RASMUSSEN MENTAL HEALTH FINAL EXAM
LATEST 2023-2024 REAL EXAM ALL 200 QUESTIONS
AND CORRECT ANSWERS|AGRADE
The nurse is caring for a client diagnosed with somatic symptom disorder. The client
continues to focus on his severe back pain. Which of the following is the most
therapeutic nursing intervention? – …ANSWER…allow the client to discuss physical
concerns and then focus on coping skills for stress
A client is diagnosed with antisocial personality disorder. She has a violent verbal,
physically threatening outburst in the dayroom of the unit when the nurse explains she
cannot smoke in the hospital. What is the priority action the nurse should take? –
…ANSWER…remove all other clients from the dayroom to ensure safety
What behaviors, by the mother, did Mahler in her theory of object constancy say caused
borderline personality disorder symptoms later in life? – …ANSWER…the mother was
seeing mixed messages regarding emotional presence
Which of the following findings would the nurse identify as placing a client at risk for
conversion disorder? – …ANSWER…being in an automobile accident a month earlier in
which her best friend died
A nurse is caring for a client with factitious disorder imposed on another. Which of the
following statements by the client would the nurse expect? – …ANSWER…I made my
daughter sick because no one was paying use any attention
The family of a 17 yo client diagnosed with anorexia nervosa is encouraged to attend
family therapy sessions. The father states, “We dont have the eating disorder. Why
should we attend?” What is the best response by the nurse? – …ANSWER…Gaining
insight about her illness and what contributes to it will be beneficial
A nurse is teaching a group of students about the risk factors and complications of
anorexia nervosa. Which of the following complications should be stressed as the most
serious? – …ANSWER…increased risk of mortality
A client states “I was diagnosed with panic attacks. I have heard of dissociated
disorders. What is the difference?” What is the nurses best response? – …ANSWER…In
Dissociative disorders, an unconscious memory enters conscious awareness causing
dissociation
A newly admitted client diagnosed with somatization disorder asked for his pain
medication that is ordered on an as-need basis. What is the nurses best reaction to this
request? – …ANSWER…matter-of-factly administer the medications as prescribed
The parent of a child with attention deficit hyperactivity disorder tells the nurse that the
child does not follow directions well, what strategy would be best for the nurse to
recommend? – …ANSWER…Try having the child repeat the instructions before starting
the task
When planning the care of a 6-year-old child diagnosed with opposition defiant disorder,
the nurse should include which method of therapy? – …ANSWER…behavior modification
A client diagnosed with dissociative disorder suddenly begins to speak with a childs
vocabulary and voice. What interpretation should the nurse make about this behavior? –
…ANSWER…a state of depersonalization
The nurse is assessing the client in a fugue state. What information would the nurse be
most beneficial? – …ANSWER…recent history of severe trauma
7 year old male client has severe bruising on his arms and injury to his abdomen. The
nurse should consider child abuse if the parents act in what manner? – …ANSWER…the
parents delayed seeking treatment
A 4 yo child states to the nurse, “If i can make a big enough wish, my dad wont be dead
anymore!” What is the conclusion made by the nurse? – …ANSWER…the child is voicing
thoughts that are normal for children this age
A female adolescent client says to the nurse, “Hey, you stupid blonde, what are you
looking at? Which of the following responses would be inappropriate for the nurse to
make? – …ANSWER…state, “Dont you ever talk to me like that again”
a nursing peer states, “this client always disrupts the unit and then she sings out against
medical advice. She is a pain and a typical borderline.: What is the nurses best
response to this comment? – …ANSWER…I wish we could identify what she needs and
help her before she signs out
Which of the following statements by the nurse, who cares for children with psychiatric
disorders, is the reason for concern? – …ANSWER…I know exactly how the child feels
since I went through the same thing
What are symptoms of prolonged grief one year after the loss? –
…ANSWER…anhedonia
The nurse observes a client diagnosed with anorexia nervosa doing repeated, vigorous
sit-ups in her room. What is the most therapeutic intervention by the nurse? –
…ANSWER…interrupt the routine and offer to walk her
The nurse has determined desensitization is the therapy being used to treat the client
with acrophobia. How is this demonstrated? – …ANSWER…gradual exposure to higher
areas
A client diagnosed with borderline personality disorder asks the nurse, “Why am I taking
sertaline when I am anxious, not depressed? I asked for Buspar.” Which of the following
is an accurate response? – …ANSWER…this medication helps with mood instability and
anger control
A client diagnosed with borderline personality disorder is angry that the night shift staff
would not let her drink coffee at 3 am. She discusses this in a community meeting and
develops a following of clients who demand access to the cafeteria at all hours. HOw
can the nursing staff manage this situation to prevent “splitting”? – …ANSWER…staff
discuss the situation and agree upon consistency
a client with past experiences of eating disorders symptoms uses the ego defense
mechanism of sublimation in dealing with this disorder. How is this expressed? –
…ANSWER…the client speaks at high schools about her disorder
the clients husband died three years ago before her admission to the hospital. She
states in the assessment process, “Im not worth anything anymore. Why should I go on
living?” what does this indicate to the nurse admitting this client? –
…ANSWER…depression rather than healthy grieving
A client admitted with general anxiety disorder becomes increasingly confused and
agitated over 3 hours. What is the priority action by the nurse? – …ANSWER…assess
the client to determine the possible cause
An elderly client was neglected in the home setting. She is isolated from other family
members and not taken for needed medical care. The abuse was reported, but she
remains in the home. This situation is based on what factor? – …ANSWER…competent
adults can decide to remain in the setting
A client diagnosed with borderline personality disorder states she is hearing voices that
tell her to cut herself. She already has several superficial marks on her wrists from
scratching herself with the plastic eating utensils. She will not contract for safety. What
is the priority nursing intervention? – …ANSWER…place on one-to-one, constant
observation to ensure she does not harm self
What factor is a precipitating symptom of depression and suicidal intent in the elderly? –
…ANSWER…bereavement overload
What are the effective interventions to facilitate individual coping for a client diagnosed
with an eating disorder? – …ANSWER…have the client input when establishing the
expected outcomes