NUR 2488 Exam 1 Mental Health Nursing - Rasmussen
A fully developed outcome for a client goal would include: (SATA)
✓ Attainable for client, measurable terms and time sensitive
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
Which of the following should the nurse plan to include in the assessment of an older adult client?✓ Identify physical needs and necessary accommodations for this client
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?✓ Report the threat to the treatment team and document the statement
According to Freud, which statement should a nurse associate with predominance of the superego?✓ "I don't ever cheat on tests, it is wrong." 1 / 2
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 nurse’s failure to act by not reporting the client's intent?✓ Negligence
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:
✓ Reducing environmental stimuli that negatively affect the patient
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?✓ Culture
Which one of the following best represents a potential liability issue for the professional nurse?✓ Placing a patient who talks constantly and loudly into a secluded room alone.
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: ✓ To assess whether the patient has the ability and legal right to give informed consent.
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?✓ Possessing a feeling of self-fulfillment and realizing full potential
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