HESI Focus on Mental Health Exam - Questions and Answers A nurse counsels a client with an alcohol disorder and the client's spouse. The spouse says,
... [Show More] "I've covered up the drinking b/c I made a commitment to our marriage but now our children won't come visit." The nurse should refer the spouse to a support group for Codependents A client hospitalized with severe depression is withdrawn and exhibits poor motivation and concentration. Which activity should the nurse plan for this client? Drawing A nurse cares for a severely depressed client who is mute. Which comment by the nurse to the client is appropriate? there are many new pictures on the wall A nurse provides dietary instructions to a client who will be taking tranylcypromine. Which foods should the nurse tell the client to avoid SATA a) broccoli b) avocado c) cream cheese d) red meat e) pickled herring A client, upset, says, "My ex-wife's now husband is being relocated to a job across the country, so now I'll only see my child on holidays and school vacations". Which response by the nurse is therapeutic? this must be very difficult for your child to move away from you, school and friends A nurse provides medication instructions to a client who is taking lithium carbonate. Which statements by the client indicate an understanding of the instructions SATA a) I should weigh myself several times a day b) I should take this med with my meals c) I need to cut down my fluid intake while I'm taking the med d) I need to call my HCP if I get diarrhea or vomiting or start to sweat a lot e) My blood level of medication needs to be monitored closely while I take this med Buspirone hydrochloride is prescribed for a client with an anxiety disorder. The nurse, providing information to the client about the med, should tell the client that mild dizziness and nervousness may occur A nurse cares for a hospitalized client who has been taking clozapine for the tx of schizophrenia. Which lab result will the nurse specifically check to assess the client for an adverse reaction associated with the use of this med? WBC A nurse employed in a prison infirmary for a client recuperating from a stab wound. The client says, "You have beautiful eyes and you smell nice." Which response or action on the part of the nurse would be therapeutic? "I'm here to change your dressing, not discuss my eyes or how I smell" A nurse is caring for a client hospitalized with depression. Which comment by the nurse upon entering the client's room is appropriate? "You're wearing a new dress this morning" A nurse plans care for a client experiencing psychomotor agitation. Which activities would be appropriate for the client SATA a) playing chess b) reading magazines c) playing table tennis d) playing simple card games e) filling cups with ice for afternoon snacks A nurse develops a plan of care for a client with depression who has experienced a 24lb weight loss in the past 2 months. Which intervention should the nurse include in the plan of care? sitting with the client to make food and fluid choices from the menu A client with delirium suddenly picks up a can of soda from a meal tray and threatens to throw it at the nurse. How should the nurse respond? "Hitting me or anyone else is not allowed" A client with OCD, is upset and agitated, walks repeatedly around the nursing unit, following the same route each time. The client says to the nurse, "walk with me". Which response by the nurse is appropriate? "I can see that you're upset. I can walk and talk with you for 15min" A client hospitalized with schizophrenia says to the nurse, "Get your goat. Go out and vote. Don't be cut throat. Row your boat”. How should the nurse document the client's behavior? clang associations A client is hospitalized after falling asleep at the wheel of the car, hitting and killing a pedestrian crossing the street. The nurse caring for the client notes that the client is crying and upset. What is the appropriate reaction by the nurse? saying to the client. "I can see that you're crying. I'm here to talk to you" [Show Less]