2024 RASMUSSEN MENTAL HEALTH EXAM 2
REAL EXAM QUESTIONS AND CORRECT
ANSWERS WITH
RATIONALES|AGRADE(COMPLETE EXAM)
Leave the first rating
Save
Students also studied
Flashcard sets Study guides
Mental Health in Nursing Exam 3 Comprehensive Mental Health, Subs... 341 Exam 3 NURS 4
Teacher 25 terms Teacher 66 terms Teacher 139 terms Teacher
London_Exchange Preview analogmister Preview jradmle000 Preview Alb
Terms in this set (54) Hide definitions
1) A patient with schizophrenia begins to talks about ANS: A
"volmers" hiding in the warehouse at work. The term
"volmers" should be documented as: - A neologism is a newly coined word having special meaning to the patient.
"Volmer" is not a known common noun.
a. neologism - Concrete thinking refers to the inability to think abstractly.
b. concrete thinking - Thought insertion refers to thoughts of others that are implanted in one's mind.
c. thought insertion - An idea of reference is a type of delusion in which trivial events are given
d. idea of reference personal significance.
2) A patient with suicidal impulses is placed on the ANS: A, B, F
highest level of suicide precautions. Which measures
should be incorporated into the plan of care by the nurse One-on-one observation is necessary for anyone who has limited control over
caring for the patient? (More than one answer is correct.) suicidal impulses.
a. Maintain arm's-length, one-on-one nursing observation - Plastic dishes on trays and the removal of potentially harmful objects from the
around the clock. patient's possession are measures included in any-level suicide precautions.
b. Allow no glass or metal on meal trays.
c. Keep patient within visual range while awake. Check The remaining options are used in less stringent levels of suicide precautions.
every 15 to 30 minutes while the patient is sleeping.
d. Check the patient's whereabouts every 15 minutes and
make frequent verbal contacts.
e. Check whereabouts every hour. Make verbal contact at
least three times each shift.
f. Remove all potentially harmful objects from the
patient's possession.
, 3) A patient diagnosed with schizophrenia anxiously says, ANS: D
"I can see the left side of my body merging with the wall,
then my face appears and disappears in the mirror." While The patient is describing phenomena that indicate personal boundary difficulties.
listening, the nurse should: The nurse should maintain an appropriate social distance and not touch the
patient, because the patient is anxious about the inability to maintain ego
a. sit close to the patient. boundaries and merging with or being swallowed by the environment. Physical
b. place an arm protectively around the patient's closeness or touch could precipitate panic.
shoulders.
c. place a hand on the patient's arm and exert light
pressure.
d. maintain a normal social interaction distance from the
patient.
4) Which statement indicates a patient with major During an acute phase of major depression, the client may feel worthless and
depression is most likely outlook on life during the acute deserve bad things to happen personally.
phase of the illness?
5) A patient diagnosed with bipolar disorder is in the ANS: B
maintenance phase of treatment. The patient asks, "Do I
have to keep taking this lithium even though my mood is Patients diagnosed with bipolar disorder may be maintained on lithium indefinitely
stable now?" Select the nurse's appropriate response. to prevent recurrences. Helping the patient understand this need will promote
medication compliance.
a. "You will be able to stop the medication in about 1
month."
b. "Taking the medication every day helps reduce the risk
of a relapse."
c. "Usually patients take medication for approximately 6
months after discharge."
d. "It's unusual that the health care provider hasn't already
stopped your medication."
REAL EXAM QUESTIONS AND CORRECT
ANSWERS WITH
RATIONALES|AGRADE(COMPLETE EXAM)
Leave the first rating
Save
Students also studied
Flashcard sets Study guides
Mental Health in Nursing Exam 3 Comprehensive Mental Health, Subs... 341 Exam 3 NURS 4
Teacher 25 terms Teacher 66 terms Teacher 139 terms Teacher
London_Exchange Preview analogmister Preview jradmle000 Preview Alb
Terms in this set (54) Hide definitions
1) A patient with schizophrenia begins to talks about ANS: A
"volmers" hiding in the warehouse at work. The term
"volmers" should be documented as: - A neologism is a newly coined word having special meaning to the patient.
"Volmer" is not a known common noun.
a. neologism - Concrete thinking refers to the inability to think abstractly.
b. concrete thinking - Thought insertion refers to thoughts of others that are implanted in one's mind.
c. thought insertion - An idea of reference is a type of delusion in which trivial events are given
d. idea of reference personal significance.
2) A patient with suicidal impulses is placed on the ANS: A, B, F
highest level of suicide precautions. Which measures
should be incorporated into the plan of care by the nurse One-on-one observation is necessary for anyone who has limited control over
caring for the patient? (More than one answer is correct.) suicidal impulses.
a. Maintain arm's-length, one-on-one nursing observation - Plastic dishes on trays and the removal of potentially harmful objects from the
around the clock. patient's possession are measures included in any-level suicide precautions.
b. Allow no glass or metal on meal trays.
c. Keep patient within visual range while awake. Check The remaining options are used in less stringent levels of suicide precautions.
every 15 to 30 minutes while the patient is sleeping.
d. Check the patient's whereabouts every 15 minutes and
make frequent verbal contacts.
e. Check whereabouts every hour. Make verbal contact at
least three times each shift.
f. Remove all potentially harmful objects from the
patient's possession.
, 3) A patient diagnosed with schizophrenia anxiously says, ANS: D
"I can see the left side of my body merging with the wall,
then my face appears and disappears in the mirror." While The patient is describing phenomena that indicate personal boundary difficulties.
listening, the nurse should: The nurse should maintain an appropriate social distance and not touch the
patient, because the patient is anxious about the inability to maintain ego
a. sit close to the patient. boundaries and merging with or being swallowed by the environment. Physical
b. place an arm protectively around the patient's closeness or touch could precipitate panic.
shoulders.
c. place a hand on the patient's arm and exert light
pressure.
d. maintain a normal social interaction distance from the
patient.
4) Which statement indicates a patient with major During an acute phase of major depression, the client may feel worthless and
depression is most likely outlook on life during the acute deserve bad things to happen personally.
phase of the illness?
5) A patient diagnosed with bipolar disorder is in the ANS: B
maintenance phase of treatment. The patient asks, "Do I
have to keep taking this lithium even though my mood is Patients diagnosed with bipolar disorder may be maintained on lithium indefinitely
stable now?" Select the nurse's appropriate response. to prevent recurrences. Helping the patient understand this need will promote
medication compliance.
a. "You will be able to stop the medication in about 1
month."
b. "Taking the medication every day helps reduce the risk
of a relapse."
c. "Usually patients take medication for approximately 6
months after discharge."
d. "It's unusual that the health care provider hasn't already
stopped your medication."
