Mental Health Practice HESI Questions with accurate answers, 2022/2023. Rated A

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Mental Health Practice HESI Questions with accurate answers, 2022/2023. Rated A At the first meeting of a group of older adults at a daycare center for the elderly, the nurse asks one of the memb... ers what kinds of things she would like to do with the group. The older woman shrugs her shoulders and says, "You tell me, you're the leader." What is the best response for the nurse to make? - ✔✔"Yes, I will be leading this group. What would you like to accomplish during this time?" Over a period of several weeks, one male participant of a socialization group at a community day care center for the elderly monopolizes most of the group's time and interrupts others when they are talking. What is the best action for the nurse to take in this situation? - ✔✔Talk to the client outside the group about his behavior during group meetings. An 86-year-old female client with Alzheimer's disease is wandering the busy halls of the extended care facility and asks the nurse, "Where should I stand for the parade?" Which response is best for the nurse to provide? - ✔✔"Remember I told you that this is a nursing home and I am your nurse." Physical examination of a 6-year-old reveals several bite marks in various locations on his body. X-ray examination reveals healed fractures of the ribs. The mother tells the nurse that her child is always having accidents. Which initial response by the nurse is most appropriate? - ✔✔"Tell me more specifically about your child's accidents." A child is brought to the emergency room with a broken arm. Because of other injuries, the nurse suspects the child may be a victim of abuse. When the nurse tries to give the child an injection, the child's mother becomes very loud and shouts, "I won't leave my son! Don't you touch him! You'll hurt my child!" What is the best interpretation of the mother's statements? The mother is - ✔✔projecting her feelings onto the nurse. A 38-year-old female client is admitted with a diagnosis of paranoid schizophrenia. When her tray is brought to her, she refuses to eat and tells the nurse, "I know you are trying to poison me with that food." Which response would be most appropriate for the nurse to make? - ✔✔"I'll leave your tray here. I am available if you need anything else." A 25-year-old female client has been particularly restless and the nurse finds her trying to leave the psychiatric unit. She tells the nurse, "Please let me go! I must leave because the secret police are after me." Which response is best for the nurse to make? - ✔✔"Come with me to your room and I will sit with you." A 45-year-old male client tells the nurse that he used to believe that he was Jesus Christ, but now he knows that he is not. Which response is best for the nurse to make? - ✔✔"I think you're getting well." A nurse working in the emergency room of a children's hospital admits a child whose injuries could have resulted from abuse. Which statement most accurately describes the nurse's responsibility in cases of suspected child abuse? - ✔✔The nurse should report any case of suspected child abuse to the nurse in charge. A client who is being treated with lithium carbonate for bipolar disorder develops diarrhea, vomiting, and drowsiness. What action should the nurse take? - ✔✔Notify the healhcare provider immediately and prepare for administration of an antidote. A client on the psychiatric unit appears to imitate a certain nurse on the unit. The client seeks out this particular nurse and imitates the nurse's mannerisms. The nurse knows that the client is using which defense mechanism? - ✔✔Identification The nurse is planning the care for a 32-year-old male client with acute depression. Which nursing intervention would be best in helping the client deal with his depression? - ✔✔Ensure that the client's day is filled with group activities. An anxious client expressing a fear of people and open places is admitted to the psychiatric unit. What is the most effective way for the nurse to assist this client? - ✔✔Confront her fears and discuss the possible causes of these fears. A client with bipolar disorder on the mental health unit becomes loud, and shouts at one of the nurses, "You fat tub of lard! Get something done around here!" What is the best initial action for the nurse to take? - ✔✔Redirect the client's energy by asking him to tidy the recreation room. A 35-year-old male client who has been hospitalized for two weeks for chronic paranoia continues to state that someone is trying to steal his clothing. The most appropriate action for the nurse to take is to - ✔✔encourage the client to actively participate in assigned activities on the unit. On admission, a highly anxious client is described as delusional. The nurse understands that delusions are most likely to occur with which class of disorder? - ✔✔Psychotic. A client is admitted with a diagnosis of depression. The nurse knows that which characteristic is most indicative of depression? - ✔✔A negative view of self and the future. A 45-year-old female client is admitted to the psychiatric unit for evaluation. Her husband states that she has been reluctant to leave home for the last six months. The client has not gone to work for a month and has been terminated from her job. She has not left the house since that time. This client is displaying symptoms of what condition? - ✔✔Agoraphobia. A client who has been admitted to the psychiatric unit tells the nurse, "My problems are so bad that no one can help me. "Which response is best for the nurse to make? - ✔✔"Let's talk about what is right with your life." A woman brings her 48-year-old husband to the outpatient psychiatric unit and describes his behavior to the admitting nurse. She states that he has been sleepwalking, cannot remember who he is, and exhibits multiple personalities. The nurse knows that these behaviors are often associated with - ✔✔dissociative disorder. A 27-year-old female client is admitted to the psychiatric hospital with a diagnosis of bipolar disorder, manic phase. She is demanding and active. Which intervention should the nurse include in this client's plan of care? - ✔✔Provide a structured environment with little stimuli. The nurse plans to help an 18-year-old female intellectually disabled client ambulate the first postoperative day after an appendectomy. When the nurse tells the client it is time to get out of bed, the client becomes angry and tells the nurse, "Get out of here! I'll get up when I'm ready!" Which response is best for the nurse to make? - ✔✔"I'll be back in 30 minutes to help you get out of bed and walk around the room." A 46-year-old female client has been on antipsychotic neuroleptic medication for the past three days. She has had a decrease in psychotic behavior and appears to be responding well to the medication. On the fourth day, the client's blood pressure increases, she becomes pale and febrile, and demonstrates muscular rigidity. Which action will the nurse initiate? - ✔✔Immediately transfer the client to the ICU. A male client is admitted to the psychiatric unit with a medical diagnosis of paranoid schizophrenia. During the admission procedure, the client looks up and states, "No, its not MY fault. You can't blame me. I didn't kill him, you did." What action is best for the nurse to take? - ✔✔Tell the client that no one is accusing him of murder and remind him that the hospital is a safe place. A 35-year-old male client on the psychiatric unit of a general hospital believes that someone is trying to poison him. The nurse understands that a client's delusions are most likely related to his - ✔✔Low self-esteem A client who is diagnosed with schizophrenia is admitted to the hospital. The nurse assesses the client's mental status. Which assessment finding is most characteristic of a client with schizophrenia? - ✔✔Flat affect. The nurse is conducting discharge teaching for a client with schizophrenia who plans to live in a group home. Which statement is most indicative of the need for careful follow-up after discharge? - ✔✔"Only my belief in God can help me." A 52-year-old male client in the intensive care unit who has been oriented suddenly becomes disoriented and fearful. Assessment of vital signs and other physical parameters reveal no significant change and the nurse formulates the diagnosis, "Confusion related to ICU psychosis." Which intervention would be best to implement? - ✔✔Cluster care so [Show More]

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