Mental Health Exam 2 Rasmussen Questions and Answers 2023/2024 Which nursing diagnosis supports the psychoanalytic theory of development of major depressive disorder? - Correct Answer Social isolation R/T self directed danger Which patient is at the highest risk for the diagnosis of major depressive disorder? - Correct Answer 24 yr old married woman A patient diagnosed with MDD is being considered for ECT. Which patient teaching should the nurse prioritize? - Correct Answer Discuss with the patient and family expected short term memory loss Which nursing intervention takes priority when working with a newly admitted patient experiencing suicidal ideations? - Correct Answer Monitor the patient at a close, but irregular intervals.A patient diagnosed with major depressive disorder is prescribed Nardil. Which teachings should the nurse prioritize? - Correct Answer Intruct the patient & family about the many food-drug & drug-drug interactions?What symptoms would the nurse expect to assess i a patient experiencing serotonin syndrome? - Correct Answer Confusion, restlessness, Tachycardia, Labile BP, & diaphoresis Which of the following meds would be classified as Tricyclic antidepressants? - Correct Answer Nortriptyline (Pamelor) Which of the following are examples of anticholinergic side effects from tricyclic antidepressants? - Correct Answer Urinary hesitancy, constipation, and blurred vision A patient seen in the ED is experiencing irritability, pressured speech, and increased levels of anxiety. The priority is? - Correct Answer Assess vital signs and complete a physical assessment A patient diagnosed with bipolar 1 in the manic phase is yelling at another peer in the milieu. The priority intervention is? - Correct Answer Calmly redirect and remove the patient from the milieu.A patient diagnosed with bipolar 1 is experiencing auditory hallucinations and a flight of ideas. Which meds would you expect to give? - Correct Answer Risperidone (Risperdal) & Lamotrigine (Lamictal) 1 / 2
A patient prescribed Lithium is experiencing excessive output of dilute urine, tremors and muscular irritability. The RN should? - Correct Answer Assess a serum Lithium level of 2.6mEq/L A patient is newly prescribed Lithium carbonate. Which teaching point by the nurse takes priority? - Correct Answer Make sure your salt intake is consistent.Which is an example of an behavioral response to a moderate level of anxiety? - Correct Answer Restlessness Which is an example of a physiological response to a panic level of anxiety? - Correct Answer Dilated pupils.A newly admitted patient is diagnosed with PTSD. Which behavioral symptoms would the nurse expect to assess? - Correct Answer Diminished participation in significant activities.A patient on an in patient unit is experiencing a flash back. Which intervention takes priority? - Correct Answer Maintain and reassure the patient of his or her safety and security Patienta diagnosed with OCD, Commonly use which defense mechanism? - Correct Answer Undoing A patient diagnosed with OCD, Which behavioral symptoms would the RN expect to assess? - Correct Answer The patient uses excessive hand washing to relieve anxiety.These meds can be used to treat patients with anxiety disorders: Catapres, Luvox, Buspar, and Xanax? - Correct Answer True Resperidone is to hallucinations as Clonazepam is to ? - Correct Answer Anxiety Although symptoms of schizophrenia occur at various times in the life span, what patient would more likely be diagnosed? - Correct Answer A 20 yr old man The children saying "step on a crack and you break mothers back" is an example of which type of thinking? - Correct Answer Magical thinking The nurse documents that a patient diagnosed with schizophrenia is expressing a flat affect? What is an example of this symptom? - Correct Answer The patient exhibits no emotional expressions A patient is experiencing paranoid thinking. Which intervention would aid in facilitating other interventions? - Correct Answer Assign consistent staff members
- / 2