Which of the following terms could be used to describe and document a client’s motor activity on a mental health assessment?

Tics

Restless

Flat

Echopraxia

Guilty

Answer and Explanation

Correct Answer : A,B,D

These terms could be used to describe and document a client’s motor activity on a mental health assessment. Tics are involuntary movements or vocalizations that are sudden, rapid, and repetitive. Restlessness refers to an inability to sit still or remain calm due to physical or emotional discomfort. Echopraxia is the involuntary repetition or imitation of another person’s movements. Flat and guilty are not terms used to describe motor activity.

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Correct Answer is C

Explanation

Explanation: SMART is an acronym for Specific, Measurable, Achievable, Relevant, and Time-bound. A SMART goal should be specific, clear, well-defined, measurable, attainable or achievable, relevant, and time-bound.

Option (a) is not specific, measurable, or achievable. It does not provide a clear target or timeline for the client's improvement, and it may not be attainable for some clients to feel less depressed after only one day of admission.

Option (b) is specific and measurable, but it may not be achievable or relevant for all clients. Increases in energy are not always a direct indicator of improved depressive symptoms.

Option (c) is specific, measurable, achievable, and relevant. A 10% reduction in the self-rating of the depression scale is a clear and well-defined goal that can be easily measured. It is also achievable and relevant as it directly addresses the client's depressive symptoms.

Option (d) is specific, measurable, achievable, and relevant. However, it is not time-bound, which means there is no clear timeline for the client's improvement. It is also not as direct or measurable as option (c).

A. A client is confused and combative. The nurse restrains him and then immediately seeks a physician’s order. B. A client has been seeking the attention of the nurses at the nurse’s station much of the day. The nurse escorts him to this room and tells him to stay there or he will be put into seclusion. C. A psychotic patient admitted involuntarily runs out of the psychiatric unit. The nurse follows him and succeeds in taking the client into returning to the unit. D. A client hospitalized as an involuntary admission, attempts to leave the unit. The nurse calls the security team and acts on established protocol: they prevent him from leaving.

Correct Answer is B

Explanation

A client has been seeking the attention of the nurses at the nurse’s station much of the day. The nurse escorts him to this room and tells him to stay there or he will be put into seclusion.

This nursing intervention constitutes false imprisonment because it involves unlawfully restraining the client against their will. In this case, the nurse is using the threat of seclusion to coerce the client into staying in their room, which could be considered unlawful restraint.

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Which of the following terms could be used to describe and document a client’s motor activity on a mental health assessment?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Which nursing intervention constitutes false imprisonment?

Correct Answer is B

Explanation

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