NURSING2058 Health Assessment Exam 2 study guide Q & As best exam solution guaranteed succ, Exams of Nursing

Download NURSING2058 Health Assessment Exam 2 study guide Q & As best exam solution guaranteed succ and more Exams Nursing in PDF only on Docsity! 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. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ HESI RN MENTAL HEALTH When preparing to administer to domestic violence screening tool to a female client, which statement should the RN provide? A. If your partner is abusing you, I need to ask these questions. B. State law mandates that I ask if you are a victim of domestic violence. C. The HCP provider needs to know if you are experiencing any domestic abuse. D. All clients are screened for domestic abuse because it is common in our society. (ANS- D 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 HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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. (ANS- A. 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. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? E. Assist the client in developing alternative coping skills. F. Remain calm and use a matter-of-fact approach. G. Ask the client why she is so anxious H. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ manner. C. Ask in a non-threatening manner why the client cut own abdomen. D. Request another staff member assist with the dressing change. (ANS- B While sitting in the day room of the mental health unit, a male adolescent avoids eye contact, looks at the floor, and talks softly when interacting verbally with the RN. The two trade places, and the RN demonstrates the client's behaviors. What is the main goal of this therapeutic technique? A.Initiate a non-threatening conversation with the client. B. Dialog about the ineffectiveness of his interactions. C. Allow the client to identify the way he interacts. D. Discuss the client's feelings when he responds. (ANS- C An antidepressant medication is prescribed for a client who reports sleeping HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? E. Assist the client in developing alternative coping skills. F. Remain calm and use a matter-of-fact approach. G. Ask the client why she is so anxious H. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ only 4 hours in the past 2 days and weight loss of 9 lbs within the last month. Which client goal is most important to achieve within the first three days of treatment? 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. (ANS- A HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? I. Assist the client in developing alternative coping skills. J. Remain calm and use a matter-of-fact approach. K. Ask the client why she is so anxious L. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ A. Meet scheduled appointment with dietitian. B. Sleep at least 6 hours a night. C. Understands the purpose of the medication regimen. D. Describes the reasons for hospitalization. (ANS- B 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? (ANS- D HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? M.Assist the client in developing alternative coping skills. N. Remain calm and use a matter-of-fact approach. O. Ask the client why she is so anxious P. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ B. Pulse rate of 68-78 BPM. C. Temperature of 99.5-99.7 F. D. Respiration rate of 24 breaths per minute. (ANS- A The RN on the evening shift receives report that a client is scheduled for electroconvulsive treatment (ECT) in the morning. Which intervention should the Rn implement the evening before the scheduled ECT? A. Hold all bedtime medications. B. Keep the client NPO after mid-night. C. Implement elopement precautions. D. Give the client an enema at bedtime. (ANS- B A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? M.Assist the client in developing alternative coping skills. N. Remain calm and use a matter-of-fact approach. O. Ask the client why she is so anxious P. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ daily is admitted to an acute care hospital for uncontrolled hypertension. What dietary choices should the RN instruct the client to avoid? HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? Q. Assist the client in developing alternative coping skills. R. Remain calm and use a matter-of-fact approach. S. Ask the client why she is so anxious T. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ A. Pan-seared catfish. B. Peperoni pizza. C. Deep fried shrimp. D. Beef trips with gravy. (ANS- B A mental health worker is caring for a client with escalating aggressive behavior. Which action by the mental health worker warrants immediate intervention by the RN? A. Is attempting the physically restrain the patient. B. Remains at a distance of 4 feet from the client. C. Tells the client to go to the quiet area of the unit. D. Is using a load voice to talk to the client. (ANS- A HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? U. Assist the client in developing alternative coping skills. V. Remain calm and use a matter-of-fact approach. W. Ask the client why she is so anxious X. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ D. Encourage the client to exercise. (ANS- B When developing a plan of care for a client admitted to the psychiatric unit following aspiration of a caustic material related to a suicide attempt, which nursing problem has the highest priority? A. Impaired comfort. B. Risk for injury. C. Ineffective breathing pattern. D. Ineffective coping. (ANS- C A female client on a psychiatric unit is sweating profusely while she vigorously does push- ups and then runs the length of the corridor several times before crashing into furniture in the sitting room. Picking herself up, she begins to toss chairs aside, looking for a red one to sit in. When another client objects to the HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? U. Assist the client in developing alternative coping skills. V. Remain calm and use a matter-of-fact approach. W. Ask the client why she is so anxious X. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ disturbance, the client shouts, "I am the boss here. I do what I want." Which nursing problem best supports these observations? A. Deficient diversional activity related to excess energy level. B. Risk for other related violence related to disruptive behavior. C. Risk for activity intolerance related to hyperactivity. D. Disturbed personal identity related to grandiosity. (ANS- B A RN is preparing the physical environment to interview a new client for admission to the mental health unit. Which environmental setting facilitates the best outcome of the interview? A. Dim the lights in the room to help the patient feel calm. B. Sit within two feet of the client to enhance level of safety and security. C. Reduce the noise level in the room by turning off the television and radio. D. Position table between the client and the RN for extra personal space. (ANS- C HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? Y. Assist the client in developing alternative coping skills. Z. Remain calm and use a matter-of-fact approach. AA. Ask the client why she is so anxious BB. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ An older homeless client visits the psychiatric clinic to obtain a prescription renewal for alprazolam (Xanax). During the health assessment, the client complains of chest pain. Which action should the RN take first? A. Refer the client to the cardiology unit. B. Obtain the client Blood pressure. C. Assess the client for substance abuse. D. Determine if Xanax was taken recently. (ANS- D The mother of an 8-month-old infant with profound mental and physical disabilities tells he RN how depressed she is because she realized that her child will never achieve normal growth and development milestones. How should the RN respond to the mother? A. Ask the mother if she has ever thought about harming herself or her child. B. Reassure the mother that her child will achieve some growth and HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? CC. Assist the client in developing alternative coping skills. DD. Remain calm and use a matter-of-fact approach. EE. Ask the client why she is so anxious FF. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ A. Feelings of frustration. B. A sense of loss C. Poor self-esteem. D. A lack of intimate relationships. (ANS- B 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 that the t.v talks to her. The RN should document these assessment statements in which section of the mental status exam? A. Insight and judgement. B. Mood and affect. C. Remote memory. D. Level of concentration. (ANS- A HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? GG. Assist the client in developing alternative coping skills. HH. Remain calm and use a matter-of-fact approach. II. Ask the client why she is so anxious JJ. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ An older ale client with schizophrenia is found smearing feces n the bathroom walls of the chronic mental health unit where he resides. What action should the RN implement? A. Explain that the feces belong in the toilet. B. Show the client how to clean the walls. C. Escort the client out of the bathroom. D. Assist the client to clean the walls. (ANS- C A male client tells the RN that he does not want to take the atypical antipsychotic drug, olanzapine (Zypexa), because of the side effects he experienced when he took the drug for a year. Which experience is most likely related to taking olanzapine? A. Weight gain of 75 lbs. B. Thoughts of wanting to hurt himself. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? GG. Assist the client in developing alternative coping skills. HH. Remain calm and use a matter-of-fact approach. II. Ask the client why she is so anxious JJ. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ C. Frequent days with diarrhea. D. Alerted liver function test. (ANS- A A college student who is a victim of a car-jacking presents to the community health center and report increased anxiety. During the interview, what nursing intervention should take the highest priority? A. Identify support systems in the community that may be helpful. B. Help the client feel safe to decrease anxiety. C. Ask the client to describe coping strategies that were helpful in the past. D. Encourage the client to verbalize anxiety related to event. (ANS- B The RN completes an assessment of a client who is experiencing intimate partner violence (IPV). Which finding of the injuries should the RN include in the documentation? HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? KK. Assist the client in developing alternative coping skills. LL. Remain calm and use a matter-of-fact approach. MM.Ask the client why she is so anxious NN. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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 (ANS- the client in the chair A female client engages in repeated checks of door and window locks. Behavior that prevents her from arriving on time and interferes with her ability to function e2ectively. What action should the nurse take (ANS- plans a list of activities to be carried out daily 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 (ANS- 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 fall at home.The nurse HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? OO. Assist the client in developing alternative coping skills. PP. Remain calm and use a matter-of-fact approach. QQ. Ask the client why she is so anxious RR. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ determines the client's blood alcohol level (BAL) was not analyzed on administration action should the nurse take (ANS- ask client about alcohol quantity, frequency, and time of last drink Which client statement suggests to the nurse that the client is using the defense mechanism of projection to deal with anxiety related to admission to a psychiatric unit (ANS- i am here because the police thought i was doing something wrong A female client on a psychiatric unit is sweating profusely while she vigorously does push- ups and then runs the length of the corridor several times before crashing into the furniture in the sitting room. Picking herself up, she begins to toss chairs aside, looking for a red one to sit in. When another client objects to the disturbances, the client shouts," I am the boss here. I do what I want." Which nursing problem best supports these observations? (ANS- risk for other related violence related to disruptive HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? OO. Assist the client in developing alternative coping skills. PP. Remain calm and use a matter-of-fact approach. QQ. Ask the client why she is so anxious RR. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ What is the most important goal for a client diagnosed with major depression who has been receiving an antidepressant medication for two weeks (ANS- not attempt suicide Admission 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 Blood alcohol level (ANS- ask the client about alcohol quantity, frequency, and time of last drink IPV- difficulty leaving victim of intimate partner violence what 3 things should you do (ANS- 1. establish a code with family and friends to signify violence 2. plan an escape route to use if the abuser blocks main exit HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? WW. Assist the client in developing alternative coping skills. XX. Remain calm and use a matter-of-fact approach. YY. Ask the client why she is so anxious ZZ. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ A woman is just told of her husband's dx of terminal cancer. What would the nurse offer for the spouse (wife)? (ANS- How would you like to be involved in your husband's care? A nurse is to remove staples from an abdominal incision, the client is very anxious. What is the most important intervention? (ANS- attempt to distract the client with general conversation A man dx with bipolar disorder states, "I don't understand, I believe in God and have not done anything to deserve this". What is the nurse's best response? (ANS- you didnt do anything wrong. you have a chemical imbalance in your brain A client becomes upset when the nurse he requests is not assigned to him, what is the nurse's best response? (ANS- advise the client that the nursing HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? WW. Assist the client in developing alternative coping skills. XX. Remain calm and use a matter-of-fact approach. YY. Ask the client why she is so anxious ZZ. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ assisngments are not based on client requests A client needs to wash her hands for two hours before able to go on with her morning. She doesn't want to sit on the chairs in the dayroom for fear of getting dirty. What is this mechanism? (ANS- compulsion A client in group is talking about her prostitution, the nurse asks her if she was abused by her parents. She states "my mother ran my father out when I was young". What defense mechanism was used? (ANS- repression A woman calls the crisis hotline and says she has a loaded gun and is going to kill herself. To maintain patient confidentiality what would the nurse do? (ANS- contact the person the client chooses to go to the home and remove the weapon HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? AAA. Assist the client in developing alternative coping skills. BBB. Remain calm and use a matter-of-fact approach. CCC. Ask the client why she is so anxious DDD. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ A client with anger management issues uses belt making and bangs the leather heavily. What defense mechanisms is being used? (ANS- sublimation Who is most prone to being abused (elder abuse)? (ANS- Females over 75 living with their families. client in the dayroom had tipped over a table and is escalating and has picked up a chair which he is threatening to throw at another client. What should the nurse do first? (ANS- go and get more staff assistance A woman who is psychotic is carrying all of her belongings around with her because she is afraid that someone will steal it. What is the best way to establish trust? (ANS- make brief contact with the client throughout the day HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? EEE. Assist the client in developing alternative coping skills. FFF.Remain calm and use a matter-of-fact approach. GGG. Ask the client why she is so anxious HHH. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ (ANS- has not had anything alcoholic to drink for the last 48 hours Alzheimer's patient-nurse goes to do dressing change and the client refuses. What should the nurse do? (ANS- leave and come back 30 minutes later A client is confused in an acute care hospital setting. What would support the dx of delirium instead of dementia? (ANS- delirium: started in hospital An elderly woman is brought to the ER with multiple stages of healing bruises. What should the nurse do? (ANS- Take the woman aside and ask about her abuse A business man is stressed about his finances, has anxiety and sleeplessness. (ANS- Limit intake of sugar and caffeine HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? III. Assist the client in developing alternative coping skills. JJJ. Remain calm and use a matter-of-fact approach. KKK. Ask the client why she is so anxious LLL. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ A mother comes into the clinic with her son who is being accused of a crime. She is worried her son will go to jail. What should the nurse say to the mother? (ANS- Consequences of enabling behaviors What is a common side effect of cocaine use? (ANS- MI A client on LSD comes into the ER. How do you approach the client? (ANS- Talk calmly and soothing to the client A client taking Meth and Benzo's, what would the nurse prepare to do for overdose? (ANS- give narcan An alcoholic father tells his wife and children to stay away from him. What is the most important nursing dx? (ANS- Risk for injury HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? III. Assist the client in developing alternative coping skills. JJJ. Remain calm and use a matter-of-fact approach. KKK. Ask the client why she is so anxious LLL. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ What should you advise a patient a MAOI not to eat? (ANS- Cheese, beer, & avacado The parents of a teenager who has overdosed what is the first question to ask? (ANS- What drug did the client ingest? A client becomes agitated when the nurse is talking to his wife. He has not eaten in 3 days. What should the nurse do? (ANS- Take to quiet room and give PB crackers While interviewing a client, the nurse takes notes to assist with accurate documentation later. Which statement is most accurate regarding note-taking during an interview? A. The nurses' ability to directly observe the client's non verbal communication is limited with note takes B. Taking notes during an interview is a legal obligation of the examining nurse. C. The client's comfort level is increased when the nurse breaks eye contact to HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? MMM. Assist the client in developing alternative coping skills. NNN. Remain calm and use a matter-of-fact approach. OOO. Ask the client why she is so anxious PPP.Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ avoids eye contact, looks at the floor, and talks softly when interacting verbally with the nurse. The two trade places, and the nurse demonstrate the client's behavior. What is the main goal of this therapeutic techniques? A. Discuss the client's feeling when he responds. B. Allow the client to identify the way he interacts. C. Initiate a non-threatening conversation with the client. D. Dialog about the ineffectiveness of his interactions. (ANS- B (The nurse is using role-playing to help the client identify his behavior when interacting with others, B which provides an opportunity for the client to rehearse assertive interactions) A client on the mental health unit is becoming more agitated, shouting at the staff, and pacing in the hallway. When a 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 nurse implement first? HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? QQQ. Assist the client in developing alternative coping skills. RRR. Remain calm and use a matter-of-fact approach. SSS. Ask the client why she is so anxious TTT. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ A. Transport of the client to the seclusion room. B. Take other clients in the area to the client lounge. C. Quietly approach the client with additional staff members. D. Administer medication to chemically restrain the client. (ANS- B (The most important intervention is to maintain the safety of other clients by removing them rom the proximity of the client who may potentially create a dangerous situation) A client with a hx of depression and abusing alcohol with their depression getting worse. What is the most important nursing dx? (ANS- Ineffective coping HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? UUU. Assist the client in developing alternative coping skills. VVV. Remain calm and use a matter-of-fact approach. WWW. Ask the client why she is so anxious XXX. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ A woman is being abused by her husband, the abuse is escalating. What would the nurse ask first? (ANS- Do you have a plan in place when you are not safe? SAFETY! A patient has stopped taking Depakote six months ago, what would the nurse assess? (ANS- Mood A client with Alzheimer's keeps asking for his mother. What is the nurse's appropriate response? (ANS- Your mothers not here but you are safe A client is told to come in by friends, client's complaints include losing his job, just got a divorce, single dad with two kids, what would be the best question for nurse to ask? (ANS- What is troubling you the most? HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? YYY. Assist the client in developing alternative coping skills. ZZZ. Remain calm and use a matter-of-fact approach. AAAA. Ask the client why she is so anxious BBBB. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ requirements for a client diagnosed with bulimia. Which intervention would be appropriate for this diagnosis? (ANS- Help client assess situations that precedes binginh A client tells the nurse that he has a fear of flying on an airplane but needs to attend a work- related meeting in another part of the country and will have to fly to get there. What can the nurse do to assist this client? (ANS- Instruct the client to visualize flying to the meeting destination During an assessment, a client from the Hispanic culture refuses to maintain eye contact with the nurse. After the nurse overhears the client say "evil eye" to a family member, the nurse realizes the client is demonstrating characteristics of which cultural-specific syndrome? (ANS- Induced by witchcraft HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? CCCC. Assist the client in developing alternative coping skills. DDDD. Remain calm and use a matter-of-fact approach. EEEE. Ask the client why she is so anxious FFFF. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? (ANS- a sense of loss 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 (ANS- 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. What action should the nurse take first (ANS- ask the client to identify problems that have occurred during the last HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? CCCC. Assist the client in developing alternative coping skills. DDDD. Remain calm and use a matter-of-fact approach. EEEE. Ask the client why she is so anxious FFFF. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ month 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 (ANS- come with me to your room and i will sit with you 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 (ANS- Benztropine (Cogentin) 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 (ANS- explore the clients feelings related to discharge HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? KKKK. Assist the client in developing alternative coping skills. LLLL. Remain calm and use a matter-of-fact approach. MMMM. Ask the client why she is so anxious NNNN. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? (ANS- Lorazepam 8mg PO HS 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? (ANS- do not take any OTC meds 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? (ANS- insight and judgement HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? KKKK. Assist the client in developing alternative coping skills. LLLL. Remain calm and use a matter-of-fact approach. MMMM. Ask the client why she is so anxious NNNN. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ depressed mother and daughter speaks in group (ANS- i hear you say you worry about your mother's distress A client who has agoraphobia (a fear of crowds) is beginning desensitization with the therapist, and the nurse is reinforcing the process. Which intervention has the highest priority for this client's plan of care? (ANS- establish trust by providing calm, safe environment When a male client is asked about his reason for coming to the mental health clinic he replies, "It all started because I work in a hostile work environment. My boss would not let me go to a religious service, so I went to human resources, and they didn't want to do anything. It has been a really difficult time for me." Which response HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? OOOO. Assist the client in developing alternative coping skills. PPPP. Remain calm and use a matter-of-fact approach. QQQQ. Ask the client why she is so anxious RRRR. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ should the nurse provide? (ANS- "Have the feelings associated with these events brought you to the clinic?" ECT therapy non responsive (ANS- have you taken erectile dysfunction meds adolescent teen interrupts group about pets at home (ANS- redirect him postpartum depression Sign & Symptoms (3) (ANS- distrubed sleep, sadness, poor concentration ECT (ANS- NPO after midnight health assessment of history of alcohol dependency WHAT ELSE WOULD BE A CONCERN (ANS- pancreatitis knee surgery post op and diaphoretic and visual hallucinations (ANS- obtain VS HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? SSSS. Assist the client in developing alternative coping skills. TTTT. Remain calm and use a matter-of-fact approach. UUUU. Ask the client why she is so anxious VVVV. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ A. Purchase a gun to use for protection. B. Establish a code with family and friends to signify violence. C. Take a self-defense course that retaliates the abuser with injury. D. Have a bag ready that has extra clothes for self and children. E. Plan an escape route to use if the abuser blocks the main exit. (ANS- B, D, E The RN is admitting a male client who take lithium carbonate (Eskalith) twice a day. Which information should the RN report to the HCP immediately? A. Short term memory loss. B. Five pound weight gain C. Decreased affect. D. Nausea and vomiting. (ANS- D HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? SSSS. Assist the client in developing alternative coping skills. TTTT. Remain calm and use a matter-of-fact approach. UUUU. Ask the client why she is so anxious VVVV. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ A male client who is admitted with delirium tremens is dehydrated and experiencing auditory hallucinations. He has a bruised, swollen tongue and is confused. In HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? WWWW. Assist the client in developing alternative coping skills. XXXX. Remain calm and use a matter-of-fact approach. YYYY. Ask the client why she is so anxious ZZZZ. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ developing a plan of care, which action should the RN include to ensure the client is physiologically stable? A. Encourage oral fluids. B. Monitor vital signs. C. Keep the room dark. D. Apply ice to his tongue. (ANS- B A RN is teaching a client about initiation of a prescribed abstinence therapy using Disulfiram (Antabuse). What information should the client acknowledge understanding? A. Admit to others that he is a substance abuser. B. Remain alcohol free for 12 hours prior to first dose. C. Attend monthly meetings of alcoholics anonymous. D. Completely sustain from heroin or cocaine use. (ANS- B HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? AAAAA. Assist the client in developing alternative coping skills. BBBBB. Remain calm and use a matter-of-fact approach. CCCCC. Ask the client why she is so anxious DDDDD. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ client, what intervention should the nurse implement first? (ANS- explain the nurse's role to the patient A client comes out dressed in short skirt, low top, bright red lipstick. what should the nurse do? (ANS- assist back to their room and help pick out appropriate clothing A client comes in and is 5'5, 75lbs. what should the nurse do? (ANS- start an IV for IV resuscitation A child states "My dad used to drink a beer a day, now he drinks at least a six- pack a day." What can the nurse determine from this statement? (ANS- parent is exhibiting tolerance to alcohol 2 days after admission from alcohol withdrawal what should the nurse do? (ANS- monitor HR and BP HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? AAAAA. Assist the client in developing alternative coping skills. BBBBB. Remain calm and use a matter-of-fact approach. CCCCC. Ask the client why she is so anxious DDDDD. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ DO NOT IMPLEMENT SEIZURE PADS Something about a male client threatening a teacher or becomes upset with teacher (ANS- methods of clearly communicating *** Patient says I'm going to shoot myself" (ANS- stop client from leaving the unit History of alcoholism admitted for detoxification; 6mg of Ativan what additional prescription administer immediately (ANS- vitamin B1 (thiamine) PTSD admitted to psychiatric unit, which intervention is most important for plan of care (ANS- provide quiet room, away from rec area HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? EEEEE. Assist the client in developing alternative coping skills. FFFFF. Remain calm and use a matter-of-fact approach. GGGGG. Ask the client why she is so anxious HHHHH. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ Chronically depressed older male client of a long term care facility becomes more reclusive and today refuses to leave room (ANS- may i sit with you for a while? Male client on atypical antipsychotic drug olanzapine(Zyprexa) Adverse reaction is weight gain (ANS- client sitting in corner of day room during admission assessment, what nursing action? ask client simple questions How do you take Antabuse? (ANS- each morning beginning 48 hours after your last drink of alcohol The nurse is using the CAGE questionnaires as a screening tool for a client who is seeking help because his wife said he had a drinking problem. What information should the nurse explore indepth with the client based on this HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? IIIII. Assist the client in developing alternative coping skills. JJJJJ. Remain calm and use a matter-of-fact approach. KKKKK. Ask the client why she is so anxious LLLLL. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ The nurse leading a group session of adolescent clients give the members handout about anger management. One of the male clients is fidgety, interrupts peers when they try to talk, and talks about his pets at home. What nursing action is best for the nurse to take? A. Give the client permission to leave and return in 10 minutes. B. Explore the client's feeling about his pets and home life. C. Encourage his peers to help involve him in the activity. D. Redirect him by encouraging him to read from the handout. (ANS- D. Redirect him by encouraging him to read from the handout. (Best nursing action is to ask the client to read from the handout) A male client is admitted to the psychiatric unit for recurrent negative symptoms of chronic schizophrenia and medication adjustment of risperidone (Risperdal). When the client walks to the nurse's station in a laterally contracted position, he states that HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? MMMMM. Assist the client in developing alternative coping skills. NNNNN. Remain calm and use a matter-of-fact approach. OOOOO. Ask the client why she is so anxious PPPPP. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ something has made his body confort into a monster. What action should the nurse take? A. Medicate the client with the prescribed antipsychotic thioridazine (Mellaril) B. Offer the client a prescribed physical therapy hot pack for muscle spasms. C. Administer the prescribed anticholinergic benztropine (Cogentin) for dystonia. D. Direct client to occupational therapy to distract him from somactic complaints. (ANS- C (The client is experiencing a dystonic reaction due to dopamine depletion, one of the physiologic actions of Risperidone. This side effect requires immediate management with Cogentin ) A middle-aged adult with major depressive disorder suffer from psychomotor redardation, hypersomnia, and amotivation. Which intervention is like to be most effective in returning this client to a normal level of functioning? A. Encourage the client to exercise. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? MMMMM. Assist the client in developing alternative coping skills. NNNNN. Remain calm and use a matter-of-fact approach. OOOOO. Ask the client why she is so anxious PPPPP. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ B. Suggest that the client develop a list of pleasurable activities. C. Provide education on methods to enhance sleep. D. Teach the client to develop a plan for daily structured activities. (ANS- D. Teach the client to develop a plan for daily structured activities. (Development of structure life-style is vital when a client is having difficulty with psychomotor retardation, amotivation and hypersomnia) A male client with a long history of alcohol dependency arrives in the Emergency department describing the feeling of bugs crawling on his body. His blood pressure is 170/102, pulse rate is 110 beats/ min, and his blood alcohol level is 0 mg/dl. Which prescription should the nurse administer? A. Haloperidol (Hadol) B. Thiamine (Vitamin B1) C. Lorazapam (Ativan) HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? UUUUU. Assist the client in developing alternative coping skills. VVVVV. Remain calm and use a matter-of-fact approach. WWWWW. Ask the client why she is so anxious XXXXX. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ A female client engages in repeated checks of door and window locks, behavior that presents her from arriving on time and interferes with her ability to function effectively. What action should the nurse take? A. Discuss checking the time frequently B. Ask the client why she checks the locks C. Plan a list of activities to be carried out daily. D. Determine the type and size of the locks. (ANS- C (Helps the client to gain recognition of and insight into the anxiety and assists her to learn new adaptive coping behaviors) A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. That intervention is best for the nurse to implement? A. avoid recognizing the behavior. B. Isolate the client from other clients. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? UUUUU. Assist the client in developing alternative coping skills. VVVVV. Remain calm and use a matter-of-fact approach. WWWWW. Ask the client why she is so anxious XXXXX. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ C. Administer a PRN sedative. D. Escort the client to his room. (ANS- D (Echolalia, constantly repeating what others are saying, can become disruptive to a community environment, so the nurse should direct the client to a private space such as his room) A young adult male is hospitallizaed due to depression and an attempted suicide attempt. The client reports that he lost his job and was angry with his employer for firing him when he took an overdose of pain medications. Which behavior best indicates to the nurse that his condition is improving? A. Initiates interactions with other clients. B. Describes verbally when he is angry C. Participates in a job search with a social worker. D. Denies plans to harm himself or others. (ANS- A HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? YYYYY. Assist the client in developing alternative coping skills. ZZZZZ. Remain calm and use a matter-of-fact approach. AAAAAA. Ask the client why she is so anxious BBBBBB. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ (The best indicator of improvement in a client with depression is initiated interaction with others because such behavior indicates that the client is less withdrawn and more self-directed) The nurse is completing the admission assessment of an underweight adolescent who is admitted to a psychiatric unit with a diagnosis of depression. Which finding requires notification to the healthcare providers A. Body mass index of 21 B. Potassium level of 2.9 mEq/dl C. WBC of 10,000 mm3 D. Blood pressure of 110/70 mmHg. (ANS- B ( The nurse should inform the healthcare provider of potassium level of 2.9 mEq/dl, which could be caused by electrolyte imbalance) Following involvement in a motor vehicles collision, a middle-aged adult client HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? CCCCCC. Assist the client in developing alternative coping skills. DDDDDD. Remain calm and use a matter-of-fact approach. EEEEEE. Ask the client why she is so anxious FFFFFF. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ what the client is saying helps the nurse determine the type of response that is required based on the hallucinatory messages the client is receiving) A teenager who has lost 20 pounds in the last three months is admitted to the hospital with hypotension and tachycardia. The client reports irregular menses and hair loss. Which intervention is most important for the nurse to include in the clients plans of care? A. Initiate caloric and nutritional therapy. B. Implement behavioral modification therapy. C. Evaluate the client for low self-esteem. D. Record daily weights and graft trend. (ANS- A (The client presents with evidence of anorexia nervosa resulting from self- starvation, which is a life-threatening condition. Providing nutrition and calories is the priority intervention so that the risk of electrolyte imbalance and severed dehydration can be reduced) HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? GGGGGG. Assist the client in developing alternative coping skills. HHHHHH. Remain calm and use a matter-of-fact approach. IIIIII. Ask the client why she is so anxious JJJJJJ. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ The nurse is developing unit policies that will include nursing guidelines for maintaining a therapeutic milieu. Which interventions should be included when providing a therapeutic milieu in an inpatient setting? A. Opportunities to contribute to one's treatment plan. B. One on one dialogue sessions with the therapist. C. Regularly scheduled unit activities for peer interaction. D. Home visits to reintergrate into the family. (ANS- C (The nurse is responsible for maintaining a therapeutic milieu which provides a secire and structure environment that promotes client's safety, provide opportunities for the client to learn healthy coping skills) After receiving treatment for anorexia, a student asks the school nurse for permission to work in the school cafeteria as part of the school's work study program. What action should the nurse take? A. Recommend assignment to the receptionist's office. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? GGGGGG. Assist the client in developing alternative coping skills. HHHHHH. Remain calm and use a matter-of-fact approach. IIIIII. Ask the client why she is so anxious JJJJJJ. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ B. Suggest that the student work in the athletic department. C. Refer the student to a psychiatrist for further discussion. D. Determine the parent's opinion of the work assignment (ANS- A (Client with anorexia are obsessed with food and exercise, which often trigger self indulgence. Assignment to the receptionist's office decreases the opportunity for the student to be distracted with obsession associated with anorexia) A middle-aged remale client with no previous psychiatric history is seen in the mental health clinic because her family describes her as having paranoid thoughts. On assessment, she tells the nurse "I want to find out why these people are stalking me" which response should the nurse provide? A. "It sounds like this experience is frightening for you" B. "What makes you think people are stalking you?' C. "I know you are frightened, but no one is stalking you" HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? OOOOOO. Assist the client in developing alternative coping skills. PPPPPP. Remain calm and use a matter-of-fact approach. QQQQQQ. Ask the client why she is so anxious RRRRRR. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ C. "I want to be here because I know it is the best psychiatric facility" D. "Don't believe everything my family tells you, I am not crazy" (ANS- A (Blaming others for unacceptable desires, thought, shortcomings or mistakes is using the defense mechanism of projection) A female high school teacher who was a child 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 client behavior is the best indicator that the client is coping well with anxiety related to the student's dealth? A. Signs a safety contract with the nurse agreeing not to hurt herself or others B. Confront her parents about the hurt she felt as achild of alcoholic parents. C. Becomes the faculty sponsor for Student Against Drunk Driving (SADD) D. Describes alternatives to becoming depressed over the student's death. (ANS- C (C is a method if channeling anxiety and denotes an adaptive HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ 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? OOOOOO. Assist the client in developing alternative coping skills. PPPPPP. Remain calm and use a matter-of-fact approach. QQQQQQ. Ask the client why she is so anxious RRRRRR. Administer a PRN sedative to help relieve her anxiety. (ANS- A. HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+ behavior to a crisis situation) HESI RN MENTAL HEALTH 2023/2024 VERSION 1,2 & 3/ Complete Latest Solutions/Q&A GRADED A+