MENTAL HEALTH EXAM 2
RASMUSSEN QUESTIONS & A+
GRADED ANSWERS PASSED 100%
Which nursing diagnosis supports the psychoanalytic theory of development of major
depressive disorder? - Correct Answer ✔✔ Social isolation R/T self directed danger
Which patient is at the highest risk for the diagnosis of major depressive disorder? -
Correct Answer ✔✔ 24 yr old married woman
A patient diagnosed with MDD is being considered for ECT. Which patient teaching
should the nurse prioritize? - Correct Answer ✔✔ Discuss with the patient and family
expected short term memory loss
Which nursing intervention takes priority when working with a newly admitted patient
experiencing suicidal ideations? - Correct 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? - Correct 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? - Correct Answer ✔✔ Confusion, restlessness, Tachycardia, Labile BP, &
diaphoresis
Which of the following meds would be classified as Tricyclic antidepressants? - Correct
Answer ✔✔ Nortriptyline (Pamelor)
Which of the following are examples of anticholinergic side effects from tricyclic
antidepressants? - Correct 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? - Correct 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? - Correct Answer ✔✔ Calmly redirect and remove
the patient from the milieu.
, A patient diagnosed with bipolar 1 is experiencing auditory hallucinations and a flight of
ideas. Which meds would you expect to give? - Correct Answer ✔✔ Risperidone
(Risperdal) & Lamotrigine (Lamictal)
A patient prescribed Lithium is experiencing excessive output of dilute urine, tremors
and muscular irritability. The RN should? - Correct Answer ✔✔ Assess a serum Lithium
level of 2.6mEq/L
A patient is newly prescribed Lithium carbonate. Which teaching point by the nurse
takes priority? - Correct Answer ✔✔ Make sure your salt intake is consistent.
Which is an example of an behavioral response to a moderate level of anxiety? -
Correct Answer ✔✔ Restlessness
Which is an example of a physiological response to a panic level of anxiety? - Correct
Answer ✔✔ Dilated pupils.
A newly admitted patient is diagnosed with PTSD. Which behavioral symptoms would
the nurse expect to assess? - Correct Answer ✔✔ Diminished participation in significant
activities.
A patient on an in patient unit is experiencing a flash back. Which intervention takes
priority? - Correct Answer ✔✔ Maintain and reassure the patient of his or her safety and
security
Patienta diagnosed with OCD, Commonly use which defense mechanism? - Correct
Answer ✔✔ Undoing
A patient diagnosed with OCD, Which behavioral symptoms would the RN expect to
assess? - Correct Answer ✔✔ The patient uses excessive hand washing to relieve
anxiety.
These meds can be used to treat patients with anxiety disorders: Catapres, Luvox,
Buspar, and Xanax? - Correct Answer ✔✔ True
Resperidone is to hallucinations as Clonazepam is to ? - Correct Answer ✔✔ Anxiety
Although symptoms of schizophrenia occur at various times in the life span, what
patient would more likely be diagnosed? - Correct Answer ✔✔ A 20 yr old man
The children saying "step on a crack and you break mothers back" is an example of
which type of thinking? - Correct Answer ✔✔ Magical thinking
The nurse documents that a patient diagnosed with schizophrenia is expressing a flat
affect? What is an example of this symptom? - Correct Answer ✔✔ The patient exhibits
no emotional expressions
RASMUSSEN QUESTIONS & A+
GRADED ANSWERS PASSED 100%
Which nursing diagnosis supports the psychoanalytic theory of development of major
depressive disorder? - Correct Answer ✔✔ Social isolation R/T self directed danger
Which patient is at the highest risk for the diagnosis of major depressive disorder? -
Correct Answer ✔✔ 24 yr old married woman
A patient diagnosed with MDD is being considered for ECT. Which patient teaching
should the nurse prioritize? - Correct Answer ✔✔ Discuss with the patient and family
expected short term memory loss
Which nursing intervention takes priority when working with a newly admitted patient
experiencing suicidal ideations? - Correct 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? - Correct 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? - Correct Answer ✔✔ Confusion, restlessness, Tachycardia, Labile BP, &
diaphoresis
Which of the following meds would be classified as Tricyclic antidepressants? - Correct
Answer ✔✔ Nortriptyline (Pamelor)
Which of the following are examples of anticholinergic side effects from tricyclic
antidepressants? - Correct 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? - Correct 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? - Correct Answer ✔✔ Calmly redirect and remove
the patient from the milieu.
, A patient diagnosed with bipolar 1 is experiencing auditory hallucinations and a flight of
ideas. Which meds would you expect to give? - Correct Answer ✔✔ Risperidone
(Risperdal) & Lamotrigine (Lamictal)
A patient prescribed Lithium is experiencing excessive output of dilute urine, tremors
and muscular irritability. The RN should? - Correct Answer ✔✔ Assess a serum Lithium
level of 2.6mEq/L
A patient is newly prescribed Lithium carbonate. Which teaching point by the nurse
takes priority? - Correct Answer ✔✔ Make sure your salt intake is consistent.
Which is an example of an behavioral response to a moderate level of anxiety? -
Correct Answer ✔✔ Restlessness
Which is an example of a physiological response to a panic level of anxiety? - Correct
Answer ✔✔ Dilated pupils.
A newly admitted patient is diagnosed with PTSD. Which behavioral symptoms would
the nurse expect to assess? - Correct Answer ✔✔ Diminished participation in significant
activities.
A patient on an in patient unit is experiencing a flash back. Which intervention takes
priority? - Correct Answer ✔✔ Maintain and reassure the patient of his or her safety and
security
Patienta diagnosed with OCD, Commonly use which defense mechanism? - Correct
Answer ✔✔ Undoing
A patient diagnosed with OCD, Which behavioral symptoms would the RN expect to
assess? - Correct Answer ✔✔ The patient uses excessive hand washing to relieve
anxiety.
These meds can be used to treat patients with anxiety disorders: Catapres, Luvox,
Buspar, and Xanax? - Correct Answer ✔✔ True
Resperidone is to hallucinations as Clonazepam is to ? - Correct Answer ✔✔ Anxiety
Although symptoms of schizophrenia occur at various times in the life span, what
patient would more likely be diagnosed? - Correct Answer ✔✔ A 20 yr old man
The children saying "step on a crack and you break mothers back" is an example of
which type of thinking? - Correct Answer ✔✔ Magical thinking
The nurse documents that a patient diagnosed with schizophrenia is expressing a flat
affect? What is an example of this symptom? - Correct Answer ✔✔ The patient exhibits
no emotional expressions
