HESI MENTAL HEALTH RN V1- V3 TEST BANK WITH QUESTIONS & CORRECT ANSWERS ( 100% CORRECT ) ALREADY GRADED A
HESI MENTAL HEALTH RN V1- V3 TEST BANK WITH QUESTIONS & CORRECT ANSWERS ( 100% CORRECT ) ALREADY GRADED A A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is admittedto an acute care hospital for uncontrolled hypertension. What dietary choices should the RN instruct the client to avoid? A. Pan-seared catfish. B. Peperoni pizza. C. Deep fried shrimp. D. Beef trips with gravy. A mental health worker is caring for a client with escalating aggressive behavior. Which actionby the mental health worker warrants immediate intervention by the RN? A. Is attempting the physically restrain the patient. B. Remains at a distance of 4 feet from the client. C. Tells the client to go to the quiet area of the unit. D. Is using a load voice to talk to the client. A client who recently experienced the death of a significant other arrives at the mental health center. The client reports loss of interest in usual activities, expresses a wish to be with the decreased significant other, has been eating very little, and has not slept in several days. Whichclient statement is most important for the RN to explore at this time? A. Not sleeping for several days. B. Wishing to be with spouse. C. Lack of interest in usual activities. D. Eating very little. A middle aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and motivation. Which intervention is likely to be most effective in returning thisclient to a normal level of functioning? A. Provide education on methods to enhance sleep. B. Teach the client to develop a plan for daily structured activities. C. Suggest that the client develop a list of pleasurable activities. D. Encourage the client to exercise. When developing a plan of care for a client admitted to the psychiatric unit following aspiration of a caustic material related to a suicide attempt, which nursing problem has the highest priority? A. Impaired comfort. B. Risk for injury. The nurse is developing unit policies that will include nursing guidelines for maintaininga therapeutic milieu. Which interventions should be included when providing a therapeutic milieu in an inpatient setting? A. Opportunities to contribute to one’s treatment plan. B. One on one dialogue sessions with the therapist. C. Regularly scheduled unit activities for peer interaction. D. Home visits to reintergrate into the family. After receiving treatment for anorexia, a student asks the school nurse for permission towork in the school cafeteria as part of the school’s work study program. What action should the nurse take? A. Recommend assignment to the receptionist’s office. B. Suggest that the student work in the athletic department. C. Refer the student to a psychiatrist for further discussion. D. Determine the parent’s opinion of the work assignment A middle-aged female client with no previous psychiatric history is seen in the mentalhealth clinic because her family describes her as having paranoid thoughts. On assessment, she tells the nurse “I want to find out why these people are stalking me” which response should the nurse provide? A. “It sounds like this experience is frightening for you” B. “What makes you think people are stalking you?’ C. “I know you are frightened, but no one is stalking you” D. “Do you think someone is trying to harm you” A male veteran who recently returned from a war zone has post traumatic stress disorder (PTSD) and is admitted to the psychiatric ward because of admitted suicidal ideation. On admission, the client’s family informed the HCP that therapy sessions did not seem to be helping. Select only one intervention that as the highest priority? A. Administer paraxeitne 40 mg as prescribed. B. Develop a list of therapy programs. C. C D. . Remove all shaving equipment. D. Determine if client has a suicide plan. A male adolescent was admitted to the unit two days ago for depression. When the mental health nurse tries to interview the client to establish rapport, he becomes veryirritated and sarcastic. Which action is best for the nurse to take? A. Offer to play a game of cards with the client. B. Report the behavior to the next shift. C. Document the behavior in the chart. D. Plan to talk with the client the next day. A female high school teacher who was a child alcoholic parents seeks counseling at the community health clinic because of depression over a student who was killed by a drunkdriver. After several weeks of counseling, which client behavior is the best indicator thatthe client is coping well with anxiety related to the student’s death? A. Signs a safety contract with the nurse agreeing not to hurt herself or others B. Confront her parents about the hurt she felt as achild of alcoholic parents.C. Becomes the faculty sponsor for Student Against Drunk Driving (SADD) D. Describes alternatives to becoming depressed over the student’s death. While interviewing a client, the nurse takes notes to assist with accurate documentationlater. Which statement is most accurate regarding note-taking during an interview? A. The nurse’ ability to directly observe the client’s nonverbal communication is limitedwith note taking. B. Taking notes during an interview is a legal obligation of the examining nurse. C. The client’s comfort level is increased when the nurse breaks eye contact to take noteto take note. D. The interview process is enhanced with note taking and allows the client speak atnormal pace. An adolescent make receives a prescription for an antidepressant drug because he is exhibiting a depressed affect. While the client is taking the antidepressant, which comparison of the client’s behavior before and after taking the drug is most important forthe nurse to obtain? A. His appetite. B. The emotional quality of his attitude C. His level of activity. D. The interactions he has with others. A nurse is providing education about strategies for a safety plan for a female client who isa victim of intimate partner violence. Which strategies should be included in the safety plan? A. Purchase a gun to use for protection B. Establish a code with family and friends to signify violence. C. Plan an escape route to use if the abuser blocks the main exit.D. Have a big ready that has extra clothes for self and children. While setting in the dayroom of the mental health unit, a male adolescent avoids eye contact, looks at the floor, and talks softly when interacting verbally with the nurse. Thetwo trade places, and the nurse demonstrate the client’s behavior. What is the main goal of this therapeutic techniques? A. Discuss the client’s feeling when he responds. B. Allow the client to identify the way he interacts. C. Initiate a non-threatening conversation with the client. D. Dialog about the ineffectiveness of his interactions.)
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