NURl 208/l NUR208l HESIl –l (Newl 2026/l
2027l Update)l Mentall Healthl Nursingl V2|l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Fortis
QUESTION
Thel RNl onl thel eveningl shiftl receivesl reportl thatl al clientl isl scheduledl forl
electroconvulsive
treatmentl (ECT)l inl thel morning.l Whichl interventionl shouldl thel Rnl implementl thel
eveningl before
thel scheduledl ECT?
Answer:
Keepl thel clientl NPOl afterl mid-night
QUESTION
Al clientl withl Bulimial andl depressionl whol isl takingl phenelzinel (Nardil)l 90l mgl dailyl isl
admitted
tol anl acutel carel hospitall forl uncontrolledl hypertension.l Whatl dietaryl choicesl shouldl thel
RN
instructl thel clientl tol avoid?
Answer:
Peperonil pizza.
QUESTION
Al mentall healthl workerl isl caringl forl al clientl withl escalatingl aggressivel behavior.l
Whichl action
byl thel mentall healthl workerl warrantsl immediatel interventionl byl thel RN?
Answer:
Isl attemptingl thel physicallyl restrainl thel patient.
QUESTION
,Al clientl whol recentlyl experiencedl thel deathl ofl al significantl otherl arrivesl atl thel mentall
health
center.l Thel clientl reportsl lossl ofl interestl inl usuall activities,l expressesl al wishl tol bel
withl the
decreasedl significantl other,l hasl beenl eatingl veryl little,l andl hasl notl sleptl inl severall
days.l Which
clientl statementl isl mostl importantl forl thel RNl tol explorel atl thisl time?
Answer:
Notl sleepingl forl severall days.
QUESTION
Al middlel agedl adultl withl majorl depressivel disorderl suffersl froml psychomotorl
retardation,
hypersomnia,l andl motivation.l Whichl interventionl isl likelyl tol bel mostl effectivel inl
returningl this
clientl tol al normall levell ofl functioning?
Answer:
Teachl thel clientl tol developl al planl forl dailyl structuredl activities.
QUESTION
Whenl developingl al planl ofl carel forl al clientl admittedl tol thel psychiatricl unitl followingl
aspiration
ofl al causticl materiall relatedl tol al suicidel attempt,l whichl nursingl probleml hasl thel
highestl priority?
Answer:
Ineffectivel breathingl pattern
QUESTION
Al femalel clientl onl al psychiatricl unitl isl sweatingl profuselyl whilel shel vigorouslyl doesl
push-ups
andl thenl runsl thel lengthl ofl thel corridorl severall timesl beforel crashingl intol furniturel inl
thel sitting
room.l Pickingl herselfl up,l shel beginsl tol tossl chairsl aside,l lookingl forl al redl onel tol sitl
in.l When
,anotherl clientl objectsl tol thel disturbance,l thel clientl shouts,l "Il aml thel bossl here.l Il dol
whatl Il want."
Whichl nursingl probleml bestl supportsl thesel observations?
Answer:
Riskl forl otherl relatedl violencel relatedl tol disruptivel behavior.
QUESTION
Al RNl isl preparingl thel physicall environmentl tol interviewl al newl clientl forl admissionl tol
the
mentall healthl unit.l Whichl environmentall settingl facilitatesl thel bestl outcomel ofl thel
interview?
Answer:
Reducel thel noisel levell inl thel rooml byl turningl offl thel televisionl andl radio.
QUESTION
Anl olderl homelessl clientl visitsl thel psychiatricl clinicl tol obtainl al prescriptionl renewall for
alprazolaml (Xanax).l Duringl thel healthl assessment,l thel clientl complainsl ofl chestl pain.l
Which
actionl shouldl thel RNl takel first?
Answer:
Determinel ifl Xanaxl wasl takenl recently
QUESTION
Severall clientsl withl chronicl mentall illnessl andl multiplel substancel abusel historiesl livel inl
al group
residentiall homel andl attendl daycarel mentall healthl facilityl wherel groupl andl individuall
therapies
arel provided.l Thel RNl findsl thel commonl bathrooml atl thel facilityl withl sputuml onl thel
walls,l urine
inl thel sinkl andl onl thel floors,l andl thel toiletl stoppedl upl withl tissue,l paperl towels,l andl
feces.l What
isl thel priorityl issuel thatl thel RNl shouldl address?
Answer:
Infectionl control
, QUESTION
Al clientl withl schizophrenial isl admittedl tol thel psychiatricl carel unitl forl aggressivel
behavior,
auditoryl hallucinations,l andl potentiall forl safel harm.l Thel clientl hasl notl beenl takingl
medications
asl prescribedl andl insistsl thatl thel foodl hasl beenl poisonedl andl refusesl tol eat.l Whatl
intervention
shouldl thel RNl implement?
Answer:
Providel thel clientl withl foodl inl unopenedl containers
QUESTION
Thel RNl isl providingl educationl aboutl strategiesl forl al safetyl planl forl al femalel clientl
whol isl a
victiml ofl intimatel partnerl violence.l Whichl strategiesl shouldl bel includedl inl thel safetyl
plan?
(SOA)
Answer:
Establishl al codel withl familyl andl friendsl tol signifyl violence
Havel al bagl readyl thatl hasl extral clothesl forl selfl andl children.
Planl anl escapel routel tol usel ifl thel abuserl blocksl thel mainl exit
QUESTION
Thel RNl isl admittingl al malel clientl whol takel lithiuml carbonatel (Eskalith)l twicel al day.l
Which
informationl shouldl thel RNl reportl tol thel HCPl immediately?
Answer:
Nauseal andl vomiting
QUESTION
Al malel clientl whol isl admittedl withl deliriuml tremensl isl dehydratedl andl experiencingl
auditory
hallucinations.l Hel hasl al bruised,l swollenl tonguel andl isl confused.l Inl developingl al planl
ofl care,
2027l Update)l Mentall Healthl Nursingl V2|l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Fortis
QUESTION
Thel RNl onl thel eveningl shiftl receivesl reportl thatl al clientl isl scheduledl forl
electroconvulsive
treatmentl (ECT)l inl thel morning.l Whichl interventionl shouldl thel Rnl implementl thel
eveningl before
thel scheduledl ECT?
Answer:
Keepl thel clientl NPOl afterl mid-night
QUESTION
Al clientl withl Bulimial andl depressionl whol isl takingl phenelzinel (Nardil)l 90l mgl dailyl isl
admitted
tol anl acutel carel hospitall forl uncontrolledl hypertension.l Whatl dietaryl choicesl shouldl thel
RN
instructl thel clientl tol avoid?
Answer:
Peperonil pizza.
QUESTION
Al mentall healthl workerl isl caringl forl al clientl withl escalatingl aggressivel behavior.l
Whichl action
byl thel mentall healthl workerl warrantsl immediatel interventionl byl thel RN?
Answer:
Isl attemptingl thel physicallyl restrainl thel patient.
QUESTION
,Al clientl whol recentlyl experiencedl thel deathl ofl al significantl otherl arrivesl atl thel mentall
health
center.l Thel clientl reportsl lossl ofl interestl inl usuall activities,l expressesl al wishl tol bel
withl the
decreasedl significantl other,l hasl beenl eatingl veryl little,l andl hasl notl sleptl inl severall
days.l Which
clientl statementl isl mostl importantl forl thel RNl tol explorel atl thisl time?
Answer:
Notl sleepingl forl severall days.
QUESTION
Al middlel agedl adultl withl majorl depressivel disorderl suffersl froml psychomotorl
retardation,
hypersomnia,l andl motivation.l Whichl interventionl isl likelyl tol bel mostl effectivel inl
returningl this
clientl tol al normall levell ofl functioning?
Answer:
Teachl thel clientl tol developl al planl forl dailyl structuredl activities.
QUESTION
Whenl developingl al planl ofl carel forl al clientl admittedl tol thel psychiatricl unitl followingl
aspiration
ofl al causticl materiall relatedl tol al suicidel attempt,l whichl nursingl probleml hasl thel
highestl priority?
Answer:
Ineffectivel breathingl pattern
QUESTION
Al femalel clientl onl al psychiatricl unitl isl sweatingl profuselyl whilel shel vigorouslyl doesl
push-ups
andl thenl runsl thel lengthl ofl thel corridorl severall timesl beforel crashingl intol furniturel inl
thel sitting
room.l Pickingl herselfl up,l shel beginsl tol tossl chairsl aside,l lookingl forl al redl onel tol sitl
in.l When
,anotherl clientl objectsl tol thel disturbance,l thel clientl shouts,l "Il aml thel bossl here.l Il dol
whatl Il want."
Whichl nursingl probleml bestl supportsl thesel observations?
Answer:
Riskl forl otherl relatedl violencel relatedl tol disruptivel behavior.
QUESTION
Al RNl isl preparingl thel physicall environmentl tol interviewl al newl clientl forl admissionl tol
the
mentall healthl unit.l Whichl environmentall settingl facilitatesl thel bestl outcomel ofl thel
interview?
Answer:
Reducel thel noisel levell inl thel rooml byl turningl offl thel televisionl andl radio.
QUESTION
Anl olderl homelessl clientl visitsl thel psychiatricl clinicl tol obtainl al prescriptionl renewall for
alprazolaml (Xanax).l Duringl thel healthl assessment,l thel clientl complainsl ofl chestl pain.l
Which
actionl shouldl thel RNl takel first?
Answer:
Determinel ifl Xanaxl wasl takenl recently
QUESTION
Severall clientsl withl chronicl mentall illnessl andl multiplel substancel abusel historiesl livel inl
al group
residentiall homel andl attendl daycarel mentall healthl facilityl wherel groupl andl individuall
therapies
arel provided.l Thel RNl findsl thel commonl bathrooml atl thel facilityl withl sputuml onl thel
walls,l urine
inl thel sinkl andl onl thel floors,l andl thel toiletl stoppedl upl withl tissue,l paperl towels,l andl
feces.l What
isl thel priorityl issuel thatl thel RNl shouldl address?
Answer:
Infectionl control
, QUESTION
Al clientl withl schizophrenial isl admittedl tol thel psychiatricl carel unitl forl aggressivel
behavior,
auditoryl hallucinations,l andl potentiall forl safel harm.l Thel clientl hasl notl beenl takingl
medications
asl prescribedl andl insistsl thatl thel foodl hasl beenl poisonedl andl refusesl tol eat.l Whatl
intervention
shouldl thel RNl implement?
Answer:
Providel thel clientl withl foodl inl unopenedl containers
QUESTION
Thel RNl isl providingl educationl aboutl strategiesl forl al safetyl planl forl al femalel clientl
whol isl a
victiml ofl intimatel partnerl violence.l Whichl strategiesl shouldl bel includedl inl thel safetyl
plan?
(SOA)
Answer:
Establishl al codel withl familyl andl friendsl tol signifyl violence
Havel al bagl readyl thatl hasl extral clothesl forl selfl andl children.
Planl anl escapel routel tol usel ifl thel abuserl blocksl thel mainl exit
QUESTION
Thel RNl isl admittingl al malel clientl whol takel lithiuml carbonatel (Eskalith)l twicel al day.l
Which
informationl shouldl thel RNl reportl tol thel HCPl immediately?
Answer:
Nauseal andl vomiting
QUESTION
Al malel clientl whol isl admittedl withl deliriuml tremensl isl dehydratedl andl experiencingl
auditory
hallucinations.l Hel hasl al bruised,l swollenl tonguel andl isl confused.l Inl developingl al planl
ofl care,
