NURSING MISC HESI MENTAL HEALTH RN VERSION FROM V1-V3 2018 TEST BANKS
LATEST UPDATED 2023
REAL
1. A male adult comes to the mental health clinic and
... [Show More] 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
● the client in the chair
2. 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 eZectively. What action should the nurse take
● plan a list of activities to be carried out daily.
3. 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
● Do you hear voices.
4. 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.
5. 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
6. 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
7. 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 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
observation?
● Risk for other related violence related to disruptive
8. What is the most important goal for a client diagnosed with major
depression who has been receiving an antidepressant medication for two
weeks
● not attempt to commit suicide
9. Alcohol-Pancreatitis health assessment of history of alcohol
dependency WHAT ELSE WOULD BE A CONCERN
● pancreatitis
10.Anorexia Nervosa-syncope Syncope is a clinical feature
● Abuse-BAL-
11.Admission 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 determines the client's blood alcohol level (BAL) was not
analyzed on administration action should the nurse take Blood alcohol level
● ask the client about alcohol quantity, frequency, and time of the last drink.
12.IPV- difficulty leaving 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
13.Anger Management Give the client
● permission to be angry [Show Less]