Rasmussen Mental Health Exam 1 with
complete solution
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
complete solution
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
