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HESI RN MENTAL HEALTH:Question &Answer 100%Correct

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-A client with paranoia is admitted to the mental health unit and immediately goes to the corner of the room and sits quietly without communicating. In approaching the client, what intervention should ... the nurse implement first? ( Answer) Explain the nurse's role to the client -client treated with lithium for bipolar develops diarrhea, vomiting and drowsiness, what action should the nurse do( Answer)Notify HCP of the symptoms prior to the next admin of the drug) -A mental health worker (MHW) is caring for a client with escalating aggressive behavior, which action by the MHW warrants immediate intervention by the nurse ( Answer) Is attempting to physically restrain the client. -woman who is bipolar is wearing low cut blouse, and skirt with no underwear, what does nurse do? ( Answer) Walk her to room and help her pick out something more appropriate -Older man who recently got divorced and is 2 years sober, and an alcoholic loves God. He loves kids also. What should nurse ask at his initial interaction ( Answer) What is your biggest concern? -Woman is diagnosed with breast cancer and she becomes dependent and asks family members if they can do ADL's that she is fully capable of doing. What is the reason for this behavior? ( Answer) Its expected; regression is a natural start for recovery -Patient having to get treated for benzodiazepam and methadone overdose. What do you use? ( Answer) Narcan -Patient watching TV starts talking loud to himself. The nurse comes in and can't distract him so turns down the TV. What should the nurse do then? ( Answer) Move client to quieter room -In group therapy the charge nurse notices a client increasing to severe levels of anxiety. What should the nurse do? ( Answer) Talk in a calm, approaching manner -A chronic depressed older man refuses to leave his room. His family moved away to a further location so they're not able to visit him as much. What approach should the nurse take with this man? ( Answer) May I lay with you for a little? -Patient who is really depressed and won't talk or communicate, later is energetic and talkative. What should the nurse do? ( Answer) Closely monitor the patient (could be suicidal [Show More]

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