MENTAL HEALTH HESI 6
history of alcoholism admitted for detoxification; 6 mg of ativan what additional
prescription administer immediately -
... [Show More] vitamin B1 (thiamine)
hopeless unable to stop crying; evaluate effectiveness of cognitive-behavioral
techniques; client outcome? - changes thought patterns r/t problem solving
schizoprenia return to clinic 2 weeks after recieving dose of haldol; important info for the
nurse to obtain during this visit - current vital signs
client who refuses antipsychotic medication disrupt group activities nurse decides client
needs constant observation based on - wanders into client's room
PTSD admitted to psychiatric unit, which intervention is most important for plan of care -
provide a quiet room away from the recreational area
middle aged female no previous psychiatric history because her family described her
having paranoid thoughts "i want to find out why these people are stalking me" - i t
sounds like this experience is frightening you
"i dont know, i just cant think" what activity should the nurse suggest - set daily goals in
the community meeting
assessing male client with paranois, which behavior can this client be expected to
exhibit - is openly hostile towards others for no apparent reason
8 month old with profound mental and physcial disabilities - ask mother is she has ever
thought about harming herself or her child
recurrent negative symptoms of chronic schizophrenia and medication risperdal. walks
laterally contracted position, something has made his body contort - administer the
prescribed anticholinergic benztropine (cogentin) for dystonia
bipolar disorder depakote for manic reactions. monitored for seizure - observe the client
for a reduction in hyperexcitable bahaviors because the drug enhances cerebral
inhibitory transmitters
chronically depressed older male client of a long term care facility becomes more
reclusive and today refuses to leave room - may i sit for you for a while
wife having affair, sober of 3 years, i believe in god - what is troubling you most
smearing feces on the bathroom wall - escort the client out of the bathroom
i know marijuana is not addicting - anytime you alter your ability to think clearly you put
yourself and others at risk
catatonic schizoprenia, emphysema, DM2, hyperlipidemia - check blood glucose
measurement
depression remains in bed most of the day, declines activities and refuses meals -
refusal to address nutritional needs
borderline personality disorder self inflicted lacerations on abdomen - perform the
dressing change in a non judgemental manner
male client admitted depression and self mutilation - ask if the client has a plan to harm
himself
admitted relationship distress wtih spouse and depressed mood, which diagnostic test -
urine drug screen
victim of intimate partner violence what 3 things should you do - 1.establish a code with
family and friends to signify violence, 2.plan an escape route to use if the abuser blocks
main exit, 3.have a bag ready that has extra clothes for self and children
1.5 lithium admitted for suicidal ideations - instruct client to drink 3 liters of fluid in 24
hours
a client throws chairs; what do you do - obtain staff assistance to help diffuse the
escalating situation
pre symptomatic genetic testing for mental illness - the risk for mental ilness is not
identified with genetic testing
sometimes my thoughts go so fast, is it time to eat - exhibits tangential thinking
male client on atypical antipsychotic drug olanzapine (zyprexa) - adverse reaction is [Show Less]