1. A fully developed outcome for a client goal would include:: time
sensitive measurable term
attainable for client
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?: sertraline (SSRI)
3. 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:: 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 let's talk about your
decision to leave treatment."
6. The client is being admitted to the inpatient psychiatric unit. The nurse
con- ducts a mental status examination. Which of the following items are
included in the examination?: Appearance
Mood and
Affect
Thought
Cognition
7. A client with schizophrenia has recently begun a new medication,
clozapine (Clozaril). Which signs and symptoms of a potentially fatal side
effect with the nurse teach the client about?: Sore throat, fever, and
malaise
,8. Which information suggests that caution is necessary in prescribing a
ben- zodiazepine 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
psychi- atric unit. The nurse connects him 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 Porta- bility and Accountability Act
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 overdose, the client voluntarily south inpatient mental
health treat- ment. Which statement is true of voluntary admission?: The
client retains the right to request release.
, 11.A nurse says to a client, "Things will look better tomorrow after a good
night's sleep." This is an example of which communication technique?:
The nontherapeutic technique of giving reassurance. (false
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 client's judgment?: "If you found a stamped,
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