rasmussen mental health exam 2 (2025/2026): LATEST VERSION WITH VERIFIED QUESTIONS AND ACCURATE, DETAILED ANSWERS FROM TRUSTED SOURCES.

rasmussen mental health exam 2 (2025/2026): LATEST VERSION WITH VERIFIED QUESTIONS AND ACCURATE, DETAILED ANSWERS FROM TRUSTED SOURCES. 1. Which nursing diagnosis supports the psychoanalytic theory of development of major depressive disorder? - ANSWER Social isolation R/T self directed danger 2. Which patient is at the highest risk for the diagnosis of major depressive disorder? - ANSWER 24 yr old married woman 3. 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 4. 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. 5. A patient diagnosed with major depressive disorder is prescribed Nardil. Which teachings should the nurse prioritize? - ANSWER Intruct the patient & family about the many food-drug & drug-drug interactions? 6. What symptoms would the nurse expect to assess i a patient experiencing serotonin syndrome? - ANSWER Confusion, restlessness, Tachycardia, Labile BP, & diaphoresis 7. Which of the following meds would be classified as Tricyclic antidepressants? - ANSWER Nortriptyline (Pamelor) 8. Which of the following are examples of anticholinergic side effects from tricyclic antidepressants? - ANSWER Urinary hesitancy, constipation, and blurred vision 9. 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 10. 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. 11. 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) 12. 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 13. A patient is newly prescribed Lithium carbonate. Which teaching point by the nurse takes priority? - ANSWER Make sure your salt intake is consistent. 14. Which is an example of an behavioral response to a moderate level of anxiety? - ANSWER Restlessness 15. Which is an example of a physiological response to a panic level of anxiety? - ANSWER Dilated pupils. 16. A newly admitted patient is diagnosed with PTSD. Which behavioral symptoms would the nurse expect to assess? - ANSWER Diminished participation in significant activities. 17. 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 18. Patienta diagnosed with OCD, Commonly use which defense mechanism? - ANSWER Undoing 19. A patient diagnosed with OCD, Which behavioral symptoms would the RN expect to assess? - ANSWER The patient uses excessive hand washing to relieve anxiety. 20. These meds can be used to treat patients with anxiety disorders: Catapres, Luvox, Buspar, and Xanax? - ANSWER True 21. Resperidone is to hallucinations as Clonazepam is to ? - ANSWER Anxiety 22. Although symptoms of schizophrenia occur at various times in the life span, what patient would more likely be diagnosed? - ANSWER A 20 yr old man 23. The children saying "step on a crack and you break mothers back" is an example of which type of thinking? - ANSWER Magical thinking 24. The nurse documents that a patient diagnosed with schizophrenia is expressing a flat affect? What is an example of this symptom? - ANSWER The patient exhibits no emotional expressions 25. A patient is experiencing paranoid thinking. Which intervention would aid in facilitating other interventions? - ANSWER Assign consistent staff members 26. Which atypical anti-psychotic med has the highest potential for a patient to experience serious side effects? - ANSWER Clozapine (Clozaril) 27. A patient with schizophrenia says "We can pan, scan, ran, plan". The nurse identifies this as? - ANSWER Clang association 28. A schizophrenic patient began taking haldol 1 week ago and is now exhibiting jerking movements of the neck and mouth. This is? - ANSWER Dystonia 29. A nursing care plan for a hospitalized patient who is hyperactive in a manic episode must include? - ANSWER attention to adequate fluid and food intake 30. An example of a situation crisis is - ANSWER death of a loved one 31. Which of the following symptoms would be classified as positive symptoms of psychosis? - ANSWER Delusions Neuroleptic Malignant Syndrome is characterized by which of the following symptoms? - ANSWER Muscle rigidity, hyperpyrexia, tachypnea, diaphoresis, drooling A patient is about to start CLozapine (Clozaril). Which would be the most important for the nurse to do? - ANSWER Obtain a baseline WBC count Which of the following findings should the RN document as a manifestation of tardive dyskenesia? - ANSWER Twisting tongue movements A client with depression is refusing to eat solid food. Which beverage would the nurse avoid providing to the client? - ANSWER Grapefruit Juice Mood: Depression Define common symptoms - ANSWER mrs. a: low energy, low or high appetite, general weakness, no initiating (hard to make decisions), introverted, not social, no pleasure in anything. book the following symptoms are most prevalent in all types of depression: • Mood of sadness, despair, emptiness • Negative, pessimistic thinking • Loss of ability to experience pleasure in life (anhedonia) • Low self-esteem • Apathy, low motivation, and social withdrawal • Excessive emotional sensitivity • Irritability and low frustration tolerance • Insomnia or hypersomnia • Disruption (mild to severe) in concentration or ability to make decisions • Suicidal ideation • Excessive guilt • Indecisiveness Mood: Depression Beck's Cognitive Triad (p. 199) - ANSWER Beck found that depressed people process information in negative ways, even in the midst of positive factors that affect the person's life. Beck believed that three automatic negative thoughts—called Beck's cognitive triad—are responsible for the development of depression: 1. A negative, self-deprecating view of self: "I really never do anything well; everyone else seems smarter." 2. A pessimistic view of the world: "Once you're down, you can't get up. Look around, poverty, homelessness, sickness, war, and despair are every place you look." 3. The belief that negative reinforcement (or no validation for the self) will continue: "It doesn't matter what you do; nothing ever gets better. I'll be in this stupid job the rest of my life." The phrase automatic negative thoughts refers to thoughts that are repetitive, unintended, and not readily controllable. This cognitive triad seems to be consistent in all types of depression, regardless of clinical subtype. The goal of CBT is to change the way a patient thinks, which will in turn help relieve the depressive syndrome. This is accomplished by assisting the patient in the following: 1. Identifying and testing negative cognition 2. Developing alternative thinking patterns 3. Rehearsing new cognitive and behavioral responses Mood: Depression Risk for suicide- Questions to ask High vs low risk (Ch 23) - ANSWER mrs.a anytime you answer a question about depression, think suicide. for ex if she asked you about a pt dx with depression, and they stay indoors all the time, and all of a sudden the mood gets elated, that is the time to take caution, if i ask you about someone in this relm, know she is talking about someone who is deeply depressed, and as much as they elation came on that could be DECEPTIVE, that maybe a scenario where a pt can come and commit suicide. question: which pt is most likely to commit suicide Answer: someone who is lonely eg. divorced person Someone with alot of health problems that might overwhelm them to point they want to commit suicide. older person, age 70 white male who lives alone and divorced with alot of health problems is a candite for someone who can commit suicide CHOOSE THE ONE W/ LONELINESS, NO FAMILY/SOCIAL SUPPORT very likely to commit suicide not likely: church goer bc they have support book Risk for suicide is the most immediately important nursing diagnosis, and self-restraint from suicide is the ideal outcome. Other nursing diagnoses include Ineffective coping, Hopelessness, Social isolation, Spiritual distress, Chronic low self-esteem, Post-trauma syndrome, and A