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HESI Mental Health Psychiatric 2018 V1-V4 176 Questions and Answers PDF PRINTED
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2018 Hesi Mental V11. 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
2. 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
-Ask client about alcohol quantity, frequency, and time of last drink
3. A male client is admitted to the psychiatric inpatient unit with a bandaged flesh wound
after attempting to shoot himself. he is recently divorced one year ago, lost his job four
months ago, and suffered a break up of his current relationship last week. What is the
most likely source of this client's current feelings of depression
-a sense of loss
4. What is the most important goal for a client diagnosed with major depression who has
been receiving an antidepressant medication for two weeks
-No attempt to committee suicide
5. A male adult comes to the mental health clinic and walks back and forth in front of the
office door, but does not enter the office. He then walks around a chair that is in the
hallway several times before sitting down in the chair. What action should the nurse take
first
-observe the client in the chair
6. A male client in the mental health unit is guarded and vaguely answers the nurse's
questions. He isolates to his room and sometimes opens the door to peek into the hall.
Which problem can the nurse anticipate
-delusions of persecution
7. A male client who is seen in the mental health clinic monthly reports feeling very stressed
and nervous and further describes becoming angry increasingly more often during the
last month. What action should the nurse take first
-ask the client to identify problems that have occurred during the last month
8. A 26-year-old female client has been particularly restless and the nurse finds her trying to
leave the psychiatric unit. She tells her the nurse," please let me leave because the secret
police are after me." Which response is best for the nurse
-come with me to your room and I will sit with you
,2018 Hesi Mental V1
9. The nurse is preparing medications for a client with bipolar disorder and notices that the
antipsychotic medication was discontinued several days ago. Which medication should
also be discontinued
Benztropine (Cogentin)
10. A young woman is preparing to be discharged from the psychiatric unit. Which nursing
intervention is most important for the nurse to include in this phase of the nurse client
relationship
explore the client's feelings related to discharge
11. A female high school teacher who was a child of alcoholic parents seeks counseling at the
community health clinic because of depression over a student who was killed by a drunk
driver. After several weeks of counseling, which behavior is the best indicator that the
client is coping well with the anxiety related to the student's death
becomes the faculty sponsor for students against drunk driving (SADD)
12. A male client arrives at the mental health clinic and asks the nurse for more lithium and
the antidepressant (Elavil) that he uses to help him sleep. After reviewing his assessment
findings with the healthcare provider, a serum creatinine is obtained. What information
supports the reason for this laboratory test
Lithium is excreted by the kidneys and creatinine is related to kidney functioning
13. The nurse is teaching a client about the initiation of a prescribed abstinence therapy
using disulfiram (Antabuse). What information should the client acknowledge
understanding?
remain alcohol free for 12 hours prior to the first dose
14. When preparing to administer a domestic violence screening tool to a female client,
which statement should the nurse provide
all clients are screened for domestic abuse because it is common in our society
15. A client with schizophrenia who is taking Haldol begins exhibiting tremors of the
extremities. Which intervention should the nurse implement
consult with the healthcare provider about reducing the dosage
16. A male client with bipolar disorder tells the nurse that he needs to "make some deals so
that he can improve his retirement savings." Based on this information, which client
outcome should the nurse include in the plan of care
delay business decisions until his mania subsides
, 2018 Hesi Mental V1
17. one on one session and nurse begins to get angry at patient
terminate session
18. patient with schizophrenia, drug and alcohol abuse in hospital for hepatitis, contact
healthcare provider before giving
acetaminophen
19. teenaged girl self-induced vomiting
frequency of binging and purging behaviors
20. antidepressant side effects
dry mouth, blurred vision, constipation
21. no TV in room tell patient
it is important to be out of your room and talking to others
22. A woman who started chemotherapy three days ago for cancer of the breast calls the
clinic reporting that she is so upset she cannot sleep. The client has several PRN
medications available. Which drug should the nurse instruct her to take?
Lorazepam (Ativan) 8 mg PO HS
23. A male adult is admitted because of an acetaminophen (Tylenol) overdose. After transfer
to the mental health unit, the client is told he has liver damage. Which information is
most important for the nurse to include in the client's discharge plan?
do not take any over the counter meds
24. patient being discharged
discuss feelings of discharge
25. The nurse documents the mental status of a female client who has been hospitalized for
several days by court order, The client states, "I don't need to be here" and tells the nurse
that she believes that the television talks to her. The nurse should document these
assessment findings in which section of the mental status exam?
insight and judgement
26. depressed mother and daughter speaks in group
I hear you say you worry about your mother's distress
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