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NUR 2459 Rasmussen Mental Health Exam 2 2026 |
Actual Exam | Rasmussen University | Psychiatric-
Mental Health Nursing Assessment||Latest 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.
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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.
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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
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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
NUR 2459 Rasmussen Mental Health Exam 2 2026 |
Actual Exam | Rasmussen University | Psychiatric-
Mental Health Nursing Assessment||Latest 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|Page
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.
,3|Page
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
, 4|Page
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
