MENTAL HEALTH EXAM 1 RASMUSSEN
WITH CORRECT ANSWERS 2025
A fully developed outcome for a client goal would include: correct
answerstime 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? correct answerssertraline
(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: correct answersId
Which expected client outcome should a nurse identify as being correctly
formulated? correct answersClient 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? correct answers"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? correct answersAppearance
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? correct answersSore throat, fever, and
malaise
Which information suggests that caution is necessary in prescribing a
benzodiazepine to an anxious client? correct answersThe 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? correct answersThe 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? correct
answersThe 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?
correct answersThe 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? correct answersThe 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? correct answers"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? correct answers"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: correct answersAssessment,
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? correct
answersPsychological 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? correct answers"You're feeling guilty
because you weren't able to save your children."
An entry level registered nurse works with patients in a community
setting. Which groups should this nurse expect to lead? correct
answersSymptom management Medication education
WITH CORRECT ANSWERS 2025
A fully developed outcome for a client goal would include: correct
answerstime 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? correct answerssertraline
(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: correct answersId
Which expected client outcome should a nurse identify as being correctly
formulated? correct answersClient 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? correct answers"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? correct answersAppearance
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? correct answersSore throat, fever, and
malaise
Which information suggests that caution is necessary in prescribing a
benzodiazepine to an anxious client? correct answersThe 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? correct answersThe 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? correct
answersThe 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?
correct answersThe 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? correct answersThe 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? correct answers"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? correct answers"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: correct answersAssessment,
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? correct
answersPsychological 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? correct answers"You're feeling guilty
because you weren't able to save your children."
An entry level registered nurse works with patients in a community
setting. Which groups should this nurse expect to lead? correct
answersSymptom management Medication education
