NUR 2488: Mental Health Nursing Exam 1| Rasmussen
College Latest Update & Graded A+
Questions & Answers
1. A fully developed outcome for a client goal would include:
(SATA) Attainable for client, measurable terms and time
sensitive
2. 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
3. A 4-year-old child grabs toys from siblings, saying “I want that toy now!”. The
siblings cry and the child’s parents become upset with the behavior. Using Freudian
theory, a nurse can interpret the child behavior as a product of impulses originating
in the:
-Id
4. 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.
5. 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 lets talk about your decision to leave treatment
6. 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 this examination?
-Appearance, mood and effect, thought and cognition
7. A client with schizophrenia has recently begun a new medication, clozapine
(Clozaril). Which signs and symptoms of a potentially fatal side effect will the nurse
teach the client about?
-blurring vision and muscular weakness
8. Which information suggests that caution is necessary in prescribing a
benzodiazepine to an anxious client?
, -The client has a history of alcohol dependence
9. A brother calls to speak to his sister who has been admitted to the psychiatric unit.
The nurse connects home 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 (HIPPA)
`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 overdoes,
the client voluntarily sought inpatient mental health treatment. Which of the following
statements is true of voluntary admission?
-The client retains the right to request release
10. A nurse says to the client, “Things will look better tomorrow after a good nights
sleep.” This is an example of which communication technique?
-The nontherapeutic technique of giving reassurance
11. 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
12. 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.
13. During an intake interview, which question would assist the nurse in gathering
data about the clients judgement?
-“If you found a stamped, addressed envelope in the street, what would you do?”
14. A nursing instructor asks a student to described the nursing process when initiating
care of a client. The student nurse understands the nursing process order to be
correctly identified as:
-Assessment, Nursing Diagnoses, Outcomes, Planning, Implementation, Evaluation
15. 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
College Latest Update & Graded A+
Questions & Answers
1. A fully developed outcome for a client goal would include:
(SATA) Attainable for client, measurable terms and time
sensitive
2. 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
3. A 4-year-old child grabs toys from siblings, saying “I want that toy now!”. The
siblings cry and the child’s parents become upset with the behavior. Using Freudian
theory, a nurse can interpret the child behavior as a product of impulses originating
in the:
-Id
4. 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.
5. 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 lets talk about your decision to leave treatment
6. 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 this examination?
-Appearance, mood and effect, thought and cognition
7. A client with schizophrenia has recently begun a new medication, clozapine
(Clozaril). Which signs and symptoms of a potentially fatal side effect will the nurse
teach the client about?
-blurring vision and muscular weakness
8. Which information suggests that caution is necessary in prescribing a
benzodiazepine to an anxious client?
, -The client has a history of alcohol dependence
9. A brother calls to speak to his sister who has been admitted to the psychiatric unit.
The nurse connects home 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 (HIPPA)
`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 overdoes,
the client voluntarily sought inpatient mental health treatment. Which of the following
statements is true of voluntary admission?
-The client retains the right to request release
10. A nurse says to the client, “Things will look better tomorrow after a good nights
sleep.” This is an example of which communication technique?
-The nontherapeutic technique of giving reassurance
11. 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
12. 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.
13. During an intake interview, which question would assist the nurse in gathering
data about the clients judgement?
-“If you found a stamped, addressed envelope in the street, what would you do?”
14. A nursing instructor asks a student to described the nursing process when initiating
care of a client. The student nurse understands the nursing process order to be
correctly identified as:
-Assessment, Nursing Diagnoses, Outcomes, Planning, Implementation, Evaluation
15. 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
