RASMUSSEN MENTAL HEALTH EXAM 2 TEST BANK
LATEST 2023-2024 ACTUAL EXAM 200 QUESTIONS
AND CORREC T DETAILED ANSWERS WITH
RATIONALES |AGRADE
A nurse caring for a client, who has been neglecting personal hygiene,
observes the client coming to breakfast freshly bathed, wearing clean
clothes, and combed and styled hair. Which of the following is the most
therapeutic response by the nurse? – ANSWER- I see you have done
some grooming today
Which of the following would be the best therapeutic response by the
nurse when a client states, “I no longer need my medication since I do
not hear voices.”? – ANSWER- -“What happened the last time you
stopped taking your medication?”
Which documentation indicates that the treatment plan for a patient
diagnosed with acute mania has been effective – ANSWER- “Converses
with few interruptions; clothing matches; participates in activities.”
A nurse is providing education to a client recently prescribed buspirone.
Which of the following statement by the client indicates further
education is needed – ANSWER- This medication will be effective by
next week<\/p>\n\n\n\n
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? – ANSWER- .
If he talks about wanting to hurt himself, we will call the doctor
. A client diagnosed with nyctophobia has recently started systematic
desensitization therapy. The nurse understands this therapy will help the
client through which of the following techniques? – ANSWER- The
client will gradually be exposed to the situation until they do not
experience panic level anxiety
A nurse is assessing a client who has schizophrenia and has been treated
with a first-generation antipsychotic. Which of the following findings
should the nursedocument as manifestation of tardive dyskinesia –
ANSWER- b. Twisting tongue movement
Which nursing diagnosis supports the psychoanalytic theory of
development of major depressive disorder? – ANSWER- Social isolation
R\/T self directed danger
Which patient is at the highest risk for the diagnosis of major depressive
disorder? – ANSWER- 24 yr old married woman
A patient diagnosed with MDD is being considered for ECT. Which
patient teaching should the nurse prioritize? – ANSWER- Discuss with
the patient and family expected short term memory loss<\/p>\n\n\n\n
Which nursing intervention takes priority when working with a newly
admitted patient experiencing suicidal ideations? – ANSWER- Monitor
the patient at a close, but irregular intervals.
A patient diagnosed with major depressive disorder is prescribed Nardil.
Which teachings should the nurse prioritize? – ANSWER- Intruct the
patient & family about the many food-drug & drug-drug interactions?
What symptoms would the nurse expect to assess i a patient
experiencing serotonin syndrome? – ANSWER- Confusion, restlessness,
Tachycardia, Labile BP, & diaphoresis
Which of the following meds would be classified as Tricyclic
antidepressants? – ANSWER- Nortriptyline (Pamelor)
Which of the following are examples of anticholinergic side effects from
tricyclic antidepressants? – ANSWER- Urinary hesitancy, constipation,
and blurred vision
A patient seen in the ED is experiencing irritability, pressured speech,
and increased levels of anxiety. The priority is? – ANSWER- Assess
vital signs and complete a physical assessment
A patient diagnosed with bipolar 1 in the manic phase is yelling at
another peer in the milieu. The priority intervention is? – ANSWERCalmly redirect and remove the patient from the milieu.<\/p>\n\n\n\n
A patient diagnosed with bipolar 1 is experiencing auditory
hallucinations and a flight of ideas. Which meds would you expect to
give? – ANSWER- Risperidone (Risperdal) & Lamotrigine (Lamictal)
A patient prescribed Lithium is experiencing excessive output of dilute
urine, tremors and muscular irritability. The RN should? – ANSWERAssess a serum Lithium level of 2.6mEq\/L
A patient is newly prescribed Lithium carbonate. Which teaching point
by the nurse takes priority? – ANSWER- Make sure your salt intake is
consistent.
Which is an example of an behavioral response to a moderate level of
anxiety? – ANSWER- Restlessness
Which is an example of a physiological response to a panic level of
anxiety? – ANSWER- Dilated pupils.
A newly admitted patient is diagnosed with PTSD. Which behavioral
symptoms would the nurse expect to assess? – ANSWER- Diminished
participation in significant activities.
A patient on an in patient unit is experiencing a flash back. Which
intervention takes priority? – ANSWER- Maintain and reassure the
patient of his or her safety and security
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