(CHECK THE LAST PAGE FOR MULTIPLE VERSIONS OF THE EXAM AND OTHER HESI EXAMS) A client with depression remains in bed most of the day, and declines activities. Which nursing problem has the greatest priority for this client? A. Loss of interest in diversional activity. B. Social isolation. C. Refusal to address nutritional needs. D. Low self-esteem. The nurse is preparing medications for a client with bipolar disorder and notices that the client discontinued antipsychotic medication for several days. Which medication should also be discontinued? a. Lithium. (Lithotabs) b. Benzotropine (Cogentin). c. Alprazolam (Xanax). d. Magnesium (Milk of Magnesia). A female client requests that her husband be allowed to stay in the room during the admission assessment. When interviewing the client, the RN notes a discrepancy between the client’s verbal and nonverbal communication. What action does the RN take? A. Pay close attention and document the nonverbal messages. B. Ask the client’s husband to interpret the discrepancy. C. Ignore the nonverbal behavior and focus on the client’s verbal messages. D. Integrate the verbal and nonverbal messages and interpret them as one. A male client approaches the nurse with an angry expression on his face and raises his voice, saying “My roommate is the most selfish, self-centered, angry person I have ever met. If he loses his temper one more time with me, I am going to punch him out!” The nurse recognizes that the client is using which defense mechanism? A. Denial. B. Projection. C. Rationalization. D. Splitting. A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of excessive thirst, and the This study source was downloaded by 100000840275362 from CourseHero.com on 04-29-2022 09:05:34 GMT -05:00 https://www.coursehero.com/file/86839868/HESI-Mental-Health-Exam-2021-Mental-Health-HESI-Exam-2021docx/ nurse finds him attempting to drink water from the bathroom sink faucet. Which intervention should the nurse implement? This study source was downloaded by 100000840275362 from CourseHero.com on 04-29-2022 09:05:34 GMT -05:00 https://www.coursehero.com/file/86839868/HESI-Mental-Health-Exam-2021-Mental-Health-HESI-Exam-2021docx/ A. Report the client’s serum lithium level to the HCP. B. Encourage the client to suck on hard candy to relieve the symptoms. C. No action is needed since polydipsia is a common

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(CHECK THE LAST PAGE FOR MULTIPLE VERSIONS OF THE EXAM AND OTHER HESI EXAMS) A client with depression remains in bed most of the day, and declines activities. Which nursing problem has the greatest... priority for this client? A. Loss of interest in diversional activity. B. Social isolation. C. Refusal to address nutritional needs. D. Low self-esteem. The nurse is preparing medications for a client with bipolar disorder and notices that the client discontinued antipsychotic medication for several days. Which medication should also be discontinued? a. Lithium. (Lithotabs) b. Benzotropine (Cogentin). c. Alprazolam (Xanax). d. Magnesium (Milk of Magnesia). A female client requests that her husband be allowed to stay in the room during the admission assessment. When interviewing the client, the RN notes a discrepancy between the client’s verbal and nonverbal communication. What action does the RN take? A. Pay close attention and document the nonverbal messages. B. Ask the client’s husband to interpret the discrepancy. C. Ignore the nonverbal behavior and focus on the client’s verbal messages. D. Integrate the verbal and nonverbal messages and interpret them as one. A male client approaches the nurse with an angry expression on his face and raises his voice, saying “My roommate is the most selfish, self-centered, angry person I have ever met. If he loses his temper one more time with me, I am going to punch him out!” The nurse recognizes that the client is using which defense mechanism? A. Denial. B. Projection. C. Rationalization. D. Splitting. A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of excessive thirst, and the This study source was downloaded by 100000840275362 from CourseHero.com on 04-29-2022 09:05:34 GMT -05:00 https://www.coursehero.com/file/86839868/HESI-Mental-Health-Exam-2021-Mental-Health-HESI-Exam-2021docx/ nurse finds him attempting to drink water from the bathroom sink faucet. Which intervention should the nurse implement? This study source was downloaded by 100000840275362 from CourseHero.com on 04-29-2022 09:05:34 GMT -05:00 https://www.coursehero.com/file/86839868/HESI-Mental-Health-Exam-2021-Mental-Health-HESI-Exam-2021docx/ A. Report the client’s serum lithium level to the HCP. B. Encourage the client to suck on hard candy to relieve the symptoms. C. No action is needed since polydipsia is a common [Show More]

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