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.