Mental health exam 3 rasmussen
A medical-surgical nurse works with a patient diagnosed with a somatic system disorder. Care
planning is facilitated by understanding that the patient will probably:
a.Readily seek psychiatric counseling.
b.Be resistant to accepting psychiatric help.
c.Attend psychotherapy sessions without encouragement.
d.Be eager to discover the true reasons for physical symptoms. - correct answer b.Be resistant
to accepting psychiatric help.
A patient has blindness related to a functional neurological (conversion) disorder but is
unconcerned about this problem. Which understanding should guide the nurse's planning for
this patient? The patient is:
a.
suppressing accurate feelings regarding the problem.
b.
relieving anxiety through the physical symptom.
c.
meeting needs through hospitalization.
d.
refusing to disclose genuine fears. - correct answer B
A patient has blindness related to a functional neurological (conversion) disorder. To help the
patient eat, the nurse should:
a.
establish a "buddy" system with other patients who can feed the patient at each meal.
b.
expect the patient to feed him- or herself after explaining the arrangement of the food on the
tray.
c.
,Mental health exam 3 rasmussen
direct the patient to locate items on the tray independently and feed self unassisted.
d.
address the needs of other patients in the dining room, and then feed this patient. - correct
answer B
A patient with blindness related to a functional neurological (conversion) disorder says, "All the
doctors and nurses in this hospital stop by often to check on me. Too bad people outside the
hospital don't find me interesting." Which nursing diagnosis is most relevant?
a.
Social isolation
b.
Chronic low self-esteem
c.
Interrupted family processes
d.
Ineffective health maintenance - correct answer B
To assist a patient with a somatic system disorder, a nursing intervention of high priority is to:
a.
imply that somatic symptoms are not real.
b.
help the patient suppress feelings of anger.
c.
shift the focus from somatic symptoms to feelings.
d.
investigate each physical symptom as it is offered. - correct answer C
A patient who fears serious heart disease was referred to the mental health center by a
cardiologist after extensive diagnostic evaluation showed no physical illness. The patient says, "I
,Mental health exam 3 rasmussen
have tightness in my chest and my heart misses beats. I'm frequently absent from work. I don't
go out much because I need to rest." Which health problem is most likely?
a.
Dysthymic disorder
b.
Antisocial personality disorder
c.
Simple somatic symptom disorder
d.
Prominent health anxiety (hypochondriasis) - correct answer D
A nurse assessing a patient with a somatic system disorder is most likely to note that the
patient:
a. Readily sees a relationship between symptoms and interpersonal conflicts.
b. Rarely derives personal benefit from the symptoms.
c. Has little difficulty communicating emotional needs.
d. Has altered comfort and activity needs. - correct answer D
To plan effective care for patients with somatic system disorders, the nurse should understand
that patients have difficulty giving up the symptoms because the symptoms:
a. Are generally chronic.
b. Have a physiological basis.
c. Can be voluntarily controlled.
d. Provide relief from health anxiety. - correct answer D
A patient with a somatic symptom disorder has the nursing diagnosis: Interrupted family
processes, related to patient's disabling symptoms as evidenced by spouse and children
assuming roles and tasks that previously belonged to patient. An appropriate outcome is that
the patient will:
, Mental health exam 3 rasmussen
a. Assume roles and functions of the other family members.
b. Demonstrate a resumption of former roles and tasks.
c. Focus energy on problems occurring in the family.
d. Rely on family members to meet his or her personal needs. - correct answer B
A woman is 5'7" tall, weighs 160 pounds, and wears a size 8 shoe. She says, "My feet are huge.
I've asked three orthopedists to surgically reduce my feet." The patient tries to buy shoes to
make her feet look smaller, and in social settings conceals both feet under a table or chair.
Which health problem is likely?
a.
Dissociative fugue
b.
Prominent pain disorder
c.
Body dysmorphic disorder
d.
Depersonalization disorder - correct answer C
Which assessment finding best supports dissociative fugue? The patient states:
a.
"I cannot recall why I'm living in this town."
b.
"I feel as if I'm living in a fuzzy dream state."
c.
"I feel like different parts of my body are at war."
d.
"I feel very anxious and worried about my problems." - correct answer A
A medical-surgical nurse works with a patient diagnosed with a somatic system disorder. Care
planning is facilitated by understanding that the patient will probably:
a.Readily seek psychiatric counseling.
b.Be resistant to accepting psychiatric help.
c.Attend psychotherapy sessions without encouragement.
d.Be eager to discover the true reasons for physical symptoms. - correct answer b.Be resistant
to accepting psychiatric help.
A patient has blindness related to a functional neurological (conversion) disorder but is
unconcerned about this problem. Which understanding should guide the nurse's planning for
this patient? The patient is:
a.
suppressing accurate feelings regarding the problem.
b.
relieving anxiety through the physical symptom.
c.
meeting needs through hospitalization.
d.
refusing to disclose genuine fears. - correct answer B
A patient has blindness related to a functional neurological (conversion) disorder. To help the
patient eat, the nurse should:
a.
establish a "buddy" system with other patients who can feed the patient at each meal.
b.
expect the patient to feed him- or herself after explaining the arrangement of the food on the
tray.
c.
,Mental health exam 3 rasmussen
direct the patient to locate items on the tray independently and feed self unassisted.
d.
address the needs of other patients in the dining room, and then feed this patient. - correct
answer B
A patient with blindness related to a functional neurological (conversion) disorder says, "All the
doctors and nurses in this hospital stop by often to check on me. Too bad people outside the
hospital don't find me interesting." Which nursing diagnosis is most relevant?
a.
Social isolation
b.
Chronic low self-esteem
c.
Interrupted family processes
d.
Ineffective health maintenance - correct answer B
To assist a patient with a somatic system disorder, a nursing intervention of high priority is to:
a.
imply that somatic symptoms are not real.
b.
help the patient suppress feelings of anger.
c.
shift the focus from somatic symptoms to feelings.
d.
investigate each physical symptom as it is offered. - correct answer C
A patient who fears serious heart disease was referred to the mental health center by a
cardiologist after extensive diagnostic evaluation showed no physical illness. The patient says, "I
,Mental health exam 3 rasmussen
have tightness in my chest and my heart misses beats. I'm frequently absent from work. I don't
go out much because I need to rest." Which health problem is most likely?
a.
Dysthymic disorder
b.
Antisocial personality disorder
c.
Simple somatic symptom disorder
d.
Prominent health anxiety (hypochondriasis) - correct answer D
A nurse assessing a patient with a somatic system disorder is most likely to note that the
patient:
a. Readily sees a relationship between symptoms and interpersonal conflicts.
b. Rarely derives personal benefit from the symptoms.
c. Has little difficulty communicating emotional needs.
d. Has altered comfort and activity needs. - correct answer D
To plan effective care for patients with somatic system disorders, the nurse should understand
that patients have difficulty giving up the symptoms because the symptoms:
a. Are generally chronic.
b. Have a physiological basis.
c. Can be voluntarily controlled.
d. Provide relief from health anxiety. - correct answer D
A patient with a somatic symptom disorder has the nursing diagnosis: Interrupted family
processes, related to patient's disabling symptoms as evidenced by spouse and children
assuming roles and tasks that previously belonged to patient. An appropriate outcome is that
the patient will:
, Mental health exam 3 rasmussen
a. Assume roles and functions of the other family members.
b. Demonstrate a resumption of former roles and tasks.
c. Focus energy on problems occurring in the family.
d. Rely on family members to meet his or her personal needs. - correct answer B
A woman is 5'7" tall, weighs 160 pounds, and wears a size 8 shoe. She says, "My feet are huge.
I've asked three orthopedists to surgically reduce my feet." The patient tries to buy shoes to
make her feet look smaller, and in social settings conceals both feet under a table or chair.
Which health problem is likely?
a.
Dissociative fugue
b.
Prominent pain disorder
c.
Body dysmorphic disorder
d.
Depersonalization disorder - correct answer C
Which assessment finding best supports dissociative fugue? The patient states:
a.
"I cannot recall why I'm living in this town."
b.
"I feel as if I'm living in a fuzzy dream state."
c.
"I feel like different parts of my body are at war."
d.
"I feel very anxious and worried about my problems." - correct answer A
