{"id":116909,"date":"2023-08-26T18:48:39","date_gmt":"2023-08-26T18:48:39","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=116909"},"modified":"2023-08-26T18:48:41","modified_gmt":"2023-08-26T18:48:41","slug":"rasmussen-mental-health-exam-1-23-and-final-exam-latest-2023-2024-actual-exam-questions-and-correc-t-detailed-answers-with-rationales-agrade","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/26\/rasmussen-mental-health-exam-1-23-and-final-exam-latest-2023-2024-actual-exam-questions-and-correc-t-detailed-answers-with-rationales-agrade\/","title":{"rendered":"RASMUSSEN MENTAL HEALTH EXAM 1, 2,3 AND FINAL EXAM LATEST 2023-2024 ACTUAL EXAM QUESTIONS AND CORREC T DETAILED ANSWERS WITH RATIONALES |AGRADE"},"content":{"rendered":"\n<p>2023 RASMUSSEN MENTAL HEALTH EXAM 2 REAL<br>EXAM QUESTIONS AND CORRECT ANSWERS WITH<br>RATIONALES|AGRADE(COMPLETE EXAM)<br>You are the nurse responsible for assessing for extrapyramidal side effects<br>in a patient who has been taking chlorpromazine. Which of the following<br>may be side effects for this medication? (Select all that apply.)<br>Akathisia<br>Acute dystonia<br>Tardive<br>Dyskinesia<br>Answer Amenorrhea<br>s:<br>Akathisia<br>Acute dystonia<br>Tardive<br>Dyskinesia<br>Response<br>Feedback:<br>Extrapyramidal side effects of the central nervous system<br>include involuntary motor movements, resulting in possible<br>dystonia, akathisia or dyskinesia. Amenorrhea is a possible side<br>effect of chlorpromazine, but is not an extrapyramidal side<br>effect.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Question 2<br>1 out of 1 points<br>An adult with depression has been treated with medication and cognitive<br>behavioral therapy. The patient now verbalizes that being passive and<br>letting others make decisions for her contributed to the depression. What<br>referrals could the nurse make to help this patient prevent recurrence of<br>depression?<br>Selected<br>Answer:<br>Social skills training<br>Answers: Social skills training<br>Use of complementary<br>therapy<\/li>\n<\/ul>\n\n\n\n<p>Response<br>Feedback<br>:<br>Relaxation training classes<br>Learning desensitization<br>techniques<br>Social skills training is helpful in treating and preventing the<br>recurrence of depression. Training focuses on assertiveness and<br>coping skills that lead to positive reinforcement from others.<br>Use of complementary therapy refers to adjunctive therapies<br>such as herbals. Assertiveness would be of greater value than<br>relaxation training because passivity has been identified as a<br>concern. Desensitization is used in treatment of phobias<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Question 3<br>A patient with suicidal impulses is placed on the highest level of suicide<br>1 out of 1 points<br>precautions. Which measures should be incorporated into the plan of care<br>by the nurse caring for the patient? (Select all that apply.)<br>Selected<br>Answers:<br>Maintain arm\u2019s-length distance, institute one-on-one nursing<br>observation around the clock<br>Allow no glass or metal on meal trays<br>Remove all potentially harmful objects from the patient\u2019s<br>possession<br>Answers: Maintain arm\u2019s-length distance, institute one-on-one nursing<br>observation around the clock<br>Allow no glass or metal on meal trays<br>Keep patient within visual range while awake, but only check<br>every 15 to 30 minutes while the patient is sleeping<br>Only check the patient\u2019s whereabouts every 15 minutes and<br>make frequent verbal contacts.<br>Remove all potentially harmful objects from the patient\u2019s<br>possession<br>Response<br>Feedback<br>:<br>One-on-one observation is necessary for anyone who has<br>limited control over suicidal impulses. Plastic dishes on trays<br>and the removal of potentially harmful objects from the<br>patient\u2019s possession are measures included in any-level suicide<br>precautions. The remaining options are used in less stringent<br>levels of suicide precautions.<\/li>\n\n\n\n<li>Question 4<br>0 out of 1 points<br>Which statement indicates a patient with major depression\u2019s most likely<br>outlook on life during the acute phase of the illness?<br>Selected<br>Answer:<br>\u201cIf I ignore this, it will go away.\u201d<\/li>\n<\/ul>\n\n\n\n<p>Answers: \u201cIt\u2019s just a matter of time and I\u2019ll<br>be well.\u201d<br>\u201cI deserve to be this way.\u201d<br>\u201cI can fight this and get better.\u201d<br>\u201cIf I ignore this, it will go away.\u201d<br>Response<br>Feedback:<br>Patients with depression feel worthless and often believe they<br>deserve to have \u201cbad\u201d things happen. Patients with depression<br>are usually hopeless and would not respond optimistically.<br>Patients with depression usually feel helpless and unable to<br>fight.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Question 5<br>The nurse knows that sedation is a side effect of many antipsychotics.<br>Which of the following medications should the nurse question if ordered<br>for a patient taking antipsychotics?<br>0 out of 1 points<br>Selected<br>Answer:<br>hydrochlorothia<br>zide<br>Answers: hydrochlorothia<br>zide<br>diphenhydrami<br>ne<br>acetaminophen<br>verapamil<br>Response<br>Feedback:<br>Diphenhydramine is an antihistamine that is likely to cause<br>drowsiness and enhance the sedative effect of an antipsychotic.<br>Hydrochlorothiazide (diuretic), acetaminophen (antipyretic and<br>pain reliever) and verapamil (antihypertensive) do not cause<br>sedation.<\/li>\n\n\n\n<li>Question 6<br>1 out of 1 points<br>The nurse is caring for a patient who experiences orthostatic hypotension<br>related to taking chlorpromazine. The nurse should suggest which of the<br>following interventions for managing this side effect?<br>Selected<br>Answer:<br>Sit on the side of the bed before<br>standing up.<br>Answers: Stay in bed for an hour after taking the<br>medication.<\/li>\n\n\n\n<li><\/li>\n<\/ul>\n\n\n\n<p>lOMoAR cPSD|19500986<br>RASMUSSEN MENTAL HEALTH FIANAL EXAM<br>LATEST 2023-2024 REAL EXAM ALL 75 QUESTIONS<br>AND CORRECT ANSWERS|AGRADE<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A child is diagnosed as being on the autistic spectrum. Which clinical manifestations should<br>the nurse expect? (Select all that apply)<br>A. Inability to express themselves<br>B. Repetitive body movements<br>C. Inability to maintain eye contact<br>D. Appropriate nonverbal communication<br>E. Hallucinations<\/li>\n\n\n\n<li>A client is prescribed lorazepam 0.5mg PO four times a day (QID) and 1 mg PO every 8<br>hours PRN. The maximum daily dose of lorazepam should not exceed 4 mg daily. This client<br>would be able to receive PRN doses as the maximum number of PRN lorazepam doses.<br>2<\/li>\n\n\n\n<li>A nurse is providing care for a client who has anorexia nervosa. Which of the following<br>nursing interventions should the nurse take?<br>A. Compliment the client for weight gain<br>B. Provide privacy when friends visit<br>C. Allow the client to eat at any time<br>D. Schedule regular weigh in times<\/li>\n\n\n\n<li>A nurse reports an incident of suspected child abuse. One of the child&#8217;s parents becomes<br>upset and demands to know the reason for the nurse&#8217;s action. Which of the following<br>responses by the nurse is appropriate?<br>A. \u201cAs a nurse, I am required by law to report suspected child abuse.\u201d<\/li>\n<\/ol>\n\n\n\n<p>lOMoAR cPSD|19500986<br>\u201cI am unable to discuss this, but I can contact my supervisor to speak with you.\u201d<br>\u201cThe provider will be coming to explain the situation.\u201d<br>\u201cI reported the incident to my supervisor, who decided to contact the authorities.\u201d<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"5\">\n<li>A client weighs 215 lb. What is the client&#8217;s weight in kg?<br>97.7<\/li>\n\n\n\n<li>A child diagnosed on the autism spectrum may experience repetitive behaviors. Which of<br>thefollowing are examples of repetitive behavior which could be observed? (Select all that<br>apply)<br>A. Language delays<br>B. Limited function play<br>C. Spinning in circles<br>D. Avoiding body contact<br>E. Flapping their hands<\/li>\n\n\n\n<li>The nurse is caring for a client who has just been injured by her male partner. The client<br>states this is the first time he has been physically abusive, but he apologized and has since<br>sent her flowers. What is the intervention by the nurse?<br>Suggest the client and her partner both take time to evaluate the relationship<br>Ask the client about the level of stress she is experiencing<br>Give the client a list of anger management resources<br>D. Teach the client the cycle of battering<\/li>\n\n\n\n<li>A client is admitted with a diagnosis of dependent personality disorder. Which question by<br>thenurse indicates an understanding of the essential features of the disorder?<br>B.<br>C.<br>D.<br>A.<br>B.<br>C.<\/li>\n<\/ol>\n\n\n\n<p>lOMoAR cPSD|19500986<br>\u201cDo you have problems expressing your feelings?\u2019<br>\u201cDo you feel awkward in social situations?\u201d<br>\u201cDo you find you don\u2019t want praise for your accomplishments?\u201d<br>D. \u201cAre you afraid of being alone?\u201d<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"9\">\n<li>Which statement by the nurse in the emergency department indicates a firm knowledge base<br>regarding intimate partner violence?<br>\u201cAbused women are attracted to abusive men.\u201d<br>\u201cVerbal abuse always proceeds to physical abuse.\u201d<br>\u201cAbused individuals have a dependent personality disorder.\u201d<br>D. \u201cPower and control are the central dynamics of abuse.\u201d<\/li>\n\n\n\n<li>A nurse is assessing a parent who lost a 12-year-old child in a car crash two years ago.<br>Which of the following findings indicates the client is exhibiting manifestations of prolonged<br>grieving?<br>Volunteers at a local children&#8217;s hospital<br>Visits the child&#8217;s grave every week after worship services<br>C. Leaves the child&#8217;s room exactly as it was before the loss<br>Talks about the child in the past tense<\/li>\n\n\n\n<li>The nurse has determined that systematic desensitization is the therapy being used to treat<br>the client with acrophobia. How is this demonstrated?<br>Visualizing going up steep places<br>B. Gradual exposure to higher areas<br>C. Discussing past trauma at certain heights<br>A.<br>B.<br>C.<br>A.<br>B.<br>C.<br>A.<br>B.<br>D.<br>A.<\/li>\n\n\n\n<li><\/li>\n<\/ol>\n\n\n\n<p>lOMoAR cPSD|19500986<br>RASMUSSEN MENTAL HEALTH EXAM 3 LATEST<br>2023-2024 REAL EXAM ALL 50 QUESTIONS AND<br>CORRECT ANSWERS|AGRADE<br>1.<br>Q) A nurse is admitting an older client who has a suspected cognitive disorder. Which of the<br>following tools should be included as part of the admission assessment?<br>Ans) Mental Status Examination (MSE)<br>2.<br>Q) A client is being seen, and during the session constantly talks about their successes, and how<br>no one understands her. She feels very entitled, believing she is the most important person at her<br>job and is irreplaceable. She shows no empathy for others and is extremely hypersensitive to<br>criticism. Given the examples, a nurse would expect which type of personality disorder?<br>Ans) Narcissistic personality disorder<br>3.<br>Q) An older adult client in the intensive care unit has visual and auditory illusions. Which<br>intervention will be most helpful to the client in managing these illusions?<br>ANS) Have the client wear their glasses and hearing aids.<br>4.<br>Q) What is a nurse&#8217;s legal responsibility if child abuse or neglect is suspected?<\/p>\n\n\n\n<p>lOMoAR cPSD|19500986<br>ANS) Report the suspected abuse or neglect according to state regulations<br>5.<br>Q) A nurse is caring for a client who has antisocial personality disorder and is receiving<br>behavioral therapy. Which of the following client behaviors indicates effectiveness of the<br>therapy?<br>ANS) The client refrains from manipulating others to earn dining room privileges.<br>6.<br>Q) The provider has ordered valproate 750 mg PO for a client who has mood disturbance with a<br>personality disorder. The client reports that they will only take liquid medication. Available is<br>valproate elixir 250 mg\/5 mL. How many mL will the nurse administer with each dose? (Record<br>answer as a whole number. Do not use a trailing zero. Numerical value only.)<br>ANS) 15<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"7\">\n<li>Q) A nurse in the emergency department is caring for a client who has alcohol toxicity and is<br>unresponsive. Which of the following interventions should the nurse take?<br>ANS) Gather supplies for endotracheal intubation<\/li>\n\n\n\n<li>Q) A client with a history of alcohol use disorder has been prescribed disulfiram. Which<br>physical effects supports the suspicion that the client has relapsed?<\/li>\n\n\n\n<li><\/li>\n<\/ol>\n\n\n\n<p>lOMoAR cPSD|19500986<br>RASMUSSEN MENTAL HEALTH EXAM 2 LATEST 2023-<br>2024 REAL EXAM ALL 50 QUESTIONS AND CORRECT<br>ANSWERS|AGRADE<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A nurse working in an outpatient clinic believesthe client has been non-compliant with<br>the prescribed medication regime, when assessing the client&#8217;s mood, the response is<br>better but letter, post office, doctors\u2019 office,shrink and sink, pick, the nurse recognizes.<br>which of the following symptoms?<br>a. Word salad<br>b. Neologism<br>c. Clanging<br>d. Flight of ideas<\/li>\n\n\n\n<li>A client hasreceived a new prescription for quetiapine (Seroquel). Which statement by<br>the client reflects an understanding of this teaching?<br>a. This medication will improve my blood glucose<br>b. This medication will decrease any seizure activity<br>c. I will need constant lab drawn for this medication while taking it.<br>d. My weight will be closely monitored while taking this medication.<\/li>\n\n\n\n<li>Which documentation indicates that the treatment plan for a patient diagnosed with<br>acute mania has been effective?<br>a. &#8220;Converses with few interruptions; clothing matches; participates in activities.&#8221;<br>b. &#8220;Irritable,suggestible, distractible; napped for 10 minutesin afternoon.&#8221;<br>c. &#8220;Attention span short; writing copious notes; intrudesin conversations.&#8221;<br>d. &#8220;Heavy makeup;seductive toward staff; pressured speech.&#8221;<\/li>\n\n\n\n<li>A nurse is providing education to a client recently prescribed buspirone. Which of the<br>following statement by the client indicates further education is needed?<br>a. This medication won\u2019t cause severe drowsiness<br>b. I don\u2019t have to worry about getting addicted to this medication<br>c. This medication will help with my anxiety<br>d. This medication will be effective by next week<\/li>\n\n\n\n<li>A client with past traumatic experiences usessublimation. Which of the following would<br>demonstrate sublimation?<br>a. The client states she doesn\u2019t think she had a real problem<br>b. The client identifies these symptoms in others<br>c. The client speaks at high school about her story.<br>d. The client forgets these past symptoms.<\/li>\n\n\n\n<li>When educating a client and his family about taking a selective serotonin reuptake<br>inhibitor (SSRI). Which statement from the family shows an understanding of a priority<br>for client education?<\/li>\n<\/ol>\n\n\n\n<p>lOMoAR cPSD|19500986<br>a. We will make sure he wears sunscreen.<br>b. We will make sure to avoid aged meats.<br>c. It will be important to watch how much salt we use when cooking.<br>d. If he talks about wanting to hurt himself, we will call the doctor.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"7\">\n<li>A client diagnosed with nyctophobia has recently started systematic<br>desensitization therapy. The nurse understandsthistherapy will help the client<br>through which of the following techniques?<br>a. The client will watch and mimic someone else in the same situation to decrease<br>anxiety<br>b. The client will gradually be exposed to the situation until they do not experience<br>panic level anxiety<br>c. The client will gradually limit the amount of time the client spends in the<br>situation to reduce their anxiety level<br>d. The client will snap rubber band on their wrist to decrease anxiety in the<br>situation<\/li>\n\n\n\n<li>A nurse is preparing to administer imipramine 200 mg PO daily divided<br>equally every 12 hr. The amount available is imipramine 25 mg tablets. How<br>many tablets should the nurse administer with each dose? (Write the number<br>only, do not include the label. Round to the nearest 10th. Do not include a<br>trailing zero. Put a leading zero if applicable)<br>4<\/li>\n\n\n\n<li>A client is diagnosed with major depressive disorder (MDD) takes<br>propranolol\/Inderal for hypertension and imipramine\/tetralin for depression\u2026<br>the side effects of these drugs. what would be an essential teaching by the<br>nurse?<br>a. Rise slowly when you change from lying to sitting to standing<br>b. Wear a sunscreen and avoid mid-day direct sun<br>c. Report extrapyramidal symptoms(EPS)<br>d. Taking both these drugs may cause increased agitation.<\/li>\n\n\n\n<li>A nurse is preparing to administer clozapine 300 mg PO daily to a client who<br>has schizophrenia. The amount available is clozapine 200 mg tablets. How<br>many tablets should the nurse administer? (Write the number only, do not<br>include the label. Round to the nearest 10th. Do not include a trailing zero. Put<br>a leading zero if applicable).<br>1.5<\/li>\n\n\n\n<li>A client with schizophrenia is about to start medication therapy with clozapine<br>(Clozaril). Which of the following would be most important for the nurse to do?<br>a. Monitor for client for a high fever<br>b. Encourage the client to drink enough fluids daily.<br>c. Obtain a baseline white blood cell count.<\/li>\n\n\n\n<li><\/li>\n<\/ol>\n\n\n\n<p>lOMoAR cPSD|19500986<br>RASMUSSEN MENTAL HEALTH EXAM 1 LATEST 2023-2024<br>REAL EXAM ALL 50 QUESTIONS AND CORRECT<br>ANSWERS|AGRADE<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A fully developed outcome for a client goal would include: (SATA)<br>Attainable for client, measurable terms and time sensitive<\/li>\n\n\n\n<li>The nurse understands a client could be at risk for serotonin syndrome when taking which of<br>the following medications in addition to over the counter medications or herbal supplements?<br>-Sertraline<\/li>\n\n\n\n<li>A 4-year-old child grabstoys from siblings, saying \u201cI want that toy now!\u201d. The siblings cry and<br>the child\u2019s parents become upset with the behavior. Using Freudian theory, a nurse can<br>interpret the child behavior as a product of impulses originating in the:<br>-Id<\/li>\n\n\n\n<li>Which expected client outcome should a nurse identify as being correctly formulated?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Client will initiate interaction with one peer during free time within 2 days.<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A voluntarily hospitalized patient tellsthe nurse, \u201cGet me the formsfor discharge against<br>medical advice so I can leave now. \u201cWhich is the nurse\u2019s best response?<br>-I will get them for you, but lets talk about your decision to leave treatment<\/li>\n\n\n\n<li>The client is being admitted to the inpatient psychiatric unit. The nurse conducts a mental<br>status examination. Which of the following items are included in this examination?<br>-Appearance, mood and effect, thought and cognition<\/li>\n\n\n\n<li>A client with schizophrenia has recently begun a new medication, clozapine (Clozaril). Which<br>signs and symptoms of a potentially fatal side effect will the nurse teach the client about?<br>-blurring vision and muscular weakness<\/li>\n\n\n\n<li>Which information suggests that caution is necessary in prescribing a benzodiazepine to an<br>anxious client?<br>-The client has a history of alcohol dependence<\/li>\n\n\n\n<li>A brother calls to speak to his sister who has been admitted to the psychiatric unit. The nurse<br>connects home to the community phone and the sister is summoned. Later the nurse realizes<br>that the brother was not on the client\u2019s approved call list. What law has the nurse broken?<br>-The Health Insurance Portability and Accountability Act (HIPPA)<\/li>\n<\/ol>\n\n\n\n<p>lOMoAR cPSD|19500986<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"10\">\n<li>The client attempted suicide by overdosing on pain medication. Once the client ingested the<br>medication, she decided that she did not want to die and she sought immediate treatment.<br>Once the client recovered from the physical effects of overdoes, the client voluntarily sought<br>inpatient mental health treatment. Which of the following statements is true of voluntary<br>admission?<br>-The client retainsthe right to request release<\/li>\n\n\n\n<li>A nurse says to the client, \u201cThings will look better tomorrow after a good nights sleep.\u201d This<br>is an example of which communication technique?<br>-The nontherapeutic technique of giving reassurance<\/li>\n\n\n\n<li>A patient isinvoluntarily admitted to a psychiatric unit after calling a friend and saying, \u201cI\u2019ve<br>got a gun and I\u2019m going to shoot myself.\u201d Which of the following rights has the patient lost<br>temporarily?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The right to leave the hospital without medical approval<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\" start=\"10\">\n<li>A depressed client states, \u201cI have a chemical imbalance in my brain. I have no control over<br>my behavior. Medications are my only hope to feel normal again. \u201cWhich nursing response is<br>appropriate?\u201d<br>-Medications are one way to address chemical imbalances. Environmental and interpersonal<br>factors can also have an impact on biological factors.<\/li>\n\n\n\n<li>During an intake interview, which question would assist the nurse in gathering data about<br>the clients judgement?<br>-\u201cIf you found a stamped, addressed envelope in the street, what would you do?\u201d<\/li>\n\n\n\n<li>A nursing instructor asks a student to described the nursing process when initiating care of a<br>client. The student nurse understands the nursing process order to be correctly identified as:<br>-Assessment, Nursing Diagnoses, Outcomes, Planning, Implementation, Evaluation<\/li>\n\n\n\n<li>During an intake assessment, a nurse asks both physiological and psychosocial questions.<br>The client angrily responds, \u201cI\u2019m here for my heart, not my head problems.\u201d Which isthe nurse\u2019s<br>best response?<br>-Psychological factors, like excessive stress, have been found to affect medical conditions<\/li>\n\n\n\n<li>A mother rescues two of her four children from a house fire. In an emergency department,<br>she cries, \u201cI should have gone back in to get them. I should have died, not them.\u201d Which of the<br>following responses by the nurse is an example of reflection?<br>-You\u2019re feeling guilty because you weren\u2019t able to save your children<\/li>\n<\/ol>\n\n\n\n<p>RASMUSSEN MENTAL HEALTH EXAM 1 TEST BANK<br>LATEST 2023-2024 ACTUAL EXAM 200 QUESTIONS<br>AND CORRECT DETAILED ANSWERS WITH<br>RATIONALES |AGRADE<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>In which scenario is it most urgent for the nurse to act as a patient advocate?<br>a. An adult cries and experiences anxiety after a near-miss automobile accident on<br>the way to work.<br>b. A homeless adult diagnosed with schizophrenia lives in a community expecting<br>a category 5 hurricane.<br>c. A 14-year-old girl&#8217;s grades decline because she consistently focuses on her<br>appearance and social networking.<br>d. A parent allows the prescription to lapse for 1 day for their 8-year-old child&#8217;s<br>medication for attention-deficit\/hyperactivity disorder. &#8211; ANSWER- B.<\/li>\n\n\n\n<li>The nurse interacts with a veteran of World War II. The veteran says, &#8220;Veterans<br>of modern wars whine and complain all the time. Back when I was in service, you<br>kept your feelings to yourself.&#8221; Select the nurse&#8217;s best response.<br>a. &#8220;American society in the 1940s expected World War II soldiers to be strong.&#8221;<\/li>\n<\/ol>\n\n\n\n<p>b. &#8220;World War II was fought in a traditional way but the enemy is more difficult to<br>identify in today&#8217;s wars.&#8221;<br>c. &#8220;We now have a better understanding of how trauma affects people and the<br>importance of research-based, compassionate care.&#8221;<br>d. &#8220;Intermittent explosive devices (IEDs), which were not in use during World War<br>II, produce traumatic brain injuries that must be treated.&#8221; &#8211; ANSWER- C<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"3\">\n<li>A patient reports to a primary care provider about sleeplessness, constant<br>fatigue, and sadness. In our current health care climate, what is the most likely<br>treatment approach that will be offered to the patient?<br>a. Group therapy<br>b. Individual psychotherapy<br>c. Complementary therapy<br>d. Psychopharmacological treatment &#8211; ANSWER- D<\/li>\n\n\n\n<li>The nurse prepares outcomes to the plan of care for an adult diagnosed with<br>mental illness. Which strategy recognizes the current focus of treatment services<br>for this population?<br>a. The patient&#8217;s diagnoses are confirmed using advanced neuroimaging techniques.<\/li>\n<\/ol>\n\n\n\n<p>b. The nurse confers with the treatment team to verify the patient&#8217;s most significant<br>disability.<br>c. The nurse prioritizes the patient&#8217;s problems in accordance with Maslow&#8217;s<br>hierarchy of needs.<br>d. The patient and family participate actively in establishing priorities and selecting<br>interventions. &#8211; ANSWER- D<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"5\">\n<li>Which scenario best demonstrates empathetic caring?<br>a. A nurse provides comfort to a colleague after an error of medication<br>administration.<br>b. A nurse works a fourth extra shift in 1 week to maintain adequate unit staffing.<br>c. A nurse identifies a violation of confidentiality and makes a report to an agency&#8217;s<br>privacy officer.<br>d. A nurse conscientiously reads current literature to stay aware of new evidencebased practices. &#8211; ANSWER- A<\/li>\n\n\n\n<li>A mentally ill gunman opens fire in a crowded movie theater, killing six people<br>and injuring others. Which comment about this event by a member of the<br>community most clearly shows the stigma of mental illness?<br>a. &#8220;Gun control laws are inadequate in our country.&#8221;<\/li>\n<\/ol>\n\n\n\n<p>b. &#8220;It&#8217;s frightening to feel that it is not safe to go to a movie theater.&#8221;<br>c. &#8220;All these people with mental illness are violent and should be locked up.&#8221;<br>d. &#8220;These events happen because American families no longer go to church<br>together.&#8221; &#8211; ANSWER- C<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li>The nurse presents a class about mental health and mental illness to a group of<br>fourth graders. One student asks, &#8220;Why do people get mentally ill?&#8221; Select the<br>nurse&#8217;s best response.<br>a. &#8220;There are many reasons why mental illness occurs.&#8221;<br>b. &#8220;The cause of mental illness is complicated and very hard to understand.&#8221;<br>c. &#8220;Sometimes a person&#8217;s brain does not work correctly because something bad<br>happens or they inherit a brain problem.&#8221;<br>d. &#8220;Most mental illnesses result from genetically transmitted abnormalities in<br>cerebral structure; however, some are a consequence of traumatic life experiences.&#8221;<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ANSWER- C<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li>An adult experienced a spinal cord injury resulting in quadriplegia 3 years ago<br>and now lives permanently in a skilled care facility. Which comment by this<br>person best demonstrates resiliency?<br>a. &#8220;I often pray for a miracle that will heal my paralysis so I will be whole again.&#8221;<\/li>\n<\/ol>\n\n\n\n<p>RASMUSSEN MENTAL HEALTH FINAL EXAM TEST<br>BANK LATEST 2023-2024 ACTUAL EXAM 200<br>QUESTIONS AND CORRECT DETAILED ANSWERS<br>WITH RATIONALES |AGRADE<br>A client is diagnosed with antisocial personality disorder. She has a violent verbal,<br>physically threatening outburst in the dayroom of the unit when the nurse explains<br>she cannot smoke in the hospital. What is the priority action the nurse should take?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ANSWER- remove all other clients from the dayroom to ensure safety<br>What behaviors, by the mother, did Mahler in her theory of object constancy say<br>caused borderline personality disorder symptoms later in life? &#8211; ANSWER- the<br>mother was seeing mixed messages regarding emotional presence<br>Which of the following findings would the nurse identify as placing a client at risk<br>for conversion disorder? &#8211; ANSWER- being in an automobile accident a month<br>earlier in which her best friend died<br>A nurse is caring for a client with factitious disorder imposed on another. Which of<br>the following statements by the client would the nurse expect? &#8211; ANSWER- I made<br>my daughter sick because no one was paying use any attention<br>The family of a 17 yo client diagnosed with anorexia nervosa is encouraged to<br>attend family therapy sessions. The father states, &#8220;We dont have the eating<br>disorder. Why should we attend?&#8221; What is the best response by the nurse? &#8211;<br>ANSWER- Gaining insight about her illness and what contributes to it will be<br>beneficial<\/li>\n<\/ul>\n\n\n\n<p>A nurse is teaching a group of students about the risk factors and complications of<br>anorexia nervosa. Which of the following complications should be stressed as the<br>most serious? &#8211; ANSWER- increased risk of mortality<br>A client states &#8220;I was diagnosed with panic attacks. I have heard of dissociated<br>disorders. What is the difference?&#8221; What is the nurses best response? &#8211; ANSWERIn Dissociative disorders, an unconscious memory enters conscious awareness<br>causing dissociation<br>A newly admitted client diagnosed with somatization disorder asked for his pain<br>medication that is ordered on an as-need basis. What is the nurses best reaction to<br>this request? &#8211; ANSWER- matter-of-factly administer the medications as<br>prescribed<br>The parent of a child with attention deficit hyperactivity disorder tells the nurse<br>that the child does not follow directions well, what strategy would be best for the<br>nurse to recommend? &#8211; ANSWER- Try having the child repeat the instructions<br>before starting the task<br>When planning the care of a 6-year-old child diagnosed with opposition defiant<br>disorder, the nurse should include which method of therapy? &#8211; ANSWER- behavior<br>modification<br>a client diagnosed with dissociative disorder suddenly begins to speak with a childs<br>vocabulary and voice. What interpretation should the nurse make about this<br>behavior? &#8211; ANSWER- a state of depersonalization<br>The nurse is assessing the client in a fugue state. What information would the nurse<br>be most beneficial? &#8211; ANSWER- recent history of severe trauma<\/p>\n\n\n\n<p>7 year old male client has severe bruising on his arms and injury to his abdomen.<br>The nurse should consider child abuse if the parents act in what manner? &#8211;<br>ANSWER- the parents delayed seeking treatment<br>A 4 yo child states to the nurse, &#8220;If i can make a big enough wish, my dad wont be<br>dead anymore!&#8221; What is the conclusion made by the nurse? &#8211; ANSWER- the child<br>is voicing thoughts that are normal for children this age<br>A female adolescent client says to the nurse, &#8220;Hey, you stupid blonde, what are you<br>looking at? Which of the following responses would be inappropriate for the nurse<br>to make? &#8211; ANSWER- state, &#8220;Dont you ever talk to me like that again&#8221;<br>a nursing peer states, &#8220;this client always disrupts the unit and then she sings out<br>against medical advice. She is a pain and a typical borderline.: What is the nurses<br>best response to this comment? &#8211; ANSWER- I wish we could identify what she<br>needs and help her before she signs out<br>Which of the following statements by the nurse, who cares for children with<br>psychiatric disorders, is the reason for concern? &#8211; ANSWER- I know exactly how<br>the child feels since I went through the same thing<br>What are symptoms of prolonged grief one year after the loss? &#8211; ANSWERanhedonia<br>The nurse observes a client diagnosed with anorexia nervosa doing repeated,<br>vigorous sit-ups in her room. What is the most therapeutic intervention by the<br>nurse? &#8211; ANSWER- interrupt the routine and offer to walk her<\/p>\n\n\n\n<p>RASMUSSEN MENTAL HEALTH EXAM 2 TEST BANK<br>LATEST 2023-2024 ACTUAL EXAM 200 QUESTIONS<br>AND CORREC T DETAILED ANSWERS WITH<br>RATIONALES |AGRADE<br>A nurse caring for a client, who has been neglecting personal hygiene,<br>observes the client coming to breakfast freshly bathed, wearing clean<br>clothes, and combed and styled hair. Which of the following is the most<br>therapeutic response by the nurse? &#8211; ANSWER- I see you have done<br>some grooming today<br>Which of the following would be the best therapeutic response by the<br>nurse when a client states, &#8220;I no longer need my medication since I do<br>not hear voices.&#8221;? &#8211; ANSWER- -&#8220;What happened the last time you<br>stopped taking your medication?&#8221;<br>Which documentation indicates that the treatment plan for a patient<br>diagnosed with acute mania has been effective &#8211; ANSWER- &#8220;Converses<br>with few interruptions; clothing matches; participates in activities.&#8221;<br>A nurse is providing education to a client recently prescribed buspirone.<br>Which of the following statement by the client indicates further<br>education is needed &#8211; ANSWER- This medication will be effective by<br>next week<\/p>\n\n\n\n<p>When educating a client and his family about taking a selective<br>serotonin reuptake inhibitor (SSRI). Which statement from the family<br>shows an understanding of a priority for client education? &#8211; ANSWER- .<br>If he talks about wanting to hurt himself, we will call the doctor<br>. A client diagnosed with nyctophobia has recently started systematic<br>desensitization therapy. The nurse understands this therapy will help the<br>client through which of the following techniques? &#8211; ANSWER- The<br>client will gradually be exposed to the situation until they do not<br>experience panic level anxiety<br>A nurse is assessing a client who has schizophrenia and has been treated<br>with a first-generation antipsychotic. Which of the following findings<br>should the nursedocument as manifestation of tardive dyskinesia &#8211;<br>ANSWER- b. Twisting tongue movement<br>Which nursing diagnosis supports the psychoanalytic theory of<br>development of major depressive disorder? &#8211; ANSWER- Social isolation<br>R\/T self directed danger<br>Which patient is at the highest risk for the diagnosis of major depressive<br>disorder? &#8211; ANSWER- 24 yr old married woman<br>A patient diagnosed with MDD is being considered for ECT. Which<br>patient teaching should the nurse prioritize? &#8211; ANSWER- Discuss with<br>the patient and family expected short term memory loss<\/p>\n\n\n\n<p>Which nursing intervention takes priority when working with a newly<br>admitted patient experiencing suicidal ideations? &#8211; ANSWER- Monitor<br>the patient at a close, but irregular intervals.<br>A patient diagnosed with major depressive disorder is prescribed Nardil.<br>Which teachings should the nurse prioritize? &#8211; ANSWER- Intruct the<br>patient &amp; family about the many food-drug &amp; drug-drug interactions?<br>What symptoms would the nurse expect to assess i a patient<br>experiencing serotonin syndrome? &#8211; ANSWER- Confusion, restlessness,<br>Tachycardia, Labile BP, &amp; diaphoresis<br>Which of the following meds would be classified as Tricyclic<br>antidepressants? &#8211; ANSWER- Nortriptyline (Pamelor)<br>Which of the following are examples of anticholinergic side effects from<br>tricyclic antidepressants? &#8211; ANSWER- Urinary hesitancy, constipation,<br>and blurred vision<br>A patient seen in the ED is experiencing irritability, pressured speech,<br>and increased levels of anxiety. The priority is? &#8211; ANSWER- Assess<br>vital signs and complete a physical assessment<br>A patient diagnosed with bipolar 1 in the manic phase is yelling at<br>another peer in the milieu. The priority intervention is? &#8211; ANSWERCalmly redirect and remove the patient from the milieu.<\/p>\n\n\n\n<p>A patient diagnosed with bipolar 1 is experiencing auditory<br>hallucinations and a flight of ideas. Which meds would you expect to<br>give? &#8211; ANSWER- Risperidone (Risperdal) &amp; Lamotrigine (Lamictal)<br>A patient prescribed Lithium is experiencing excessive output of dilute<br>urine, tremors and muscular irritability. The RN should? &#8211; ANSWERAssess a serum Lithium level of 2.6mEq\/L<br>A patient is newly prescribed Lithium carbonate. Which teaching point<br>by the nurse takes priority? &#8211; ANSWER- Make sure your salt intake is<br>consistent.<br>Which is an example of an behavioral response to a moderate level of<br>anxiety? &#8211; ANSWER- Restlessness<br>Which is an example of a physiological response to a panic level of<br>anxiety? &#8211; ANSWER- Dilated pupils.<br>A newly admitted patient is diagnosed with PTSD. Which behavioral<br>symptoms would the nurse expect to assess? &#8211; ANSWER- Diminished<br>participation in significant activities.<br>A patient on an in patient unit is experiencing a flash back. Which<br>intervention takes priority? &#8211; ANSWER- Maintain and reassure the<br>patient of his or her safety and security<\/p>\n\n\n\n<p><br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>2023 RASMUSSEN MENTAL HEALTH EXAM 2 REALEXAM QUESTIONS AND CORRECT ANSWERS WITHRATIONALES|AGRADE(COMPLETE EXAM)You are the nurse responsible for assessing for extrapyramidal side effectsin a patient who has been taking chlorpromazine. Which of the followingmay be side effects for this medication? (Select all that apply.)AkathisiaAcute dystoniaTardiveDyskinesiaAnswer Amenorrheas:AkathisiaAcute dystoniaTardiveDyskinesiaResponseFeedback:Extrapyramidal side effects of the central nervous systeminclude involuntary [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-116909","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116909","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=116909"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116909\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=116909"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=116909"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=116909"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}