RASMUSSEN: MENTAL HEALTH EXAM 2
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
1)EAEpatientEwithEschizophreniaEbeginsEtoEtalksEaboutE"volmers"EorEaboutE"frangularity"EhidingEinEtheEware
houseEatEwork.ETheEtermE"volmers"EshouldEbeEdocumentedEasE-EANSWERE-EAEneologism
2)EAEpatientEwithEsuicidalEimpulsesEisEplacedEonEtheEhighestElevelEofEsuicideEprecautions.EWhichEmeasuresE
shouldEbeEincorporatedEintoEtheEplanEofEcareEbyEtheEnurseEcaringEforEtheEpatient?E(MoreEthanEoneEanswerEi
sEcorrect.)E-EANSWEREA.MaintainEarm's-length,Eone-on-oneEnursingEobservationEaroundEtheEclock.
b.EAllowEnoEglassEorEmetalEonEmealEtrays.
f.ERemoveEallEpotentiallyEharmfulEobjectsEfromEtheEpatient'sEpossession.
3)EAEpatientEdiagnosedEwithEschizophreniaEanxiouslyEsays,E"IEcanEseeEtheEleftEsideEofEmyEbodyEmergingEwit
hEtheEwall,EthenEmyEfaceEappearsEandEdisappearsEinEtheEmirror."EWhileElistening,EtheEnurseEshould:E-
EANSWEREmaintainEaEnormalEsocialEinteractionEdistanceEfromEtheEpatient.
4)EWhichEstatementEindicatesEaEpatientEwithEmajorEdepressionEisEmostElikelyEoutlookEonElifeEduringEtheEacu
teEphaseEofEtheEillness?E-
EANSWEREDuringEanEacuteEphaseEofEmajorEdepression,EtheEclientEmayEfeelEworthlessEandEdeserveEbadEthin
gsEtoEhappenEpersonally.
5)EAEpatientEdiagnosedEwithEbipolarEdisorderEisEinEtheEmaintenanceEphaseEofEtreatment.ETheEpatientEasks,E
"DoEIEhaveEtoEkeepEtakingEthisElithiumEevenEthoughEmyEmoodEisEstableEnow?"ESelectEtheEnurse'sEappropriat
eEresponse.E-EANSWEREb.E"TakingEtheEmedicationEeveryEdayEhelpsEreduceEtheEriskEofEaErelapse."
6)EAEpersonEhasEhadEdifficultyEkeepingEaEjobEbecauseEofEarguingEwithEco-
workersEandEaccusingEthemEofEconspiracy.ETodayEtheEpersonEshouts,E"They'reEallEplottingEtoEdestroyEme.EIs
n'tEthatEtrue?"ESelectEtheEnurse'sEmostEtherapeuticEresponse.E-
EANSWEREb.E"FeelingEthatEpeopleEwantEtoEdestroyEyouEmustEbeEveryEfrightening."
7)EAEpatientEisEundergoingEaEseriesEofEdiagnosticEtests.ETheEpatientEsays,E"NothingEisEwrongEwithEmeEexcept
EaEstubbornEchestEcold."ETheEspouseEreportsEtheEpatientEsmokesEandEcoughsEaElot,EhasElostE15Epounds,Eand
EisEeasilyEfatigued.EWhichEdefenseEmechanismEisEtheEpatientEusing?E-EANSWEREDenial
, 8)EAEcabEdriver,EstuckEinEtraffic,EbecomesElightheaded,Etremulous,Ediaphoretic,EtachycardiaEandEdyspneic.EA
EworkupEinEanEemergencyEdepartmentErevealsEnoEpathology.EWhichEmedicalEdiagnosisEshouldEaEnurseEsusp
ect,EandEwhatEnursingEdiagnosisEshouldEbeEtheEnurse'sEfirstEpriority?E-
EANSWEREPanicEdisorderEandEaEnursingEdiagnosisEofEanxiety
9)ETheEnurseEisEprovidingEhealthEteachingEforEaEpatientEwhoEhasEbeenEprescribedEPhenelzineE(Nardil)EforEd
epressionEandEprovidesEaEwrittenElistEofEfoodsEthatEshouldEnotEbeEeatenEwhileEtakingEthisEmedication.EWha
tEisEtheEpotentialEproblemEifEtheEpatientEisEnotEcompliantEwithEtheseEdietaryErestrictions?E-
EANSWEREhypertensiveEcrisis
foodsEwithEtyramineEinEitE-
EANSWEREAgedEmeatsEorEagedEcheeses,EproteinEextracts,EsourEcream,Ealcohol,Eanchovies,Eliver,Esausages,E
overripeEfigs,Ebananas,Eavocados,Echocolate,EsoyEsauce,EbeanEcurd,EnaturalEyogurt,EfavaEbeans—tyramine-
containingEfoods—mayEprecipitateEhypertensiveEcrisis.EAvoidEchocolateEorEcaffeine.E
Herbal:EGinseng,Eephedra,EmaEhuang,ESt.EJohn'sEwortEmayEcauseEhypertensiveEcrisis.
ForEdepressionEthatEisErefractoryEtoETCAs.EAvoidEcertainEfoodsEsuchEasE-
EANSWEREcheese,EsourEcream,Ewine,Ebeer,Efigs,Eanchovies,Eshrimp,Ebananas,EandEchocolate,EandEavoidEdru
gsE(e.g.,ETCAs).
RiskEforEhypertensiveEcrisis:
AvoidEself-medication.EWHY?E-
EANSWEREOTCEpreparationsEcontainingEdextromethorphan,EsympathomimeticEagents,EorEantihistaminesE(
e.g.,Ecough,Ecold,EandEhayEfeverEremedies,EappetiteEsuppressants)EcanEprecipitateEsevereEhypertensiveErea
ctionsEifEtakenEduringEtherapyEorEwithinE2-3EwkEafterEdiscontinuationEofEanEMAOEinhibitor.
10)EWhichEpieceEofEsubjectiveEdataEobtainedEduringEtheEnurse'sEpsychosocialEassessmentEofEaEclientEexperi
encingEsevereEanxietyEwouldEindicateEtheEpossibilityEofEobsessive-compulsiveEdisorder?E-
EANSWEREa.E"IEhaveEtoEkeepEcheckingEtoEseeEwhereEmyEcarEkeysEare."
11)ETheEnurseEisEevaluatingEtheEeffectivenessEofEpsychotropicEmedicationEonEnegativeEsymptomsEofEpsycho
sis.ETheEnurseElooksEforEaEdecreaseEinEwhichEofEtheEfollowing?E-EANSWEREA:EAffectiveEflattening.