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A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells the RN that he $17.99   Add to cart

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A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells the RN that he

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A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells the RN that her sister thinks she is neurotic and calls he...

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  • December 16, 2023
  • 74
  • 2023/2024
  • Exam (elaborations)
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HESI RN MENTAL HEALTH V 1-3 Q & A COMPLETE
LATEST SOLUTIONS.Approved

, HESI RN MENTAL HEALTH V 1-3 Q & A COMPLETE
LATEST SOLUTIONS.Approved


A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle
aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the
physical assessment, the client tells the RN that her sister thinks she is neurotic and calls her a
hypochondriac. Which response is best for the RN to provide?

, A. Unless your sister has a medical education, ignore her comments.
B. I can hear that your sister comments are over-whelming you.
C. Do you think it’s possible that you might be a hypochondriac?
D. Besides your sister’s comments, what in your life is troubling you?




2) The RN is leading a group on the inpatient psychiatric unit. Which approach should the
RN use during the working phase of group development?
A. Establishing a rapport with group members.
B. Clarifying the nurse’s role and clients’ responsibilities.
C. Discussing ways to use new coping skills learned.
D. Helping clients identify areas of problem in their lives.




3) A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to
other clients on the unit. What intervention is best for the RN to implement?
A. Isolate the client from the other clients.
B. Administer PRN sedative.
C. Avoid recognizing the
behavior. D. Escort the client to his
room.
4) During admission to the psychiatric unit, a female client is extremely anxious and states that
she is worried about the sun coming up the next day. What intervention is most important for
the RN to implement during the admission process?
A. Assist the client in developing alternative coping skills.
B. Remain calm and use a matter-of-fact approach.
C. Ask the client why she is so anxious
D. Administer a PRN sedative to help relieve her anxiety.




5) A female client is brought to the emergency department after police officers found her
disoriented, disorganized, and confused. The RN also determines that the client is homeless
and is exhibiting suspiciousness. The client’s plan of care should include what priority
problem?

, A. Acute confusion.
B. Ineffective community coping
C. Disturbed sensory perception.
D. Self-care deficit.




6) The occupational health nurse is working with a female employee who was just notified that
her child was involved in a MVA and taken to the hospital. The employee states, “I can’t
believe this. What should I do?” Which response is best for the RN to provide in this crisis?
A. Tell me what you think should happen.
B. How serious was the collision?
C. What do you think you should do?
D. Call for transportation to the hospital.




7) A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also
reports that he is married to a female movie star and thinks that his brother wants a sexual
relationship with her. What is the priority nursing problem for admission to the psychiatric
unit?
A. Ineffective sexual patterns.
B. Impaired environmental interpretation.
C. Disturbed sensory perception.
D. Compromised family coping.

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