NUR 2459 Rasmussen Mental Health Exam 1
A fully developed outcome for a client goal would include: - CORRECT 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? - CORRECT
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: - CORRECT ANSWER-Id
Which expected client outcome should a nurse identify as being correctly formulated? - CORRECT
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? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER-
Sore throat, fever, and malaise
, Which information suggests that caution is necessary in prescribing a benzodiazepine to an anxious
client? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT
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? - CORRECT
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? - CORRECT 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: - CORRECT ANSWER-
Assessment, Nursing diagnosis, Outcomes, Planning, Implementation, Evaluation
A fully developed outcome for a client goal would include: - CORRECT 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? - CORRECT
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: - CORRECT ANSWER-Id
Which expected client outcome should a nurse identify as being correctly formulated? - CORRECT
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? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER-
Sore throat, fever, and malaise
, Which information suggests that caution is necessary in prescribing a benzodiazepine to an anxious
client? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT
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? - CORRECT
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? - CORRECT 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: - CORRECT ANSWER-
Assessment, Nursing diagnosis, Outcomes, Planning, Implementation, Evaluation
