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HESI RN MENTAL HEALTH
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. 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 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 VERSION 1,2 & 3/ Complete
Complete Latest Solutions/Q&A GRADED A+,.
B. How serious was the collision? C. What do you think you should do? D. Call for transportation to the hospital. (ANS- D
HESI RN MENTAL HEALTH 2023 VERSION 1,2 & 3/ Complete
Complete Latest Solutions/Q&A GRADED A+,.
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 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?
HESI RN MENTAL HEALTH 2023 VERSION 1,2 & 3/ Complete
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 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 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 VERSION 1,2 & 3/ Complete
Complete Latest Solutions/Q&A GRADED A+,.
D. Helping clients identify areas of problem in their lives. (ANS- D 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. (ANS- D A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase. Based on which assessment finding will the RN withhold the clonidine (Catapres) prescription? A. Blood pressure readings of 90/62 mmHg to 92/58 mmHg. 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.
HESI RN MENTAL HEALTH 2023 VERSION 1,2 & 3/ Complete
Complete Latest Solutions/Q&A GRADED A+,.
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 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 VERSION 1,2 & 3/ Complete
Complete Latest Solutions/Q&A GRADED A+,.
D. Eating very little. (ANS- A A middle aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and motivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning? A. Provide education on methods to enhance sleep. B. Teach the client to develop a plan for daily structured activities. C. Suggest that the client develop a list of pleasurable activities.
HESI RN MENTAL HEALTH 2023 VERSION 1,2 & 3/ Complete
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 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
HESI RN MENTAL HEALTH 2023 VERSION 1,2 & 3/ Complete
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 development milestones. C. Determine if the mother has other children who do not have developmental disabilities. D. Encourage the mother to write thoughts and feelings in journal. (ANS- A A homeless client who reports feeling sad and depressed tells the mental health nurse that in the past 2 days she has only had 4 hours of sleep. Which action is most important for the RN to implement within the first 24 hours after treatment is initiated?
HESI RN MENTAL HEALTH 2023 VERSION 1,2 & 3/ Complete
Complete Latest Solutions/Q&A GRADED A+,.
A. Allow the client to rest and sleep. B. Ensure client attend groups addressing coping skills for dealing with depression.
HESI RN MENTAL HEALTH 2023 VERSION 1,2 & 3/ Complete
Complete Latest Solutions/Q&A GRADED A+,.
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 VERSION 1,2 & 3/ Complete
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. 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.
HESI RN MENTAL HEALTH 2023 VERSION 1,2 & 3/ Complete
Complete Latest Solutions/Q&A GRADED A+,.
C. A general description. D. A client's significant other's statement. (ANS- B Following involvement in a MVC, a middle aged adult client is admitted to the hospital with multiple facial fractures. The client's blood alcohol level is high on admission. Which PRN prescription should be administered if the client begins to exhibit signs and symptoms of delirium tremens (DTs)? A. Prochlorperazine (Compazine) 5 mg IM. B. Hydromorphone (Dialuadid) 2 mg IM. C. Chlorpromazine (Thorazine) 50 mg IM. D. Lorazepam (Ativan) 2 mg IM. (ANS- D 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
HESI RN MENTAL HEALTH 2023 VERSION 1,2 & 3/ Complete
Complete Latest Solutions/Q&A GRADED A+,.
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 VERSION 1,2 & 3/ Complete
