RASMUSSEN MENTAL HEALTH EXAM 3 LATEST REAL EXAM WITH
ALL QUESTIONS AND VERIFIED CORRECT ANSWERS | GRADED 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.
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.
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. 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.
B
The causes of somatic system disorders may be related to:
a. faulty perceptions of body sensations.
b. traumatic childhood events.
,c. culture-bound phenomena.
d. depressive equivalents.
A
An essential difference between somatic system disorders and dissociative
disorders is:
a. Somatic system disorders are under voluntary control, whereas dissociative
disorders are unconscious and automatic.
b. Dissociative disorders are precipitated by psychologic factors, whereas somatic
system disorders are related to stress.
c. Dissociative disorders are individually determined and related to childhood
sexual abuse, whereas somatic system disorders are culture bound.
d. Dissociative disorders entail stress-related disruptions of memory,
consciousness, or identity, whereas somatic system disorders involve the
expression of psychologic stress through somatic symptoms.
D
A patient says, "I know I have a brain tumor despite the results of the magnetic
resonance image (MRI). The radiologist is wrong. People who have brain tumors
vomit, and yesterday I vomited all day." Which response by the nurse fosters
cognitive restructuring?
a. "You do not have a brain tumor. The more you talk about it, the more it
reinforces your illogical thinking."
b. Let's see whether any other explanations for your vomiting are possible."
c. You seem so worried. Let's talk about how you're feeling."
d. "We'll talk about something else."
B
Which treatment modality should a nurse recommend to help a patient with pain
disorder cope more effectively?
a. Flooding
b. Relaxation
c. Response prevention
d. Systematic desensitization
B
,A patient with depersonalization disorder tells the nurse, "It's starting again. I feel
as though I'm going to float away." The nurse should help the patient by:
a. encouraging meditation.
b. administering an anxiolytic medication.
c. helping the patient visualize a pleasant scene.
d. helping the patient focus on the here and now.
D
A patient with predominant pain disorder has been in treatment for 4 weeks. The
patient says, "Although I'm still having pain, I notice it less and am able to perform
more activities." The nurse should evaluate the treatment plan as:
a. unsuccessful.
b. minimally successful.
c. partially successful.
d. totally achieved.
C
A patient with predominant pain disorder says, "Why has God chosen me to be
sick all the time and unable to provide for my family? The burden on my family is
worse than the pain I bear." Which nursing diagnoses apply to this patient? Select
all that apply.
a. Spiritual distress
b. Decisional conflict
c. adult failure to thrive
d. Impaired social interaction
e. Ineffective role performance
A. spiritual distress
E. Ineffective role performance
A nurse assesses a patient suspected to have complex somatic system disorder.
Which findings support the diagnosis? Select all that apply.
a. Patient is a woman.
b. Patient reports frequent syncope.
c. Patient complains of heavy menstrual bleeding.
, d. Patient was first diagnosed with psoriasis at 12 years of age.
e. Patient reports back pain, painful urination, frequent diarrhea, and hemorrhoids.
A. Patient is a woman
B. Patient reports frequent syncope
C. Patient complains of heavy menstrual bleeding
E. Patient reports back pain, painful urination, frequent diarrhea, and hemorrhoids
A patient's roommate has observed the patient behaving in uncharacteristic ways,
but the patient cannot remember the episodes. A dissociative identity disorder is
suspected. Which questions are most relevant to the assessment of this patient?
Select all that apply.
a.
"Are you sexually promiscuous?"
b.
"Do you think you need an antidepressant medication?"
c.
"Have you ever found yourself someplace and did not know how you got there?"
d.
"Are your memories of childhood clear and complete, or do you have blank spots?"
e.
"Have you ever found new things in your belongings that you can't remember
buying?"
C. "Have you ever found yourself someplace and did not know how you got
there?"
D. "Are your memories of childhood clear and complete, or do you have blank
spots?"
E. "Have you ever found new things in your belongings that you can't remember
buying?"
A physical therapist recently convicted of multiple counts of Medicare fraud says
to a nurse, "Sure I overbilled. Why not? Everyone takes advantage of the
government. They have so many rules; no one can follow them." These statements
show:
a.
ALL QUESTIONS AND VERIFIED CORRECT ANSWERS | GRADED 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.
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.
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. 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.
B
The causes of somatic system disorders may be related to:
a. faulty perceptions of body sensations.
b. traumatic childhood events.
,c. culture-bound phenomena.
d. depressive equivalents.
A
An essential difference between somatic system disorders and dissociative
disorders is:
a. Somatic system disorders are under voluntary control, whereas dissociative
disorders are unconscious and automatic.
b. Dissociative disorders are precipitated by psychologic factors, whereas somatic
system disorders are related to stress.
c. Dissociative disorders are individually determined and related to childhood
sexual abuse, whereas somatic system disorders are culture bound.
d. Dissociative disorders entail stress-related disruptions of memory,
consciousness, or identity, whereas somatic system disorders involve the
expression of psychologic stress through somatic symptoms.
D
A patient says, "I know I have a brain tumor despite the results of the magnetic
resonance image (MRI). The radiologist is wrong. People who have brain tumors
vomit, and yesterday I vomited all day." Which response by the nurse fosters
cognitive restructuring?
a. "You do not have a brain tumor. The more you talk about it, the more it
reinforces your illogical thinking."
b. Let's see whether any other explanations for your vomiting are possible."
c. You seem so worried. Let's talk about how you're feeling."
d. "We'll talk about something else."
B
Which treatment modality should a nurse recommend to help a patient with pain
disorder cope more effectively?
a. Flooding
b. Relaxation
c. Response prevention
d. Systematic desensitization
B
,A patient with depersonalization disorder tells the nurse, "It's starting again. I feel
as though I'm going to float away." The nurse should help the patient by:
a. encouraging meditation.
b. administering an anxiolytic medication.
c. helping the patient visualize a pleasant scene.
d. helping the patient focus on the here and now.
D
A patient with predominant pain disorder has been in treatment for 4 weeks. The
patient says, "Although I'm still having pain, I notice it less and am able to perform
more activities." The nurse should evaluate the treatment plan as:
a. unsuccessful.
b. minimally successful.
c. partially successful.
d. totally achieved.
C
A patient with predominant pain disorder says, "Why has God chosen me to be
sick all the time and unable to provide for my family? The burden on my family is
worse than the pain I bear." Which nursing diagnoses apply to this patient? Select
all that apply.
a. Spiritual distress
b. Decisional conflict
c. adult failure to thrive
d. Impaired social interaction
e. Ineffective role performance
A. spiritual distress
E. Ineffective role performance
A nurse assesses a patient suspected to have complex somatic system disorder.
Which findings support the diagnosis? Select all that apply.
a. Patient is a woman.
b. Patient reports frequent syncope.
c. Patient complains of heavy menstrual bleeding.
, d. Patient was first diagnosed with psoriasis at 12 years of age.
e. Patient reports back pain, painful urination, frequent diarrhea, and hemorrhoids.
A. Patient is a woman
B. Patient reports frequent syncope
C. Patient complains of heavy menstrual bleeding
E. Patient reports back pain, painful urination, frequent diarrhea, and hemorrhoids
A patient's roommate has observed the patient behaving in uncharacteristic ways,
but the patient cannot remember the episodes. A dissociative identity disorder is
suspected. Which questions are most relevant to the assessment of this patient?
Select all that apply.
a.
"Are you sexually promiscuous?"
b.
"Do you think you need an antidepressant medication?"
c.
"Have you ever found yourself someplace and did not know how you got there?"
d.
"Are your memories of childhood clear and complete, or do you have blank spots?"
e.
"Have you ever found new things in your belongings that you can't remember
buying?"
C. "Have you ever found yourself someplace and did not know how you got
there?"
D. "Are your memories of childhood clear and complete, or do you have blank
spots?"
E. "Have you ever found new things in your belongings that you can't remember
buying?"
A physical therapist recently convicted of multiple counts of Medicare fraud says
to a nurse, "Sure I overbilled. Why not? Everyone takes advantage of the
government. They have so many rules; no one can follow them." These statements
show:
a.
