NUR 2488 Mental Health Nursing Exam 1

• Question 1 A fully developed outcome for a client goal would include: (SATA) 0 out of 1 points Selected Answers: Time sensitive Measurable terms Initial assessment Attainable for client Answers: Time sensitive Measurable terms Initial assessment Identifying data Attainable for client Response Feedback: No. Outcomes need to take into account the patient's culture, values, and ethical beliefs. Specifically, outcomes are stated in attainable and measurable terms and include a time estimate for attainment". • Question 2 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? 0 out of 1 points Selected Answer: Haloperid ol Answers: SertralineResponse Feedback: Haloperid ol Trazadon e Venlafaxi ne No. Sertraline (Zoloft) is an SSRI, and when combined with over the counter medications or herbal supplements could increase the clients risk for developing serotonin syndrome. • Question 3 0 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 Preconsci ous Response Feedback : No. The id operates on the pleasure principle, seeking immediate gratification of 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 Answer: Client will initiate interaction with one peer during free time within 2 days. Answers: Client will feel happier by discharge. Client will demonstrate two relaxation techniques. Client will verbalize triggers to anger by end of session.Response Feedback : Client will initiate interaction with one peer during free time within 2 days. Yes. The statement “Client will initiate interaction with one peer during free 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.