• A male client approaches the nurse 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 nurse recognizes that the clie...
HESI RN MENTAL V2 NURSING EXAM LATEST
UPDATE 2024 100% A+ GRADED
A male client approaches the nurse 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 nurse recognizes that the client is using
which defense mechanism?
a. Denial
b. Projection
c. Rationalization
d. Splitting
A male client with bipolar disorder who began taking lithium
carbonate five days ago is complaining of excessive thirst,
and the nurse finds him attempting to drink water from the
bathroom sink faucet. Which intervention should the nurse
implement?
a. Report the client’s serum lithium level to the healthcare
provider
b. Encourage the client to suck on hard candy to
relieve the symptoms
c. No actions is needed since polydipsia is a common side
effect
d. Tell the client that drinking from the faucet is not
allowed.
,HESI RN MENTAL V2 NURSING EXAM LATEST
UPDATE 2024 100% A+ GRADED
The nurse is teaching a client about the initiation of a
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 from 12 hours prior to the first dose
c. Attend monthly meetings of alcoholics anonymous
d. Admit to others that he is a substance abuser
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 nurse 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?
During an annual physical by the occupational nurse
working in a corporate clinic, a male employee tells the
nurse that his high-stress job is causing trouble in his
personal life. He further explains the he often gets so
angry while driving to and from work that he has
considered “getting even” with other drivers, how should
the nurse respond?
a. “anger is contagious and could result in major
confrontation”
,HESI RN MENTAL V2 NURSING EXAM LATEST
UPDATE 2024 100% A+ GRADED
b. “Try not to let your anger cause you to act impulsively”
c. “expressing your anger to a stranger could result in an
unsafe”
d. It sound as if there are many situations that make
you feel angry”
A client who has agoraphobia (a fear of crowds) is
beginning desensitization with the therapist, and the
nurse is reinforcing the process. Which intervention has
the highest priority for this client's plan of care?
a. Encourage substitution of positive thoughts for negative
ones
b. Establish trust by providing a calm, safe environment
c. Progressively expose the client to larger crowds
d. Encourage deep breathing when anxiety escalates in a
crowd
A male client is admitted to the psychiatric unit for
recurrent negative symptoms of chronic schizophrenia
and medication adjustment of risperidone (Risperdal).
When the client walks to the nurse’s station in a literally
contracted position, he states that something has made
his body confort into a monster. What action should the
nurse take?
a) Medicate the client with the prescribed antipsychotic
thioridazine (mellaril)
, HESI RN MENTAL V2 NURSING EXAM LATEST
UPDATE 2024 100% A+ GRADED
b) Offer the client a prescribed physical therapy hot pack
for muscle spasms.
c) Direct client to occupational therapy to distract him
from somatic complaints.
d) Administer the prescribed anticholinergic benztropine
(Cogentin) for dystonia.
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?
A) Is attempting to physically restrain the client.
B) Tells the client to go to the quiet area of the unit.
C) Is using a loud voice to talk to the client.
D) Remains at 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 a 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
nurse implement first?
A) Transport of the client to the seclusion room
B) Quietly approach the client with additional staff
members. C) Take other client in the area to the
client lounge.
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