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 grabs toys 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 tells the nurse, “Get me the forms for 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 retains the right to request release
11. A nurse says to 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
13. A depressed client states, “I have a chemical imbalance in my brain. I have no control over
my behavior. Medications are my only hope to feel normal again. “Which nursing response is
appropriate?”
-Medications are one way to address chemical imbalances. Environmental and interpersonal
factors can also have an impact on biological factors.
14. During an intake interview, which question would assist the nurse in gathering data about
the clients judgement?
-“If you found a stamped, addressed envelope in the street, what would you do?”
15. A nursing instructor asks a student to described the nursing process when initiating care of a
client. The student nurse understands the nursing process order to be correctly identified as:
-Assessment, Nursing Diagnoses, Outcomes, Planning, Implementation, Evaluation
16. During an intake assessment, a nurse asks both physiological and psychosocial questions.
The client angrily responds, “I’m here for my heart, not my head problems.” Which is the nurse’s
best response?
-Psychological factors, like excessive stress, have been found to affect medical conditions
17. A mother rescues two of her four children from a house fire. In an emergency department,
she cries, “I should have gone back in to get them. I should have died, not them.” Which of the
following responses by the nurse is an example of reflection?
-You’re feeling guilty because you weren’t able to save your children
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 grabs toys 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 tells the nurse, “Get me the forms for 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 retains the right to request release
11. A nurse says to 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
13. A depressed client states, “I have a chemical imbalance in my brain. I have no control over
my behavior. Medications are my only hope to feel normal again. “Which nursing response is
appropriate?”
-Medications are one way to address chemical imbalances. Environmental and interpersonal
factors can also have an impact on biological factors.
14. During an intake interview, which question would assist the nurse in gathering data about
the clients judgement?
-“If you found a stamped, addressed envelope in the street, what would you do?”
15. A nursing instructor asks a student to described the nursing process when initiating care of a
client. The student nurse understands the nursing process order to be correctly identified as:
-Assessment, Nursing Diagnoses, Outcomes, Planning, Implementation, Evaluation
16. During an intake assessment, a nurse asks both physiological and psychosocial questions.
The client angrily responds, “I’m here for my heart, not my head problems.” Which is the nurse’s
best response?
-Psychological factors, like excessive stress, have been found to affect medical conditions
17. A mother rescues two of her four children from a house fire. In an emergency department,
she cries, “I should have gone back in to get them. I should have died, not them.” Which of the
following responses by the nurse is an example of reflection?
-You’re feeling guilty because you weren’t able to save your children
