HESI PSYCH MENTAL HEALTH TEST BANK ACTUAL EXAM 300 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
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Course
HESI PSYCH MENTAL HEALTH
Institution
HESI PSYCH MENTAL HEALTH
HESI PSYCH MENTAL HEALTH TEST BANK ACTUAL EXAM 300 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
... - Answer-A female client engages in repeated checks of door and window locks. Behavior that prevents her from arriving on time and interferes with her ability to function e2ectively. What ac...
... - Answer-A female client engages in repeated checks of door and window locks.
Behavior that prevents her from arriving on time and interferes with her ability to
function e2ectively. What action should the nurse take plan a list of activities to be
carried out daily.
/.... - Answer-A female client on a psychiatric unit is sweating profusely while she
vigorously does push- ups and then runs the length of the corridor several times before
crashing into the furniture in the sitting room. Picking herself up, she begins to toss
chairs aside, looking for a red one to sit in. When another client objects to the
disturbances, the client shouts," I am the boss here. I do what I want." Which nursing
problem best supports these observations Risk for other related violence related to
disruptive
/.... - Answer-A female client with a history of drinking who was admitted 8 hours ago
after receiving treatment for minor abrasions occurred from a fall at home. The nurse
determines the client's blood alcohol level (BAL) was not analyzed on administration
action should the nurse take Ask client about alcohol quantity, frequency, and time of
last drink
/.... - Answer-A male adult comes to the mental health clinic and walks back and forth in
front of the office door, but does not enter the office. He then walks around a chair that
is in the hallway several times before sitting down in the chair. What action should the
nurse take first observe the client in the chair
/.... - Answer-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 Do you hear voices.
/.... - Answer-What is the most important goal for a client diagnosed with major
depression who has been receiving an antidepressant medication for two weeks not
attempt to commit suicide
/.2 days after admission from alcohol withdrawal what should the nurse do? - Answer-
Monitor HR and BP
,/.A 26-year-old female client has been particularly restless and the nurse finds her trying
to leave the psychiatric unit. She tells her the nurse," please let me leave because the
secret police are after me." Which response is best for the nurse - Answer-come with
me to your room and I will sit with you
/.A 35-year-old male client on the psychiatric ward of a general hospital believes that
someone is trying to poison him. The nurse understands that a client's delusions are
most likely related to his
A) early childhood experiences involving authority issues.
B) anger about being hospitalized.
C) low self-esteem.
D) phobic fear of food. - Answer-C
/.A 35-year-old male client who has been hospitalized for two weeks for chronic
paranoia continues to state that someone is trying to steal his clothing. Which action
should the nurse implement?
A) Encourage the client to actively participate in assigned activities on the unit.
B) Place a lock on the client's closet.
C) Ignore the client's paranoid ideation to extinguish these behaviors.
D) Explain to the client that his suspicions are false. - Answer-A
/.A 65-year-old female client complains to the nurse that recently she has been hearing
voices. What question should the nurse ask this client first?
A) Do you have problems with hallucinations?
B) Are you ever alone when you hear the voices?
C) Has anyone in your family had hearing problems?
D) Do you see things that others cannot see? - Answer-B
/.A bipolar client comes into the clinic and tells the nurse that the next time she sees her
sister I'm going to kill her. What should the nurse do? - Answer-Inform the sister.
/.a bipolar patient has stopped taking an antipsychotic. What other medication should
the nurse expect to be D/C - Answer-benzotropine (Congentin)
/.A business man is stressed about his finances, has anxiety and sleeplessness. -
Answer-Limit intake of sugar and caffeine.
/.A child is brought to the emergency room with a broken arm. Because of other injuries,
the nurse suspects the child may be a victim of abuse. When the nurse tries to give the
child an injection, the child's mother becomes very loud and shouts, "I won't leave my
son! Don't you touch him! You'll hurt my child!" What is the best interpretation of the
mother's statements? The mother is
A) regressing to an earlier behavior pattern. B) sublimating her anger.
C) projecting her feelings onto the nurse. D) suppressing her fear. - Answer-C
,/.A child states "My dad used to drink a beer a day, now he drinks at least a six-pack a
day." What can the nurse determine from this statement? - Answer-The parent is
exhibiting tolerance to alcohol
/.A chronic depressed older man refuses to leave his room. His family moved away to a
further location so they're not able to visit him as much. What approach should the
nurse take with this man? - Answer-May I lay with you for a little?
/.A client admitted with a closed head injury after a fall has a blood alcohol level of 0.28
(28%) and is difficult to arouse. Which intervention during the first 6 hours following
admission should the RN identify as the priority?
A. Give lorazepam (Ativan) PRN for signs of withdrawal.
B. Administer disulfiram (Antabuse) immediately.
C. Place in a side lying position with head of bed elevated.
D. Provide thiamine and folate supplements as prescribed. - Answer-C
/.A client becomes agitated when the nurse is talking to his wife. He has not eaten in 3
days. What should the nurse do? - Answer-Take to quiet room and give PB crackers.
/.A client becomes upset when the nurse he requests is not assigned to him, what is the
nurse's best response? - Answer-Advise the client that nursing assignments are not
based on client requests.
/.A client comes in after being in a car accident and is experiencing alcohol withdrawal,
magnesium level of 1.1, cardiac dysthrythmias. What would you give first? - Answer-
Magnesium
/.A client comes in and is 5'5, 75lbs.. what should the nurse do - Answer-Start an IV for
IV resuscitation
/.A client comes into the ED with DTs. What should the nurse do first? - Answer-
Administer Ativan.
/.A client comes to the nurses' station and told the nurse that her roommate had cut her
wrists in the bathroom. After assessing and dressing the wounds, what should the nurse
do next? - Answer-Move the client to a private room by the nurse's station.
/.A client diagnosed with schizophrenia has been refusing prescribed oral medication for
several days. The client has broken chair and is coming after another client with the
broken chair leg, threatening to do physical harm. What should the nurse do first? -
Answer-Remove the other client from the room.
/.A client in group is talking about her prostitution, the nurse asks her if she was abused
by her parents. She states "my mother ran my father out when I was young". What
defense mechanism was used? - Answer-Repression.
, /.A client in the dayroom had tipped over a table and is escalating and has picked up a
chair which he is threatening to throw at another client. What should the nurse do first? -
Answer-Go and get more staff assistance.
/.A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase.
Based on which assessment finding will the RN withhold the clonidine (Catapres)
prescription?
A. Blood pressure readings of 90/62 mmHg to 92/58 mmHg.
B. Pulse rate of 68-78 BPM.
C. Temperature of 99.5-99.7 F.
D. Respiration rate of 24 breaths per minute. - Answer-A
/.A client is admitted to the mental health unit and reports taking extra antianxiety
medication because, "I'm so stressed out. I just want to go to sleep." The RN should
plan one-on-one observation of the client based on which statement?
A. "What should I do? Nothing seems to help."
B. "I have been so tired lately and needed to sleep."
C. "I really think that I don't need to be here."
D. "I don't want to walk. Nothing matters anymore." - Answer-D
/.A client is admitted to the mental health unit reports shortness of breath and dizziness.
The client tells the RN, "I feel like I'm going to die". Which nursing problem should the
RN include in this client's plan of care?
A. Mood disturbance.
B. Moderate anxiety.
C. Alteredthoughts.
D. Social isolation. - Answer-B
/.A client is admitted with a diagnosis of depression. The nurse knows that which
characteristic is most indicative of depression?
A) Grandiose ideation.
B) Self-destructive thoughts.
C) Suspiciousness of others.
D) A negative view of self and the future. - Answer-D
/.A client is confused in an acute care hospital setting. What would support the dx of
delirium instead of dementia?
. - Answer-Delirium: Started in hospital
/.A client is receiving benztropine mesylate (Cogentin) for drug-induced extrapyramidal
syndrome (EPS). Which finding indicates that the RN should further evaluate the client?
A. Decreased bowel movements.
B. Presence of a dry mouth.
C. Decreasinghandtremors.
D. Increased mouth movements. - Answer-B
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