Exam (elaborations)
NUR 2488 MENTAL HEALTH EXAM 1 GRADED
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NUR 2488 MENTAL HEALTH EXAM 1 GRADED
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MH exam 1.• Question 1
0 out of 1 points
A fully developed outcome for a client goal would include: (SATA)
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
0 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: Haloperid
ol
Answers: Sertraline
,MH exam 1.
Haloperid
ol
Trazadon
e
Venlafaxi
ne
Response No. Sertraline (Zoloft) is an SSRI, and when combined with
Feedback:
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.
, MH exam 1.
Client will initiate interaction with one peer during free time
within 2 days.
Response Yes. The statement “Client will initiate interaction with one
Feedback
:
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.
• 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
Answer: “I will get them for you, but let’s talk about your decision to
leave 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
Feedback Yes. A patient who has been voluntarily admitted as a
: psychiatric inpatient has 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
0 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)
Selected
Answers:
Appearance
Mood and Affect
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