RASMUSSEN MENTAL HEALTH EXAM 1 AND 2 LATEST REAL
EXAM ALL ACTUAL 150+ QUESTIONS AND CORRECT
ANSWERS AGRADE LATEST UPDATE FOR 2024 EXAM.
1) A patient with schizophrenia begins to talks about "volmers"
hiding in the warehouse at work. The term "volmers" should be
documented as:
a. neologism
b. concrete thinking
c. thought insertion
d. idea of reference - ANSWER >>>>ANS: A
- A neologism is a newly coined word having special meaning to
the patient. "Volmer" is not a known common noun.
- Concrete thinking refers to the inability to think abstractly.
- Thought insertion refers to thoughts of others that are implanted
in one's mind.
- An idea of reference is a type of delusion in which trivial events
are given personal significance.
2) A patient with suicidal impulses is placed on the highest level of
suicide precautions. Which measures should be incorporated into
the plan of care by the nurse caring for the patient? (More than
one answer is correct.)
a. Maintain arm's-length, one-on-one nursing observation around
the clock.
b. Allow no glass or metal on meal trays.
c. Keep patient within visual range while awake. Check every 15
to 30 minutes while the patient is sleeping.
d. Check the patient's whereabouts every 15 minutes and make
frequent verbal contacts.
,e. Check whereabouts every hour. Make verbal contact at least
three times each shift.
f. Remove all potentially harmful objects from the patient's
possession. - ANSWER >>>>ANS: A, B, F
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.
3) A patient diagnosed with schizophrenia anxiously says, "I can
see the left side of my body merging with the wall, then my face
appears and disappears in the mirror." While listening, the nurse
should:
a. sit close to the patient.
b. place an arm protectively around the patient's shoulders.
c. place a hand on the patient's arm and exert light pressure.
d. maintain a normal social interaction distance from the patient. -
ANSWER >>>>ANS: D
The patient is describing phenomena that indicate personal
boundary difficulties. The nurse should maintain an appropriate
social distance and not touch the patient, because the patient is
anxious about the inability to maintain ego boundaries and
merging with or being swallowed by the environment. Physical
closeness or touch could precipitate panic.
4) Which statement indicates a patient with major depression is
most likely outlook on life during the acute phase of the illness? -
,ANSWER >>>>During an acute phase of major depression, the
client may feel worthless and deserve bad things to happen
personally.
5) A patient diagnosed with bipolar disorder is in the maintenance
phase of treatment. The patient asks, "Do I have to keep taking
this lithium even though my mood is stable now?" Select the
nurse's appropriate response.
a. "You will be able to stop the medication in about 1 month."
b. "Taking the medication every day helps reduce the risk of a
relapse."
c. "Usually patients take medication for approximately 6 months
after discharge."
d. "It's unusual that the health care provider hasn't already
stopped your medication." - ANSWER >>>>ANS: B
Patients diagnosed with bipolar disorder may be maintained on
lithium indefinitely to prevent recurrences. Helping the patient
understand this need will promote medication compliance.
6) A person has had difficulty keeping a job because of arguing
with co-workers and accusing them of conspiracy. Today the
person shouts, "They're all plotting to destroy me. Isn't that true?"
Select the nurse's most therapeutic response.
a."Everyone here is trying to help you. No one wants to harm
you."
b. "Feeling that people want to destroy you must be very
frightening."
c. "That is not true. People here are trying to help you if you will
let them."
d. "Staff members are health care professionals who are qualified
to help you." - ANSWER >>>>ANS: B
, Resist focusing on content; instead, focus on the feelings the
patient is expressing. This strategy prevents arguing about the
reality of delusional beliefs. Such arguments increase patient
anxiety and the tenacity with which the patient holds to the
delusion. The other options focus on content and provide
opportunity for argument.
7) A patient is undergoing a series of diagnostic tests. The patient
says, "Nothing is wrong with me except a stubborn chest cold."
The spouse reports the patient smokes and coughs a lot, has lost
15 pounds, and is easily fatigued. Which defense mechanism is
the patient using?
a. Regression
b. Displacement
c. Denial
d. Projection - ANSWER >>>>ANS: C
Denial is an unconscious blocking of threatening or painful
information or feelings. Regression involves using behaviors
appropriate at an earlier stage of psychosexual development.
Displacement shifts feelings to a more neutral person or object.
Projection attributes one's own unacceptable thoughts or feelings
to another
8) A cab driver, stuck in traffic, becomes lightheaded, tremulous,
diaphoretic, tachycardia and dyspneic. A workup in an emergency
department reveals no pathology. Which medical diagnosis
should a nurse suspect, and what nursing diagnosis should be the
nurse's first priority?
1. Generalized anxiety disorder and a nursing diagnosis of fear
2. Altered sensory perception and a nursing diagnosis of panic
disorder
EXAM ALL ACTUAL 150+ QUESTIONS AND CORRECT
ANSWERS AGRADE LATEST UPDATE FOR 2024 EXAM.
1) A patient with schizophrenia begins to talks about "volmers"
hiding in the warehouse at work. The term "volmers" should be
documented as:
a. neologism
b. concrete thinking
c. thought insertion
d. idea of reference - ANSWER >>>>ANS: A
- A neologism is a newly coined word having special meaning to
the patient. "Volmer" is not a known common noun.
- Concrete thinking refers to the inability to think abstractly.
- Thought insertion refers to thoughts of others that are implanted
in one's mind.
- An idea of reference is a type of delusion in which trivial events
are given personal significance.
2) A patient with suicidal impulses is placed on the highest level of
suicide precautions. Which measures should be incorporated into
the plan of care by the nurse caring for the patient? (More than
one answer is correct.)
a. Maintain arm's-length, one-on-one nursing observation around
the clock.
b. Allow no glass or metal on meal trays.
c. Keep patient within visual range while awake. Check every 15
to 30 minutes while the patient is sleeping.
d. Check the patient's whereabouts every 15 minutes and make
frequent verbal contacts.
,e. Check whereabouts every hour. Make verbal contact at least
three times each shift.
f. Remove all potentially harmful objects from the patient's
possession. - ANSWER >>>>ANS: A, B, F
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.
3) A patient diagnosed with schizophrenia anxiously says, "I can
see the left side of my body merging with the wall, then my face
appears and disappears in the mirror." While listening, the nurse
should:
a. sit close to the patient.
b. place an arm protectively around the patient's shoulders.
c. place a hand on the patient's arm and exert light pressure.
d. maintain a normal social interaction distance from the patient. -
ANSWER >>>>ANS: D
The patient is describing phenomena that indicate personal
boundary difficulties. The nurse should maintain an appropriate
social distance and not touch the patient, because the patient is
anxious about the inability to maintain ego boundaries and
merging with or being swallowed by the environment. Physical
closeness or touch could precipitate panic.
4) Which statement indicates a patient with major depression is
most likely outlook on life during the acute phase of the illness? -
,ANSWER >>>>During an acute phase of major depression, the
client may feel worthless and deserve bad things to happen
personally.
5) A patient diagnosed with bipolar disorder is in the maintenance
phase of treatment. The patient asks, "Do I have to keep taking
this lithium even though my mood is stable now?" Select the
nurse's appropriate response.
a. "You will be able to stop the medication in about 1 month."
b. "Taking the medication every day helps reduce the risk of a
relapse."
c. "Usually patients take medication for approximately 6 months
after discharge."
d. "It's unusual that the health care provider hasn't already
stopped your medication." - ANSWER >>>>ANS: B
Patients diagnosed with bipolar disorder may be maintained on
lithium indefinitely to prevent recurrences. Helping the patient
understand this need will promote medication compliance.
6) A person has had difficulty keeping a job because of arguing
with co-workers and accusing them of conspiracy. Today the
person shouts, "They're all plotting to destroy me. Isn't that true?"
Select the nurse's most therapeutic response.
a."Everyone here is trying to help you. No one wants to harm
you."
b. "Feeling that people want to destroy you must be very
frightening."
c. "That is not true. People here are trying to help you if you will
let them."
d. "Staff members are health care professionals who are qualified
to help you." - ANSWER >>>>ANS: B
, Resist focusing on content; instead, focus on the feelings the
patient is expressing. This strategy prevents arguing about the
reality of delusional beliefs. Such arguments increase patient
anxiety and the tenacity with which the patient holds to the
delusion. The other options focus on content and provide
opportunity for argument.
7) A patient is undergoing a series of diagnostic tests. The patient
says, "Nothing is wrong with me except a stubborn chest cold."
The spouse reports the patient smokes and coughs a lot, has lost
15 pounds, and is easily fatigued. Which defense mechanism is
the patient using?
a. Regression
b. Displacement
c. Denial
d. Projection - ANSWER >>>>ANS: C
Denial is an unconscious blocking of threatening or painful
information or feelings. Regression involves using behaviors
appropriate at an earlier stage of psychosexual development.
Displacement shifts feelings to a more neutral person or object.
Projection attributes one's own unacceptable thoughts or feelings
to another
8) A cab driver, stuck in traffic, becomes lightheaded, tremulous,
diaphoretic, tachycardia and dyspneic. A workup in an emergency
department reveals no pathology. Which medical diagnosis
should a nurse suspect, and what nursing diagnosis should be the
nurse's first priority?
1. Generalized anxiety disorder and a nursing diagnosis of fear
2. Altered sensory perception and a nursing diagnosis of panic
disorder
