In developing a nursing care plan for an adult with a mental health disorder, the nurse knows the goals that are set must be:

Important to the client

Evaluated on a weekly basis

Achievable by client discharge

Approved by the physician

Answer and Explanation

The Correct Answer is A

A: Goals must be relevant and important to the client to encourage engagement and commitment to the therapeutic process.
B: While regular evaluations are essential, they must align with the individual’s progress and specific needs rather than a set schedule.

C: Goals should indeed be achievable, but tying them strictly to discharge may not accommodate ongoing or long-term needs.
D: While physician input can be valuable, goals should be client-centered and driven by nursing assessments and the therapeutic plan.

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Correct Answer is C

Explanation

A: While counseling may eventually be helpful, initially encouraging the partner to express his difficulties provides immediate emotional support and can help assess the needs more clearly.
B: Calling a family meeting may be beneficial, but first understanding the specific struggles can help inform what help is needed from family members.
C: This approach allows the nurse to gather more information about the partner's specific struggles and provide tailored support and resources.

D: Recommending placement in a long-term care facility might eventually be necessary, but it should follow an assessment and discussion of all options and supports available.

A. Check the bruises at the next visit to the client's home. B. Institute more frequent visits to the client's home. C. Follow the agency's guidelines for reporting suspected abuse. D. Arrange referral for family therapy to deal with home stressors.

Correct Answer is C

Explanation

A: Checking the bruises at the next visit does not address the immediate safety concerns of the client.
B: Instituting more frequent visits might help in monitoring but doesn't address the immediate issue of suspected abuse.
C: Reporting suspected abuse as per agency guidelines is the most immediate and appropriate action to ensure the client’s safety.
D: Family therapy might be helpful later but does not immediately address or confirm the suspected abuse.

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In developing a nursing care plan for an adult with a mental health disorder, the nurse knows the goals that are set must be:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Correct Answer is C

Explanation

A client with Alzheimer's disease has difficulty with bathing and dressing activities. This is an example of which type of loss?

A nurse is contributing to the plan of care for a client who has dementia. Which of the following actions should the nurse include in the plan of care?

A client describes flashbacks of a terrifying car crash in which he saw his best friend die. Which disorder should the nurse suspect in this situation?

Which of the following is a physical clinical finding of depression in older adults?

Which medication would the nurse expect to be prescribed for a client with moderate stages of Alzheimer's disease?

An older adult is given the diagnosis of depression and is started on medication. Which group of medications would be appropriate for the depressed older adult?

A client is given the diagnosis of generalized anxiety disorder and is prescribed a benzodiazepine. The client should be instructed on which of the following?

A nurse is caring for a client who is has an anxiety disorder and who has begun to hyperventilate, wring her hands, and is pacing the fleer continually. Which of the following actions should the nurse take first?