HESI MENTAL HEALTH V4 2018 55 QUESTIONS WITH CORRECT ANSWERS.

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1. A nurse is explaining a fre drill routne to a group of clients. A client becomes disruptve and contnually interrupts the group. What is the nurse's best response?  When you interrupt, I cannot... explain what to do to the group. 2. When performing a MSE on a client which assessment interventon would best assist the nurse?  Ask the client to interpret the proverb a sttch in tme saves nine. 3. A client comes in afer being in a car accident and is experiencing alcohol withdrawal, magnesium level of 1.1, cardiac dysrhythmias. What would you give frst?  Magnesium. 4. A woman is just told of her husband's dx of terminal cancer. What would the nurse offer for the spouse (wife)?  How would you like to be involved with your husband's care? 5. A nurse is to remove staples from an abdominal incision, the client is very anxious. What is the most important interventon?  Atempt to distract the client with general conversaton. 6. A man who was stranded on the roof of his house for two days afer a natural disaster, months later ...  Implement anxiety control strategies 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?  You didn't do anything wrong. You have a chemical imbalance in your brain. 8. A client becomes upset when the nurse he requests is not assigned to him, what is the nurse's best response?  Advise the client that nursing assignments are not based on client requests. 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 getng dirty. What is this mechanism?  Compulsion. This study source was downloaded by 100000822939343 from CourseHero.com on 06-09-2021 04:24:28 GMT -05:00 https://www.coursehero.com/file/41826145/4-HESI-MENTAL-HEALTH-PSYCH-55-QUESTIONSdoc/ This study resource was shared via CourseHero.com10. A client in group is talking about her prosttuton, 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?  Repression. 11. A woman calls the crisis hotline and says she has a loaded gun and is going to kill herself. To maintain patent confdentality what would the nurse do?  Contact the person the client chooses to go to the home and remove the weapon. 12. A client with anger management issues uses belt making and bangs the leather heavily. What defense mechanisms is being used?  Sublimaton. 13. A bipolar client comes into the clinic and tells the nurse that the next tme she sees her sister I'm going to kill her. What should the nurse do?  Inform the sister. 14. What would be the nurse's highest priority for a newly admited depressed client upon admission?  The nurse should go through the client's belongings. 15. Who is most prone to being abused (elder abuse)?  Females over 75 living with their families. 16. A client in the dayroom had tpped over a table and is escalatng and has picked up a chair which he is threatening to throw at another client. What should the nurse do frst?  Go and get more staff assistance. 17. A woman who is psychotc 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?  Make brief contact with the client throughout the day. 18. In adolescent group discussing a handout on anger management, a client is becoming increasingly interruptve and talking about his home and pets. What is the nurse's most appropriate response?  Redirect the client to read the handout. 19. What is the most important interventon for a client with bulimia? This study source was downloaded by 100000822939343 from CourseHero.com on 06-09-2021 04:24:28 GMT -05:00 https://www.coursehero.com/file/41826145/4-HESI-MENTAL-HEALTH-PSYCH-55-QUESTIONSdoc/ This study resource was shared via CourseHero.com Plan scheduled meals. 20. A client comes into the ED with DTs. What should the nurse do frst?  Administer Atvan. 21. What are the side effects of Risperdal?  Fever, tachycardia, and sweatng. 22. A client who is refusing to take his medicaton is wandering on the unit and going in and out of resident's rooms. What is the priority?  Wandering in and out of other client's rooms. 23. A nurse observes a client in the dayroom talking to himself. What should the nurse do frst?  Ask the client if he’s currently hearing voices? 24. A client comes to the nurses' staton and told the nurse that her roommate had cut her wrists in the bathroom. Afer assessing and dressing the wounds, what should the nurse do next?  Move the client to a private room by the nurse's staton. 25. A man comes into the ER afer being in a car accident with an alcohol level greater than 2, what should the nurse prepare to administer?  Give Atvan 26. What would be proper teaching for a client who is to start taking Antabuse?  Has not had anything alcoholic to drink for the last 48 hours. 27. Alzheimer's patent-nurse goes to do dressing change and the client refuses. What should the nurse do?  Leave and come back 30 minutes later. 28. A client is confused in an acute care hospital setng. What would support the dx of delirium instead of dementa?  Delirium: Started in hospital. 29. An elderly woman is brought to the ER with multple stages of healing bruises. What should the nurse do? This study source was downloaded by 100000822939343 from CourseHero.com on 06-09-2021 04:24:28 GMT -05:00 https://www.coursehero.com/file/41826145/4-HESI-MENTAL-HEALTH-PSYCH-55-QUESTIONSdoc/ This study resource was shared via CourseHero.com Take the woman aside and ask her about abuse. 30. A business man is stressed about his fnances, has anxiety and sleeplessness.  Limit intake of sugar and caffeine. 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?  Consequences of enabling behaviors. 32. What is a common side effect of cocaine use.  Heart atack. 33. A client on LSD comes into the ER. How do you approach the client?  Talk calmly and soothing to the client. 34. A client taking Meth and Benzo's, what would the nurse prepare to do for overdose?  Give Narcan. 35. An alcoholic father tells his wife and children to stay away from him. What is the most important nursing dx?  Risk for injury. 36. What should you advise a patent who is on a MAOI not to eat?  Cheese, beer, and avocado. 37. The parents of a teenager who has overdosed what is the frst queston to ask?  What drug did the client ingest? 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?  Take to quiet room and give PB crackers. 39. When opening a mental health clinic...  American Nursing Associaton. 40. A client with a hx of depression and abusing alcohol with their depression getng worse. What is the most important nursing dx?  Ineffectve coping. This study source was downloaded by 100000822939343 from CourseHero.com on 06-09-2021 04:24:28 GMT -05:00 https://www.coursehero.com/file/41826145/4-HESI-MENTAL-HEALTH-PSYCH-55-QUESTIONSdoc/ This study resource was shared via CourseHero.com41. A woman is being abused by her husband; the abuse is escalatng. What would the nurse ask frst?  Do you have a plan in place when you are not safe? 42. A patent has stopped taking Depakote six months ago, what would the nurse assess?  Mood. 43. A nurse visits a community half way house with one bathroom. The nurse notces urine all over the walls of the bathroom. The toilet is clogged with feces and paper towels.  Infecton control [Show More]

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