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HESI MENTAL
HEALTH RN V1-V3
TEST BANK
Med C
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HESI MENTAL HEALTH RN V1-V3 TEST BANK
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).
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 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.
Med C
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B. EncourageBtheBclientBtoBsuckBonBhardBcandyBtoBrelieveBtheBs
ymptoms.
C. NoBactionBisBneededBsinceBpolydipsiaBisBaBcommonBsideB
effect.
D. TellBtheBclientBthatBdrinkingBfromBtheBfaucetBisBnotBallowed.
TheBRNBisBteachingBaBclientBaboutBtheBinitiationBofBtheBprescribedBab
stinenceBtherapyBusingBdisulfiramB(Antabuse).BWhatBinformationBs
houldBtheBclientBacknowledgeBunderstanding?
A. CompletelyBabstainBfromBheroinBorBcocaineBuse.
B. RemainBalcoholBfreeBforB12BhoursBpriorBtoBtheBfirstBdose.
C. AttendBmonthlyBmeetingsBofBalcoholicsBanonymous.
D. AdmitBtoBothersBthatBheBisBaBsubstanceBuser.
ABmaleBclientBwithBschizophreniaBisBadmittedBtoBtheBmentalBh
ealthBunitBafterBabruptlyBstoppingBhisBprescriptionBforBziprasi
doneB(Geodon)BoneBmonthBago.BWhichBquestionBisBmostBimpor
tantBforBtheBRNBtoBaskBtheBclient?
A. HaveByouBlostBinterestBinBtheBthingsBthatByouBusedBtoBenjoy?
B. IsByourBabilityBtoBthinkBorBconcentrateBdecreased?
C. HowBmanyBcontinuousBhoursBdoByouBsleepB
atBnight?BD.BDoByouBhearBsoundsBorBvoicesBtha
tBothersBdoBnotBhear?
DuringBanBannualBphysicalBbyBtheBoccupationalBRNBworkingBinBaB
corporateBclinic,BaBmaleBemployeeBtellsBtheBRNBthatBisBhigh-
BstressBjobBisBcausingBtroubleBinBhisBpersonalBlife.BHeBfurtherBex
plainsBthatBheBoftenBgetsBsoBangryBwhileBdrivingBtoBand
fromBworkBthatBheBhasBconsideredB“gettingBeven”BwithBother
drivers.BHowBshouldBtheBRNBrespond?
A. “AngerB isB contagiousB andB couldB resultB inB major
confrontation.”
B. “TryBnotBtoBletB yourBangerBcauseB youBtoBactBimpulsively.”
C. “ExpressingByourBangerBtoBaBstrangerBcouldBresult
inBanBunsafeBsituation.”
D. “ItBsoundsBasBifBthereBareBmanyBsituationsBthatBmakeByouBf
eelBangry.”
ABclientBwhoBhasBagoraphobiaB(aBfearBofBcrowds)BisBbeginningBd
esensitizationBwithBtheBtherapist,BandBtheBRNBisBreinforcingBth
eBprocess.BWhichBinterventionBhasBtheBhighestBpriorityBforBthisB
client’sBplanBofBcare?
A. EncourageBsubstitutionBofBpositiveBthoughtsBandBne
gativeBones.BB.BEstablishBtrustBbyBprovidingBaBcalm,Bsaf
eBenvironment.
C.BProgressivelyBexposeBtheBclientBtoBlargerBcrowds.
D.BEncourageBdeepBbreathingBwhenBanxietyBescalatesBinBaBcrowd
.
WhichBnursingBactionsBareBlikelyBtoBhelpBpromoteBtheBself-
Med C
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