
ANSWER Urinary hesitancy, constipation, and blurred vision
A patient seen in the ED is experiencing irritability, pressured speech, and increased levels of anxiety. The
priority is? - ANSWER Assess vital signs and complete a physical assessment
, A patient diagnosed with bipolar 1 in the manic phase is yelling at another peer in the milieu. The
priority intervention is? - ANSWER Calmly redirect and remove the patient from the milieu.
A patient diagnosed with bipolar 1 is experiencing auditory hallucinations and a flight of ideas. Which
meds would you expect to give? - ANSWER Risperidone (Risperdal) & Lamotrigine (Lamictal)
A patient prescribed Lithium is experiencing excessive output of dilute urine, tremors and muscular
irritability. The RN should? - ANSWER Assess a serum Lithium level of 2.6mEq/L
A patient is newly prescribed Lithium carbonate. Which teaching point by the nurse takes priority? -
ANSWER Make sure your salt intake is consistent.
Which is an example of an behavioral response to a moderate level of anxiety? - ANSWER Restlessness
Which is an example of a physiological response to a panic level of anxiety? - ANSWER Dilated pupils.
A newly admitted patient is diagnosed with PTSD. Which behavioral symptoms would the nurse expect
to assess? - ANSWER Diminished participation in significant activities.
A patient on an in patient unit is experiencing a flash back. Which intervention takes priority? - ANSWER
Maintain and reassure the patient of his or her safety and security
Patienta diagnosed with OCD, Commonly use which defense mechanism? - ANSWER Undoing
A patient diagnosed with OCD, Which behavioral symptoms would the RN expect to assess? - ANSWER
The patient uses excessive hand washing to relieve anxiety.
These meds can be used to treat patients with anxiety disorders: Catapres, Luvox, Buspar, and Xanax? -
ANSWER True
Resperidone is to hallucinations as Clonazepam is to ? - ANSWER Anxiety
QUESTIONS AND ANSWERS WITH
VERIFIED SOLUTIONS 2024
Which nursing diagnosis supports the psychoanalytic theory of development of major depressive
disorder? - ANSWER Social isolation R/T self directed danger
Which patient is at the highest risk for the diagnosis of major depressive disorder? - ANSWER 24 yr old
married woman
A patient diagnosed with MDD is being considered for ECT. Which patient teaching should the nurse
prioritize? - ANSWER Discuss with the patient and family expected short term memory loss
Which nursing intervention takes priority when working with a newly admitted patient experiencing
suicidal ideations? - ANSWER Monitor the patient at a close, but irregular intervals.
A patient diagnosed with major depressive disorder is prescribed Nardil. Which teachings should the
nurse prioritize? - ANSWER Intruct the patient & family about the many food-drug & drug-drug
interactions?
What symptoms would the nurse expect to assess i a patient experiencing serotonin syndrome? -
ANSWER Confusion, restlessness, Tachycardia, Labile BP, & diaphoresis
Which of the following meds would be classified as Tricyclic antidepressants? - ANSWER Nortriptyline
(Pamelor)
Which of the following are examples of anticholinergic side effects from tricyclic antidepressants? -
ANSWER Urinary hesitancy, constipation, and blurred vision
A patient seen in the ED is experiencing irritability, pressured speech, and increased levels of anxiety. The
priority is? - ANSWER Assess vital signs and complete a physical assessment
, A patient diagnosed with bipolar 1 in the manic phase is yelling at another peer in the milieu. The
priority intervention is? - ANSWER Calmly redirect and remove the patient from the milieu.
A patient diagnosed with bipolar 1 is experiencing auditory hallucinations and a flight of ideas. Which
meds would you expect to give? - ANSWER Risperidone (Risperdal) & Lamotrigine (Lamictal)
A patient prescribed Lithium is experiencing excessive output of dilute urine, tremors and muscular
irritability. The RN should? - ANSWER Assess a serum Lithium level of 2.6mEq/L
A patient is newly prescribed Lithium carbonate. Which teaching point by the nurse takes priority? -
ANSWER Make sure your salt intake is consistent.
Which is an example of an behavioral response to a moderate level of anxiety? - ANSWER Restlessness
Which is an example of a physiological response to a panic level of anxiety? - ANSWER Dilated pupils.
A newly admitted patient is diagnosed with PTSD. Which behavioral symptoms would the nurse expect
to assess? - ANSWER Diminished participation in significant activities.
A patient on an in patient unit is experiencing a flash back. Which intervention takes priority? - ANSWER
Maintain and reassure the patient of his or her safety and security
Patienta diagnosed with OCD, Commonly use which defense mechanism? - ANSWER Undoing
A patient diagnosed with OCD, Which behavioral symptoms would the RN expect to assess? - ANSWER
The patient uses excessive hand washing to relieve anxiety.
These meds can be used to treat patients with anxiety disorders: Catapres, Luvox, Buspar, and Xanax? -
ANSWER True
Resperidone is to hallucinations as Clonazepam is to ? - ANSWER Anxiety
