Mental Health Hesi 5
The nurse should include which interventions in the plan of care for a severely depressed client with neurovegetative symptoms?
... [Show More] (Select all that apply.) - Permit rest periods as needed.
Speaking slowly and simply.
Observe and encourage food and fluid intake.
Based on noncompliance with the medication regimen, an adult client with a diagnosis of substance abuse and schizophrenia recently had a change in prescriptions from oral fluphenazine HCl (Prolixin) to fluphenazine decanoate (Prolixin IM). What is most important to teach the client and family about this change in medication regimen? - The effects of alcohol and drug interaction.
A client who is being treated with lithium carbonate for bipolar disorder develops
diarrhea, vomiting, and drowsiness. What action should the nurse take? - Notify the
healthcare provider of the symptoms prior to the next administration of the drug.
A female client refuses to take an oral hypoglycemic agent because she believes that the drug is being administered as part of an elaborate plan by the Mafia to harm her. Which nursing intervention is most important to include in this client's plan of care? - Reassess client's mental status for thought processes and content.
An anxious client expressing a fear of people and open places is admitted to the psychiatric unit. What is the most effective way for the nurse to assist this client? - Accompany the client outside for an increasing amount of time each day.
The nurse is planning the care for an adult client with acute depression. Which intervention should the nurse implement to help the client deal with depression? - Assist the client in exploring feelings of shame, anger, and guilt.
A client who has been admitted to the psychiatric unit tells the nurse, "My problems are
so bad that no one can help me." Which response is best for the nurse to make? - How
can I help?
Over a period of several weeks, a male participant of a socialization group at a community day care center for the elderly monopolizes most of the group's time and interrupts others when they are talking. What is the best action for the nurse to take in this situation? - Allow the group to handle the problem.
A 35-year-old male client on the psychiatric unit of a general hospital believes that someone is trying to poison him. The nurse understands that a client's delusions are most likely related to which client assessment finding? - erroneous interpretation of reality.
A 38-year-old female client is admitted with a diagnosis of paranoid schizophrenia. When her tray is brought to her, she refuses to eat and tells the nurse, "I know you are trying to poison me with that food." Which response is best for the nurse to make? - I'll leave your tray here. I am available if you need anything else.
An adult female client has been increasingly restless, and the nurse finds her trying to
leave the psychiatric unit. She tells the nurse, "Please let me go! I must leave because
the secret police are after me." Which response is best for the nurse to make? - Come
with me to your room and I will sit with you.
An older male client in the intensive care unit who has been oriented suddenly becomes disoriented and fearful. Assessment of vital signs and other physical parameters reveal no significant change and the nurse formulates the client's problem as confusion related to I [Show Less]