4-hesi-mental-health-psych-55-questions

4 HESI Mental Health Psych 55 Questions Mental Health and Psychiatric Nursing (San Joaquin Delta College) Studocu is not sponsored or endorsed by any college or university Downloaded by charity nimo (charitywairimu273@gmail.com)

This study source was downloaded by 100000770092086 from CourseHero.com on 04-14-2021 12:57:19 GMT -05:00 https://www.coursehero.com/file/41826145/4-HESI - D M o E w N n T lo A a L de - H d E b A y L c T h H ar - i P ty SY ni C m H o -5 (c 5 h - Q a U rit E y S w T a I i O rim N u S 2 do 7 c 3 / @gmail.com) HESI MENTAL HEALTH V1 2019 55 QUESTIONS& UPDATED CORRECT ANSWERS/A GRADE 1. A nurse is explaining a fire drill routine to a group of clients. A client becomes disruptive and continually interrupts the group. What is the nurse's best response? • When you interrupt, I cannot explain what to do to the group. 2. When performing a MSE on a client which assessment intervention would best assist the nurse? • Ask the client to interpret the proverb a stitch in time saves nine. 3. A client comes in after being in a car accident and is experiencing alcohol withdrawal, magnesium level of 1.1, cardiac dysrhythmias. What would you give first? • Magnesium. 4. A woman is just told of her husband's dx of terminal cancer. What would the nurse offer for the spouse (wife)? • How would you like to be involved with your husband's care? 5. A nurse is to remove staples from an abdominal incision, the client is very anxious. What is the most important intervention? • Attempt to distract the client with general conversation. 6. A man who was stranded on the roof of his house for two days after a natural disaster, months later ... • Implement anxiety control strategies 7. A man dx with bipolar disorder states, "I don't understand, I believe in God and have not done anything to deserve this". What is the nurse's best response? • You didn't do anything wrong. You have a chemical imbalance in your brain. 8. A client becomes upset when the nurse he requests is not assigned to him, what is the nurse's best response? • Advise the client that nursing assignments are not based on client requests. 9. A client needs to wash her hands for two hours before able to go on with her morning. She doesn't want to sit on the chairs in the dayroom for fear of getting dirty. What is this mechanism? • Compulsion.

This study source was downloaded by 100000770092086 from CourseHero.com on 04-14-2021 12:57:19 GMT -05:00 https://www.coursehero.com/file/41826145/4-HESI - D M o E w N n T lo A a L de - H d E b A y L c T h H ar - i P ty SY ni C m H o -5 (c 5 h - Q a U rit E y S w T a I i O rim N u S 2 do 7 c 3 / @gmail.com) • Plan scheduled meals. 20. A client comes into the ED with DTs. What should the nurse do first? • Administer Ativan. 21. What are the side effects of Risperdal? • Fever, tachycardia, and sweating. 22. A client who is refusing to take his medication is wandering on the unit and going in and out of resident's rooms. What is the priority? • Wandering in and out of other client's rooms. 23. A nurse observes a client in the dayroom talking to himself. What should the nurse do first? • Ask the client if he’s currently hearing voices? 24. A client comes to the nurses' station and told the nurse that her roommate had cut her wrists in the bathroom. After assessing and dressing the wounds, what should the nurse do next? • Move the client to a private room by the nurse's station. 25. A man comes into the ER after being in a car accident with an alcohol level greater than 2, what should the nurse prepare to administer? • Give Ativan 26. What would be proper teaching for a client who is to start taking Antabuse? • Has not had anything alcoholic to drink for the last 48 hours. 27. Alzheimer's patient-nurse goes to do dressing change and the client refuses. What should the nurse do? • Leave and come back 30 minutes later. 28. A client is confused in an acute care hospital setting. What would support the dx of delirium instead of dementia? • Delirium: Started in hospital. 29. An elderly woman is brought to the ER with multiple stages of healing bruises. What should the nurse do?

This study source was downloaded by 100000770092086 from CourseHero.com on 04-14-2021 12:57:19 GMT -05:00 https://www.coursehero.com/file/41826145/4-HESI - D M o E w N n T lo A a L de - H d E b A y L c T h H ar - i P ty SY ni C m H o -5 (c 5 h - Q a U rit E y S w T a I i O rim N u S 2 do 7 c 3 / @gmail.com) • Take the woman aside and ask her about abuse. 30. A business man is stressed about his finances, has anxiety and sleeplessness. • Limit intake of sugar and caffeine. 31. A mother comes into the clinic with her son who is being accused of a crime. She is worried her son will go to jail. What should the nurse say to the mother? • Consequences of enabling behaviors. 32. What is a common side effect of cocaine use. • Heart attack. 33. A client on LSD comes into the ER. How do you approach the client? • Talk calmly and soothing to the client. 34. A client taking Meth and Benzo's, what would the nurse prepare to do for overdose? • Give Narcan. 35. An alcoholic father tells his wife and children to stay away from him. What is the most important nursing dx? • Risk for injury. 36. What should you advise a patient who is on a MAOI not to eat ? • Cheese, beer, and avocado. 37. The parents of a teenager who has overdosed what is the first question to ask? • What drug did the client ingest? 38. A client becomes agitated when the nurse is talking to his wife. He has not eaten in 3 days. What should the nurse do? • Take to quiet room and give PB crackers. 39. When opening a mental health clinic... • American Nursing Association. 40. A client with a hx of depression and abusing alcohol with their depression getting worse. What is the most important nursing dx? • Ineffective coping.

https://www.coursehero.com/file/41826145/4-HESI - D M o E w N n T lo A a L de - H d E b A y L c T h H ar - i P ty SY ni C m H o -5 (c 5 h - Q a U rit E y S w T a I i O rim N u S 2 do 7 c 3 / @gmail.com) scheduled in a year. The nurse realizes this client is demonstrating the defense mechanism of • Denial 51. A female client diagnosed with depression tells the nurse that her husband wants her to “fix herself up” and put on nice clothes. The client continues by saying that she believes her husband is interested in another woman. What should the nurse respond to the client? • I can help you shower and get dressed before he comes to visit 52. A client diagnosed with schizophrenia has been refusing prescribed oral medication for several days. The client has broken chair and is coming after another client with the broken chair leg, threatening to do physical harm. What should the nurse do first? • Remove the other client from the room. 53. The nurse has identified the diagnosis imbalance Nutrition: More than body requirements for a client diagnosed with bulimia. Which intervention would be appropriate for this diagnosis? • Help client assess situations that precedes binging 54. A client tells the nurse that he has a fear of flying on an airplane but needs to attend a work-related meeting in another part of the country and will have to fly to get there. What can the nurse do to assist this client? • Instruct the client to visualize flying to the meeting destination 55. During an assessment, a client from the Hispanic culture refuses to maintain eye contact with the nurse. After the nurse overhears the client say “evil eye” to a family member, the nurse realizes the client is demonstrating characteristics of which cultural-specific syndrome? 56. Induced by witchcraft This study source was downloaded by 100000770092086 from CourseHero.com on 04-14-2021 12:57:19 GMT -05:00