1. A client who recently experienced the death of a significant other arrives at the mental health center. The client reports loss of interest in usual activities, expresses a wish to be with the deceased significant other, has been eating very little, and has not slept for several days. Which clie...
1. A client who recently experienced the death of a significant other arrives at the mental health
center. The client reports loss of interest in usual activities, expresses a wish to be with the
deceased significant other, has been eating very little, and has not slept for several days. Which
client statement is most important for the nurse to explore at this time?
Not sleeping for several days.
2. A mental health worker is caring for a client with escalating aggressive behavior. Which action
by the mental health worker warrants immediate intervention by the nurse?
Is attempting to physically restrain the client.
3. A middle-aged adult with major depressive disorder suffers from psychomotor retardation,
hyper insomnia, and amotivation. Which intervention is likely to be most effective in returning
this client to a normal level of functioning?
Teach the client to develop a plan for daily structured activities.
4. A client with a history of schizophrenia and drug and alcohol abuse is admitted to the hospital
for hepatitis. The nurse should con t ac t th e he alt h c ar e provider before
prescription? a b ir b . co m / h e s i
implementing which
Acetaminophen (Tylenol) 650 mg PRN.
5. Which finding should the nurse ideanbtifiyrba.scuoncmom/hpelicsaited alcohol
withdrawal for a client with chronic alcohol use?
Restlessness and irritabilitya.birb.com/hesi
6. Which individual should the nurse consider at highest risk for suicide?
A retired older male whose s ig n if ic a nt o th e r a s passed away
a bdisorder
7. A female client diagnosed with bipolar ir b comes
. c oto the
m dayroom
/ h e ons ithe psychiatric unit
wearing a low-cut blouse and short skirt with no undergarments, bright red lipstick, and several
colored ribbons in her hair. Whichainbteirrbve.nctoiomn s/hhoeusldi the nurse
implement?
Assist the client to her room and select appropriate clothing.
8. The nurse on day shift received repaobrtirabb.ocuot amc/lihenetswi ith depression
who was in bed most of the weekend. The nurse walks into the client’s room in the morning
and finds the client in bed. What intervention is best for the
n ur s e to im p lem e n t?
a b i rb .c o m /h e s i
assist the client to get out of bed and involved in an activity
9. A female client who is a retired school teacher, is admitted for a breast biopsy. After being told
that the biopsy was positive for caancbeirr, bsh.ce obemco/mheessdi ependent and asks
her family for help
with activities of daily living that she is physically capable of performing. Which interpretation of
the client’s behavior by the nurse is likely to be most accurate?
Expected, as the client is attempting to reduce anxiety by regressing to a state of lesser
anxiety.
10. A male client comes to the emergency center because he has an erection that will not resolve.
The client reports that he is taking trazadone (desyrel) for insomnia. Which information is most
important for the nurse to ask this client?
Have you taken any medication for erectile dysfunction?
11. A female client with obsessive compulsive personality disorder is admitted to the hospital for a
cardiac catheterization. The afternoon before the procedure, the client begins to keep detailed
notes of the nursing care she is receiving, and reports her findings to the nurse at bedtime.
What action should the nurse implement?
Encourage the client to express her feelings regarding the upcoming procedure.
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