Rasmussen: Mental Health Exam 2 Latest Version(Updated
2025) with complete solution
1. A client with generalized anxiety disorder states, "I'm just so worried all the time. I can't even
sleep." Which nursing response is most therapeutic?
a) "You should try drinking some warm milk before bed."
b) "Tell me more about what happens when you feel this worry."
c) "Everything will be fine, you just need to relax."
d) "Why do you think you feel so worried?"
...ANSWER...b) "Tell me more about what happens when you feel this worry."
2. The primary defense mechanism used by individuals with obsessive-compulsive disorder
(OCD) is:
a) Sublimation
b) Repression
c) Undoing
d) Projection
...ANSWER...c) Undoing
3. A client is admitted with a diagnosis of Body Dysmorphic Disorder. The nurse would expect
the client to be preoccupied with:
a) A real but minor physical flaw
b) A imagined or exaggerated defect in appearance
c) The functioning of a specific organ system
d) Having a serious disease like cancer
...ANSWER...b) A imagined or exaggerated defect in appearance
4. Which medication is considered a first-line treatment for panic disorder?
,a) Haloperidol (Haldol)
b) Lithium Carbonate
c) Alprazolam (Xanax)
d) Sertraline (Zoloft)
...ANSWER...d) Sertraline (Zoloft)
5. A client experiencing a panic attack is hyperventilating. The nurse's initial action should be to:
a) Administer PRN Lorazepam as ordered.
b) Stay with the client and speak in a calm, reassuring voice.
c) Place a paper bag over the client's nose and mouth.
d) Ask the client to describe what triggered the attack.
...ANSWER...b) Stay with the client and speak in a calm, reassuring voice.
6. The main difference between illness anxiety disorder and conversion disorder is that in
conversion disorder:
a) The symptoms are intentionally produced.
b) There is a loss of physical function without a medical cause.
c) The focus is on fear of having a disease, not the symptoms themselves.
d) It is always preceded by a traumatic event.
...ANSWER...b) There is a loss of physical function without a medical cause.
7. Prolonged exposure therapy is a primary treatment for which disorder?
a) Obsessive-Compulsive Disorder
b) Post-Traumatic Stress Disorder (PTSD)
c) Generalized Anxiety Disorder
d) Somatic Symptom Disorder
...ANSWER...b) Post-Traumatic Stress Disorder (PTSD)
,8. A client with anorexia nervosa, restrictive type, is being weighed. Which nursing intervention
is most important?
a) Weigh the client at the same time each day, after voiding, in a hospital gown.
b) Allow the client to see the weight and discuss their feelings about it.
c) Weigh the client with their back to the scale to minimize anxiety.
d) Defer weighing if the client appears overly anxious.
...ANSWER...a) Weigh the client at the same time each day, after voiding, in a hospital gown.
9. Which electrolyte imbalance is a life-threatening complication of purging behaviors in bulimia
nervosa?
a) Hyperkalemia
b) Hypokalemia
c) Hypercalcemia
d) Hyponatremia
...ANSWER...b) Hypokalemia
10. A hallmark characteristic of borderline personality disorder is:
a) A pervasive pattern of grandiosity and lack of empathy.
b) A pattern of instability in interpersonal relationships and self-image.
c) Social detachment and a restricted range of emotional expression.
d) A pervasive distrust and suspiciousness of others.
...ANSWER...b) A pattern of instability in interpersonal relationships and self-image.
11. When working with a client with antisocial personality disorder, the nurse should:
a) Encourage deep exploration of childhood trauma.
b) Set firm, consistent, and non-negotiable limits.
c) Be very flexible with the rules to build trust.
, d) Focus therapy on developing empathy.
...ANSWER...b) Set firm, consistent, and non-negotiable limits.
12. A client says to the nurse, "You are the only one who understands me. Let's go get a coffee
after your shift." This is an example of:
a) Transference
b) Countertransference
c) Boundary testing
d) Therapeutic alliance
...ANSWER...c) Boundary testing
13. The primary goal in the initial phase of treatment for a client with severe anorexia nervosa is:
a) To explore family dynamics.
b) To address body image distortion.
c) To stabilize medical and nutritional status.
d) To identify underlying psychological conflicts.
...ANSWER...c) To stabilize medical and nutritional status.
14. Which statement by a client with bulimia nervosa indicates a positive outcome?
a) "I haven't binged or purged for two weeks."
b) "I've lost five more pounds."
c) "I only purge on weekends now."
d) "I use laxatives instead of vomiting now."
...ANSWER...a) "I haven't binged or purged for two weeks."
15. Dialectical Behavior Therapy (DBT) was specifically developed to treat:
a) Antisocial Personality Disorder
2025) with complete solution
1. A client with generalized anxiety disorder states, "I'm just so worried all the time. I can't even
sleep." Which nursing response is most therapeutic?
a) "You should try drinking some warm milk before bed."
b) "Tell me more about what happens when you feel this worry."
c) "Everything will be fine, you just need to relax."
d) "Why do you think you feel so worried?"
...ANSWER...b) "Tell me more about what happens when you feel this worry."
2. The primary defense mechanism used by individuals with obsessive-compulsive disorder
(OCD) is:
a) Sublimation
b) Repression
c) Undoing
d) Projection
...ANSWER...c) Undoing
3. A client is admitted with a diagnosis of Body Dysmorphic Disorder. The nurse would expect
the client to be preoccupied with:
a) A real but minor physical flaw
b) A imagined or exaggerated defect in appearance
c) The functioning of a specific organ system
d) Having a serious disease like cancer
...ANSWER...b) A imagined or exaggerated defect in appearance
4. Which medication is considered a first-line treatment for panic disorder?
,a) Haloperidol (Haldol)
b) Lithium Carbonate
c) Alprazolam (Xanax)
d) Sertraline (Zoloft)
...ANSWER...d) Sertraline (Zoloft)
5. A client experiencing a panic attack is hyperventilating. The nurse's initial action should be to:
a) Administer PRN Lorazepam as ordered.
b) Stay with the client and speak in a calm, reassuring voice.
c) Place a paper bag over the client's nose and mouth.
d) Ask the client to describe what triggered the attack.
...ANSWER...b) Stay with the client and speak in a calm, reassuring voice.
6. The main difference between illness anxiety disorder and conversion disorder is that in
conversion disorder:
a) The symptoms are intentionally produced.
b) There is a loss of physical function without a medical cause.
c) The focus is on fear of having a disease, not the symptoms themselves.
d) It is always preceded by a traumatic event.
...ANSWER...b) There is a loss of physical function without a medical cause.
7. Prolonged exposure therapy is a primary treatment for which disorder?
a) Obsessive-Compulsive Disorder
b) Post-Traumatic Stress Disorder (PTSD)
c) Generalized Anxiety Disorder
d) Somatic Symptom Disorder
...ANSWER...b) Post-Traumatic Stress Disorder (PTSD)
,8. A client with anorexia nervosa, restrictive type, is being weighed. Which nursing intervention
is most important?
a) Weigh the client at the same time each day, after voiding, in a hospital gown.
b) Allow the client to see the weight and discuss their feelings about it.
c) Weigh the client with their back to the scale to minimize anxiety.
d) Defer weighing if the client appears overly anxious.
...ANSWER...a) Weigh the client at the same time each day, after voiding, in a hospital gown.
9. Which electrolyte imbalance is a life-threatening complication of purging behaviors in bulimia
nervosa?
a) Hyperkalemia
b) Hypokalemia
c) Hypercalcemia
d) Hyponatremia
...ANSWER...b) Hypokalemia
10. A hallmark characteristic of borderline personality disorder is:
a) A pervasive pattern of grandiosity and lack of empathy.
b) A pattern of instability in interpersonal relationships and self-image.
c) Social detachment and a restricted range of emotional expression.
d) A pervasive distrust and suspiciousness of others.
...ANSWER...b) A pattern of instability in interpersonal relationships and self-image.
11. When working with a client with antisocial personality disorder, the nurse should:
a) Encourage deep exploration of childhood trauma.
b) Set firm, consistent, and non-negotiable limits.
c) Be very flexible with the rules to build trust.
, d) Focus therapy on developing empathy.
...ANSWER...b) Set firm, consistent, and non-negotiable limits.
12. A client says to the nurse, "You are the only one who understands me. Let's go get a coffee
after your shift." This is an example of:
a) Transference
b) Countertransference
c) Boundary testing
d) Therapeutic alliance
...ANSWER...c) Boundary testing
13. The primary goal in the initial phase of treatment for a client with severe anorexia nervosa is:
a) To explore family dynamics.
b) To address body image distortion.
c) To stabilize medical and nutritional status.
d) To identify underlying psychological conflicts.
...ANSWER...c) To stabilize medical and nutritional status.
14. Which statement by a client with bulimia nervosa indicates a positive outcome?
a) "I haven't binged or purged for two weeks."
b) "I've lost five more pounds."
c) "I only purge on weekends now."
d) "I use laxatives instead of vomiting now."
...ANSWER...a) "I haven't binged or purged for two weeks."
15. Dialectical Behavior Therapy (DBT) was specifically developed to treat:
a) Antisocial Personality Disorder
