ELABORATED EXIT HESI QUESTIONS AND ANSWERS

ELABORATED EXIT HESI QUESTIONS AND ANSWERS A nurse is providing education about strategies for a safety plan for a female client who is a victim of intimate partner abuse. Which strategies should be included? - CORRECT ANSWER -Escape route, have a bag ready, establish a code with family A female client is admitted to the mental health unit starts to shout and scream at the nurse. What is the best approach? - CORRECT ANSWER -Stay quiet A client is confuse, disorient... What is the priority problem? - CORRECT ANSWER -Acute confusion What to report with Lithium? - CORRECT ANSWER -nausea and vomiting The nurse find a client in the community bathroom smearing feces on the wall. The nurse should address... - CORRECT ANSWER -Risk for infection A client is receiving Benzotropine for drug induced EPS. Which finding needs further evaluation? - CORRECT ANSWER -Increasing mouth movements ... - CORRECT ANSWER -Impaired environment ... - CORRECT ANSWER -Sense of loss An adolescent comes to the mental health clinic 15 minutes before closing and reports that there is no reason to live. The nurse should..? - CORRECT ANSWER -Question the client about self-harm A client is scared to leave home because of increased fear of open places and crowded places. What is the nurse diagnosis? - CORRECT ANSWER -Anxiety related to real or perceived fear Hypochondriac is at client and relative states.... - CORRECT ANSWER -Explore A clinic at the MH clinic is depressed and has been in bed all weekend. What should the nurse implement? - CORRECT ANSWER -Getting the client out of bed A client's child is in an accident and the parent can't believe it. How should the nurse respond? - CORRECT ANSWER -This is what you need to do A client has an increased alcohol level. What PRN medication for tremors? - CORRECT ANSWER -"Pam" A client is guarded and vaguely answers questions. He isolates himself. What is the problem? - CORRECT ANSWER -Delusion of persecution A parent is depressed because her child does not have normal growth. What is priority? - CORRECT ANSWER -Ask about thoughts of harm A client perform repeated checks and locks of the doors and windows. What should the nurse do? - CORRECT ANSWER -Plan a list of activities What client information needed for CAGE? - CORRECT ANSWER -Describe self as a social drinker How should the nurse care for a Borderline personality client who cuts himself? - CORRECT ANSWER Perform care in a non-judgmental way