RASMUSSEN MENTAL HEALTH EXAM 2 LATEST REAL EXAM

RASMUSSEN MENTAL HEALTH EXAM 2 LATEST REAL EXAM 1.A nurse working in an acute mental health unit is caring for a client diagnosed with major depressive disorder. Which of the following is the highest priority for the nurse? C. Reviewing the client's ability to complete their self-care needs. 2. A client diagnosed with obsessive -compulsive disorder is ready for discharge. As the nurse reviews the orders, which of the following should be an expected part of the discharge planning? D) A SSRI, such as fluvoxamine with cognitive behavioraltherapy. 3. The nurse is caring for a client with post traumatic stress disorder (PTSD). Which statement from the client indicates the client is experiencing hypervigilance? C . I always have to be aware of my surroundings." 4. A nurse is assigned to a client diagnosed with obsessive compulsive disorder (OCD). Which of the following nursing actions should be incorporated into the client's care ? (D.Alow time for the client ot complete compulsive behaviors. 5. Goals and desired outcomes for an older adult client experiencing delirium caused by fever and dehydration will focus on which of the following? )The client wil return to premorbid levels of function. 6. Aclient diagnosed with obsessive compulsive disorder (OCD) has been prescribed fluvoxamine. Which statement by the client shows an understanding of this medication? (D." Iwil need to tell my doctor if I have any suicidal thoughts." 7. A client has been prescribed lithium for long-term maintenance of bipolar disorder diagnosis. Which statement by the client shows an understanding of the medication? "I need to be aware of situations that may cause dehydration 8. During the initial interview with aclient being admitted with a history of depression and current suicidal ideation, the nurse asks fi anything is happening in life to cause distressor worry. The client responds: There's nothing wrong. My life is perfect." which of the following defense mechanisms does the nurse recognize this as an example of? • denial 9. A veteran of the Iraq war describes that he is having intrusive thoughts including healing missilles, screams, explosions, and feeling the same feelings of terror first experienced in combat.The nurse would recognize these symptoms are most likely associated with which diagnosis? 10. A nurse is caring for a client who has major depressive disorder and attempted suicide. the client tells the nurse, "Ishould have died because iam no good to anyone." Which of the following could be the best response by the nurse? D . "You've been feeling that your life has no meaning." 11. A client i s admitted tot h e hospital for abdominal pain, diarrhea, sweating,fever, tachycardia, elevated blood pressure. Upon review the client has been taking sertraline. But the client states they were recently switched from another medication phenelzine. Which of the following does the nurse recognize the client is mostly likely experiencing? © Serotonin syndrome 12. Which statement by a client experiencing severe anxiety may indicate the possibility of obsessive compulsive disorder (OCD)? "I have ot keep checking ot see where my keys are." 13. Aclient with depression is taking atricyclic antidepressant. He states, "Idon't want to keep taking these pills. Now I get dizzy when I stand up." Which would be the most appropriate nursing response? "Orthostatic hypertension is aside effect of the medication. Before standing, rise slowly from a lying to sitting position first." 14. A nurse is caring for an elderly client. Which of the following would be a sign of change ni mentation and possible delirium from a urinary tract infection. D. The client has an elevated body temperature. 15. A client diagnosed with major depressive disorder is telling the nurse, "My life doesn't have any happiness ni it anymore. I used to care about going out with friends, and now I don't even care fi they don't invite me." The nurse recognizes this as an example of which of the following? A. Anergia 16. A nurse is caring for a client prescribed alprazolam for panic disorder. Which statement by the client shows an understanding of the medication? "I know not to drink wine or beer." 17. A client has been prescribed phenelzine for the diagnosis of major depressive disorder. The client shows an understanding of the dietary needs by selecting which of the following meal choices? D. A slice of chocolate cake with a glass of milk. 18. A nurse receives a laboratory result of a lithium level of 1.8 mEq/L. How would the nurse interpret this lab value? C. It is above therapeutic limits., 19. While assessing a client the nurse notes that she is complaining of feeling nauseous and having loose stools. Her hands are shaking and she is talking quickly. Which of the following does the nurse identify these symptoms can be associated with? anxiety 20.A nurse is admitting an older client who has a suspected cognitive disorder. Which of the following tools should be included as part of the admission assessment? B .Mental Status Examination (MSE) 0.75 g_= 750 mg 21. Anurse si preparing ot administer phenytoin oral suspension 300 mg PO. Available is phenytoin oral suspension 125 mg/5mL. How many mL should the nurse administer? 12 ml 23. A nurse is caring for a client who is givena prescription for lorazepam. While reviewing the client's medical record, which part of the client's history would raise a concern for this prescription? A history of alcohol abuse 24. A client diagnosed with major depressive disorder is started on citalopram.The client tells the nurse, " | have some old medications from another doctor called selegiline. Can I just take them together to see fi having both works better for me?" The nurse would want to ensure the client understands which of the following? Mixing those medications together could have serious interactions. Such as a hypertensive crisis. 25. A client recently diagnosed with acute stress disorder (ASD) asks the nurse how this diagnosis is different from post-traumatic stress disorder (PTSD), Which of the following is the best response? „ The maior difference between the disorders si the time frame from which the traumatic event occured." 26. Following a failed suicide attempt, the client tells the nurse, " I'm going to try this again, and next time Il'I choose a no-fail method." Which is the most appropriate response by the nurse? D. "What are you planning to do?"