Mental_Health_Exam_1.docx

Mental Health Exam 1 1. A fully developed outcome for a client goal would include: (SATA) Attainable for client, measurable terms and time sensitive 2. The nurse understands a client could be at risk for serotonin syndrome when taking which of the following medications in addition to over the counter medications or herbal supplements? -Sertraline 3. A 4-year-old child grabstoys from siblings, saying “I want that toy now!”. The siblings cry and the child’s parents become upset with the behavior. Using Freudian theory, a nurse can interpret the child behavior as a product of impulses originating in the: -Id 4. Which expected client outcome should a nurse identify as being correctly formulated? - Client will initiate interaction with one peer during free time within 2 days. 5. A voluntarily hospitalized patient tellsthe nurse, “Get me the formsfor discharge against medical advice so I can leave now. “Which is the nurse’s best response? -I will get them for you, but lets talk about your decision to leave treatment 6. The client is being admitted to the inpatient psychiatric unit. The nurse conducts a mental status examination. Which of the following items are included in this examination? -Appearance, mood and effect, thought and cognition 7. A client with schizophrenia has recently begun a new medication, clozapine (Clozaril). Which signs and symptoms of a potentially fatal side effect will the nurse teach the client about? -blurring vision and muscular weakness 8. Which information suggests that caution is necessary in prescribing a benzodiazepine to an anxious client? -The client has a history of alcohol dependence 9. A brother calls to speak to his sister who has been admitted to the psychiatric unit. The nurse connects home to the community phone and the sister is summoned. Later the nurse realizes that the brother was not on the client’s approved call list. What law has the nurse broken? -The Health Insurance Portability and Accountability Act (HIPPA) 10. The client attempted suicide by overdosing on pain medication. Once the client ingested the medication, she decided that she did not want to die and she sought immediate treatment. Once the client recovered from the physical effects of overdoes, the client voluntarily sought inpatient mental health treatment. Which of the following statements is true of voluntary admission? -The client retainsthe right to request release 11. A nurse saysto the client, “Things will look better tomorrow after a good nights sleep.” This is an example of which communication technique? -The nontherapeutic technique of giving reassurance 12. A patient is involuntarily admitted to a psychiatric unit after calling a friend and saying, “I’ve got a gun and I’m going to shoot myself.” Which of the following rights has the patient lost temporarily? - The right to leave the hospital without medical approval