PSYCH HESI Questions & Answers1. The nurse is using the CAGE questionnaire as a screening tool for a client who is seeking help because his wife said he
... [Show More] had a drinking problem. What information should the nurse explore in depth with the client based on this screening tool?
A. Consumption, liver enzyme, gastrointestinal complaints and bleeding
B. Minimize drinking, frequently misses family events, guilt about drinking, amount of daily intake
C. Cancer screening results, anger, gastritis, daily alcohol intake
D. Efforts to cut down, annoyance with questions, guilt, drinking as an "Eye-opener"
-----------D. Efforts to cut down, annoyance with questions, guilt, drinking as an "Eye-opener"
2. A client is admitted to the mental health unit and reports taking extra antianxiety medication because, "I'm so stressed out. I just wanted to go sleep" the nurse should plan one-on- one observation of the client based on which statement?
A) What should I do? Nothing seems to help."
B) I have been so tired lately and needed to sleep."
C) I really think that I don't need to be here."
D) I don't want to talk. Nothing matters anymore."
-----------D)I don't want to talk. Nothing matters anymore."
3. A male hospital employee is pushed out of the way by a female employee because of an oncoming gurney. The pushed employee becomes very angry and swings at the female employee. Both employees are referred for counseling with the staff psychiatric nurse. Which factor in the pushed employee's history is most related to the reaction that occurred?
A) Is worried about losing his job to a woman
B) Tortured animals as a child.
C) Was physically abused by his mother
D) Hates to be touched by anyone
-----------C)Was physically abused by his mother
4. The nurse documents the mental status of a female client who has been hospitalized for several days by court order. The client state, "I don't need to be here" and tells the nurse that she believes that the television talks to her. The nurse should document these assessment findings in which section of the mental status exam?
A) Level of concentration
B) Insight and judgment
C) Remote memory
D) Mood and affect
-----------B)Insight and judgment [Show Less]