Mental Health exam 1 Rasmussen Questions With Complete
Solutions
A 22 year old college student is admitted to hospital following a
suicide attempt and states, "No one will ever love a loser like
me." According to Erikson's theory of personality development,
a nurse should recognize a deficit in which developmental
stage? Correct Answers Intimacy vs Isolation
A 29-year-old client living with parents has few interpersonal
relationships. The client states, "I have trouble trusting people."
Based on Erikson's developmental theory, which should the
nurse recognize as true statements about the client? Correct
Answers The client has not progressed beyond the trust vs.
mistrust development stage.
Developmental deficits in earlier life stages have impaired the
client's adult functioning.
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:
Correct Answers Id
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? Correct Answers The Health Insurance
Portability and Accountability Act
,A client has been involuntarily admitted to an inpatient
behavioral health unit. During this admission, which of the
following rights does the client still retain? Correct Answers
The right to refuse medications
The right to informed consent
A client on a psychiatric unit says "It's a waste of time to be
here. I cant talk to you or anyone." Which would be an
appropriate therapeutic nursing response? Correct Answers Are
you feeling that no one understands?
A client tells a nurse that he hates his doctor and plans to hurt
the doctor, but she did not report this prior to leaving. When the
nurse returns to work the next day, she finds that the physician
has been brutally beaten by the client and the physician is
hospitalized. Which of the following best represents the nurse's
failure to act by not reporting the client's intent? Correct
Answers Negligence
A client was recently admitted to the inpatient unit after a
suicide attempt and has not responded to SSRIs or tricyclic
antidepressants. The client asks the nurse, "I heard about MAOIs
(monoamine oxidase inhibitors). Why can't they be added to
what I am on now? Wouldn't adding one help?" Which is the
appropriate nursing response? Correct Answers "Combined use
can lead to a life-threatening condition called hypertensive
crisis."
A client who is very dirty and has an offensive odor refused to
take a shower when he was admitted to the psychiatric inpatient
, unit of the hospital. He yelled, "No, no, no bath!" when two staff
members carried him into the shower and made him wash
himself thoroughly before allowing him to leave the shower
area. Which of these statements is correct regarding this patient's
rights? Correct Answers This was a violation of the patients
rights because the patient was restrained by force.
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? Correct Answers Sore throat, fever, and malaise
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? Correct Answers "Medications are one way to
address chemical imbalances. Environmental and interpersonal
factors can also have an impact on biological factors."
A fully developed outcome for a client goal would include:
Correct Answers time sensitive
measurable term
attainable for client
A Mexican American patient puts a picture of the Virgin Mary
on the bedside table. Under which section of the assessment
should the nurse document this behavior? Correct Answers
Culture
A mother rescues two of her four children from a house fire. In
an emergency department, she cries, "I should have gone back in
Solutions
A 22 year old college student is admitted to hospital following a
suicide attempt and states, "No one will ever love a loser like
me." According to Erikson's theory of personality development,
a nurse should recognize a deficit in which developmental
stage? Correct Answers Intimacy vs Isolation
A 29-year-old client living with parents has few interpersonal
relationships. The client states, "I have trouble trusting people."
Based on Erikson's developmental theory, which should the
nurse recognize as true statements about the client? Correct
Answers The client has not progressed beyond the trust vs.
mistrust development stage.
Developmental deficits in earlier life stages have impaired the
client's adult functioning.
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:
Correct Answers Id
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? Correct Answers The Health Insurance
Portability and Accountability Act
,A client has been involuntarily admitted to an inpatient
behavioral health unit. During this admission, which of the
following rights does the client still retain? Correct Answers
The right to refuse medications
The right to informed consent
A client on a psychiatric unit says "It's a waste of time to be
here. I cant talk to you or anyone." Which would be an
appropriate therapeutic nursing response? Correct Answers Are
you feeling that no one understands?
A client tells a nurse that he hates his doctor and plans to hurt
the doctor, but she did not report this prior to leaving. When the
nurse returns to work the next day, she finds that the physician
has been brutally beaten by the client and the physician is
hospitalized. Which of the following best represents the nurse's
failure to act by not reporting the client's intent? Correct
Answers Negligence
A client was recently admitted to the inpatient unit after a
suicide attempt and has not responded to SSRIs or tricyclic
antidepressants. The client asks the nurse, "I heard about MAOIs
(monoamine oxidase inhibitors). Why can't they be added to
what I am on now? Wouldn't adding one help?" Which is the
appropriate nursing response? Correct Answers "Combined use
can lead to a life-threatening condition called hypertensive
crisis."
A client who is very dirty and has an offensive odor refused to
take a shower when he was admitted to the psychiatric inpatient
, unit of the hospital. He yelled, "No, no, no bath!" when two staff
members carried him into the shower and made him wash
himself thoroughly before allowing him to leave the shower
area. Which of these statements is correct regarding this patient's
rights? Correct Answers This was a violation of the patients
rights because the patient was restrained by force.
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? Correct Answers Sore throat, fever, and malaise
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? Correct Answers "Medications are one way to
address chemical imbalances. Environmental and interpersonal
factors can also have an impact on biological factors."
A fully developed outcome for a client goal would include:
Correct Answers time sensitive
measurable term
attainable for client
A Mexican American patient puts a picture of the Virgin Mary
on the bedside table. Under which section of the assessment
should the nurse document this behavior? Correct Answers
Culture
A mother rescues two of her four children from a house fire. In
an emergency department, she cries, "I should have gone back in
