2023 RASMUSSEN MENTAL HEALTH EXAM 2 REAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|AGRADE(COMPLETE EXAM)

2023 RASMUSSEN MENTAL HEALTH EXAM 2 REAL

EXAM QUESTIONS AND CORRECT ANSWERS WITH

RATIONALES|AGRADE(COMPLETE EXAM)

You are the nurse responsible for assessing for extrapyramidal side effects

in a patient who has been taking chlorpromazine. Which of the following

may be side effects for this medication? (Select all that apply.)

Akathisia

Acute dystonia

Tardive

Dyskinesia

Answer Amenorrhea

s:

Akathisia

Acute dystonia

Tardive

Dyskinesia

Response

Feedback:

Extrapyramidal side effects of the central nervous system

include involuntary motor movements, resulting in possible

dystonia, akathisia or dyskinesia. Amenorrhea is a possible side

effect of chlorpromazine, but is not an extrapyramidal side

effect.

• Question 2

1 out of 1 points

An adult with depression has been treated with medication and cognitive

behavioral therapy. The patient now verbalizes that being passive and

letting others make decisions for her contributed to the depression. What

referrals could the nurse make to help this patient prevent recurrence of

depression?

Selected

Answer:

Social skills training

Answers: Social skills training

Use of complementary

therapy

Response

Feedback

:

Relaxation training classes

Learning desensitization

techniques

Social skills training is helpful in treating and preventing the

recurrence of depression. Training focuses on assertiveness and

coping skills that lead to positive reinforcement from others.

Use of complementary therapy refers to adjunctive therapies

such as herbals. Assertiveness would be of greater value than

relaxation training because passivity has been identified as a

concern. Desensitization is used in treatment of phobias

• Question 3

A patient with suicidal impulses is placed on the highest level of suicide

1 out of 1 points

precautions. Which measures should be incorporated into the plan of care

by the nurse caring for the patient? (Select all that apply.)

Selected

Answers:

Maintain arm’s-length distance, institute one-on-one nursing

observation around the clock

Allow no glass or metal on meal trays

Remove all potentially harmful objects from the patient’s

possession

Answers: Maintain arm’s-length distance, institute one-on-one nursing

observation around the clock

Allow no glass or metal on meal trays

Keep patient within visual range while awake, but only check

every 15 to 30 minutes while the patient is sleeping

Only check the patient’s whereabouts every 15 minutes and

make frequent verbal contacts.

Remove all potentially harmful objects from the patient’s

possession

Response

Feedback

:

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. The remaining options are used in less stringent

levels of suicide precautions.

• Question 4

0 out of 1 points

Which statement indicates a patient with major depression’s most likely

outlook on life during the acute phase of the illness?

Selected

Answer:

“If I ignore this, it will go away.”

Answers: “It’s just a matter of time and I’ll

be well.”

“I deserve to be this way.”

“I can fight this and get better.”

“If I ignore this, it will go away.”

Response

Feedback:

Patients with depression feel worthless and often believe they

deserve to have “bad” things happen. Patients with depression

are usually hopeless and would not respond optimistically.

Patients with depression usually feel helpless and unable to

fight.

• Question 5

The nurse knows that sedation is a side effect of many antipsychotics.

Which of the following medications should the nurse question if ordered

for a patient taking antipsychotics?

0 out of 1 points

Selected

Answer:

hydrochlorothia

zide

Answers: hydrochlorothia

zide

diphenhydrami

ne

acetaminophen

verapamil

Response

Feedback:

Diphenhydramine is an antihistamine that is likely to cause

drowsiness and enhance the sedative effect of an antipsychotic.

Hydrochlorothiazide (diuretic), acetaminophen (antipyretic and

pain reliever) and verapamil (antihypertensive) do not cause

sedation.

• Question 6

1 out of 1 points

The nurse is caring for a patient who experiences orthostatic hypotension

related to taking chlorpromazine. The nurse should suggest which of the

following interventions for managing this side effect?

Selected

Answer:

Sit on the side of the bed before

standing up.

Answers: Stay in bed for an hour after taking the

medication.