MERGERED HESI RN MENTAL HEALTH NEW FILE 2022/2023 ACTUAL EXAM LATEST UPDATE
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MERGERED HESI RN MENTAL HEALTH NEW FILE 2022/202
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MERGERED HESI RN MENTAL HEALTH NEW FILE 2022/202
MERGERED HESI RN
MENTAL HEALTH NEW
FILE 2022/2023 ACTUAL
EXAM LATEST UPDATE
HESI RN MENTAL HEALTH V1
1. A client is Prescribed Risperidone (Risperdal) forschizophrenia. Which Side Effects
Should the nurse report to the Health Provider?
Fever, Tachycardia, Diopheris (sweathing)
2. A homel...
mergered hesi rn mental health new file 20222023 actual exam latest update hesi rn mental health v1 1 a client is prescribed risperidone risperdal forschizophrenia which side effects should th
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MERGERED HESI RN
MENTAL HEALTH NEW
FILE 2022/2023 ACTUAL
EXAM LATEST UPDATE
, HESI RN MENTAL HEALTH V1
1. A client is Prescribed Risperidone (Risperdal) for schizophrenia. Which Side Effects
Should the nurse report to the Health Provider?
Fever, Tachycardia, Diopheris (sweathing)
2. A homeless women who is well-educated and has chronic schizophrenia is admitted to
the mental health unit when found by the police walking in the middle of the street. The
client presents with strong body odor, dirty clothes and avoliation. After a week of
neurolepticdrug therapy drug therapy, the client discusses with the nurse her thoughts
about bathing. Which statement suggest that the client is progressing?
I feel good when I take care of myself.
3. A young adult with eroded tooth enamel presents to the clinic with multiple complaints
including severe pain in the chest and upper abdomen that occurred when the client
induced vomiting after eating a large breakfast. The client also reports severe
hearthburn in the last week and describes a history of taking laxatives and eating prunes
whenever overeating. What client problem should address first?
Erosion of tooth enamel
4. A young adult male receives a prescription for disulfiram to help maintain abstinence
from alcohol. What information should the nurse include in a teaching plan for this
client?
Check labels of OTC drug for alcohol content
5. A older male resident of a long-term care facility who is chronically depressed. Has
become more reclusive and refuses to leave his room today. His family moved away from
a local area and they are unable to visit as much as they did in the past. Which comment
by the nurse is likely to be most helpful to this client?
May I sit with you for a while
6. The nurse develops a plan of care for a female client who scratches her wrist in attempt
to deal with anxiety. Which client outcome is most important to include in the plan of
care.
Demonstrates effective ways to cope with anxiety.
7. Acli
entwhorecentl
yexpe r
iencedthede a
thofasigni
fic
a ntothe
ra rive
sa theme nta
l
hea
lt
hc e
nte
r.Thec l
ie
ntr eportslosofi nt
ere
sti
nus ua la ct
ivi
ti
es,expre
se sawishtobe
wit
hthedecr
ease
ds i
gnific
anto t
her,hasbene at
ingver yl it
le,andhasnotslepti
n
se
vera
ldays
.Whi chcli
ents ta
teme nti
smos ti
mpor t
antf ortheRNt oexplor
ea thist
ime
?
Not sleeping for several days.
, 8. An adolescent male client is hospitalized after he threatened a teacher in school. He
admits feeling angry because his mother tricked him and brought him tp the hospital .
The client steates that when his mother visits, he plans to her his belonging from her,
but is not going to talk to her. Which activity is most important for the nurse to complete
before the mother arrives?
Discuss methods for clearly communicating
9. The charge nurse of the psychiatric unit observes clients in the day area. Which client is
exhibiting symptoms of a conversion disorder?
A young women who suddenly goes blind with no indication of organic pathology
10. A client diagnosed with schizophrenia looks frightened and tells the nurse. “ I keep
hearing the voices telling me to hurt somebody. Don’t you hear them? Which response
is the best for the nurse to provide?
I don’t hear the voices, but you seem very frightened
11. During admissions assessment to the mental health unit, a client reports that the people
at the office, where the client works, are antagonistic and the client is thinking of the
shooting the supervisor. The client asks the nurse not to revel this to anyone else. The
nurse immediately notifies the clients therapist and other team members of the client’s
thoughts. The therapist then calls the client’s supervisors and shares the client’s
thoughts about shooting the supervisors. what outcome is appropriate based on the
action of the nurses?
The nurse is reprimanded for divulging confidential patient information without
obtaining informed consent
12. When implementing a therapeutic on a psychiatric unit, which intervention is most
important for the nurse to implement.
Encourage client participation in planning weekly activities
13. TheRNurseontheeveni
ngshi
ftr
ecei
vesr
epor
thatac
li
enti
sc he
dule
df or
el
ect
roc
onvuls
ivetr
eat
ment(ECT)i
nthemorni
ng.Whi
chint
erv
ent
ionshoul
dtheRn
i
mplementhee ve
ningbef
oret
hesche
dule
dECT?
Keep The client NPO after midnight
14. Ama l
eadultcomestothementalhe al
thcl
ini
candwalksbackandforthinfrontoft
he
offic
edoor,butdoesnotent
ertheoffic
e.Hethenwal
ksaroundac ha
irthati
sint he
hal wayseveralt
imesbefor
esiti
ngdo wninthecha
ir
.Wha tact
ionshouldthenurset
ake
fir
st
Observe the client in the Chair
, 15. Afema l
ec l
ientisbroughtothee merge
ncydepa
rtmenta
fte
rpoli
ceoffic
ersf
oundher
dis
ori
ented,disorganiz
ed,a
ndc onfus
ed.TheRNa l
sodet
ermine
sthathec l
ie
ntis
homelesa ndise xhibi
ti
ngsus
picious
nes.Thecli
e ’
ntspl
anofcares
houl dincl
udewhat
pri
ori
typroblem?
Acute confusion
16. Whenassessi
nga7-y ear
-ol
dgirl
,thenursenot
esthatshehasmul ti
pl
ebr ui
ses
onherbackand up erarms.Thechil
d'sauntelsthenursethathec hi
l
d's
par
ent
sabusedrugsandal cohol
.Whatinter
vent
ionismostessent
ialf
orthe
nur
setoimpl
ement?Assement
findings should be reported to the proper legal authorities
17. Amal ec l
i
entwit
hal onghist
oryofalcoholdependenc yarr
ivesi
nt heEmergency
Depar t
mentdescri
bingt
hef eli
ngofbugsc r
awlingonhi sbody.Hisblod
pressurei
s170/102,pulser at
eis1 0 beat s/
minute,and blo dalcoholevel
(BAL)i s0mg/( dL).Whichprescr
ipti
onshouldt henurseadmi ni
ster
?
Lorazepam (Ativan)
18. Acli
entont hementalheal t
huniti
sbecomi ngmor eagitat
ed,shout
i
ngathest al
i
,
andpaci
ngi nthehal way.WhenaPRNmedi cat
ioni
sofered,thecl
i
entr
efuses
t
hemedi cati
onanddefiantl
ysit
sont heflo rinthe midl eoftheuni
thalway.
Whatnursingint
erventionshoul
dthenur sei mplementfr
ist
?
Take other client in the area to the client lounge
19. Ami ddl
e-a
gedrema l
ecli
entwit
hnoprevi ouspsyc
hia
tri
chis
toryiseni nthement
al
hea
lt
hc l
ini
cbe c
auseherfamil
ydes
cri
beshe rasha
vingpar
anoidthought
s.On
asesme nt
,shetelst
henur e“
s Iwantofindoutwh ythe
sepeoplearesta
lki
n ”
gme
whic
hr e
sponseshoul
dthenursepr
ovi
de?
It sounds like this experience id frightening you.
20. Folowingin
vol
veme ntinaMVC,ami ddl
ea ge
dadultc
li
entisadmitedtothehospi
tal
withmult
ipl
efa
cialfrac
tures.Thecli
ent’
sbloodal
coholevelishighonadmision.
Wh ic
hPRNpr e
script
ions houldbeadminis
tere
dift
hec l
ie
ntbeginstoexhi
bits
ignsand
symptomsofde
li
ri
umt r
e me ns(DTs
)?
Lorazepam (Ativan) 2mg IM.
21. A client with borderline personality disorder tells the nurse, "You are the best
nurse on the unit! The other nurses don't care about me the way you do." Which
response is best for the nurse to provide this client?
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