NUR2488 Mental Health Nursing Exam 1
Question 1
1 out of 1 points
A fully developed outcome for a client goal would include: (SATA)
Answers: Time sensitive
Measurable terms
Initial assessment
Identifying data
Attainable for client
Response Outcomes need to take into account the patient's culture, values, and ethical
Feedback: beliefs. Specifically, outcomes are stated in attainable and measurable terms
and include a time estimate for attainment".
Question 2
1 out of 1 points
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?
Selected Answer: Haloperidol
Answers: Sertraline
Haloperidol
Trazadone
Venlafaxine
Response Sertraline (Zoloft) is an SSRI, and when combined with over the counter
Feedback: medications or herbal supplements could increase the clients risk for
developing serotonin syndrome.
Question 3
1 out of 1 points
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:
Selected Answer: Ego
Answers: Id
Ego
, Superego
Preconscious
Response The id operates on the pleasure principle, seeking immediate gratification of
Feedback: impulses. The ego acts as a mediator of behavior and would weigh the
consequences of the action, perhaps determining that taking the toy is not
worth the parent’s wrath. The superego would oppose the impulsive behavior
as “not nice.” The preconscious is a level of awareness.
Question 4
1 out of 1 points
Which expected client outcome should a nurse identify as being correctly formulated?
Selected Client will initiate interaction with one peer during free time within 2
Answer: days.
Answers: Client will feel happier by discharge.
Client will demonstrate two relaxation techniques.
Client will verbalize triggers to anger by end of session.
Client will initiate interaction with one peer during free time within 2
days.
Response Yes. The statement “Client will initiate interaction with one peer during free
Feedback: time within 2 days” is an example of a correctly formulated expected outcome.
Outcomes should be measurable, realistic, client-focused goals that include a
time frame. Appropriate nursing interventions are guided by client outcomes.
Question 5
1 out of 1 points
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?
Selected “I will get them for you, but let’s talk about your decision to leave
Answer: treatment.”
Answers: “I can’t give you those forms without your health care provider’s
knowledge.”
“I’ll get the forms for you right now and bring them to your room.”
, “Since you signed your consent for treatment, you may leave if you
desire.”
“I will get them for you, but let’s talk about your decision to leave
treatment.”
Response Yes. A patient who has been voluntarily admitted as a psychiatric inpatient has
Feedback: the right to demand and obtain release in most states. However, as a patient
advocate, the nurse is responsible for weighing factors related to the patient’s
wishes and best interests. By asking for information, the nurse may be able to
help the patient reconsider the decision. The statement that discharge forms
can’t be given without the health care provider’s knowledge is not true.
Facilitating discharge without consent is not in the patient’s best interests
before exploring the reason for the request.
Question 6
1 out of 1 points
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 this examination? (Select
all that apply)
Answers Appearance
:
Mood and Affect
Thought
Physical Exam
Cognition
Response Personal information, appearance, behavior, speech, mood and affect,
Feedback: thought, perceptual disturbances and cognition are all parts of a mental status
exam. Physical assessment would not be included with the MSE. (Chapter 7,
p 103-104)
Question 7
1 out of 1 points
A client with schizophrenia has recently begun a new medication, clozapine (Clozaril).
Which signs and symptoms of a potentially fatal side effect will the nurse teach the client
about?
Question 1
1 out of 1 points
A fully developed outcome for a client goal would include: (SATA)
Answers: Time sensitive
Measurable terms
Initial assessment
Identifying data
Attainable for client
Response Outcomes need to take into account the patient's culture, values, and ethical
Feedback: beliefs. Specifically, outcomes are stated in attainable and measurable terms
and include a time estimate for attainment".
Question 2
1 out of 1 points
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?
Selected Answer: Haloperidol
Answers: Sertraline
Haloperidol
Trazadone
Venlafaxine
Response Sertraline (Zoloft) is an SSRI, and when combined with over the counter
Feedback: medications or herbal supplements could increase the clients risk for
developing serotonin syndrome.
Question 3
1 out of 1 points
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:
Selected Answer: Ego
Answers: Id
Ego
, Superego
Preconscious
Response The id operates on the pleasure principle, seeking immediate gratification of
Feedback: impulses. The ego acts as a mediator of behavior and would weigh the
consequences of the action, perhaps determining that taking the toy is not
worth the parent’s wrath. The superego would oppose the impulsive behavior
as “not nice.” The preconscious is a level of awareness.
Question 4
1 out of 1 points
Which expected client outcome should a nurse identify as being correctly formulated?
Selected Client will initiate interaction with one peer during free time within 2
Answer: days.
Answers: Client will feel happier by discharge.
Client will demonstrate two relaxation techniques.
Client will verbalize triggers to anger by end of session.
Client will initiate interaction with one peer during free time within 2
days.
Response Yes. The statement “Client will initiate interaction with one peer during free
Feedback: time within 2 days” is an example of a correctly formulated expected outcome.
Outcomes should be measurable, realistic, client-focused goals that include a
time frame. Appropriate nursing interventions are guided by client outcomes.
Question 5
1 out of 1 points
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?
Selected “I will get them for you, but let’s talk about your decision to leave
Answer: treatment.”
Answers: “I can’t give you those forms without your health care provider’s
knowledge.”
“I’ll get the forms for you right now and bring them to your room.”
, “Since you signed your consent for treatment, you may leave if you
desire.”
“I will get them for you, but let’s talk about your decision to leave
treatment.”
Response Yes. A patient who has been voluntarily admitted as a psychiatric inpatient has
Feedback: the right to demand and obtain release in most states. However, as a patient
advocate, the nurse is responsible for weighing factors related to the patient’s
wishes and best interests. By asking for information, the nurse may be able to
help the patient reconsider the decision. The statement that discharge forms
can’t be given without the health care provider’s knowledge is not true.
Facilitating discharge without consent is not in the patient’s best interests
before exploring the reason for the request.
Question 6
1 out of 1 points
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 this examination? (Select
all that apply)
Answers Appearance
:
Mood and Affect
Thought
Physical Exam
Cognition
Response Personal information, appearance, behavior, speech, mood and affect,
Feedback: thought, perceptual disturbances and cognition are all parts of a mental status
exam. Physical assessment would not be included with the MSE. (Chapter 7,
p 103-104)
Question 7
1 out of 1 points
A client with schizophrenia has recently begun a new medication, clozapine (Clozaril).
Which signs and symptoms of a potentially fatal side effect will the nurse teach the client
about?
