ATI Mental Health Hesi Review 2019
1. A male client with schizophrenia is admitted to the mental health unit after abruptly stopping his prescription
... [Show More] for ziprasidone (Geodon) one month ago. Which question is most important for the nurse to ask the client? - Do you hear voicesa
2. A female client with a history of drinking who was admitted 8 hours ago after receiving treatmetn 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 - Ask client about alcohol quantity, frequency, and time of last drink
3. *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 - I am here because the police thought I was doing something wrong
4. A female client on a psychiatric unit is sweating profusely while she vigorously does push ups and then runs the length of the corrider several times before crashing inot 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 - Risk for other related violence related to disruptive behavior
5. 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
6. What is the most important goal for a client diagnosed with major depression who has been receiving an antidepressant medication for two weeks -
7. A male adult comes to the mental health clinic and walks back and fourth in front of the offic door, but does not enter the office. He then walks arond 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
8. A female client engages in repeated checks of door and window locks. Behavior that prevents her form arriving on time and interferes with her ability to function effectively. What action should the nures take - plan a list of activities to be carried out daily
9. *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
10. 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 - ask the client to identify problems that have occured during the last month
11. A 26 year old femal client has been particulary resteless and the nures finds her trying to leave the psychiatric unit. She tellsher the nurse," please let me leave because the secret police are after me." Which response is best for the nurse - come with me to your room and i will sit with you
12. 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 - Benztropine (Cogentin)
13. 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 - explore the client's feelings related to discharge
14. A female high school teacher who was a child of alcholic 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 - becomes the faculty sponsor for students against druin driving (SADD)
15. *A male client arrives at the mental health clinc and asks the nurse for more lithium and the antidepressant (Elavil) that he uses to help him sleep. After reviewing his assesment findings with the healthcare provider, a serum creatinine is obtained. What information supports the reason for this laboratory test - Lithium is excreted by the kidneys and creatinine is related to kidney functioning [Show Less]