HESI MENTAL HEALTH RN

• Progressively expose the client to larger crowds. • Encourage deep breathing emty/hesecsailates in a crowd. Which nursing actions are likely to help promote the self-esteem of a male client with modern depression? • Ask the client what his long term goals are. • Discuss the challenges of his medical condition. • Include the client in determining treatment protocol. • Encourage the client to engage in recreational therapy. • Provide opportunities for the client to discuss his concerns A client with depression remains in bed most of the day, and declines activities. Which nursing problem has the greatest priority for this client? • Loss of interest in diversional activity. • Social isolation. • Refusal to address nutritional needs. • 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? • Lithium. (Lithotabs) • Benzotropine (Cogentin). • Alprazolam (Xanax). • 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, theRNnotes a discrepancy between the client’s verbal and nonverbal communication. What action does the RN take? • Pay close attention and docuambeinrbt .tcheomno/nhveesribal messages. • Ask the client’s husband to interpret the discrepancy. • Ignore the nonverbal behavioar ums/ohnetshie client’s verbal messages. • Integrate the verbal and nonverbal messages and interpret them as one. A male client approaches the RN mex/hperessision 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 ambei,rbI o/inhgetsoi punch him out!” The RN recognizes that the client is using which defense mechanism? • Denial. • Projection. • Rationalization. • Splitting. A male client with bipolar disorder tak/hinegsliithium carbonate five days ago is complaining of excessive thirst, and the RN finds him attempting to drink water from the bathroom sink faucet. Which muld/htehesiRN implement? • Report the client’s serum lithium level to the HCP. • Encourage the client to suck on hard candy to relieve thesymptoms. • No action is needed since polydipsia is a common side effect. • Tell the client that drinking from the faucet is not allowed. The RN is teaching a client about the initiation of the prescribed abstinence therapy using disulfiram (Antabuse). What information should the client acknowledge understanding? • Completely abstain from heroin or cocaine use. • Remain alcohol free for 12 hours prior to the first dose. • Attend monthly meetings of alcoholics anonymous. • Admit to others that he is a substance user