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Rasmussen Mental Health Exam 3 Questions and Complete Solutions Graded AI+

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Rasmussen Mental Health Exam 3 Questions and Complete Solutions Graded AI+ Patient that poses the greatest risk of committing violence against others - Answer: Patient with paranoid delusions of being followed by the mob Least appropriate response to a patient with dependent personality disorder asks if nurse thinks they should move out of their mom's home and get a job. - Answer: Using "why" questions, they are non-therapeutic. When someone is really frustrated and they are talking about their frustrations, what is a good response to them? - Answer: Let them know you understand and you want them to talk more about their feelings. If someone says "I can't do this anymore." What is that a sign of? - Answer: Suicide thoughts What will S/S will you see with a patient who is in acute alcohol withdrawal? - Answer: Hypertension, tachycardia, paranoia narcissitic personality disorder s/s - Answer: person feels they are the most important person A young female pt with amenorrhea, and weighs 95 pounds; what do you think is her diagnosis? - Answer: Anorexia nervosa Pt states After a long, hard day at work, they are irritated, and they go home and take their frustrations out on their spouse and kids. What is a therapeutic response? - Answer: Have pt talk more, "what are some other ways you can handle your frustrations?" Pt is anxious and agitated, what drug should be given? - Answer: Diazepam A pt brought to the ER, states, "I was raped, and the person who raped me knows where I live, and they will kill me if I tell." What is the most important thing to plan for their immediate care? - Answer: Safety because of the statement of "he knows where I live and will kill me." How do you know your alcoholic patient has relapsed if they are taking disulfiram or antabuse? - Answer: Headaches Pt has agnosia (loss of the ability to identify objects) as a side effect from vascular dementia and is just looking at their silverware and plate, what should you do? - Answer: Hand them their fork and tell them to eat Pt has Alzheimer's disease and they become combative and confused later in the day, what is this called? - Answer: Sundowning When a pt has broken the rules and loses privileges comes and asks if they can please use the phone, how should you respond? - Answer: No. Because they lost their privileges. Pt has alcohol toxicity and unresponsive, what do you protect? - Answer: Airway, may need to intubate them. We administer an MSE to an older pt when we suspect a cognitive disorder. - Answer: True What is an early sign of cognitive impairment/decline? - Answer: impaired recent memory What does a pt's pupils look like if they have been using cocaine? - Answer: Dilated What is a manifestation of severe alcohol withdrawal? - Answer: Hallucinations You have a school-aged child with a conduct disorder, what characteristics might they display? - Answer: Aggression toward animals. You have a 12 year old with oppositional defiant disorder, what kind of meds do you give? - Answer: Rarely give meds, use behavioral therapy instead. A pt with anti-social personality disorder and they receive behavioral therapy. How do you know it is working? - Answer: They refrain from manipulating others to earn dining room privileges. Pt who is delirious with delusions, what kind of environment do you want for them? - Answer: Well lit room without glares or shadows or minimal noise. ADHD is at risk for self-harm. - Answer: True What is a priority nursing prevention with an ADHD pt? - Answer: One on one observation Three components of an eating disorder? - Answer: Amenorrhea, cardiac murmur, altered body image What is confabulation? - Answer: Making up stories If you think that your pt is possibly suffering abuse from their caregiver, how do you get them to talk to you? - Answer: Use a non-judgmental tone. 7 y/o with ADHD, what is the priority intervention? - Answer: Get rid of all unnecessary equipment around them. What drugs do we use for pt who has completed detox from alcohol? - Answer: Naltrexone, disulfiram, topiramate Can benzos be stopped cold turkey? - Answer: NO! Must wean off Symptoms of Dilirium - Answer: Sudden onset, physical manifestation of a high fever/infection, reversible, once reversed can find the underlying cause What do we say about personality disorders? - Answer: Patients with personality disorders have difficulties with relationships and adapting to change. Pt in the ICU has visual and auditory hallucinations, what interventions are most helpful? - Answer: Make sure they have their glasses and hearing aids. You have an older adult pt with delirium caused by fever and dehydration. What is the outcome for this pt? - Answer: Return to their prior functioning levels. What is donepezil used for? - Answer: Alzheimer's medication Everybody needs advanced directives when admitted to any healthcare setting. - Answer: True Body dysmorphic disorder, what is the priority? - Answer: Suicide watch Pt comes in with severe emotional trauma. Later the pt experiences paralysis of their right arm. What is your priority? - Answer: Rule out real physiological cause for the paralysis. Dementia pt comes to unit, and they cannot do their ADLs. What outcome goal should they have? - Answer: Feed themselves Pt who has been physically abused, what should you do? - Answer: Support them and keep them safe. Are we mandated reporters? - Answer: Yes Cluster B personality disorders characterized by? - Answer: Erratic, dramatic, emotional You have a pt with borderline personality disorder, in order to keep a therapeutic relationship with them how will you act? - Answer: Firm and consistent Anorexic is admitted, going to milieu management for care, what do you watch for? - Answer: Monitor them during and after meals, and bathroom trips What scenario best predicts the highest risk to make violent behaviors toward others? - Answer: Pt with paranoid delusions of being followed by the mafia. Binge eating bulimia has what electrolyte imbalance? - Answer: Hypokalemia

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Rasmussen Mental Health Exam 3
Questions and Complete Solutions
Graded AI+
Patient that poses the greatest risk of committing violence against others - Answer: Patient with
paranoid delusions of being followed by the mob



Least appropriate response to a patient with dependent personality disorder asks if nurse thinks they
should move out of their mom's home and get a job. - Answer: Using "why" questions, they are non-
therapeutic.



When someone is really frustrated and they are talking about their frustrations, what is a good response
to them? - Answer: Let them know you understand and you want them to talk more about their feelings.



If someone says "I can't do this anymore." What is that a sign of? - Answer: Suicide thoughts



What will S/S will you see with a patient who is in acute alcohol withdrawal? - Answer: Hypertension,
tachycardia, paranoia



narcissitic personality disorder s/s - Answer: person feels they are the most important person



A young female pt with amenorrhea, and weighs 95 pounds; what do you think is her diagnosis? -
Answer: Anorexia nervosa



Pt states After a long, hard day at work, they are irritated, and they go home and take their frustrations
out on their spouse and kids. What is a therapeutic response? - Answer: Have pt talk more, "what are
some other ways you can handle your frustrations?"



Pt is anxious and agitated, what drug should be given? - Answer: Diazepam

, A pt brought to the ER, states, "I was raped, and the person who raped me knows where I live, and they
will kill me if I tell." What is the most important thing to plan for their immediate care? - Answer: Safety
because of the statement of "he knows where I live and will kill me."



How do you know your alcoholic patient has relapsed if they are taking disulfiram or antabuse? -
Answer: Headaches



Pt has agnosia (loss of the ability to identify objects) as a side effect from vascular dementia and is just
looking at their silverware and plate, what should you do? - Answer: Hand them their fork and tell them
to eat



Pt has Alzheimer's disease and they become combative and confused later in the day, what is this
called? - Answer: Sundowning



When a pt has broken the rules and loses privileges comes and asks if they can please use the phone,
how should you respond? - Answer: No. Because they lost their privileges.



Pt has alcohol toxicity and unresponsive, what do you protect? - Answer: Airway, may need to intubate
them.



We administer an MSE to an older pt when we suspect a cognitive disorder. - Answer: True



What is an early sign of cognitive impairment/decline? - Answer: impaired recent memory



What does a pt's pupils look like if they have been using cocaine? - Answer: Dilated



What is a manifestation of severe alcohol withdrawal? - Answer: Hallucinations



You have a school-aged child with a conduct disorder, what characteristics might they display? - Answer:
Aggression toward animals.
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