HESI MENTAL HEALTH RN 2018 V3 28 QUESTIONS1. A client with paranoia is admitted to the mental health unit and immediately goes to the corner of the room and sits quietly without communicating. In approaching the client, what intervention should the nurse implement first?
• Explain the nurse's ro...
hesi mental health rn 2018 v3 28 questions 1 a client with paranoia is admitted to the mental health unit and immediately goes to the corner of the room and sits quietly without communicating in app
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HESI MENTAL HEALTH RN 2018 V3 28
QUESTIONS
1. A client with paranoia is admitted to the mental health unit and
immediately goes to the corner of the room and sits quietly
without communicating. In approaching the client, what
intervention should the nurse implement first?
Explain the nurse's role to the client.
2. client treated with lithium for bipolar develops diarrhea,
vomiting and drowsiness, what action should the nurse do
Notify HCP of the symptoms prior to the next admin of the
drug
3. A mental health worker (MHW) is caring for a client with
escalating aggressive behavior, which action by the MHW
warrants immediate intervention by the nurse?
Is attempting to physically restrain the client.
4. woman who is bipolar is wearing low cut blouse, and skirt with
no underwear, what does nurse do?
Walk her to room and help her pick out something more
appropriate
5. Older man who recently got divorced and is 2 years sober, and
an alcoholic loves God. He loves kids also. What should nurse
ask at his initial interaction?
What is your biggest concern?
6. Woman is diagnosed with breast cancer and she becomes
dependent and asks family members if they can do ADL's that
she is fully capable of doing. What is the reason for this
behavior?
Its expected; regression is a natural start for recovery
7. Patient having to get treated for benzodiazepam and
methadone overdose. What do you use?
Narcan
8. Patient watching TV starts talking loud to himself. The nurse
comes in and can't distract him so turns down the TV. What
should the nurse do then?
Move client to quieter room
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