Comprehensive HESI Mental Health RN V1-V3 2024

A client on the mental health unit is becoming more agitated, shouting at the staff, and pacing in the hallway. When the PRN medication is offered, the client refuses the medication and defiantly sits on the floor in the middle of the unit hallway. What nursing intervention should the RN implement first? - Take other clients in the area to the client lounge A client is admitted to the mental health unit and reports taking extra anxiety medications because, "I'm so stressed out. I just want to go to sleep." The RN should plan one on one observation of the client based on which statement? - "I don't want to walk. Nothing matters anymore." A male hospital employee is pushed out the way by a female employee because of an oncoming gut hey. The pushed employee becomes very angry and swings at the female employee. Both employees are referred for counseling with the staff psychiatric RN. Which factor in the pushed employee's history is most related to the reaction that occurred? - Was physically abused by his mother. The RN documents the mental status of a female client who has been hospitalized for several days by court order. The client states, "I don't need to be here" and tells the RN that she believes the television talks to her. The RN should document these assessment findings in which section of the mental status exam/ - Insight and judgement A client is admitted to the mental health unit reports shortness of breath and dizziness. The client tells the RN. "I feel like I'm going to die." Which nursing problem should the RN include in this client's plan of care? - Moderate anxiety A female client who is wearing dirty clothes and has foul body odor, comes to the clinic reporting feeling scared because she is being stalked. What action is most important for the RN to take? - Offer the client a safe place to relax before interviewing her The RN leading a group session of adolescent clients gives the members a handout about anger management. One of the male clients is fidgety, interrupts peers when they try and talk, and talks about his pets at home. What nursing action is best for the RN to take? - Redirect him by encouraging him to read from the handout A male adolescent was admitted to the unit two days ago for depression. When the mental health RN tries to interview the client to establish rapport, he becomes very irritated and sarcastic. Which action os best for the RN to take? - Offer to play a game of cards with the client A male adult is admitted because of an acetaminophen (Tylenol) overdose. After transfer to the mental health unit, the client is told he has liver damage. Which information is most important for the nurse to include in the client's discharge plan? - Do not take any over the counter meds