NUR 2488 Mental Health Final Exam Questions With Answers 2023/2024 | Latest Graded A+

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? -Sertraline 3. A 4-year-old child grabs toys from siblings, saying “I want that toy now!”. The siblings cry and the child’s parents become upset with the behavior. Using Freudian theory, a nurse can interpret the child behavior as a product of impulses originating in the: -Id 4. Which expected client outcome should a nurse identify as being correctly formulated? - Client will initiate interaction with one peer during free time within 2 days. 5. 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? -I will get them for you, but lets talk about your decision to leave treatment 6. 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? -Appearance, mood and effect, thought and cognition 7. 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? -blurring vision and muscular weakness 8. Which information suggests that caution is necessary in prescribing a benzodiazepine to an anxious client? -The client has a history of alcohol dependence 9. A brother calls to speak to his sister who has been admitted to the psychiatric unit. The nurse connects home 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? -The Health Insurance Portability and Accountability Act (HIPPA) 10. 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 overdoes, the client voluntarily sought inpatient mental health treatment. Which of the following statements is true of voluntary admission? -The client retains the right to request release 11. A nurse says to the client, “Things will look better tomorrow after a good nights sleep.” This is an example of which communication technique? -The nontherapeutic technique of giving reassurance 12. 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? - The right to leave the hospital without medical approval 13. 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?” -Medications are one way to address chemical imbalances. Environmental and interpersonal factors can also have an impact on biological factors. 14. During an intake interview, which question would assist the nurse in gathering data about the clients judgement? -“If you found a stamped, addressed envelope in the street, what would you do?” 15. A nursing instructor asks a student to described the nursing process when initiating care of a client. The student nurse understands the nursing process order to be correctly identified as: -Assessment, Nursing Diagnoses, Outcomes, Planning, Implementation, Evaluation 16. 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? -Psychological factors, like excessive stress, have been found to affect medical conditions 17. 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? -You’re feeling guilty because you weren’t able to save your children 18. An entry level registered nurse works with patients in a community setting. Which groups should this nurse expect to lead? -Symptom management, medication education and self care groups 19. 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? -The right to refuse medications 20. A mother who is notified that her child was killed in a tragic car accident states, “ I can’t bear to go on with my life.” Which nursing statement conveys empathy? -It must be horrible to lose a child, and I’ll stay with you until your husband arrives 21. During the implementation phase of the nursing process, a nurse is teaching an adult depressed patient with a cochlear implant about medications. Which modification in the teaching plan would be the most appropriate for this client? -Speaking directly face to face 22. A 22 year old college student is admitted to a 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? -Intimacy versus isolation