Rasmussen Mental Health Questions with CORRECT Answers (Verified Update)
Q1: Encourage patient to talk about feelings Focus on patient concerns avoid closing off
conversation Ask clarifying questions Encourage problem-solving Find alternative solutions to
problems Use past methods that have helped relieve the patient's anxiety Use outlets to
alleviate energy (walking, exercise) What are some interventions for severe to panic anxiety?
Be calm and speak slowly Remain with patient Minimize environmental stimuli Use
clear/simple statements & repitition Use low-pitched voice Reinforce reality if distortions
occur (seeing objects/hearing voices) How long do panic attacks usually last for? 15
Answer: 30 minutes What manifestations are present during a panic attack? Palpitations SOB
Choking/smothering sensation Chest Pain Nausea Feelings of depersonalization Fear of
dying or insanity Chills or hot flashes What is social phobia? AKA: Social Anxiety Disorder
(SAD) The client has a fear of embarrassment because they fear others judge them
negatively
Q2: may be safe to discharge -make f/u appt 6-8pts- Probably requires psychiatric consultation
>8pts- Probably requires hospital admission, voluntary, or involuntary (would need TWO
psychiatric agreements for involuntary admission) Who is most at risk for suicide? older adult
Answer: * 0-5pts
Q3: Initiate a serotonin receptor blocker
Answer: cyproheptadine, methysergide, propranolol
Q4: What are some common side effects with TCAs? anticholenergic effects (dry mouth,
constipation, difficulty emptying bladder, sexual dysfunction), blurred vision, drowsiness
Client education for TCAs? Do not drive or operate heavy machinery until you know how the
med effects you Chew on sugar free gum or suck on hard candy The full effects of the
medication may not take effect for 4 to 8 weeks Use the "start low, go slow" method
Answer: start patient on a low dose and gradually increase slowly Do not discontinue abruptly
Smoking cessation Do not take with alcohol Use a different form of birth control NEVER
double dose What adverse effect should you notify the provider right away? Urinary
retention, severe constipation, or cardiotoxicity (overdose) What drugs should not be given
with TCAs? Phenothiazines, barbituates, MAOIs, disulfiram (Antabuse), oral contraceptives,
anticoagulants, clonidine, guanethidine, reserpine, benzodiazepines, alcohol, and nicotine
What medical conditions does TCAs contraindicated in? Glaucoma, history of seizures,
cardiovascular problems, pregnancy What is the purpose of Monoamine Oxidase Inhibitors
(MAOIs)? The second line medications for ATYPICAL depression disorder for those who have
not responded to other medications or Electroconvulsive therapy (ECT).
Q1: Encourage patient to talk about feelings Focus on patient concerns avoid closing off
conversation Ask clarifying questions Encourage problem-solving Find alternative solutions to
problems Use past methods that have helped relieve the patient's anxiety Use outlets to
alleviate energy (walking, exercise) What are some interventions for severe to panic anxiety?
Be calm and speak slowly Remain with patient Minimize environmental stimuli Use
clear/simple statements & repitition Use low-pitched voice Reinforce reality if distortions
occur (seeing objects/hearing voices) How long do panic attacks usually last for? 15
Answer: 30 minutes What manifestations are present during a panic attack? Palpitations SOB
Choking/smothering sensation Chest Pain Nausea Feelings of depersonalization Fear of
dying or insanity Chills or hot flashes What is social phobia? AKA: Social Anxiety Disorder
(SAD) The client has a fear of embarrassment because they fear others judge them
negatively
Q2: may be safe to discharge -make f/u appt 6-8pts- Probably requires psychiatric consultation
>8pts- Probably requires hospital admission, voluntary, or involuntary (would need TWO
psychiatric agreements for involuntary admission) Who is most at risk for suicide? older adult
Answer: * 0-5pts
Q3: Initiate a serotonin receptor blocker
Answer: cyproheptadine, methysergide, propranolol
Q4: What are some common side effects with TCAs? anticholenergic effects (dry mouth,
constipation, difficulty emptying bladder, sexual dysfunction), blurred vision, drowsiness
Client education for TCAs? Do not drive or operate heavy machinery until you know how the
med effects you Chew on sugar free gum or suck on hard candy The full effects of the
medication may not take effect for 4 to 8 weeks Use the "start low, go slow" method
Answer: start patient on a low dose and gradually increase slowly Do not discontinue abruptly
Smoking cessation Do not take with alcohol Use a different form of birth control NEVER
double dose What adverse effect should you notify the provider right away? Urinary
retention, severe constipation, or cardiotoxicity (overdose) What drugs should not be given
with TCAs? Phenothiazines, barbituates, MAOIs, disulfiram (Antabuse), oral contraceptives,
anticoagulants, clonidine, guanethidine, reserpine, benzodiazepines, alcohol, and nicotine
What medical conditions does TCAs contraindicated in? Glaucoma, history of seizures,
cardiovascular problems, pregnancy What is the purpose of Monoamine Oxidase Inhibitors
(MAOIs)? The second line medications for ATYPICAL depression disorder for those who have
not responded to other medications or Electroconvulsive therapy (ECT).
