Mental Health exam 1 Rasmussen
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1. A fully developed outcome for a client goal would include:: time sensitive
measurable term
attainable for client
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 (SSRI)
3. 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
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 let's talk about your decision to leave treatment."
6. The client is being admitted to the inpatient psychiatric unit. The nurse con-
ducts a mental status examination. Which of the following items are included
in the examination?: Appearance
Mood and Affect
Thought
Cognition
7. 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
8. Which information suggests that caution is necessary in prescribing a benzo-
diazepine 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 psychi-
atric 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
, Mental Health exam 1 Rasmussen
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10. 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 treat-
ment. Which statement is true of voluntary admission?: The client retains the right to
request release.
11. 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)
12. 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.
13. 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."
14. During an intake interview, which question would assist the nurse in gather-
ing data about the client's judgment?: "If you found a stamped, addressed envelope in the street,
what would you do?"
15. 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, Implemen-
tation, Evaluation
16. During an intake assessment, a nurse asks both physiological and psychoso-
cial 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."
17. 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."
Study online at https://quizlet.com/_8wyq2e
1. A fully developed outcome for a client goal would include:: time sensitive
measurable term
attainable for client
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 (SSRI)
3. 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
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 let's talk about your decision to leave treatment."
6. The client is being admitted to the inpatient psychiatric unit. The nurse con-
ducts a mental status examination. Which of the following items are included
in the examination?: Appearance
Mood and Affect
Thought
Cognition
7. 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
8. Which information suggests that caution is necessary in prescribing a benzo-
diazepine 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 psychi-
atric 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
, Mental Health exam 1 Rasmussen
Study online at https://quizlet.com/_8wyq2e
10. 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 treat-
ment. Which statement is true of voluntary admission?: The client retains the right to
request release.
11. 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)
12. 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.
13. 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."
14. During an intake interview, which question would assist the nurse in gather-
ing data about the client's judgment?: "If you found a stamped, addressed envelope in the street,
what would you do?"
15. 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, Implemen-
tation, Evaluation
16. During an intake assessment, a nurse asks both physiological and psychoso-
cial 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."
17. 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."
