Mental Health Exam
Rasmussen Mental Health Exam With
Com plete Solutions/ Verified
1) A nurse plans health teaching for a patient with generalized anxiety disorder who begins a new
prescription for lorazepam (Ativan). What information should be included? (Select all that apply).
(Answe r: - a. Caution in use of machinery
c. The importance of caffeine restriction
d. Avoidance of alcohol and other sedatives
2) A patient is experiencing moderate anxiety. The nurse encourages the patient to talk about feelings
and concerns. What is the rationale for this intervention? (Answer: - b. Concerns stated aloud
become less overwhelming and help problem solving begin.
3) A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor
(SSRI) antidepressant therapy. Priority information given to the patient and family should include a
directive to: (Answer: - report increased suicidal thoughts.
4) A veteran of the lraq War describes that he is having intrusive thoughts of missiles, screaming,
explosions, and the same feelings of terror first experienced in combat. Which of the following
clinical disorders would this patient most likely be describing symptoms of? (Answer: - ANS:
Post-traumatic stress disorder (PTSD)
5) A patient with acute mania approaches the nurse, waves a newspaper, and says, "I want the phone
right now. I need to call this store while their sale is going on. I need ten dresses and four pairs of
shoes." Select the nurse's best intervention. (Answer: - . Distracting the patient can avoid power
struggles.
6) A patient tells the nurse, "I wan ted my health care provider to prescribe diazepam (Valium) for my
anxiety disorder, but buspirone (BuSpar) was prescribed instead. Why?" The nurse's reply should be
based on the knowledge that buspirone: (Answer: - does not cause dependence.
7) A cl ient with generalized anxiety disorder and depression comes to the anxiety disorders clinic
displaying severe anxiety. Of the medications listed in the client's medical record, which one, with an
appropriate order, can be given as a prn anxiolytic? (Answer: - Lorazepam( Ativan)
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Mental Health Exam
8) The nurse is caring for a female patient diagnosed with schizophrenia who believes that her
thoughts are broadcast from her head. The nurse identifies which of the following as the most
appropriate nursing diagnosis for thi s patient? (Answer: - Disturbed thought processes
9) What is the best intervention when a pt is responding to an auditory hallucination? (Answer: -
Can you tell me what you are hearing
10) A patient with depression is evaluated at the clinic a nd started on citalopram. The patient tells the
nurse, "l have some pills I previously took for depression. They're called MAOIs. I think I should take
them along with this new medication." What information is essential for the nurse to communicate
regardi ng her statements? (Answer: - Make sure to educate your patients about the expected side
effects of MAOI inhibitors, which are:
- Dizziness
- Weakness/fainting resulting from an abrupt positional change
- Drowsiness
- Blurred vision (reversible)
- Nausea and vomiting
- Loss of appetite
- Emotional or mental changes
- Irritability/ nervousness
Patients should be informed about the warning signs that warrant immediate physician/nurse attention
as well. They include:
- A headache
- Rashes
- Darkened urine
- Pale stools
- Eye/skin yellowing
- Chills and fever
- A sore throat
11) A patient with schizophrenia begins to talks about "volmers" or about "frangularity" hiding in the
warehouse at work. The term "volmers" should be documented as (Answer: - - A neologism
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