NUR 2488 Mental Health exam 1 Rasmussen Latest Update 2024-2025 Actual Exam 120 Questions and 100% Verified Correct Answers Verified by Professor Already Graded A+
A 22 year old college student is admitted to 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? - CORRECT ANSWER: Intimacy vs Isolation
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? - CORRECT ANSWER: The client has not progressed beyond the trust vs. mistrust development stage.Developmental deficits in earlier life stages have impaired the client's adult functioning.
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: -
CORRECT ANSWER: Id
A brother calls to speak to his sister who has been admitted to the psychiatric 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? - CORRECT ANSWER: The Health Insurance Portability and
Accountability Act
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? - CORRECT
ANSWER: The right to refuse medications
The right to informed consent
- / 3
A client on a psychiatric unit says "It's a waste of time to be here. I cant talk to you or anyone." Which would be an appropriate therapeutic nursing response? - CORRECT
ANSWER: Are you feeling that no one understands?
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? - CORRECT ANSWER: Negligence
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 (monoamine oxidase inhibitors). Why can't they be added to what I am on now? Wouldn't adding one help?" Which is the appropriate nursing response? - CORRECT ANSWER: "Combined use can lead to a life-threatening condition called hypertensive crisis."
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 wash himself thoroughly before allowing him to leave the shower area. Which of these statements is correct regarding this patient's rights? - CORRECT ANSWER: This was a violation of the patients rights because the patient was restrained by force.
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? - CORRECT ANSWER: Sore throat, fever, and malaise
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? - CORRECT ANSWER: "Medications are one way to address chemical imbalances. Environmental and interpersonal factors can also have an impact on biological factors."
A fully developed outcome for a client goal would include: - CORRECT ANSWER: time sensitive 2 / 3
measurable term attainable for client
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? -
CORRECT ANSWER: Culture
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? - CORRECT ANSWER: "You're feeling guilty because you weren't able to save your children."
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? - CORRECT ANSWER: "It must be horrible to lose a child, and I'll stay with you until your husband arrives."
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: - CORRECT ANSWER: Reducing environmental stimuli that negatively affect the patient.
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 assessment? - CORRECT ANSWER: A description of the patient's
behavior during the interview.
A nurse explains to the family of a mentally ill patient how the nurse-patient relationship differs from other interpersonal relationships. Which is the nurse's best explanation? - CORRECT ANSWER: "The focus is on the patient. Problems are discussed by the nurse and patient; but solutions are implemented by the patient"
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
- / 3