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 B

Explanation

A: Physical loss typically refers to the loss of a body part or function directly due to physical changes.
B: Functional loss refers to a decrease in the ability to perform activities of daily living, such as bathing and dressing, which is common in Alzheimer's disease.
C: Affective loss relates to emotional or psychological losses.

D: Conative loss would pertain to motivation or volition, not directly related to physical activities like bathing or dressing.

A. hallucinations B. Delirium C. Delusion D. Psychosis

Correct Answer is A

Explanation

A: Hallucinations involve perceiving something that isn't actually there, such as seeing snakes on the walls.
B: Delirium is a rapid onset of confusion typically resulting from a physical or mental illness but is not specific to hallucinations.
C: Delusions are false beliefs held despite evidence to the contrary.

D: Psychosis can involve hallucinations but is a broader term that encompasses severe mental disorders.

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

Correct Answer is B

Explanation

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

Correct Answer is A

Explanation

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?

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

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?

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

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

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?