Rasmussen: Mental Health Exam 2 Latest
Version(Updated 2024) with complete
solution
. A client diagnosed with nyctophobia has recently started systematic desensitization therapy. The nurse
n n n n n n n n n n n n n
nunderstands this therapy will help the client through which of the following techniques? - ANSW -The
n n n n n n n n n n n n n n n
nclient will gradually be exposed to the situation until they do not experience panic level anxiety
n n n n n n n n n n n n n n n
1) A patient with schizophrenia begins to talks about "volmers" or about "frangularity" hiding in the
n n n n n n n n n n n n n n n
warehouse at work. The term "volmers" should be documented as - ANSW -- A neologism
n n n n n n n n n n n n n n n
10) Which piece of subjective data obtained during the nurse's psychosocial assessment of a client
n n n n n n n n n n n n n n
experiencing severe anxiety would indicate the possibility of obsessive-compulsive disorder? - ANSW -a.
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"I have to keep checking to see where my car keys are."
n n n n n n n n n n n n
11) The nurse is evaluating the effectiveness of an antipsychotic on negative symptoms of psychosis.
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Which of the following symptoms would be classified as negative symptoms of psychosis? - ANSW -
n n n n n n n n n n n n n n n n
Blunted affect n
Poverty of thought n n
Loss of motivation n n
Inability to experience pleasure or joy n n n n n
11) The nurse is evaluating the effectiveness of psychotropic medication on negative symptoms of
n n n n n n n n n n n n n
psychosis. The nurse looks for a decrease in which of the following? - ANSW -A: Affective flattening.
n n n n n n n n n n n n n n n n n
12) A 39-year-old woman is recently divorced and is learning to cope with additional stressors. Which of
n n n n n n n n n n n n n n n n
the following best demonstrate(s) that she is utilizing positive coping strategies to manage her stress?
n n n n n n n n n n n n n n n
(Select all that apply). - ANSW -3. control stress by increased physical activity.
n n n n n n n n n n n n n
4. change her reactions to stress with cognitive behavioral
n n n n n n n n
therapy.
13) Which nursing diagnosis is likely to apply to an individual with severe and persistent mental illness
n n n n n n n n n n n n n n n n
who is homeless - ANSW -Chronic low self-esteem
n n n n n n n n
14) A patient with depression is receiving imipramine (Tofranil) 200 mg every night at bedtime. Which
n n n n n n n n n n n n n n n
assessment finding would prompt the nurse to collaborate with the health care provider regarding
n n n n n n n n n n n n n n
potentially hazardous side effects of this - ANSW -Urinary retention
n n n n n n n n n n
, 15) Which individual in the emergency department should be considered at the highest risk for
n n n n n n n n n n n n n n
completing suicide? - ANSW -d. A 79-year-old single white man with cancer of the prostate gland.
n n n n n n n n n n n n n n n n
16) The nurse is caring for a patient who takes antipsychotic medications and has developed muscle
n n n n n n n n n n n n n n n
rigidity, hyperpyrexia, diaphoresis, and drooling. Which of the following adverse effects of antipsychotic
n n n n n n n n n n n n n
educations is most likely causing these symptoms? - ANSW -Neuroleptic malignant syndrome
n n n n n n n n n n n n
17) A patient with catatonic schizophrenia exhibits little spontaneous movement and demonstrates waxy
n n n n n n n n n n n n
flexibility. Which patient needs are of priority importance - ANSW -Physiologic
n n n n n n n n n n n
18) A nurse works with a patient with paranoid schizophrenia regarding the importance of medication
n n n n n n n n n n n n n n
management. The patient repeatedly says, "I don't like taking pills." Family members say they feel
n n n n n n n n n n n n n n n
helpless to foster compliance. Which treatment strategy should the nurse discuss with the health care
n n n n n n n n n n n n n n n
provider? - ANSW -Use of a long-acting antipsychotic preparation
n n n n n n n n n
19) Which documentation indicates that the treatment plan for a patient diagnosed with acute mania
n n n n n n n n n n n n n n
has been effective? - ANSW -Converses with few interruptions; clothing matches; participates in
n n n n n n n n n n n n n
activities."
n
2) A patient with suicidal impulses is placed on the highest level of suicide precautions. Which measures
n n n n n n n n n n n n n n n n
should be incorporated into the plan of care by the nurse caring for the patient? (More than one answer
n n n n n n n n n n n n n n n n n n n
is correct.) - ANSW -A.Maintain arm's-length, one-on-one nursing observation around the clock.
n n n n n n n n n n n n
b. Allow no glass or metal on meal trays.
n n n n n n n n
f. Remove all potentially harmful objects from the patient's possession.
n n n n n n n n n
20) A priority nursing intervention for a patient diagnosed with major depressive disorder is - ANSW -
n n n n n n n n n n n n n n n n
carefully and inconspicuously observing the patient around the clock.
n n n n n n n n
21) A nurse plans health teaching for a patient with generalized anxiety disorder who begins a new
n n n n n n n n n n n n n n n n
prescription for lorazepam (Ativan). What information should be included? (Select all that apply). -
n n n n n n n n n n n n n n
ANSW -a. Caution in use of machinery
n n n n n n n
c. The importance of caffeine restriction
n n n n n
d. Avoidance of alcohol and other sedatives
n n n n n n
22) A patient is experiencing moderate anxiety. The nurse encourages the patient to talk about feelings
n n n n n n n n n n n n n n n
and concerns. What is the rationale for this intervention? - ANSW -b. Concerns stated aloud become less
n n n n n n n n n n n n n n n n n
overwhelming and help problem solving begin.
n n n n n n
23) A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor
n n n n n n n n n n n n
(SSRI) antidepressant therapy. Priority information given to the patient and family should include a
n n n n n n n n n n n n n n
directive to: - ANSW -report increased suicidal thoughts.
n n n n n n n n
24) A veteran of the lraq War describes that he is having intrusive thoughts of missiles, screaming,
n n n n n n n n n n n n n n n n
explosions, and the same feelings of terror first experienced in combat. Which of the following clinical
n n n n n n n n n n n n n n n n
disorders would this patient most likely be describing symptoms of? - ANSW -ANS: Post-traumatic stress
n n n n n n n n n n n n n n n
disorder (PTSD)
n n
Version(Updated 2024) with complete
solution
. A client diagnosed with nyctophobia has recently started systematic desensitization therapy. The nurse
n n n n n n n n n n n n n
nunderstands this therapy will help the client through which of the following techniques? - ANSW -The
n n n n n n n n n n n n n n n
nclient will gradually be exposed to the situation until they do not experience panic level anxiety
n n n n n n n n n n n n n n n
1) A patient with schizophrenia begins to talks about "volmers" or about "frangularity" hiding in the
n n n n n n n n n n n n n n n
warehouse at work. The term "volmers" should be documented as - ANSW -- A neologism
n n n n n n n n n n n n n n n
10) Which piece of subjective data obtained during the nurse's psychosocial assessment of a client
n n n n n n n n n n n n n n
experiencing severe anxiety would indicate the possibility of obsessive-compulsive disorder? - ANSW -a.
n n n n n n n n n n n n n
"I have to keep checking to see where my car keys are."
n n n n n n n n n n n n
11) The nurse is evaluating the effectiveness of an antipsychotic on negative symptoms of psychosis.
n n n n n n n n n n n n n n
Which of the following symptoms would be classified as negative symptoms of psychosis? - ANSW -
n n n n n n n n n n n n n n n n
Blunted affect n
Poverty of thought n n
Loss of motivation n n
Inability to experience pleasure or joy n n n n n
11) The nurse is evaluating the effectiveness of psychotropic medication on negative symptoms of
n n n n n n n n n n n n n
psychosis. The nurse looks for a decrease in which of the following? - ANSW -A: Affective flattening.
n n n n n n n n n n n n n n n n n
12) A 39-year-old woman is recently divorced and is learning to cope with additional stressors. Which of
n n n n n n n n n n n n n n n n
the following best demonstrate(s) that she is utilizing positive coping strategies to manage her stress?
n n n n n n n n n n n n n n n
(Select all that apply). - ANSW -3. control stress by increased physical activity.
n n n n n n n n n n n n n
4. change her reactions to stress with cognitive behavioral
n n n n n n n n
therapy.
13) Which nursing diagnosis is likely to apply to an individual with severe and persistent mental illness
n n n n n n n n n n n n n n n n
who is homeless - ANSW -Chronic low self-esteem
n n n n n n n n
14) A patient with depression is receiving imipramine (Tofranil) 200 mg every night at bedtime. Which
n n n n n n n n n n n n n n n
assessment finding would prompt the nurse to collaborate with the health care provider regarding
n n n n n n n n n n n n n n
potentially hazardous side effects of this - ANSW -Urinary retention
n n n n n n n n n n
, 15) Which individual in the emergency department should be considered at the highest risk for
n n n n n n n n n n n n n n
completing suicide? - ANSW -d. A 79-year-old single white man with cancer of the prostate gland.
n n n n n n n n n n n n n n n n
16) The nurse is caring for a patient who takes antipsychotic medications and has developed muscle
n n n n n n n n n n n n n n n
rigidity, hyperpyrexia, diaphoresis, and drooling. Which of the following adverse effects of antipsychotic
n n n n n n n n n n n n n
educations is most likely causing these symptoms? - ANSW -Neuroleptic malignant syndrome
n n n n n n n n n n n n
17) A patient with catatonic schizophrenia exhibits little spontaneous movement and demonstrates waxy
n n n n n n n n n n n n
flexibility. Which patient needs are of priority importance - ANSW -Physiologic
n n n n n n n n n n n
18) A nurse works with a patient with paranoid schizophrenia regarding the importance of medication
n n n n n n n n n n n n n n
management. The patient repeatedly says, "I don't like taking pills." Family members say they feel
n n n n n n n n n n n n n n n
helpless to foster compliance. Which treatment strategy should the nurse discuss with the health care
n n n n n n n n n n n n n n n
provider? - ANSW -Use of a long-acting antipsychotic preparation
n n n n n n n n n
19) Which documentation indicates that the treatment plan for a patient diagnosed with acute mania
n n n n n n n n n n n n n n
has been effective? - ANSW -Converses with few interruptions; clothing matches; participates in
n n n n n n n n n n n n n
activities."
n
2) A patient with suicidal impulses is placed on the highest level of suicide precautions. Which measures
n n n n n n n n n n n n n n n n
should be incorporated into the plan of care by the nurse caring for the patient? (More than one answer
n n n n n n n n n n n n n n n n n n n
is correct.) - ANSW -A.Maintain arm's-length, one-on-one nursing observation around the clock.
n n n n n n n n n n n n
b. Allow no glass or metal on meal trays.
n n n n n n n n
f. Remove all potentially harmful objects from the patient's possession.
n n n n n n n n n
20) A priority nursing intervention for a patient diagnosed with major depressive disorder is - ANSW -
n n n n n n n n n n n n n n n n
carefully and inconspicuously observing the patient around the clock.
n n n n n n n n
21) A nurse plans health teaching for a patient with generalized anxiety disorder who begins a new
n n n n n n n n n n n n n n n n
prescription for lorazepam (Ativan). What information should be included? (Select all that apply). -
n n n n n n n n n n n n n n
ANSW -a. Caution in use of machinery
n n n n n n n
c. The importance of caffeine restriction
n n n n n
d. Avoidance of alcohol and other sedatives
n n n n n n
22) A patient is experiencing moderate anxiety. The nurse encourages the patient to talk about feelings
n n n n n n n n n n n n n n n
and concerns. What is the rationale for this intervention? - ANSW -b. Concerns stated aloud become less
n n n n n n n n n n n n n n n n n
overwhelming and help problem solving begin.
n n n n n n
23) A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor
n n n n n n n n n n n n
(SSRI) antidepressant therapy. Priority information given to the patient and family should include a
n n n n n n n n n n n n n n
directive to: - ANSW -report increased suicidal thoughts.
n n n n n n n n
24) A veteran of the lraq War describes that he is having intrusive thoughts of missiles, screaming,
n n n n n n n n n n n n n n n n
explosions, and the same feelings of terror first experienced in combat. Which of the following clinical
n n n n n n n n n n n n n n n n
disorders would this patient most likely be describing symptoms of? - ANSW -ANS: Post-traumatic stress
n n n n n n n n n n n n n n n
disorder (PTSD)
n n
