Mental Health Exam 2 Rasmussen/ Latest Update
A newly admitted patient is diagnosed with PTSD. Which behavioral symptoms would
the nurse expect to assess? - CORRECT ANSWERS -Diminished participation in
significant activities.
A patient on an in patient unit is experiencing a flash back. Which intervention takes
priority? - CORRECT ANSWERS -Maintain and reassure the patient of his or her safety
and security
Patients diagnosed with OCD, Commonly use which defense mechanism? - CORRECT
ANSWERS -Undoing
A patient diagnosed with OCD, Which behavioral symptoms would the RN expect to
assess? - CORRECT ANSWERS -The patient uses excessive hand washing to relieve
anxiety.
These meds can be used to treat patients with anxiety disorders: Catnapers, Luvox,
Buspar, and Xanax? - CORRECT ANSWERS -True
Risperidone is to hallucinations as Clonazepam is to ? - CORRECT ANSWERS -
Anxiety
Although symptoms of schizophrenia occur at various times in the life span, what
patient would more likely be diagnosed? - CORRECT ANSWERS -A 20 yr old man
The children saying "step on a crack and you break mothers back" is an example of
which type of thinking? - CORRECT ANSWERS -Magical thinking
The nurse documents that a patient diagnosed with schizophrenia is expressing a flat
affect? What is an example of this symptom? - CORRECT ANSWERS -The patient
exhibits no emotional expressions
A patient is experiencing paranoid thinking. Which intervention would aid in facilitating
other interventions? - CORRECT ANSWERS -Assign consistent staff members
Which atypical anti-psychotic med has the highest potential for a patient to experience
serious side effects? - CORRECT ANSWERS -Clozapine (Clozaril)
A patient with schizophrenia says "We can pan, scan, ran, plan". The nurse identifies
this as? - CORRECT ANSWERS -Clang association
Which nursing diagnosis supports the psychoanalytic theory of development of major
depressive disorder? - CORRECT ANSWERS -Social isolation R/T self directed danger
Which patient is at the highest risk for the diagnosis of major depressive disorder? -
CORRECT ANSWERS -24 yr old married woman
, A patient diagnosed with MDD is being considered for ECT. Which patient teaching
should the nurse prioritize? - CORRECT ANSWERS -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? - CORRECT ANSWERS -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? - CORRECT ANSWERS -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? - CORRECT ANSWERS -Confusion, restlessness, Tachycardia, Labile BP,
& diaphoresis
Which of the following meds would be classified as Tricyclic antidepressants? -
CORRECT ANSWERS -Nortriptyline (Pamelor)
Which of the following are examples of anticholinergic side effects from tricyclic
antidepressants? - CORRECT ANSWERS -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? - CORRECT ANSWERS -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? - CORRECT ANSWERS -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? - CORRECT ANSWERS -Risperidone
(Risperdal) & Lamotrigine (Lamictal)
A patient prescribed Lithium is experiencing excessive output of dilute urine, tremors
and muscular irritability. The RN should? - CORRECT ANSWERS -Assess a serum
Lithium level of 2.6mEq/L
A patient is newly prescribed Lithium carbonate. Which teaching point by the nurse
takes priority? - CORRECT ANSWERS -Make sure your salt intake is consistent.
Which is an example of an behavioral response to a moderate level of anxiety? -
CORRECT ANSWERS -Restlessness
A newly admitted patient is diagnosed with PTSD. Which behavioral symptoms would
the nurse expect to assess? - CORRECT ANSWERS -Diminished participation in
significant activities.
A patient on an in patient unit is experiencing a flash back. Which intervention takes
priority? - CORRECT ANSWERS -Maintain and reassure the patient of his or her safety
and security
Patients diagnosed with OCD, Commonly use which defense mechanism? - CORRECT
ANSWERS -Undoing
A patient diagnosed with OCD, Which behavioral symptoms would the RN expect to
assess? - CORRECT ANSWERS -The patient uses excessive hand washing to relieve
anxiety.
These meds can be used to treat patients with anxiety disorders: Catnapers, Luvox,
Buspar, and Xanax? - CORRECT ANSWERS -True
Risperidone is to hallucinations as Clonazepam is to ? - CORRECT ANSWERS -
Anxiety
Although symptoms of schizophrenia occur at various times in the life span, what
patient would more likely be diagnosed? - CORRECT ANSWERS -A 20 yr old man
The children saying "step on a crack and you break mothers back" is an example of
which type of thinking? - CORRECT ANSWERS -Magical thinking
The nurse documents that a patient diagnosed with schizophrenia is expressing a flat
affect? What is an example of this symptom? - CORRECT ANSWERS -The patient
exhibits no emotional expressions
A patient is experiencing paranoid thinking. Which intervention would aid in facilitating
other interventions? - CORRECT ANSWERS -Assign consistent staff members
Which atypical anti-psychotic med has the highest potential for a patient to experience
serious side effects? - CORRECT ANSWERS -Clozapine (Clozaril)
A patient with schizophrenia says "We can pan, scan, ran, plan". The nurse identifies
this as? - CORRECT ANSWERS -Clang association
Which nursing diagnosis supports the psychoanalytic theory of development of major
depressive disorder? - CORRECT ANSWERS -Social isolation R/T self directed danger
Which patient is at the highest risk for the diagnosis of major depressive disorder? -
CORRECT ANSWERS -24 yr old married woman
, A patient diagnosed with MDD is being considered for ECT. Which patient teaching
should the nurse prioritize? - CORRECT ANSWERS -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? - CORRECT ANSWERS -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? - CORRECT ANSWERS -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? - CORRECT ANSWERS -Confusion, restlessness, Tachycardia, Labile BP,
& diaphoresis
Which of the following meds would be classified as Tricyclic antidepressants? -
CORRECT ANSWERS -Nortriptyline (Pamelor)
Which of the following are examples of anticholinergic side effects from tricyclic
antidepressants? - CORRECT ANSWERS -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? - CORRECT ANSWERS -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? - CORRECT ANSWERS -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? - CORRECT ANSWERS -Risperidone
(Risperdal) & Lamotrigine (Lamictal)
A patient prescribed Lithium is experiencing excessive output of dilute urine, tremors
and muscular irritability. The RN should? - CORRECT ANSWERS -Assess a serum
Lithium level of 2.6mEq/L
A patient is newly prescribed Lithium carbonate. Which teaching point by the nurse
takes priority? - CORRECT ANSWERS -Make sure your salt intake is consistent.
Which is an example of an behavioral response to a moderate level of anxiety? -
CORRECT ANSWERS -Restlessness
