2023 [NGN] HESI MENTAL HEALTH RN V1-V3 TEST BANK EXAM Q& A BEST SOLUTION GRADED A+.
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Course
2023 [NGN] HESI MENTAL HEALTH
Institution
2023 [NGN] HESI MENTAL HEALTH
2023 [NGN] HESI MENTAL HEALTH RN V1-V3
TEST BANK EXAM Q& A BEST SOLUTION
GRADED A+.
An older ale client with schizophrenia is found smearing feces n the bathroom walls of the
chronic mental health unit where he resides. What action should the RN implement?
A. Explain that the feces belong in...
2023 [NGN] HESI MENTAL HEALTH RN V1-V3
TEST BANK EXAM Q& A BEST SOLUTION
GRADED A+.
An older ale client with schizophrenia is found smearing feces n the bathroom walls of the
chronic mental health unit where he resides. What action should the RN implement?
A. Explain that the feces belong in the toilet.
B. Show the client how to clean the walls.
C. Escort the client out of the bathroom.
D. Assist the client to clean the walls.
A male client tells the RN that he does not want to take the atypical antipsychotic drug,
olanzapine (Zypexa), because of the side effects he experienced when he took the drug for a
year. Which experience is most likely related to taking olanzapine?
A. Weight gain of 75 lbs.
B. Thoughts of wanting to hurt himself.
C. Frequent days with diarrhea.
D. Alerted liver function test.
A college student who is a victim of a car-jacking presents to the community health center and
report increased anxiety. During the interview, what nursing intervention should take the highest
priority?
A. Identify support systems in the community that may be helpful.B.
Help the client feel safe to decrease anxiety.
C. Ask the client to describe coping strategies that were helpful in the past.
D. Encourage the client to verbalize anxiety related to event.
The RN completes an assessment of a client who is experiencing intimate partner violence (IPV).
Which finding of the injuries should the RN include in the documentation?
A. A summary of the client’s feelings.
B. Photographs.
C. A general description.
D. A client’s significant other’s statement.
Following involvement in a MVC, a middle aged adult client is admitted to the hospital with
multiple facial fractures. The client’s blood alcohol level is high on admission. Which PRN
prescription should be administered if the client begins to exhibit signs and symptoms of
delirium tremens (DTs)?
,A. Prochlorperazine (Compazine) 5 mg IM.
B. Hydromorphone (Dialuadid) 2 mg IM.
C. Chlorpromazine (Thorazine) 50 mg IM.
D. Lorazepam (Ativan) 2 mg IM.
,A client with depression remains in bed most of the day, and declines activities. Which nursing
problem has the greatest priority for this client?
A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
The RN is preparing medications for a client with bipolar disorder and notices that the client
discontinued antipsychotic medication for several days. Which medication should also be
discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).
The RN is teaching a client about the initiation of the prescribed abstinence therapy using
disulfiram (Antabuse). What information should the client acknowledge understanding?
A. Completely abstain from heroin or cocaine use.
B. Remain alcohol free for 12 hours prior to the first dose.
C. Attend monthly meetings of alcoholics anonymous.
D. Admit to others that he is a substance user.
A male client with schizophrenia is admitted to the mental health unit after abruptly stopping his
prescription for ziprasidone (Geodon) one month ago. Which question is most important for the
RN to ask the client?
A. Have you lost interest in the things that you used to enjoy?
B. Is your ability to think or concentrate decreased?
C. How many continuous hours do you sleep at night?
D. Do you hear sounds or voices that others do not hear?
A female client requests that her husband be allowed to stay in the room during the admission
assessment. When interviewing the client, the RN notes a discrepancy between the client’s
verbal and nonverbal communication. What action does the RN take?
A. Pay close attention and document the nonverbal messages.
, B. Ask the client’s husband to interpret the discrepancy.
C. Ignore the nonverbal behavior and focus on the client’s verbal messages.
D. Integrate the verbal and nonverbal messages and interpret them as one.
A male client approaches the RN with an angry expression on his face and raises his voice,
saying “My roommate is the most selfish, self-centered, angry person I have ever met. If he
loses his temper one more time with me, I am going to punch him out!” The RN recognizes that
the client is using which defense mechanism?
A. Denial.
B. Projection.
C. Rationalization.
D. Splitting.
A mental health worker is caring for a client with escalating aggressive behavior. Which action
by the MHW warrant immediate intervention by the RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loid voice to talk to the client.
D. Remains at a distance of 4 feet from the client.
A client on the mental health unit is becoming more agitated, shouting at the staff, and pacing in
the hallway. When the PRN medication is offered, the client refuses the medication and defiantly
sits on the floor in the middle of the unit hallway. What nursing intervention should the RN
implement first?
A. Transport of the client to the seclusion room.
B. Quietly approach the client with additional staff members.
C. Take other clients in the area to the client lounge.
D. Administer medication to chemically restrain the patient.
A male client with bipolar disorder who began taking lithium carbonate five days ago is
complaining of excessive thirst, and the RN finds him attempting to drink water from the
bathroom sink faucet. Which intervention should the RN implement?
A. Report the client’s serum lithium level to the HCP.
B. Encourage the client to suck on hard candy to relieve the symptoms.
C. No action is needed since polydipsia is a common side effect.
D. Tell the client that drinking from the faucet is not allowed.
During an annual physical by the occupational RN working in a corporate clinic, a male
employee tells the RN that is high-stress job is causing trouble in his personal life. He further
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