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Exam (elaborations)

HESI MENTAL HEALTH RN V1-V3 2021 TEST BANKS (ALL TOGETHER)

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HESI MENTAL HEALTH RN V1-V3 2021 TEST BANKS (ALL TOGETHER) 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 A female client with a history of drinking who was admitted 8 hours ago after receiving treatment for minor abrasions occurred from a fallat 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 • 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 • 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 • 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 • 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 • 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. Whataction should the nurse take first • ask the client to identify problems that have occurred during thelast month 15. 16. A 26-year-old female client has been particularly restless and thenurse finds her trying to leave the psychiatric unit. She tells 17. her the nurse," please let me leave because the secret police areafter me." Which response is best for the nurse 18. come with me to your room and I will sit with you 19. 20. 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 21. Benztropine (Cogentin) 22. A young woman is preparing to be discharged from the psychiatric unit. Which nursing intervention is most important for thenurse to include in this phase of the nurse client relationship 23. explore the client's feelings related to discharge 24. 25. 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 26. becomes the faculty sponsor for students against drunk driving (SADD) 27. 28. 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 29. Lithium is excreted by the kidneys and creatinine is related to kidney functioning 30. 31. The nurse is teaching a client about the initiation of a prescribed abstinence therapy using disulfiram (Antabuse). What information should the client acknowledge understanding? 32. remain alcohol free for 12 hours prior to the first dose 33. 34. When preparing to administer a domestic violence screening toolto a female client, which statement should the nurse provide 35. all clients are screened for domestic abuse because it is commonin our society 36. 37. A client with schizophrenia who is taking Haldol begins exhibiting tremors of the extremities. Which intervention should the nurse implement 38. consult with the healthcare provider about reducing the dosage 39. 40. A male client with bipolar disorder tells the nurse that he needsto "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 41. delay business decisions until his mania subsides 42. 43. one on one session and nurse begins to get angry at patient 44. terminate session 45. 46. patient with schizophrenia, drug and alcohol abuse in hospital for hepatitis, contact healthcare provider before giving 47. acetaminophen 48. teenaged girl self-induced vomiting 49. frequency of binging and purging behaviors 50. 51. antidepressant side effects 52. dry mouth, blurred vision, constipation 53. 54. no TV in room tell patient 55. it is important to be out of your room and talking to others 56. 57. A woman who started chemotherapy three days ago for cancerof the breast calls the clinic reporting that she is so upset she cannotsleep. The client has several PRN medications available. Which drug should the nurse instruct her to take? 58. Lorazepam (Ativan) 8 mg PO HS

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