RASMUSSEN: Mental Health Exam 2 Q&A Latest Version 2023/24

RASMUSSEN:
MentalHealth v




Exam 2 Q&A
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vLatest Version
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2023/24
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,RASMUSSEN MENTAL HEALTH EXAM 2-with 100% verified solutions-2023-2024 v v v v v v v




Rasmussen: Mental Health Exam 2 v v v v




1) A patient with schizophrenia begins to talks about "volmers" hiding in the warehouse at work. The
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term "volmers" should be documented as:
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a. neologism
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c. thought insertion v


d. idea of reference v v


ANSWERS: A v




- A neologism is a newly coined word having special meaning to the patient. "Volmer" is not a
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vknown common noun. v v


- Concrete thinking refers to the inability to think abstractly.
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- Thought insertion refers to thoughts of others that are implanted in one's mind.
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- An idea of reference is a type of delusion in which trivial events are given personal significance.
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2) A patient with suicidal impulses is placed on the highest level of suicide precautions. Which
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measures should be incorporated into the plan of care by the nurse caring for the patient? (More than
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one answer is correct.)
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a. Maintain arm's-length, one-on-one nursing observation around the clock.
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b. Allow no glass or metal on meal trays.
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c. Keep patient within visual range while awake. Check every 15 to 30 minutes while the patient
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vis sleeping.
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d. Check the patient's whereabouts every 15 minutes and make frequent verbal contacts.
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e. Check whereabouts every hour. Make verbal contact at least three times each shift.
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f. Remove all potentially harmful objects from the patient's possession.
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ANSWERS: A, B, F v v v




One-on-one observation is necessary for anyone who has limited control over suicidal impulses.
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- Plastic dishes on trays and the removal of potentially harmful objects from the patient's possession are
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vmeasures included in any-level suicide precautions.
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The remaining options are used in less stringent levels of suicide precautions.
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3) A patient diagnosed with schizophrenia anxiously says, "I can see the left side of my body
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merging with the wall, then my face appears and disappears in the mirror." While listening, the
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nurse should:
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a. sit close to the patient.
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b. place an arm protectively around the patient's shoulders.
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, c. place a hand on the patient's arm and exert light pressure.
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d. maintain a normal social interaction distance from the patient.
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ANSWERS: D v




The patient is describing phenomena that indicate personal boundary difficulties. The nurse should
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maintain an appropriate social distance and not touch the patient, because the patient is anxious about the
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inability to maintain ego boundaries and merging with or being swallowed by the environment.
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Physical closeness or touch could precipitate panic.
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4) Which statement indicates a patient with major depression is most likely outlook on life during
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the acute phase of the illness?
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During an acute phase of major depression, the client may feel worthless and deserve bad things to
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happen personally.
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5) A patient diagnosed with bipolar disorder is in the maintenance phase of treatment. The patient
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asks, "Do I have to keep taking this lithium even though my mood is stable now?" Select the
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nurse's appropriate response.
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a. "You will be able to stop the medication in about 1 month."
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b. "Taking the medication every day helps reduce the risk of a relapse."
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c. "Usually patients take medication for approximately 6 months after discharge."
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d. "It's unusual that the health care provider hasn't already stopped your medication."
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ANSWERS: B v




Patients diagnosed with bipolar disorder may be maintained on lithium indefinitely to prevent
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recurrences. Helping the patient understand this need will promote medication compliance.
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6) A person has had difficulty keeping a job because of arguing with co-workers and accusing them of
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conspiracy. Today the person shouts, "They're all plotting to destroy me. Isn't that true?" Select the
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nurse's most therapeutic response.
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a. "Everyone here is trying to help you. No one wants to harm you."
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b. "Feeling that people want to destroy you must be very frightening."
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c. "That is not true. People here are trying to help you if you will let them."
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d. "Staff members are health care professionals who are qualified to help you."
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ANSWERS: B v




Resist focusing on content; instead, focus on the feelings the patient is expressing. This strategy prevents
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arguing about the reality of delusional beliefs. Such arguments increase patient anxiety and the tenacity
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with which the patient holds to the delusion. The other options focus on content and provide
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opportunity for argument.
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