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: This is coercive and inappropriate, potentially causing distress.

B: This does not address the client’s expressed feelings of fatigue and could feel dismissive.
C: This supportive approach helps the client engage in activity at her own pace, promoting participation without coercion.
D: This encourages avoidance, which may further reinforce depressive behaviors and social withdrawal.

A. Notify the charge nurse of the need for evaluation of the client's level of competence. B. Ask the client to express her reasons for refusing the morning medications and document the event. C. Crush the pills, if not contraindicated, and hide them the client's in applesauce. D. Try to talk the client into adherence by telling her the possible implications of missing a dose.

Correct Answer is B

Explanation

A: While assessing competence might eventually be necessary, it should come after understanding the client's reasons for refusal.
B: This action respects the client’s autonomy and provides insights into her thinking or possible misconceptions that can be addressed.
C: Crushing pills without consent and hiding them in food is unethical and could be dangerous, as some medications are not meant to be crushed.
D: Trying to convince the client might be seen as coercive. Understanding her reasons first is a more patient-centered approach.

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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

A nurse is caring for a client who has depression and states that she is too tired to get out of bed or dress. Which of the following statements by the nurse is appropriate?

Correct Answer is C

Explanation

A nurse in an assisted-living facility is caring for a client who is in early stages of dementia. The client has been oriented to name and place and is usually cooperative. Which of the following nursing actions is appropriate if the client refuses to take morning medications?

Correct Answer is B

Explanation

Which of the following mental health disorders commonly occurs in older adults?

A hospitalized client sees snakes on the walls of the hospital room and becomes anxious. This is an example of which of the following?

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

A nurse is reviewing the plan of care for a client who has depression. Which of the following actions should the nurse plan to take?

A client with generalized anxiety disorder (GAD) is prescribed buspirone (BuSpar). Which information regarding side effects should be given to the client?

A young adult moves to a new town and is unable to establish relationships because of geographical distance to other towns and a sparsely populated community. This young adult is at greatest risk for which of the following?

A nurse is caring for a client who has an anxiety disorder. Which of the following findings should the nurse recognize as a manifestation of mild anxiety?

A nurse is caring for a group of older adult clients. Which of the following client findings indicates delirium?