Hesi rn mental health

1.A female client engages in repeated checks of door and window locks. Behavior that preventsher from arriving on time and interferes with her ability to function eZectively. What action should the nurse take ● plan a ...

1.A female client engages in repeated checks of door and window locks. Behavior that preventsher from arriving on time and interferes with her ability to function eZectively. What action should the nurse take ● plan a list of activities to be carried out daily. 2. A male client with schizophrenia is admitted to the mental health unit after abruptly stopping his prescription for ziprasidone (Geodon) one month ago. Which question is most important for the nurse to ask the client ● Do you hear voices. 3. A female client with a history of drinking who was admitted 8 hours ago after receiving treatment for minor abrasions occurred from a fall at home. 4. The nurse determines the client's blood alcohol level (BAL) was not analyzed on administration action should the nurse take ● Ask client about alcohol quantity, frequency, and time of last drink 5. Which client statement suggests to the nurse that the client is using the defense mechanism of projection to deal with anxiety related to admission to a psychiatric unit ● I am here because the police thought I was doing something wrong 6. A female client on a psychiatric unit is sweating profusely while she vigorously does push-ups and then runs the length of the corridor several times before crashing into the furniture in the sitting room. Picking herself up, she begins to toss chairs aside, looking for a red one to sit in. When another client objects to the disturbances, the client shouts," I am the boss here. I do what I want." Which nursing problem best supports these observation? HESI RN MENTAL HEALTH 11/6/2019 HESI RN MENTAL HEALTH 2018 V1 V2 V3 38 PAGES OF QUESTIONS AND ANSWERS FROM TEST.docx HESI RN MENTAL HEALTH V1-V3 2022/2023 chrome-extension://bpmcpldpdmajfigpchkicefoigmkfalc/views/app.html 9/25 ● Risk for other related violence related to disruptive 7. What is the most important goal for a client diagnosed with major depression who has been receiving an antidepressant medication for two weeks ● not attempt to commit suicide 8. Alcohol-Pancreatitis health assessment of history of alcohol dependency WHAT ELSE WOULD BE A CONCERN ● pancreatitis 9. Anorexia Nervosa-syncope Syncope is a clinical feature ● Abuse-BAL10. Admission A female client with a history of drinking who was admitted 8 hours ago after receiving treatment for minor abrasions occurred from a fall at home. The nurse determines the client's blood alcohol level (BAL) was not analyzed on administration action should the nurse take Blood alcohol level ● ask the client about alcohol quantity, frequency, and time of the last drink. 11. IPV- difficulty leaving victim of intimate partner violence what 3 things should you do 1. establish a code with family and friends to signify violence 2. plan an escape route to use if the abuser blocks main exit 3. have a bag ready that has extra clothes for self and children 12. Anger Management Give the client ● permission to be angry 13. Antisocial- interrupting A female client with bipolar disorder, manic phase, is planning weekend activities with the other clients on the unit. The client interrupts the group, insists that they change their plans to a disco party, and begins to curse loudly when the group refuses to change the plans. Which intervention should the nurse implement? ● Escort the client to a quieter place. 14. borderline personality disorder self-inflicted lacerations on abdomen ● perform the dressing change in a non-judgemental manner Rationale: Self-critical demanding, whiney, manipulative, argumentative and can be verbally abusive suicidal gestures. borderline personality disorder self-inflicted lacerations on abdomen perform the dressing change in a non -judge mental manner. 15. The nurse is assessing a client who is believed to have a borderline personality disorder. Which