Mental Health Practice HESI
A 19-yr-antique woman client with a diagnosis of anorexia nervosa wants to help serve dinner
trays to different customers on a psychiatric unit. What movement need to the nurse take? -
ANS-Suggest another manner for this consumer to partipate inside the unit's activities.
A 22-year-old male patron is admitted to the emergency middle following a suicide strive. His
records reveal that that is his third suicide attempt within the beyond two years. He is aware,
however does now not reply to verbal commands for remedy. Which assessment locating ought
to activate the nurse to put together the patron for gastric lavage? - ANS-He is unresponsive to
commands and is unable to cooperate with emetic remedy.
A 25-12 months-vintage female purchaser has been specially stressed and the nurse finds her
seeking to leave the psychiatric unit. She tells the nurse, "Please permit me pass! I must leave
because the secret police are after me." Which response is nice for the nurse to make? -
ANS-"Come with me for your room and I will sit down with you."
A 27-12 months-old female consumer is admitted to the psychiatric hospital with a diagnosis of
bipolar sickness, manic segment. She is disturbing and lively. Which intervention must the nurse
encompass in this client's plan of care? - ANS-Provide a structured environment with little
stimuli.
A 30-yr-vintage - ANS-
A 35-12 months-antique male patron at the psychiatric unit of a standard clinic believes that a
person is attempting to poison him. The nurse understands that a purchaser's delusions are
maximum probable related to his - ANS-Low shallowness
A 35-yr-antique male purchaser who has been hospitalized for two weeks for continual paranoia
maintains to nation that someone is attempting to scouse borrow his apparel. The maximum
appropriate motion for the nurse to take is to - ANS-encourage the customer to actively
participate in assigned activities at the unit.
A 38-year-antique female patron is admitted with a analysis of paranoid schizophrenia. When
her tray is added to her, she refuses to consume and tells the nurse, "I recognize you are
attempting to poison me with that meals." Which response could be maximum suitable for the
nurse to make? - ANS-"I'll depart your tray right here. I am to be had if you need anything else."
A 40-yr-old male patron diagnosed with schizophrenia and alcohol dependence has no longer
had any visitors or cellphone calls on account that admission. He reports he has no own family
, that cares about him and become residing on the streets previous to this admission. According
to Erikson's idea of psychosocial development, which level is the purchaser in at this time? -
ANS-Stagnation
A 45-year-antique lady purchaser is admitted to the psychiatric unit for assessment. Her
husband states that she has been reluctant to depart home for the ultimate six months. The
patron has no longer gone to work for a month and has been terminated from her job. She has
now not left the residence considering that that point. This purchaser is displaying signs of what
circumstance? - ANS-Agoraphobia.
A forty five-12 months-old male customer tells the nurse that he used to agree with that he
became Jesus Christ, however now he is aware of that he is not. Which response is high-quality
for the nurse to make? - ANS-"I think you are getting properly."
A 46-year-old woman customer has been on antipsychotic neuroleptic remedy for the past three
days. She has had a lower in psychotic conduct and looks to be responding well to the
medicine. On the fourth day, the customer's blood stress increases, she will become light and
febrile, and demonstrates muscular rigidity. Which motion will the nurse initiate? -
ANS-Immediately transfer the client to the ICU.
A 52-12 months-old male consumer within the extensive care unit who has been oriented
unexpectedly will become disoriented and nervous. Assessment of essential signs and other
bodily parameters reveal no sizeable alternate and the nurse formulates the prognosis,
"Confusion related to ICU psychosis." Which intervention could be pleasant to implement? -
ANS-Cluster care so that short durations of rest can be scheduled in the course of the day.
A sixty five-yr-old woman client complains to the nurse that lately she has been hearing voices.
What question must the nurse ask this customer first? - ANS-"Are you ever on my own while
you pay attention the voices?"
A seventy two-year-antique woman purchaser is admitted to the psychiatric unit with a analysis
of important depression. Which declaration through the client should be of greatest problem to
the nurse and require further evaluation? - ANS-"I will die if my cat dies."
A baby is introduced to the emergency room with a broken arm. Because of other injuries, the
nurse suspects the child may be a sufferer of abuse. When the nurse tries to give the child an
injection, the child's mom becomes very loud and shouts, "I may not depart my son! Don't you
contact him! You'll harm my baby!" What is the satisfactory interpretation of the mom's
statements? The mom is - ANS-projecting her feelings onto the nurse.
A customer is admitted with a diagnosis of melancholy. The nurse is aware of that which
function is most indicative of depression? - ANS-A bad view of self and the destiny.
A 19-yr-antique woman client with a diagnosis of anorexia nervosa wants to help serve dinner
trays to different customers on a psychiatric unit. What movement need to the nurse take? -
ANS-Suggest another manner for this consumer to partipate inside the unit's activities.
A 22-year-old male patron is admitted to the emergency middle following a suicide strive. His
records reveal that that is his third suicide attempt within the beyond two years. He is aware,
however does now not reply to verbal commands for remedy. Which assessment locating ought
to activate the nurse to put together the patron for gastric lavage? - ANS-He is unresponsive to
commands and is unable to cooperate with emetic remedy.
A 25-12 months-vintage female purchaser has been specially stressed and the nurse finds her
seeking to leave the psychiatric unit. She tells the nurse, "Please permit me pass! I must leave
because the secret police are after me." Which response is nice for the nurse to make? -
ANS-"Come with me for your room and I will sit down with you."
A 27-12 months-old female consumer is admitted to the psychiatric hospital with a diagnosis of
bipolar sickness, manic segment. She is disturbing and lively. Which intervention must the nurse
encompass in this client's plan of care? - ANS-Provide a structured environment with little
stimuli.
A 30-yr-vintage - ANS-
A 35-12 months-antique male patron at the psychiatric unit of a standard clinic believes that a
person is attempting to poison him. The nurse understands that a purchaser's delusions are
maximum probable related to his - ANS-Low shallowness
A 35-yr-antique male purchaser who has been hospitalized for two weeks for continual paranoia
maintains to nation that someone is attempting to scouse borrow his apparel. The maximum
appropriate motion for the nurse to take is to - ANS-encourage the customer to actively
participate in assigned activities at the unit.
A 38-year-antique female patron is admitted with a analysis of paranoid schizophrenia. When
her tray is added to her, she refuses to consume and tells the nurse, "I recognize you are
attempting to poison me with that meals." Which response could be maximum suitable for the
nurse to make? - ANS-"I'll depart your tray right here. I am to be had if you need anything else."
A 40-yr-old male patron diagnosed with schizophrenia and alcohol dependence has no longer
had any visitors or cellphone calls on account that admission. He reports he has no own family
, that cares about him and become residing on the streets previous to this admission. According
to Erikson's idea of psychosocial development, which level is the purchaser in at this time? -
ANS-Stagnation
A 45-year-antique lady purchaser is admitted to the psychiatric unit for assessment. Her
husband states that she has been reluctant to depart home for the ultimate six months. The
patron has no longer gone to work for a month and has been terminated from her job. She has
now not left the residence considering that that point. This purchaser is displaying signs of what
circumstance? - ANS-Agoraphobia.
A forty five-12 months-old male customer tells the nurse that he used to agree with that he
became Jesus Christ, however now he is aware of that he is not. Which response is high-quality
for the nurse to make? - ANS-"I think you are getting properly."
A 46-year-old woman customer has been on antipsychotic neuroleptic remedy for the past three
days. She has had a lower in psychotic conduct and looks to be responding well to the
medicine. On the fourth day, the customer's blood stress increases, she will become light and
febrile, and demonstrates muscular rigidity. Which motion will the nurse initiate? -
ANS-Immediately transfer the client to the ICU.
A 52-12 months-old male consumer within the extensive care unit who has been oriented
unexpectedly will become disoriented and nervous. Assessment of essential signs and other
bodily parameters reveal no sizeable alternate and the nurse formulates the prognosis,
"Confusion related to ICU psychosis." Which intervention could be pleasant to implement? -
ANS-Cluster care so that short durations of rest can be scheduled in the course of the day.
A sixty five-yr-old woman client complains to the nurse that lately she has been hearing voices.
What question must the nurse ask this customer first? - ANS-"Are you ever on my own while
you pay attention the voices?"
A seventy two-year-antique woman purchaser is admitted to the psychiatric unit with a analysis
of important depression. Which declaration through the client should be of greatest problem to
the nurse and require further evaluation? - ANS-"I will die if my cat dies."
A baby is introduced to the emergency room with a broken arm. Because of other injuries, the
nurse suspects the child may be a sufferer of abuse. When the nurse tries to give the child an
injection, the child's mom becomes very loud and shouts, "I may not depart my son! Don't you
contact him! You'll harm my baby!" What is the satisfactory interpretation of the mom's
statements? The mom is - ANS-projecting her feelings onto the nurse.
A customer is admitted with a diagnosis of melancholy. The nurse is aware of that which
function is most indicative of depression? - ANS-A bad view of self and the destiny.
