MENTAL HEALTH RASMUSSEN
2025 EXAM 1 UPDATED
QUESTIONS WITH ACTUAL
ANSWERS
A fully developed outcome for a client goal would include: - CORRECT ANSWER>>>>time
sensitive
measurable term
attainable for client
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? -
CORRECT ANSWER>>>>sertraline (SSRI)
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 ANSWER>>>>Id
Which expected client outcome should a nurse identify as being correctly formulated? -
CORRECT ANSWER>>>>Client will initiate interaction with one peer during free time within
2 days.
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? - CORRECT
ANSWER>>>>"I will get them for you, but let's talk about your decision to leave treatment."
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 the examination? - CORRECT
ANSWER>>>>Appearance
Mood and Affect
Thought
Cognition
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 ANSWER>>>>Sore throat, fever, and malaise
Which information suggests that caution is necessary in prescribing a benzodiazepine to an
anxious client? - CORRECT ANSWER>>>>The client has a history of alcohol dependence.
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 ANSWER>>>>The Health Insurance Portability and Accountability Act
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 treatment. Which statement is true of voluntary admission? - CORRECT
ANSWER>>>>The client retains the right to request release.
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? - CORRECT ANSWER>>>>The nontherapeutic
technique of giving reassurance. (false reassurance)
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? - CORRECT ANSWER>>>>The right to leave the hospital without medical
approval.
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 ANSWER>>>>"Medications are one way to address chemical
imbalances. Environmental and interpersonal factors can also have an impact on biological
factors."
During an intake interview, which question would assist the nurse in gathering data about the
client's judgment? - CORRECT ANSWER>>>>"If you found a stamped, addressed envelope in
the street, what would you do?"
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: -
CORRECT ANSWER>>>>Assessment, Nursing diagnosis, Outcomes, Planning,
Implementation, Evaluation
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? - CORRECT ANSWER>>>>Psychological factors, like excessive stress, have been
found to affect medical conditions."
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? - CORRECT
ANSWER>>>>"You're feeling guilty because you weren't able to save your children."
An entry level registered nurse works with patients in a community setting. Which groups should
this nurse expect to lead? - CORRECT ANSWER>>>>Symptom management
Medication education
2025 EXAM 1 UPDATED
QUESTIONS WITH ACTUAL
ANSWERS
A fully developed outcome for a client goal would include: - CORRECT ANSWER>>>>time
sensitive
measurable term
attainable for client
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? -
CORRECT ANSWER>>>>sertraline (SSRI)
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 ANSWER>>>>Id
Which expected client outcome should a nurse identify as being correctly formulated? -
CORRECT ANSWER>>>>Client will initiate interaction with one peer during free time within
2 days.
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? - CORRECT
ANSWER>>>>"I will get them for you, but let's talk about your decision to leave treatment."
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 the examination? - CORRECT
ANSWER>>>>Appearance
Mood and Affect
Thought
Cognition
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 ANSWER>>>>Sore throat, fever, and malaise
Which information suggests that caution is necessary in prescribing a benzodiazepine to an
anxious client? - CORRECT ANSWER>>>>The client has a history of alcohol dependence.
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 ANSWER>>>>The Health Insurance Portability and Accountability Act
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 treatment. Which statement is true of voluntary admission? - CORRECT
ANSWER>>>>The client retains the right to request release.
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? - CORRECT ANSWER>>>>The nontherapeutic
technique of giving reassurance. (false reassurance)
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? - CORRECT ANSWER>>>>The right to leave the hospital without medical
approval.
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 ANSWER>>>>"Medications are one way to address chemical
imbalances. Environmental and interpersonal factors can also have an impact on biological
factors."
During an intake interview, which question would assist the nurse in gathering data about the
client's judgment? - CORRECT ANSWER>>>>"If you found a stamped, addressed envelope in
the street, what would you do?"
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: -
CORRECT ANSWER>>>>Assessment, Nursing diagnosis, Outcomes, Planning,
Implementation, Evaluation
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? - CORRECT ANSWER>>>>Psychological factors, like excessive stress, have been
found to affect medical conditions."
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? - CORRECT
ANSWER>>>>"You're feeling guilty because you weren't able to save your children."
An entry level registered nurse works with patients in a community setting. Which groups should
this nurse expect to lead? - CORRECT ANSWER>>>>Symptom management
Medication education
