4 HESI MENTAL HEALTH PSYCH 55 QUESTIONS & ANSWERS,100% CORRECT

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1. A nurse is explaining a fire drill routine to a group of clients. A client becomes disruptive and continually interrupts the group. What is the nurse's best response? 2. When performing a MSE on ... a client which assessment intervention would best assist the nurse? 3. A client comes in after being in a car accident and is experiencing alcohol withdrawal, magnesium level of 1.1, cardiac dysrhythmias. What would you give first? 4. A woman is just told of her husband's dx of terminal cancer. What would the nurse offer for the spouse (wife)? 5. A nurse is to remove staples from an abdominal incision, the client is very anxious. What is the most important intervention? 6. A man who was stranded on the roof of his house for two days after a natural disaster, months later ... 7. A man dx with bipolar disorder states, "I don't understand, I believe in God and have not done anything to deserve this". What is the nurse's best response? 8. A client becomes upset when the nurse he requests is not assigned to him, what is the nurse's best response? 9. A client needs to wash her hands for two hours before able to go on with her morning. She doesn't want to sit on the chairs in the dayroom for fear of getting dirty. What is this mechanism? 10. A client in group is talking about her prostitution, the nurse asks her if she was abused by her parents. She states "my mother ran my father out when I was young". What defense mechanism was used? 11. A woman calls the crisis hotline and says she has a loaded gun and is going to kill herself. To maintain patient confidentiality what would the nurse do? 12. A client with anger management issues uses belt making and bangs the leather heavily. What defense mechanisms is being used? 13. A bipolar client comes into the clinic and tells the nurse that the next time she sees her sister I'm going to kill her. What should the nurse do? 14. What would be the nurse's highest priority for a newly admitted depressed client upon admission? 15. Who is most prone to being abused (elder abuse)? 16. A client in the dayroom had tipped over a table and is escalating and has picked up a chair which he is threatening to throw at another client. What should the nurse do first? 17. A woman who is psychotic is carrying all of her belongings around with her because she is afraid that someone will steal it. What is the best way to establish trust? 18. In adolescent group discussing a handout on anger management, a client is becoming increasingly interruptive and talking about his home and pets. What is the nurse's most appropriate response? 19. What is the most important intervention for a client with bulimia? • Plan scheduled meals. 20. A client comes into the ED with DTs. What should the nurse do first? 21. What are the side effects of Risperdal? 22. A client who is refusing to take his medication is wandering on the unit and going in and out of resident's rooms. What is the priority? 23. A nurse observes a client in the dayroom talking to himself. What should the nurse do first? 24. A client comes to the nurses' station and told the nurse that her roommate had cut her wrists in the bathroom. After assessing and dressing the wounds, what should the nurse do next? . 25. A man comes into the ER after being in a car accident with an alcohol level greater than 2, what should the nurse prepare to administer? 26. What would be proper teaching for a client who is to start taking Antabuse? 27. Alzheimer's patient-nurse goes to do dressing change and the client refuses. What should the nurse do? . 28. A client is confused in an acute care hospital setting. What would support the dx of delirium instead of dementia? 29. An elderly woman is brought to the ER with multiple stages of healing bruises. What should the nurse do? 30. A business man is stressed about his finances, has anxiety and sleeplessness. 31. A mother comes into the clinic with her son who is being accused of a crime. She is worried her son will go to jail. What should the nurse say to the mother? 32. What is a common side effect of cocaine use. 33. A client on LSD comes into the ER. How do you approach the client? 34. A client taking Meth and Benzo's, what would the nurse prepare to do for overdose? 35. An alcoholic father tells his wife and children to stay away from him. What is the most important nursing dx? 36. What should you advise a patient who is on a MAOI not to eat? 37. The parents of a teenager who has overdosed what is the first question to ask? 38. A client becomes agitated when the nurse is talking to his wife. He has not eaten in 3 days. What should the nurse do? 39. When opening a mental health clinic... 40. A client with a hx of depression and abusing alcohol with their depression getting worse. What is the most important nursing dx? 41. A woman is being abused by her husband; the abuse is escalating. What would the nurse ask first? 42. A patient has stopped taking Depakote six months ago, what would the nurse assess? 43. A nurse visits a community half way house with one bathroom. The nurse notices urine all over the walls of the bathroom. The toilet is clogged with feces and paper towels. 44. A client with Alzheimer's keeps asking for his mother. What is the nurses appropriate response? 45. A client is told to come in by friends, clients complaints include losing his job, just got a divorce, single dad with two kids, what would be the best question for nurse to ask? 46. What are the side effects of Lithium? 47. A client with an anxiety disorder is demonstrating signs of panic. Which intervention would be the most appropriate for the nurse to implement 48. A client tells the nurse that he is an accomplished writer and that directors of television shows contact him for suggestions on actors and locations. The nurse realizes this client is experiencing the delusion of 49. A client tells the nurse that his father died after the client thought about it for a few days. The nurse suspects the client is delusional and is demonstrating: 50. The nurse overhears a client diagnosed with terminal cancer tell a family member that he will be discharged soon, will return to work, and plans to attend a company event scheduled in a year. The nurse realizes this client is demonstrating the defense mechanism of 51. A female client diagnosed with depression tells the nurse that her husband wants her to “fix herself up” and put on nice clothes. The client continues by saying that she believes her husband is interested in another woman. What should the nurse respond to the client? 52. A client diagnosed with schizophrenia has been refusing prescribed oral medication for several days. The client has broken chair and is coming after another client with the broken chair leg, threatening to do physical harm. What should the nurse do first? 53. The nurse has identified the diagnosis imbalance Nutrition: More than body requirements for a client diagnosed with bulimia. Which intervention would be appropriate for this diagnosis? 54. A client tells the nurse that he has a fear of flying on an airplane but needs to attend a work-related meeting in another part of the country and will have to fly to get there. What can the nurse do to assist this client? 55. During an assessment, a client from the Hispanic culture refuses to maintain eye contact with the nurse. After the nurse overhears the client say “evil eye” to a family member, the nurse realizes the client is demonstrating characteristics of which cultural-specific syndrome? 56. Induced by witchcraft [Show More]

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