MENTAL HEALTH HESI 1

MENTAL HEALTH HESI 1 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. Schizophrenia return to clinic 2 weeks after receiving 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. "Don’t know, I just can’t think" what activity should the nurse suggest - set daily goals in the community meeting 8. Assessing male client with paranoids, 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 physical 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 hyper excitable behaviors 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-judgmental manner 19. Male client admitted depression and self mutilation - ask if the client has a plan to harm himself 20. Admitted relationship distress with 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 illness is not identified with genetic testing ..............................................................