Mental Health exam 1 Rasmussen
A fully developed outcome for a client goal would include:
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?
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:
Id
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.
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 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?
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?
Sore throat, fever, and malaise
Which information suggests that caution is necessary in prescribing a benzodiazepine to an anxious
client?
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?
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?
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?
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?
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?
"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?
"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:
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?
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?
"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?
Symptom management
Medication education
Self-care
A client has been involuntarily admitted to an inpatient behavioral health unit. During this admission, which
of the following rights does the client still retain?
The right to refuse medications
The right to informed consent
A fully developed outcome for a client goal would include:
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?
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:
Id
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.
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 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?
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?
Sore throat, fever, and malaise
Which information suggests that caution is necessary in prescribing a benzodiazepine to an anxious
client?
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?
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?
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?
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?
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?
"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?
"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:
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?
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?
"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?
Symptom management
Medication education
Self-care
A client has been involuntarily admitted to an inpatient behavioral health unit. During this admission, which
of the following rights does the client still retain?
The right to refuse medications
The right to informed consent
