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HESI MENTAL HEALTH RN V1-V3 LATEST UPDATE 2023/2024 TEST BANK RATED A+ NEW VERSIONS
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HESI MENTAL HEALTH RN V1-V3 LATEST UPDATE 2023/2024TEST BANK RATED A+ NEW VERSIONS
A client on the mental health unit is becoming more agitated, shouting at the staff, and pacing in the
hallway. When the PRN medication is offered, the client refuses the medication and defiantly sits on the
floor in the middle of the unit hallway. What nursing intervention should the RN implement first? -
ANSWER-Take other clients in the area to the client lounge
A client is admitted to the mental health unit and reports taking extra anxiety medications because, "I'm
so stressed out. I just want to go to sleep." The RN should plan one on one observation of the client
based on which statement? - ANSWER-"I don't want to walk. Nothing matters anymore."
A male hospital employee is pushed out the way by a female employee because of an oncoming gut hey.
The pushed employee becomes very angry and swings at the female employee. Both employees are
referred for counseling with the staff psychiatric RN. Which factor in the pushed employee's history is
most related to the reaction that occurred? - ANSWER-Was physically abused by his mother.
The RN 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 RN that she believes the television
talks to her. The RN should document these assessment findings in which section of the mental status
exam/ - ANSWER-Insight and judgement
A client is admitted to the mental health unit reports shortness of breath and dizziness. The client tells
the RN. "I feel like I'm going to die." Which nursing problem should the RN include in this client's plan of
care? - ANSWER-Moderate anxiety
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? - ANSWER-Offer
the client a safe place to relax before interviewing her
The RN leading a group session of adolescent clients gives the members a handout about anger
management. One of the male clients is fidgety, interrupts peers when they try and talk, and talks about
his pets at home. What nursing action is best for the RN to take? - ANSWER-Redirect him by encouraging
him to read from the handout
, HESI MENTAL HEALTH RN V1-V3 LATEST UPDATE 2023/2024
TEST BANK RATED A+ NEW VERSIONS
A male adolescent was admitted to the unit two days ago for depression. When the mental health RN
tries to interview the client to establish rapport, he becomes very irritated and sarcastic. Which action
os best for the RN to take? - ANSWER-Offer to play a game of cards with the client
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? - ANSWER-Do not take any over the counter meds
After receiving treatment for anorexia, a student asks the school RN for permission to work in the school
cafeteria as part of the school's work study program. What action should the RN take? - ANSWER-
Recommend assignment to the receptionist's office
The RN accepts a transfer to the mental health unit and understands that the client is distractible and is
exhibiting a decreased ability to concentrate. The RN only has 15 minutes to talk to the client. To
develop treatment plan for this client, which assessment os most important for the RN to obtain? -
ANSWER-Mental status examination
A male client who recently lost a loved one arrives at the mental health center and tells the RN he is no
longer interested in his usual activities and has not slept for several days. Which priority nursing
problem should the RN include in the client's plan of care? - ANSWER-Sleep deprivation
A male client with long history of alcohol dependency arrives in the emergency department describing
the feelings of bugs crawling on his body. His blood pressure is 170/102, his pulse rate is 110 bpm, and
his blood alcohol level os 0mg/dL. Which prescription shold the RN administer? - ANSWER-Lorazepam
(Ativan)
A client who refuses antipsychotic medications disrupts group activities, talks with nonsensical words
and wanders into client's rooms. The RN decides that the client needs constant observation based on
which of these assessment findings? - ANSWER-Wanders into the clients rooms
A client with schizophrenia explains that she has 20 children and then very seriously points to the RN
and explains that she os one of them. What is the most therapeutic response for the RN to provide/ -
ANSWER-"My name tag shows that I am an RN here."
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CHAPTER 14 CARE OF PREOPERATIVE PATIENTS NCLEX QUESTIONS WITH ANSWERS 100% CORRECT
