RASMUSSEN MENTAL HEALTH EXAM 1 WITH 110
QUESTIONS & CORRECT ANSWERS
A fully developed outcome for a client goal would include: - ANSWER-time
sensitive
measurable term
attainable for client
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? - ANSWER-sertraline (SSRI)
A 4-year old child grabs toys from siblings, saying, "I want that toy now!" The
siblings cry and the child's parent becomes upset with the behavior. Using Freudian
theory, a nurse can interpret the child's behavior as a product of impulses
originating in the: - ANSWER-Id
Which expected client outcome should a nurse identify as being correctly
formulated? - ANSWER-Client will initiate interaction with one peer during free
time within 2 days.
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? -
ANSWER-"I will get them for you, but let's talk about your decision to leave
treatment."
,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 the
examination? - ANSWER-Appearance
Mood and Affect
Thought
Cognition
A client with schizophrenia has recently begun a new medication, clozapine
(Clozaril). Which signs and symptoms of a potentially fatal side effect with the
nurse teach the client about? - ANSWER-Sore throat, fever, and malaise
Which information suggests that caution is necessary in prescribing a
benzodiazepine to an anxious client? - ANSWER-The client has a history of
alcohol dependence.
A brother calls to speak to his sister who has been admitted to the psychiatric unit.
The nurse connects him 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? - ANSWER-The Health Insurance Portability and
Accountability Act
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
overdose, the client voluntarily south inpatient mental health treatment. Which
statement is true of voluntary admission? - ANSWER-The client retains the right
to request release.
A nurse says to a client, "Things will look better tomorrow after a good night's
sleep." This is an example of which communication technique? - ANSWER-The
nontherapeutic technique of giving reassurance. (false reassurance)
, 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? - ANSWER-The right to leave the hospital
without medical approval.
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? - ANSWER-"Medications are one way to
address chemical imbalances. Environmental and interpersonal factors can also
have an impact on biological factors."
During an intake interview, which question would assist the nurse in gathering data
about the client's judgment? - ANSWER-"If you found a stamped, addressed
envelope in the street, what would you do?"
A nursing instructor asks a student to describe the nursing process when initiating
care of a client. The student nurse understands the nursing process order to be
correctly identified as: - ANSWER-Assessment, Nursing diagnosis, Outcomes,
Planning, Implementation, Evaluation
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? - ANSWER-Psychological factors,
like excessive stress, have been found to affect medical conditions."
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? - ANSWER-"You're feeling guilty because you weren't able to save
your children."
QUESTIONS & CORRECT ANSWERS
A fully developed outcome for a client goal would include: - ANSWER-time
sensitive
measurable term
attainable for client
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? - ANSWER-sertraline (SSRI)
A 4-year old child grabs toys from siblings, saying, "I want that toy now!" The
siblings cry and the child's parent becomes upset with the behavior. Using Freudian
theory, a nurse can interpret the child's behavior as a product of impulses
originating in the: - ANSWER-Id
Which expected client outcome should a nurse identify as being correctly
formulated? - ANSWER-Client will initiate interaction with one peer during free
time within 2 days.
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? -
ANSWER-"I will get them for you, but let's talk about your decision to leave
treatment."
,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 the
examination? - ANSWER-Appearance
Mood and Affect
Thought
Cognition
A client with schizophrenia has recently begun a new medication, clozapine
(Clozaril). Which signs and symptoms of a potentially fatal side effect with the
nurse teach the client about? - ANSWER-Sore throat, fever, and malaise
Which information suggests that caution is necessary in prescribing a
benzodiazepine to an anxious client? - ANSWER-The client has a history of
alcohol dependence.
A brother calls to speak to his sister who has been admitted to the psychiatric unit.
The nurse connects him 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? - ANSWER-The Health Insurance Portability and
Accountability Act
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
overdose, the client voluntarily south inpatient mental health treatment. Which
statement is true of voluntary admission? - ANSWER-The client retains the right
to request release.
A nurse says to a client, "Things will look better tomorrow after a good night's
sleep." This is an example of which communication technique? - ANSWER-The
nontherapeutic technique of giving reassurance. (false reassurance)
, 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? - ANSWER-The right to leave the hospital
without medical approval.
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? - ANSWER-"Medications are one way to
address chemical imbalances. Environmental and interpersonal factors can also
have an impact on biological factors."
During an intake interview, which question would assist the nurse in gathering data
about the client's judgment? - ANSWER-"If you found a stamped, addressed
envelope in the street, what would you do?"
A nursing instructor asks a student to describe the nursing process when initiating
care of a client. The student nurse understands the nursing process order to be
correctly identified as: - ANSWER-Assessment, Nursing diagnosis, Outcomes,
Planning, Implementation, Evaluation
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? - ANSWER-Psychological factors,
like excessive stress, have been found to affect medical conditions."
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? - ANSWER-"You're feeling guilty because you weren't able to save
your children."
