NUR 202 HESI RN MENTAL HEALTH 2018-2019.

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HESI MENTAL HEALTH RN 2018- 2019 TEST BANKS A female client who is wearing dirty clothes and has foul body odor, comes to the clinic reporting feeling scared because she is being stalked. What action... is most important for the RN to take? Offer the client a safe place to relax before interviewing her. Ask the client to describe why she is being stalked. Recommend that the client talk with a social worker. Assure the client that the HCP will see her today. During an annual physical by the occupational RN working in a corporate clinic, a male employee tells the RN that is high-stress job is causing trouble in his personal life. He further explains that he often gets soaabnigrbry.cwohmile/hderisviing to and from work that he has considered “getting even” with other drivers. How should the RNrespond? “Anger is contagious and coualdbirrebs.ucltoimn m/haejosri confrontation.” “Try not to let your anger cause you to act impulsively.” “Expressing your anger to a starabnirgbe.rccoomul/dhreessui lt in an unsafe situation.” “It sounds as if there are many situations that make you feel angry.” A client who has agoraphobia (a feaar boifrbcr.ocwodms/)hisesbei ginning desensitization with the therapist, and the RN is reinforcing the process. Which intervention has the highest priority for this client’s plan of care? abirb.com/hesi A. Encourage substitution of positive thoughts and negative ones. B. Establish trust by providing a acablimrb, .scaofeme/nhveirsoinment. C. Progressively expose the client to larger crowds. D. Encourage deep breathing wahebnirban.cxoiemty/hesecsailates in a crowd. Which nursing actions are likely to help promote the self-esteem of a male client with modern depression? abirb.com/hesi Ask the client what his long term goals are. Discuss the challenges of his medical condition. Include the client in determining treatment protocol. Encourage the client to engage in recreational therapy. Provide opportunities for the client to discuss his concerns A client with depression remains in bed most of the day, and declines activities. Which nursing problem has the greatest priority for this client? Loss of interest in diversional activity. Social isolation. Refusal to address nutritional needs. Low self-esteem. The RN is preparing medications for a client with bipolar disorder and notices that the client discontinued antipsychotic medication for several days. Which medication should also be discontinued? Lithium. (Lithotabs) Benzotropine (Cogentin). Alprazolam (Xanax). Magnesium (Milk of Magnesia). A female client requests that her husband be allowed to stay in the room during the admission assessment. When interviewing the client, the RN notes a discrepancy between the client’s verbal and nonverbal communication. What action does the RN take? Pay close attention and docuambeinrbt .tcheomno/nhveesribal messages. Ask the client’s husband to interpret the discrepancy. Ignore the nonverbal behavioar banirdb.foccoums /ohnetshie client’s verbal messages. Integrate the verbal and nonverbal messages and interpret them as one. A male client approaches the RN withaabnirabn.gcroymex/hpreessision on his face and raises his voice, saying “My roommate is the most selfish, self-centered, angry person I have ever met. If he loses his temper one more time with ambei,rIba.cmogmoi/nhgetsoi punch him out!” The RN recognizes that the client is using which defense mechanism? Denial. Projection. Rationalization. Splitting. abirb.com/hesi abirb.com/hesi A male client with bipolar disorder whaobbirebg.canomtak/hinegsliithium carbonate five days ago is complaining of excessive thirst, and the RN finds him attempting to drink water from the bathroom sink faucet. Which interveanbtioirnb.schoomuld/htehesiRN implement? Report the client’s serum lithium level to the HCP. Encourage the client to suck on hard candy to relieve the symptoms. No action is needed since polydipsia is a common side effect. Tell the client that drinking from the faucet is not allowed. The RN is teaching a client about the initiation of the prescribed abstinence therapy using disulfiram (Antabuse). What information should the client acknowledge understanding? Completely abstain from heroin or cocaine use. Remain alcohol free for 12 hours prior to the first dose. Attend monthly meetings of alcoholics anonymous. Admit to others that he is a substance user. 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 RN to ask the client? Have you lost interest in the things that you used to enjoy? Is your ability to think or concentrate decreased? How many continuous hours do you sleep at night? Do you hear sounds or voices that others do not hear? During an annual physical by the occupational RN working in a corporate clinic, a male employee tells the RN that is high-stress job is causing trouble in his personal life. He further explains that he often gets so angry while driving to and from work that he has considered “getting even” with other drivers. How should the RNrespond? [Show More]

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