RASMUSSEN MENTAL HEALTH EXAM 2
QUESTIONS WITH THE LATEST SCORE.
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-- Instruct 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
Patients 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
QUESTIONS WITH THE LATEST SCORE.
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-- Instruct 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
Patients 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
