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NUR 2488 Mental Health exam 1 (Latest Update ) Questions and Answers (GRADED A) Rasmussen

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NUR 2488 Mental Health exam 1 (Latest Update ) Questions and Answers (GRADED A) Rasmussen 1. What are the key elements of a fully developed client goal? • Answer: A fully developed client goal should be time-sensitive, measurable, and attainable. 2. Which situation puts a client at risk for serotonin syndrome? • Answer: A client taking sertraline (an SSRI) along with over-the-counter medications or herbal supplements. 3. How does Freud’s theory explain a 4-year-old's impulsive behavior of grabbing toys from siblings? • Answer: Freud’s theory attributes this behavior to the Id, which drives primitive urges and desires. 4. What is an example of a properly formulated expected outcome for a client? • Answer: "The client will initiate interaction with one peer during free time within 2 days." 5. What is the best nurse response to a voluntarily hospitalized patient requesting discharge against medical advice? • Answer: "I will get the forms for you, but let's first discuss your decision to leave treatment." 6. What are the components of a mental status examination (MSE) during an inpatient psychiatric unit admission? • Answer: Appearance, mood and affect, thought, and cognition. 7. What should a client taking clozapine report as a sign of a potentially fatal side effect? • Answer: Signs such as a sore throat, fever, or general malaise. 8. Why should caution be exercised when prescribing benzodiazepines to a client with a history of alcohol dependence? • Answer: Due to the increased risk of dependence and adverse effects. 9. What constitutes a violation of the Health Insurance Portability and Accountability Act (HIPAA)? • Answer: Connecting a call from a brother who is not on the approved call list. 10. What right does a client who voluntarily seeks inpatient mental health treatment retain? - Answer: The right to request release at any time. 11. What is an example of a nontherapeutic communication technique? - Answer: "Things will look better tomorrow after a good night's sleep," which is giving false reassurance. 12. What right is temporarily lost during involuntary admission to a psychiatric unit? - Answer: The right to leave the hospital without medical approval. 13. How should a nurse respond when a depressed client believes that only medications can help them due to a chemical imbalance? - Answer: "Medications can address chemical imbalances, but environmental and interpersonal factors also play a role." 14. How can a nurse gather data on a client's judgment during an intake interview? - Answer: By asking, "If you found a stamped, addressed envelope in the street, what would you do?" 15. What is the correct order of the nursing process? - Answer: Assessment, nursing diagnosis, outcomes, planning, implementation, evaluation. 16. How should a nurse address a client's stress response expressed as anger during an intake assessment? - Answer: By explaining how psychological factors, like stress, can affect physical conditions. 17. What is a reflective nursing response to a mother expressing guilt after losing her children in a fire? - Answer: "You're feeling guilty because you weren't able to save your children." 18. What types of groups should an entry-level registered nurse expect to lead in a community setting? - Answer: Groups focused on symptom management, medication education, and self-care. 19. What rights are retained by a client involuntarily admitted to a psychiatric unit? - Answer: The rights to refuse medications and to informed consent. 20. How can a nurse convey empathy to a grieving mother who lost a child? - Answer: "It must be horrible to lose a child, and I'll stay with you until your husband arrives." 21. What modification is most appropriate when teaching a depressed adult with a cochlear implant about medications? - Answer: Speaking directly face-to-face. 22. According to Erikson’s theory, which developmental stage might a 22-year-old college student with trust issues be struggling with? - Answer: Intimacy vs. Isolation. 23. What is the function of norepinephrine in the brain? - Answer: Norepinephrine regulates mood, cognition, perception, and attention. 24. How is mental health defined? - Answer: Mental health is the successful adaptation to stressors in the internal and external environment, leading to productive functioning and the ability to contribute to the community. 25. Why should clients taking monoamine oxidase inhibitors (MAOIs) avoid tyramine? - Answer: Because it can lead to a life-threatening hypertensive crisis. 26. What should a nurse say if a client taking SSRIs inquires about adding an MAOI to their treatment? - Answer: "Combined use can lead to a life-threatening condition called hypertensive crisis." 27. According to Erikson, what stage might a 29-year-old with few interpersonal relationships be struggling with? - Answer: Trust vs. Mistrust. 28. What is an example of seeking clarification from a client? - Answer: "Am I correct in understanding that...?" 29. What should a nurse do if an elderly client's prescribed antidepressant dosage is higher than usual? - Answer: Hold the medication and seek clarification from the healthcare provider. 30. What ethical principle is best demonstrated by exploring alternative solutions with a patient who then makes an informed decision? - Answer: Autonomy. 31. What should a nurse consider when assessing an older adult client? - Answer: Age-related physical needs and necessary accommodations. 32. What is a nurse's legal duty if a patient makes a threat to harm others? - Answer: To report the threat to the treatment team and document the statement. 33. What could constitute negligence in psychiatric nursing? - Answer: Failing to report a client's stated intent to harm someone, leading to that person's injury. 34. What is the primary purpose of seclusion for a hyperactive, restless, and disorganized patient? - Answer: To reduce environmental stimuli that negatively affect the patient. 35. How should a nurse document a Mexican American patient placing a picture of the Virgin Mary on the bedside table? - Answer: Under the cultural section of the assessment. 36. What is a potential liability issue related to seclusion? - Answer: Placing a talkative and loud patient in seclusion alone without proper justification. 37. What is a nurse's responsibility regarding a patient’s participation in a research study? - Answer: To assess whether the patient has the ability and legal right to give informed consent. 38. What might a client demonstrating mental health at the highest level possess, according to Maslow's hierarchy of needs? - Answer: A feeling of self-fulfillment and realization of their full potential. 39. What is the focus of a therapeutic nurse-patient relationship? - Answer: The focus is on the patient, with collaborative problem-solving and implementation of solutions by the patient. 40. What might forcing a patient to bathe against their will constitute? - Answer: A violation of the patient's rights. 41. What side effect should a nurse be alert to when a client with schizophrenia who takes a typical antipsychotic has a temperature of 101°F? - Answer: A potential adverse effect of the medication. 42. According to Erikson, what is the developmental task during adolescence? - Answer: Establishing an identity separate from one’s parents. 43. What does the statement "I don't ever cheat on tests; it's wrong" represent in Freud's personality structures? - Answer: The Superego. 44. What ethical principle might be violated if a psychiatrist omits treatment options for clients without insurance? - Answer: Justice. 45. What nontherapeutic communication technique involves belittling a client’s feelings? - Answer: "Don't worry. Everything will be alright." 46. How should a nurse document a patient’s reluctance to participate in an assessment? - Answer: By documenting the behavior in detail, including the lack of eye contact. 47. What is expected during the working phase of the nurse-client relationship? - Answer: The client is expected to gain insight and incorporate alternative behaviors. 48. What should a nurse say when a client asks for confidentiality but relevant information must be shared with the healthcare team? - Answer: "All healthcare team members involved in your care will receive relevant information to assist in planning your treatment." 49. What role is exclusive to advanced practice psychiatric nurses? - Answer: Using psychotherapy to improve a client’s mental health status. 50. What developmental task might a 35-year-old client who lives with parents and lacks personal relationships need assistance with, according to Erikson? - Answer: Establishing a career, personal relationships, and societal connections. 51. What level of intervention does a hostile and angry client’s behavior toward another client require, according to Maslow's hierarchy of needs? - Answer: Priority intervention. 52. What does the statement "I'll return the purse I found. It's never right to steal" reflect in Freud's personality structures? - Answer: The Superego.

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NUR 2488 Mental Health exam 1 (Latest
Update 2024-2025) Questions and Answers
(GRADED A) Rasmussen
1. What are the key elements of a fully developed client goal?

 Answer: A fully developed client goal should be time-sensitive, measurable, and
attainable.

2. Which situation puts a client at risk for serotonin syndrome?

 Answer: A client taking sertraline (an SSRI) along with over-the-counter medications or
herbal supplements.

3. How does Freud’s theory explain a 4-year-old's impulsive behavior of grabbing toys
from siblings?

 Answer: Freud’s theory attributes this behavior to the Id, which drives primitive urges
and desires.

4. What is an example of a properly formulated expected outcome for a client?

 Answer: "The client will initiate interaction with one peer during free time within 2
days."

5. What is the best nurse response to a voluntarily hospitalized patient requesting
discharge against medical advice?

 Answer: "I will get the forms for you, but let's first discuss your decision to leave
treatment."

6. What are the components of a mental status examination (MSE) during an inpatient
psychiatric unit admission?

,  Answer: Appearance, mood and affect, thought, and cognition.

7. What should a client taking clozapine report as a sign of a potentially fatal side effect?

 Answer: Signs such as a sore throat, fever, or general malaise.

8. Why should caution be exercised when prescribing benzodiazepines to a client with a
history of alcohol dependence?

 Answer: Due to the increased risk of dependence and adverse effects.

9. What constitutes a violation of the Health Insurance Portability and Accountability Act
(HIPAA)?

 Answer: Connecting a call from a brother who is not on the approved call list.

10. What right does a client who voluntarily seeks inpatient mental health treatment
retain? - Answer: The right to request release at any time.

11. What is an example of a nontherapeutic communication technique? - Answer: "Things
will look better tomorrow after a good night's sleep," which is giving false reassurance.

12. What right is temporarily lost during involuntary admission to a psychiatric unit? -
Answer: The right to leave the hospital without medical approval.

13. How should a nurse respond when a depressed client believes that only medications can
help them due to a chemical imbalance? - Answer: "Medications can address chemical
imbalances, but environmental and interpersonal factors also play a role."

14. How can a nurse gather data on a client's judgment during an intake interview? -
Answer: By asking, "If you found a stamped, addressed envelope in the street, what would you
do?"

15. What is the correct order of the nursing process? - Answer: Assessment, nursing
diagnosis, outcomes, planning, implementation, evaluation.

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