HESI PN MENTAL HEALTH

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1.A nurse on a mental health unit is assisting with the plan of care for a newly admitted client who has anorexia nervosa. Which of the following actions should the nurse include in the plan of care ... ? Answer: Offer liquid supplements to the client 2. A nurse in a mental health facility is caring for a client who has schizophrenia. The client becomes violent in the dayroom and begins throwing objects at staff and other clients. After calling for assistance. Which of the following actions should the nurse take next? Answer: Tell the client calmly to sit down 3. A nurse caring for a group of clients on a mental health unit. Which of the following client behaviors should the nurse reports to the charge nurse? Answer: A client who is manic has been pacing the unit for several hours 4. A nurse is collecting data from a client who is taking valproic acid for the treatment of bipolar disorder. The nurse should identify that which of the following findings is priority to report to the provider? Answer: Bleeding gums 5. A nurse is attempting to resolve an ethical dilemma that involves a client’s medical decisions and his own personal values. After collecting data and identifying the problem, which of the following actions should the nurse take next? Answer: Determine the benefits and consequences of respecting the client’s medical decisions 6. A nurse is reinforcing teaching with a client who has obsessive-compulsive disorder and performs hand hygiene to decrease anxiety. Which of the following actionsshould the nurse take to demonstrate modeling as a behavioral intervention strategy? Answer: Demonstrating performing hand hygiene at appropriate times 7. A nurse is caring for a client who has antisocial personality disorder. Which of the following actions should the nurse take when caring for the client? Answer: Remind the client of consequences for unacceptable behavior 8. A nurse is assisting with the plan of care for a client who is malnourished due o alcohol use disorder. Which of the following interventions should the nurse include in the plan? Answer: Restrict the client’s sodium intake 9. A nurse is collecting data from a client whose home was destroyed by a fire. Which of the following responses should the nurse make first? Answer: Are you experiencing feelings of hopelessness? 10. A nurse is reinforcing teaching with the parent of an adolescent who has amphetamine use disorder. Which of the following statements by the parent should the nurse identify as indicating an understanding of the teaching? Answer: Dilated pupils are a sign my child is using amphetamines 11. A nurse is collecting data from a client who has agoraphobia. The nurse should identify that which of the following situations will increase the client’s anxiety? Answer: Traveling in an airplane 12. A nurse is monitoring communication between a client who has alcohol use disorder and her partner. Which of the following communication patters of the client’s partner should the nurse identify as being effective? Answer: I become very angry when you get drunk 13. A nurse is preparing to administer lithium 450 mg PO to a client who has bipolar disorder. Available is lithium 150 mg capsules. How many capsules should the nurse administer? Answer: 3 capsules 14. A nurse is collecting data from a client who uses alcohol” to cope with stress.’’ Which of the following questions should the nurse ask? Answer: What daily activities are disrupted because of your alcohol consumption? 15. A nurse is reinforcing teaching with an adolescent client who has a history of aggressive behavior. Which of the following statements should the nurse make? Answer: Have you considered participating in a sport to help control your aggression 16. A nurse on an inpatient mental health unit is supervising a group of clients in the unit’s dayroom. The nurse failsto respond to the escalating, aggressive behavior of a client eventually becomes violent and injures another client. For which of the following is the nurse liable? Answer: Negligence 17. A nurse is reviewing the medical record of a client who has schizophrenia. For which of the following findings should the nurse withhold the client’s medications and notify the provider? Answer: WBC count 18. A nurse on a mental health unit is caring for four clients who have schizophrenia. Which of the following clients should the nurse see first? Answer: The client who is experiencing command hallucinations 19. A nurse is reinforcing teaching about stress management techniques with a client who has mild anxiety. Which of the following statements should the nurse make? Answer: You should listen to music when you feel stress 20. A nurse is caring for a client who is undergoing outpatient electroconvulsive therapy (ECT) to treat rapid-cycling bipolar disorder. Following the procedure, which of the following action should the nurse take? [Show More]

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