RASMUSSEN MENTAL HEALTH EXAM 1,2,3 AND FINAL EXAM LATEST 2023-2024 REAL EXAM ALL QUESTIONS AND CORRECT ANSWERS|AGRADE

2023 RASMUSSEN MENTAL HEALTH EXAM 2 REAL
EXAM QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES|AGRADE(COMPLETE EXAM)
You are the nurse responsible for assessing for extrapyramidal side effects
in a patient who has been taking chlorpromazine. Which of the following
may be side effects for this medication? (Select all that apply.)
Akathisia
Acute dystonia
Tardive
Dyskinesia
Answer Amenorrhea
s:
Akathisia
Acute dystonia
Tardive
Dyskinesia
Response
Feedback:
Extrapyramidal side effects of the central nervous system
include involuntary motor movements, resulting in possible
dystonia, akathisia or dyskinesia. Amenorrhea is a possible side
effect of chlorpromazine, but is not an extrapyramidal side
effect.

• Question 2
  1 out of 1 points
  An adult with depression has been treated with medication and cognitive
  behavioral therapy. The patient now verbalizes that being passive and
  letting others make decisions for her contributed to the depression. What
  referrals could the nurse make to help this patient prevent recurrence of
  depression?
  Selected
  Answer:
  Social skills training
  Answers: Social skills training
  Use of complementary
  therapy

Response
Feedback
:
Relaxation training classes
Learning desensitization
techniques
Social skills training is helpful in treating and preventing the
recurrence of depression. Training focuses on assertiveness and
coping skills that lead to positive reinforcement from others.
Use of complementary therapy refers to adjunctive therapies
such as herbals. Assertiveness would be of greater value than
relaxation training because passivity has been identified as a
concern. Desensitization is used in treatment of phobias

• Question 3
  A patient with suicidal impulses is placed on the highest level of suicide
  1 out of 1 points
  precautions. Which measures should be incorporated into the plan of care
  by the nurse caring for the patient? (Select all that apply.)
  Selected
  Answers:
  Maintain arm’s-length distance, institute one-on-one nursing
  observation around the clock
  Allow no glass or metal on meal trays
  Remove all potentially harmful objects from the patient’s
  possession
  Answers: Maintain arm’s-length distance, institute one-on-one nursing
  observation around the clock
  Allow no glass or metal on meal trays
  Keep patient within visual range while awake, but only check
  every 15 to 30 minutes while the patient is sleeping
  Only check the patient’s whereabouts every 15 minutes and
  make frequent verbal contacts.
  Remove all potentially harmful objects from the patient’s
  possession
  Response
  Feedback
  :
  One-on-one observation is necessary for anyone who has
  limited control over suicidal impulses. Plastic dishes on trays
  and the removal of potentially harmful objects from the
  patient’s possession are measures included in any-level suicide
  precautions. The remaining options are used in less stringent
  levels of suicide precautions.
• Question 4
  0 out of 1 points
  Which statement indicates a patient with major depression’s most likely
  outlook on life during the acute phase of the illness?
  Selected
  Answer:
  “If I ignore this, it will go away.”

Answers: “It’s just a matter of time and I’ll
be well.”
“I deserve to be this way.”
“I can fight this and get better.”
“If I ignore this, it will go away.”
Response
Feedback:
Patients with depression feel worthless and often believe they
deserve to have “bad” things happen. Patients with depression
are usually hopeless and would not respond optimistically.
Patients with depression usually feel helpless and unable to
fight.

• Question 5
  The nurse knows that sedation is a side effect of many antipsychotics.
  Which of the following medications should the nurse question if ordered
  for a patient taking antipsychotics?
  0 out of 1 points
  Selected
  Answer:
  hydrochlorothia
  zide
  Answers: hydrochlorothia
  zide
  diphenhydrami
  ne
  acetaminophen
  verapamil
  Response
  Feedback:
  Diphenhydramine is an antihistamine that is likely to cause
  drowsiness and enhance the sedative effect of an antipsychotic.
  Hydrochlorothiazide (diuretic), acetaminophen (antipyretic and
  pain reliever) and verapamil (antihypertensive) do not cause
  sedation.
• Question 6
  1 out of 1 points
  The nurse is caring for a patient who experiences orthostatic hypotension
  related to taking chlorpromazine. The nurse should suggest which of the
  following interventions for managing this side effect?
  Selected
  Answer:
  Sit on the side of the bed before
  standing up.
  Answers: Stay in bed for an hour after taking the
  medication.

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RASMUSSEN MENTAL HEALTH FIANAL EXAM
LATEST 2023-2024 REAL EXAM ALL 75 QUESTIONS
AND CORRECT ANSWERS|AGRADE

1. A child is diagnosed as being on the autistic spectrum. Which clinical manifestations should
   the nurse expect? (Select all that apply)
   A. Inability to express themselves
   B. Repetitive body movements
   C. Inability to maintain eye contact
   D. Appropriate nonverbal communication
   E. Hallucinations
2. A client is prescribed lorazepam 0.5mg PO four times a day (QID) and 1 mg PO every 8
   hours PRN. The maximum daily dose of lorazepam should not exceed 4 mg daily. This client
   would be able to receive PRN doses as the maximum number of PRN lorazepam doses.
   2
3. A nurse is providing care for a client who has anorexia nervosa. Which of the following
   nursing interventions should the nurse take?
   A. Compliment the client for weight gain
   B. Provide privacy when friends visit
   C. Allow the client to eat at any time
   D. Schedule regular weigh in times
4. A nurse reports an incident of suspected child abuse. One of the child’s parents becomes
   upset and demands to know the reason for the nurse’s action. Which of the following
   responses by the nurse is appropriate?
   A. “As a nurse, I am required by law to report suspected child abuse.”

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“I am unable to discuss this, but I can contact my supervisor to speak with you.”
“The provider will be coming to explain the situation.”
“I reported the incident to my supervisor, who decided to contact the authorities.”

5. A client weighs 215 lb. What is the client’s weight in kg?
   97.7
6. A child diagnosed on the autism spectrum may experience repetitive behaviors. Which of
   thefollowing are examples of repetitive behavior which could be observed? (Select all that
   apply)
   A. Language delays
   B. Limited function play
   C. Spinning in circles
   D. Avoiding body contact
   E. Flapping their hands
7. The nurse is caring for a client who has just been injured by her male partner. The client
   states this is the first time he has been physically abusive, but he apologized and has since
   sent her flowers. What is the intervention by the nurse?
   Suggest the client and her partner both take time to evaluate the relationship
   Ask the client about the level of stress she is experiencing
   Give the client a list of anger management resources
   D. Teach the client the cycle of battering
8. A client is admitted with a diagnosis of dependent personality disorder. Which question by
   thenurse indicates an understanding of the essential features of the disorder?
   B.
   C.
   D.
   A.
   B.
   C.

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“Do you have problems expressing your feelings?’
“Do you feel awkward in social situations?”
“Do you find you don’t want praise for your accomplishments?”
D. “Are you afraid of being alone?”

9. Which statement by the nurse in the emergency department indicates a firm knowledge base
   regarding intimate partner violence?
   “Abused women are attracted to abusive men.”
   “Verbal abuse always proceeds to physical abuse.”
   “Abused individuals have a dependent personality disorder.”
   D. “Power and control are the central dynamics of abuse.”
10. A nurse is assessing a parent who lost a 12-year-old child in a car crash two years ago.
    Which of the following findings indicates the client is exhibiting manifestations of prolonged
    grieving?
    Volunteers at a local children’s hospital
    Visits the child’s grave every week after worship services
    C. Leaves the child’s room exactly as it was before the loss
    Talks about the child in the past tense
11. The nurse has determined that systematic desensitization is the therapy being used to treat
    the client with acrophobia. How is this demonstrated?
    Visualizing going up steep places
    B. Gradual exposure to higher areas
    C. Discussing past trauma at certain heights
    A.
    B.
    C.
    A.
    B.
    C.
    A.
    B.
    D.
    A.

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RASMUSSEN MENTAL HEALTH EXAM 3 LATEST
2023-2024 REAL EXAM ALL 50 QUESTIONS AND
CORRECT ANSWERS|AGRADE
1.
Q) 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?
Ans) Mental Status Examination (MSE)
2.
Q) A client is being seen, and during the session constantly talks about their successes, and how
no one understands her. She feels very entitled, believing she is the most important person at her
job and is irreplaceable. She shows no empathy for others and is extremely hypersensitive to
criticism. Given the examples, a nurse would expect which type of personality disorder?
Ans) Narcissistic personality disorder
3.
Q) An older adult client in the intensive care unit has visual and auditory illusions. Which
intervention will be most helpful to the client in managing these illusions?
ANS) Have the client wear their glasses and hearing aids.
4.
Q) What is a nurse’s legal responsibility if child abuse or neglect is suspected?

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ANS) Report the suspected abuse or neglect according to state regulations
5.
Q) A nurse is caring for a client who has antisocial personality disorder and is receiving
behavioral therapy. Which of the following client behaviors indicates effectiveness of the
therapy?
ANS) The client refrains from manipulating others to earn dining room privileges.
6.
Q) The provider has ordered valproate 750 mg PO for a client who has mood disturbance with a
personality disorder. The client reports that they will only take liquid medication. Available is
valproate elixir 250 mg/5 mL. How many mL will the nurse administer with each dose? (Record
answer as a whole number. Do not use a trailing zero. Numerical value only.)
ANS) 15

7. Q) A nurse in the emergency department is caring for a client who has alcohol toxicity and is
   unresponsive. Which of the following interventions should the nurse take?
   ANS) Gather supplies for endotracheal intubation
8. Q) A client with a history of alcohol use disorder has been prescribed disulfiram. Which
   physical effects supports the suspicion that the client has relapsed?

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RASMUSSEN MENTAL HEALTH EXAM 2 LATEST 2023-
2024 REAL EXAM ALL 50 QUESTIONS AND CORRECT
ANSWERS|AGRADE

1. A nurse working in an outpatient clinic believesthe client has been non-compliant with
   the prescribed medication regime, when assessing the client’s mood, the response is
   better but letter, post office, doctors’ office,shrink and sink, pick, the nurse recognizes.
   which of the following symptoms?
   a. Word salad
   b. Neologism
   c. Clanging
   d. Flight of ideas
2. A client hasreceived a new prescription for quetiapine (Seroquel). Which statement by
   the client reflects an understanding of this teaching?
   a. This medication will improve my blood glucose
   b. This medication will decrease any seizure activity
   c. I will need constant lab drawn for this medication while taking it.
   d. My weight will be closely monitored while taking this medication.
3. Which documentation indicates that the treatment plan for a patient diagnosed with
   acute mania has been effective?
   a. “Converses with few interruptions; clothing matches; participates in activities.”
   b. “Irritable,suggestible, distractible; napped for 10 minutesin afternoon.”
   c. “Attention span short; writing copious notes; intrudesin conversations.”
   d. “Heavy makeup;seductive toward staff; pressured speech.”
4. A nurse is providing education to a client recently prescribed buspirone. Which of the
   following statement by the client indicates further education is needed?
   a. This medication won’t cause severe drowsiness
   b. I don’t have to worry about getting addicted to this medication
   c. This medication will help with my anxiety
   d. This medication will be effective by next week
5. A client with past traumatic experiences usessublimation. Which of the following would
   demonstrate sublimation?
   a. The client states she doesn’t think she had a real problem
   b. The client identifies these symptoms in others
   c. The client speaks at high school about her story.
   d. The client forgets these past symptoms.
6. When educating a client and his family about taking a selective serotonin reuptake
   inhibitor (SSRI). Which statement from the family shows an understanding of a priority
   for client education?

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a. We will make sure he wears sunscreen.
b. We will make sure to avoid aged meats.
c. It will be important to watch how much salt we use when cooking.
d. If he talks about wanting to hurt himself, we will call the doctor.

7. A client diagnosed with nyctophobia has recently started systematic
   desensitization therapy. The nurse understandsthistherapy will help the client
   through which of the following techniques?
   a. The client will watch and mimic someone else in the same situation to decrease
   anxiety
   b. The client will gradually be exposed to the situation until they do not experience
   panic level anxiety
   c. The client will gradually limit the amount of time the client spends in the
   situation to reduce their anxiety level
   d. The client will snap rubber band on their wrist to decrease anxiety in the
   situation
8. A nurse is preparing to administer imipramine 200 mg PO daily divided
   equally every 12 hr. The amount available is imipramine 25 mg tablets. How
   many tablets should the nurse administer with each dose? (Write the number
   only, do not include the label. Round to the nearest 10th. Do not include a
   trailing zero. Put a leading zero if applicable)
   4
9. A client is diagnosed with major depressive disorder (MDD) takes
   propranolol/Inderal for hypertension and imipramine/tetralin for depression…
   the side effects of these drugs. what would be an essential teaching by the
   nurse?
   a. Rise slowly when you change from lying to sitting to standing
   b. Wear a sunscreen and avoid mid-day direct sun
   c. Report extrapyramidal symptoms(EPS)
   d. Taking both these drugs may cause increased agitation.
10. A nurse is preparing to administer clozapine 300 mg PO daily to a client who
    has schizophrenia. The amount available is clozapine 200 mg tablets. How
    many tablets should the nurse administer? (Write the number only, do not
    include the label. Round to the nearest 10th. Do not include a trailing zero. Put
    a leading zero if applicable).
    1.5
11. A client with schizophrenia is about to start medication therapy with clozapine
    (Clozaril). Which of the following would be most important for the nurse to do?
    a. Monitor for client for a high fever
    b. Encourage the client to drink enough fluids daily.
    c. Obtain a baseline white blood cell count.

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RASMUSSEN MENTAL HEALTH EXAM 1 LATEST 2023-2024
REAL EXAM ALL 50 QUESTIONS AND CORRECT
ANSWERS|AGRADE

1. A fully developed outcome for a client goal would include: (SATA)
   Attainable for client, measurable terms and time sensitive
2. The nurse understands a client could be at risk for serotonin syndrome when taking which of
   the following medications in addition to over the counter medications or herbal supplements?
   -Sertraline
3. A 4-year-old child grabstoys from siblings, saying “I want that toy now!”. The siblings cry and
   the child’s parents become upset with the behavior. Using Freudian theory, a nurse can
   interpret the child behavior as a product of impulses originating in the:
   -Id
4. Which expected client outcome should a nurse identify as being correctly formulated?

• Client will initiate interaction with one peer during free time within 2 days.

1. A voluntarily hospitalized patient tellsthe nurse, “Get me the formsfor discharge against
   medical advice so I can leave now. “Which is the nurse’s best response?
   -I will get them for you, but lets talk about your decision to leave treatment
2. The client is being admitted to the inpatient psychiatric unit. The nurse conducts a mental
   status examination. Which of the following items are included in this examination?
   -Appearance, mood and effect, thought and cognition
3. A client with schizophrenia has recently begun a new medication, clozapine (Clozaril). Which
   signs and symptoms of a potentially fatal side effect will the nurse teach the client about?
   -blurring vision and muscular weakness
4. Which information suggests that caution is necessary in prescribing a benzodiazepine to an
   anxious client?
   -The client has a history of alcohol dependence
5. A brother calls to speak to his sister who has been admitted to the psychiatric unit. The nurse
   connects home to the community phone and the sister is summoned. Later the nurse realizes
   that the brother was not on the client’s approved call list. What law has the nurse broken?
   -The Health Insurance Portability and Accountability Act (HIPPA)

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10. The client attempted suicide by overdosing on pain medication. Once the client ingested the
    medication, she decided that she did not want to die and she sought immediate treatment.
    Once the client recovered from the physical effects of overdoes, the client voluntarily sought
    inpatient mental health treatment. Which of the following statements is true of voluntary
    admission?
    -The client retainsthe right to request release
11. A nurse says to the client, “Things will look better tomorrow after a good nights sleep.” This
    is an example of which communication technique?
    -The nontherapeutic technique of giving reassurance
12. A patient isinvoluntarily admitted to a psychiatric unit after calling a friend and saying, “I’ve
    got a gun and I’m going to shoot myself.” Which of the following rights has the patient lost
    temporarily?

• The right to leave the hospital without medical approval

10. A depressed client states, “I have a chemical imbalance in my brain. I have no control over
    my behavior. Medications are my only hope to feel normal again. “Which nursing response is
    appropriate?”
    -Medications are one way to address chemical imbalances. Environmental and interpersonal
    factors can also have an impact on biological factors.
11. During an intake interview, which question would assist the nurse in gathering data about
    the clients judgement?
    -“If you found a stamped, addressed envelope in the street, what would you do?”
12. A nursing instructor asks a student to described the nursing process when initiating care of a
    client. The student nurse understands the nursing process order to be correctly identified as:
    -Assessment, Nursing Diagnoses, Outcomes, Planning, Implementation, Evaluation
13. During an intake assessment, a nurse asks both physiological and psychosocial questions.
    The client angrily responds, “I’m here for my heart, not my head problems.” Which isthe nurse’s
    best response?
    -Psychological factors, like excessive stress, have been found to affect medical conditions
14. A mother rescues two of her four children from a house fire. In an emergency department,
    she cries, “I should have gone back in to get them. I should have died, not them.” Which of the
    following responses by the nurse is an example of reflection?
    -You’re feeling guilty because you weren’t able to save your children