Hesi Mental Health Practice Questions

Hesi Mental Health Practice Questions Hesi Mental Health Test Bank 1. history of alcoholism admitted for detoxification; 6 mg of ativan what additional prescription administer immediately - Vitamin B1 (thiamine) 2. hopeless unable to stop crying; evaluate effectiveness of cognitive-behavioral techniques; client outcome? - Changes thought patterns r/t problem solving 3. Schizoprenia return to clinic 2 weeks after recieving dose of haldol; important info for the nurse to obtain during this visit - Current vital signs 4. Client who refuses antipsychotic medication disrupt group activities nurse decides client needs constant observation based on - wanders into client's room 5. PTSD admitted to psychiatric unit, which intervention is most important for plan of care - provide a quiet room away from the recreational area 6. middle aged female no previous psychiatric history because her family described her having paranoid thoughts "i want to find out why these people are stalking me" - it sounds like this experience is frightening you 7. "idont know, i just cant think" what activity should the nurse suggest - set daily goals in the community meeting 8. assessing male client with paranois, which behavior can this client be expected to exhibit - is openly hostile towards others for no apparent reason 9. 8 month old with profound mental and physcial disabilities - ask mother is she has ever thought about harming herself or her child 10. recurrent negative symptoms of chronic schizophrenia and medication risperdal. walks laterally contracted position, something has made his body contort - administer the prescribed anticholinergic benztropine (cogentin) for dystonia 11. bipolar disorder depakote for manic reactions. monitored for seizure - observe the client for a reduction in hyperexcitable bahaviors because the drug enhances cerebral inhibitory transmitters 12. chronically depressed older male client of a long term care facility becomes more reclusive and today refuses to leave room - may I sit for you for a while 13. wife having affair, sober of 3 years, i believe in god - what is troubling you most 14. smearing feces on the bathroom wall - escort the client out of the bathroom 15. i know marijuana is not addicting - anytime you alter your ability to think clearly you put yourself and others at risk 16. catatonicschizoprenia, emphysema, DM2, hyperlipidemia - check blood glucose measurement 17. depression remains in bed most of the day, declines activities and refuses meals - refusal to address nutritional needs 18. borderline personality disorder self inflicted lacerations on abdomen - perform the dressing change in a non judgemental manner 19. male client admitted depression and self mutilation - ask if the client has a plan to harm himself 20. admitted relationship distress wtih spouse and depressed mood, which diagnostic test - urine drug screen 21. victim of intimate partner violence what 3 things should you do - lish a code with family and friends to signify violence, an escape route to use if the abuser blocks main exit, a bag ready that has extra clothes for self and children 22. Star this term - You can study starred terms together 23. 1.5 lithium admitted for suicidal ideations - instruct client to drink 3 liters of fluid in 24 hours 24. a client throws chairs; what do you do - obtain staff assistance to help diffuse the escalating situation 25. pre symptomatic genetic testing for mental illness - the risk for mental ilness is not identified with genetic testing 26. sometimes my thoughts go so fast, is it time to eat - exhibits tangential thinking 27. male client on atypical antipsychotic drug olanzapine (zyprexa) - adverse reaction is weight gain 28. patient taking sertraline (zoloft) for postpartum depression, nursing teaching - contact healthcare provider if having suicidal thoughts (black box warning) 29. female brought to er for rape by date - my date raped me tonight (exact words from client) 30. nurse documents that a male client with schizophrenia is delusional, what statement made by the client would be a example? Why? - nurse at night is trying to poison me with pills (false beliefs of unfounded evidence) 31. two days after last drink, shouts at wife and kids, what nursing intervention has the highest priority - risk for injury (DT) 32. client sitting in corner of day room during admission assessment, what nursing action - ask client simple questions 33. psychomotor retardation, hypersomnia, and amotivation; what nursing intervention - teach client to have daily structured acitivites 34. male employee says imgonna shoot a coworker - find out if he has a weapon 35. female abused by husband, when taking her history which info is most important - if client has a plan to leave if her life is in danger 36. female depressed patient begins to talk and exhibit energy - observe her actions continuously 37. mother yells "dont touch him" as the nurse gives child - projects the feelings onto the nurse 38. Client makes a statement I feel like im going to die, what level of Anxiety is it? - moderate anxiety 39. female low cut blouse, red lipstick - assist the client back to her room and help her select appropriate clothing 40. recent suicide attempt, wife filed for divorce, loss job - encourage activities that will allow him to take control over his environment 41. hears voice and becomes agitated - move the client to a more quiet area 42. cancer patient who becomes dependent - expected, as the client to a quiet area of the unit 43. a male client is admitted to the er; overdose of benzodiazepine - administer narcan ...........................................