HESI Mental Health RN V1-V3 (2022/2023) Already Passed

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HESI Mental Health RN V1-V3 (2022/2023) Already Passed A client on the mental health unit is becoming more agitated, shouting at the staff, and pacing in the hallway. When the PRN medication is off... ered, the client refuses the medication and defiantly sits on the floor in the middle of the unit hallway. What nursing intervention should the RN implement first? ✔✔Take other clients in the area to the client lounge A client is admitted to the mental health unit and reports taking extra anxiety medications because, "I'm so stressed out. I just want to go to sleep." The RN should plan one on one observation of the client based on which statement? ✔✔"I don't want to walk. Nothing matters anymore." A male hospital employee is pushed out the way by a female employee because of an oncoming gut hey. The pushed employee becomes very angry and swings at the female employee. Both employees are referred for counseling with the staff psychiatric RN. Which factor in the pushed employee's history is most related to the reaction that occurred? ✔✔Was physically abused by his mother. The RN documents the mental status of a female client who has been hospitalized for several days by court order. The client states, "I don't need to be here" and tells the RN that she believes the television talks to her. The RN should document these assessment findings in which section of the mental status exam/ ✔✔Insight and judgement A client is admitted to the mental health unit reports shortness of breath and dizziness. The client tells the RN. "I feel like I'm going to die." Which nursing problem should the RN include in this client's plan of care? ✔✔Moderate anxiety A female client who is wearing dirty clothes and has foul body odor, comes to the clinic reporting feeling scared because she is being stalked. What action is most important for the RN to take? ✔✔Offer the client a safe place to relax before interviewing her The RN leading a group session of adolescent clients gives the members a handout about anger management. One of the male clients is fidgety, interrupts peers when they try and talk, and talks about his pets at home. What nursing action is best for the RN to take? ✔✔Redirect him by encouraging him to read from the handout A male adolescent was admitted to the unit two days ago for depression. When the mental health RN tries to interview the client to establish rapport, he becomes very irritated and sarcastic. Which action os best for the RN to take? ✔✔Offer to play a game of cards with the client A male adult is admitted because of an acetaminophen (Tylenol) overdose. After transfer to the mental health unit, the client is told he has liver damage. Which information is most important for the nurse to include in the client's discharge plan? ✔✔Do not take any over the counter meds After receiving treatment for anorexia, a student asks the school RN for permission to work in the school cafeteria as part of the school's work study program. What action should the RN take? ✔✔Recommend assignment to the receptionist's office The RN accepts a transfer to the mental health unit and understands that the client is distractible and is exhibiting a decreased ability to concentrate. The RN only has 15 minutes to talk to the client. To develop treatment plan for this client, which assessment os most important for the RN to obtain? ✔✔Mental status examination A male client who recently lost a loved one arrives at the mental health center and tells the RN he is no longer interested in his usual activities and has not slept for several days. Which priority nursing problem should the RN include in the client's plan of care? ✔✔Sleep deprivation A male client with long history of alcohol dependency arrives in the emergency department describing the feelings of bugs crawling on his body. His blood pressure is 170/102, his pulse rate is 110 bpm, and his blood alcohol level os 0mg/dL. Which prescription shold the RN administer? ✔✔Lorazepam (Ativan) A client who refuses antipsychotic medications disrupts group activities, talks with nonsensical words and wanders into client's rooms. The RN decides that the client needs constant observation based on which of these assessment findings? ✔✔Wanders into the clients rooms A client with schizophrenia explains that she has 20 children and then very seriously points to the RN and explains that she os one of them. What is the most therapeutic response for the RN to provide/ ✔✔"My name tag shows that I am an RN here." A high school girl reveals to the high school RN that she has been engaging in self- induced vomiting as weight-control measure. Which initial assessment should the RN focus on with this adolescent? ✔✔Frequent bingeing and purging behaviors. Narcan was administered to an adult client following a suicide attempt with an overdose of hydrocodone bitartrate(Vicodin). Within 15 minutes, the client is alert and oriented. In planning nursing care, which intervention has the highest priority at this time? ✔✔Observe the client for further narcotic efffects Following surgery, a male client with antisocial personality disorder frequently requests that a specific RN be assigned to his care and is belligerent when another RN is assigned. What action should the charge RN implement? ✔✔Advise the client that assignments are not based on the client's request When preparing to administer a prescribed medication to a homeless male at a community clinic, the client tells the RN that he usually takes a different dosage. What action should the RN take? ✔✔Withhold the medication until the dosage can be confirmed A client with depression remains in bed most of the day and declines activities. Which nursing problem has the greatest priority for this client>\? ✔✔Refusal to address nutritional needs [Show More]

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