NUR 2488 Mental Health Exam 1( Complete updated questions and correct answers)

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Mental Health Exam 1 1. A fully developed outcome for a client goal would include: (SATA) 2. The nurse understands a client could be at risk for serotonin syndrome when taking which of the follow... ing medications in addition to over the counter medications or herbal supplements? 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: 4. Which expected client outcome should a nurse identify as being correctly formulated? 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? 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? 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? 8. Which information suggests that caution is necessary in prescribing a benzodiazepine to an anxious client? 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? 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? 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? 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? 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?” 14. During an intake interview, which question would assist the nurse in gathering data about the clients judgement? 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: 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? 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? 18. An entry level registered nurse works with patients in a community setting. Which groups should this nurse expect to lead? 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? 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? 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? 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? 23. A nursing instructor is teaching about the monoamine category of neurotransmitters. Which student statement indicates that learning about the function of norepinephrine has occurred. 24. A nurse is educating a patient about the difference between mental health and mental illness. Which statement by the patient reflects an accurate understanding of mental health? 25. The nurse understands a client taking which medication could place a client at high risk for life threatening hypertensive crisis if tyramine is ingested? 26. 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. Why can’t they be added to what I am on now? Wouldn’t adding one help?” Which is the appropriate nursing response? 27. 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? - 28. A patient discloses several concerns and associated feelings. If the nurse wishes to seek clarification, which comment would be most appropriate? 29. The health care provider prescribes an antidepressant for an elderly client, but the nurse notices that the dosage is greater than the usual adult dosage. Which of the following best describes what action the nurse should take? 30. Which interventions by a psychiatric nurse best utilizes the ethical principle of autonomy? The nurse: 31. Which of the following should the nurse plan to include in the assessment of an older adult client? 32. A patient is about to be released and tells the staff nurse “I’m glad I’m getting out of here; I swear the first things I’ll do is kill my ex wife and that stupid boyfriend of hers. “Which of the following is the staff nurse’s legal duty? 33. 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 nurses failure to act by not reporting the client’s intent? 34. A newly admitted patient is hyperactive, restless and disorganized. The patient goes to the dining room and begins to throw food. Verbal intervention is ineffective. Seclusion is instituted for the primary purpose of: 35. 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? 36. Which one of the following best represents a potential liability issue for the professional nurse? 37. A researcher tells the nurse that she would like a patient to participate in a study on the effects of new medications. The nurse’s responsibility in regard to this study is: 38. A nurse is performing a mental health assessment on an adult client. According to Maslow’s hierarchy of needs, which client action would demonstrate the highest achievement in terms of mental health? 39. A nurse explains to the family of a mentally ill patient how the nurse-patient relationship differs from other interpersonal relationships. Which is nurses best explanation? 40. 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 was himself thoroughly before allowing him to leave the shower area. Which of these statements is correct regarding this patients’ rights? 41. The nurse is assessing a client who has a diagnosis of schizophrenia and takes a typical antipsychotic agent daily. Which assessment finding should alert the nurse to a potential adverse effect of typical antipsychotic medications? 42. Using Erickson’s theory of personality development, which of the following task occur with teenagers during puberty? 43. According to Freud, which statement should a nurse associate with predominance of the superego? 44. An inpatient psychiatric physician treating clients omits treatment options for those without insurance. Which violation of an ethical principle should a nurse recognize in this situation? 45. During a nurse – client interaction, which nursing statement may belittle the clients feelings and concerns? 46. A nurse assessed a patient who participated reluctantly, answered questions with minimal responses and rarely made eye contact. What data should be included when documenting the assessement? 47. Which client action should a nurse expect during the working phase of the nurse-client relationship? 48. The nurse is conversing with a client in a locked in patient psychiatric unit. The client states, “Please don’t tell anyone about my sexual abuse.” Which nursing response clearly outlines the professional nurses responsibility related to confifentiality? 49. Within professional scope of practice, which function is exclusive to the advanced nurse practice specialty? 50. A physically healthy, 35 year old single clinet lives with parents who provide total financial support. According to Erikson’s theory, which developmental task should a nurse assist the client to accomplish? [Show More]

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