Upon entering a mental health care system, clients undergo a thorough assessment, followed by the creation of a mental health treatment plan. What are the objectives of this treatment plan? (Select all that apply.)

It serves as a tool for communication and coordination of care.

It is used to evaluate the effectiveness of interventions.

It acts as a guide for the planning and implementation of care.

It is a means of monitoring the client’s progress.

Answer and Explanation

Correct Answer : A,B,C,D

Choice A rationale
A mental health treatment plan serves as a tool for communication and coordination of care. It helps to ensure that all healthcare professionals involved in a client’s care have access to the same information, promoting consistent and coordinated care.
Choice B rationale
The treatment plan is used to evaluate the effectiveness of interventions. By comparing the client’s progress to the goals set out in the treatment plan, healthcare professionals can determine whether the interventions are working or if adjustments need to be made.
Choice C rationale
The treatment plan acts as a guide for the planning and implementation of care. It outlines the strategies and interventions to be used, helping to ensure that the care provided is aligned with the client’s needs and goals.
Choice D rationale
The treatment plan is a means of monitoring the client’s progress. Regular reviews of the treatment plan can provide valuable insights into how the client is progressing and whether any changes to the plan are required.

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Correct Answer is D

Explanation

Choice A rationale
While ineffective coping related to inadequate stress management is a valid nursing diagnosis, it is not the highest priority in this scenario. The client’s threat to commit suicide with a handgun indicates a clear and immediate risk.
Choice B rationale
Hopelessness related to recent divorce is a significant concern and may contribute to the client’s suicidal ideation. However, the immediate threat of suicide takes precedence.
Choice C rationale
Spiritual distress related to conflicting thoughts about suicide and sin may be a factor in the client’s mental state, but it is not the immediate concern. The client’s life is in danger, which must be addressed first.
Choice D rationale
Risk for suicide related to a highly lethal plan is the highest priority nursing diagnosis. The client has a clear plan (using a handgun) and means (access to a handgun), indicating a high risk for suicide.

A. 71 to 90. B. 1 to 10. C. 91 to 100. D. 21 to 30.

Correct Answer is C

Explanation

The correct answer is Choice C.

A ‘favorable’ range of functioning on the Global Assessment of Function scale is 91 to 10010. This range indicates superior functioning in a wide range of activities.

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Upon entering a mental health care system, clients undergo a thorough assessment, followed by the creation of a mental health treatment plan. What are the objectives of this treatment plan? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who recently went through an upsetting divorce is threatening to commit suicide with a handgun. The client is voluntarily admitted to the psychiatric unit. Which of the following nursing diagnoses has the highest priority?

Correct Answer is D

Explanation

The nurse is using the Global Assessment of Function to assess her patient. Which is a ‘favorable’ range of functioning?

Correct Answer is C

Explanation

During the assessment phase of the nursing process, data collection takes place. What methods does the nurse employ to gather data? (Select all that apply.)

In a medical-surgical unit, the nurse is monitoring several patients. Which patient does the nurse identify as being at the highest risk for developing delirium?

A client who just went through an upsetting divorce is threatening to commit suicide with a handgun. The client is voluntarily admitted to the psychiatric unit. Which of the following nursing diagnoses has the highest priority?

The practical nurse (PN) reviews the lab values. What Questions can the PN ask the client based on the lab results? Select all that apply.

During a therapy session, which statement made by the nurse indicates a need for further training in effective therapeutic communication techniques?

The home health aide reports to the practical nurse that the client has been trying to give away possessions. When the nurse asks the client about this behavior, the client says, “With my spouse dead, there’s no reason for me to go on.”. What is the best priority response by the nurse?

Feelings of worthlessness, guilt, and despair are expressed in a female client’s every thought, movement, and activity. Her physical health has declined and she is often unable to eat. What is the client experiencing?

A client reports to the nurse that her elderly mother has become increasingly angry and responds inappropriately to conversations within the past few months. She notes that her mother does not respond when the mother’s back is turned. What is the best intervention for the nurse?