RASMUSSEN MENTAL HEALTH FINAL EXAM LATEST REAL EXAM ALL 75
QUESTIONS AND CORRECT ANSWERS|A+ GRADE ASSURED
Question 1
A nurse is caring for a client with schizophrenia who states, "The government has implanted a
microchip in my brain to control my thoughts." The nurse identifies this as which type of
delusion?
A) Somatic
B) Grandiose
C) Persecutory
D) Reference
E) Nihilistic
Correct Answer: C) Persecutory
Rationale: Persecutory delusions involve the belief that one is being tormented, followed, spied
on, or made to suffer, often by others or an organization.
Question 2
A client diagnosed with major depressive disorder is prescribed sertraline. The nurse should
instruct the client that the therapeutic effects of this medication may take how long to become
evident?
A) Within hours
B) Within 2-4 days
C) 1-2 weeks
D) 4-6 weeks
E) 6-8 weeks
Correct Answer: D) 4-6 weeks
Rationale: Selective Serotonin Reuptake Inhibitors (SSRIs) like sertraline typically require 4-6
weeks of consistent use to achieve their full therapeutic antidepressant effects.
Question 3
A nurse is facilitating a group therapy session. A client frequently interrupts others and
dominates the conversation. Which therapeutic communication technique should the nurse
use?
A) Confrontation
B) Reflection
C) Clarification
D) Summarizing
E) Limit setting
,Correct Answer: E) Limit setting
Rationale: Limit setting is a crucial therapeutic technique for managing disruptive behaviors in a
group setting, allowing the nurse to establish boundaries and ensure all members have an
opportunity to participate.
Question 4
A client with obsessive-compulsive disorder (OCD) spends several hours a day washing their
hands. The nurse understands that the primary purpose of this ritualistic behavior is to:
A) Gain attention from others.
B) Avoid responsibility.
C) Reduce anxiety.
D) Express anger.
E) Manipulate situations.
Correct Answer: C) Reduce anxiety.
Rationale: Compulsions in OCD are ritualistic behaviors performed in an attempt to reduce the
intense anxiety associated with obsessive thoughts.
Question 5
A client is admitted involuntarily for psychiatric evaluation. Which of the following rights does
the client retain?
A) Right to refuse all medication.
B) Right to leave the facility at any time.
C) Right to confidentiality of their medical information.
D) Right to refuse all treatment.
E) Right to make all decisions about their care without professional input.
Correct Answer: C) Right to confidentiality of their medical information.
Rationale: Even when involuntarily committed, clients retain most of their civil rights, including
the right to confidentiality, humane treatment, communication, and informed consent (though
the right to refuse treatment can be limited by court order in some cases).
Question 6
A nurse is assessing a client in alcohol withdrawal. Which of the following findings would
indicate a severe level of withdrawal requiring immediate intervention?
A) Tremors
B) Nausea and vomiting
C) Visual hallucinations and seizures
, D) Diaphoresis
E) Increased anxiety
Correct Answer: C) Visual hallucinations and seizures
Rationale: Visual hallucinations and seizures are critical signs of severe alcohol withdrawal
(delirium tremens) and represent a medical emergency requiring immediate pharmacological
intervention to prevent further complications.
Question 7
A client diagnosed with bipolar I disorder is in a manic phase. Which of the following is the
priority nursing intervention?
A) Encouraging participation in group activities.
B) Promoting adequate nutrition and sleep.
C) Engaging in lengthy discussions about their feelings.
D) Providing stimulating environmental activities.
E) Administering PRN sedatives after all other interventions fail.
Correct Answer: B) Promoting adequate nutrition and sleep.
Rationale: During a manic episode, clients often neglect basic physiological needs. Ensuring
adequate nutrition, hydration, and sleep are fundamental priorities to maintain physical health
and prevent exhaustion.
Question 8
A nurse is caring for an adolescent diagnosed with anorexia nervosa. Which of the following is
the most important initial goal in the plan of care?
A) Addressing body image distortion.
B) Establishing a healthy weight.
C) Encouraging peer socialization.
D) Exploring family dynamics.
E) Teaching coping mechanisms.
Correct Answer: B) Establishing a healthy weight.
Rationale: For clients with anorexia nervosa, the priority at the initial stage of treatment is to
address the severe malnutrition and achieve medical stabilization by restoring a healthy body
weight.
Question 9
A client reports hearing voices that tell them to harm themselves. The nurse's most therapeutic
response is:
QUESTIONS AND CORRECT ANSWERS|A+ GRADE ASSURED
Question 1
A nurse is caring for a client with schizophrenia who states, "The government has implanted a
microchip in my brain to control my thoughts." The nurse identifies this as which type of
delusion?
A) Somatic
B) Grandiose
C) Persecutory
D) Reference
E) Nihilistic
Correct Answer: C) Persecutory
Rationale: Persecutory delusions involve the belief that one is being tormented, followed, spied
on, or made to suffer, often by others or an organization.
Question 2
A client diagnosed with major depressive disorder is prescribed sertraline. The nurse should
instruct the client that the therapeutic effects of this medication may take how long to become
evident?
A) Within hours
B) Within 2-4 days
C) 1-2 weeks
D) 4-6 weeks
E) 6-8 weeks
Correct Answer: D) 4-6 weeks
Rationale: Selective Serotonin Reuptake Inhibitors (SSRIs) like sertraline typically require 4-6
weeks of consistent use to achieve their full therapeutic antidepressant effects.
Question 3
A nurse is facilitating a group therapy session. A client frequently interrupts others and
dominates the conversation. Which therapeutic communication technique should the nurse
use?
A) Confrontation
B) Reflection
C) Clarification
D) Summarizing
E) Limit setting
,Correct Answer: E) Limit setting
Rationale: Limit setting is a crucial therapeutic technique for managing disruptive behaviors in a
group setting, allowing the nurse to establish boundaries and ensure all members have an
opportunity to participate.
Question 4
A client with obsessive-compulsive disorder (OCD) spends several hours a day washing their
hands. The nurse understands that the primary purpose of this ritualistic behavior is to:
A) Gain attention from others.
B) Avoid responsibility.
C) Reduce anxiety.
D) Express anger.
E) Manipulate situations.
Correct Answer: C) Reduce anxiety.
Rationale: Compulsions in OCD are ritualistic behaviors performed in an attempt to reduce the
intense anxiety associated with obsessive thoughts.
Question 5
A client is admitted involuntarily for psychiatric evaluation. Which of the following rights does
the client retain?
A) Right to refuse all medication.
B) Right to leave the facility at any time.
C) Right to confidentiality of their medical information.
D) Right to refuse all treatment.
E) Right to make all decisions about their care without professional input.
Correct Answer: C) Right to confidentiality of their medical information.
Rationale: Even when involuntarily committed, clients retain most of their civil rights, including
the right to confidentiality, humane treatment, communication, and informed consent (though
the right to refuse treatment can be limited by court order in some cases).
Question 6
A nurse is assessing a client in alcohol withdrawal. Which of the following findings would
indicate a severe level of withdrawal requiring immediate intervention?
A) Tremors
B) Nausea and vomiting
C) Visual hallucinations and seizures
, D) Diaphoresis
E) Increased anxiety
Correct Answer: C) Visual hallucinations and seizures
Rationale: Visual hallucinations and seizures are critical signs of severe alcohol withdrawal
(delirium tremens) and represent a medical emergency requiring immediate pharmacological
intervention to prevent further complications.
Question 7
A client diagnosed with bipolar I disorder is in a manic phase. Which of the following is the
priority nursing intervention?
A) Encouraging participation in group activities.
B) Promoting adequate nutrition and sleep.
C) Engaging in lengthy discussions about their feelings.
D) Providing stimulating environmental activities.
E) Administering PRN sedatives after all other interventions fail.
Correct Answer: B) Promoting adequate nutrition and sleep.
Rationale: During a manic episode, clients often neglect basic physiological needs. Ensuring
adequate nutrition, hydration, and sleep are fundamental priorities to maintain physical health
and prevent exhaustion.
Question 8
A nurse is caring for an adolescent diagnosed with anorexia nervosa. Which of the following is
the most important initial goal in the plan of care?
A) Addressing body image distortion.
B) Establishing a healthy weight.
C) Encouraging peer socialization.
D) Exploring family dynamics.
E) Teaching coping mechanisms.
Correct Answer: B) Establishing a healthy weight.
Rationale: For clients with anorexia nervosa, the priority at the initial stage of treatment is to
address the severe malnutrition and achieve medical stabilization by restoring a healthy body
weight.
Question 9
A client reports hearing voices that tell them to harm themselves. The nurse's most therapeutic
response is:
