NURl 208/l NUR208l HESIl –l (Newl 2026/l
2027l Update)l Mentall Healthl Nursingl V1|l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Fortis
QUESTION
Al malel clientl isl admittedl tol thel psychiatricl inpatientl unitl withl al bandagedl fleshl woundl
afterl attemptingl tol shootl himself.l Hel wasl divorcedl onel yearl ago.l Lostl hisl jobl fourl
monthsl ago,l andl sufferedl al breakupl ofl isl currentl relationshipl lastl week.l Whatl isl mostl
likelyl sourcel ofl thisl client'sl currentl feelingsl ofl depression?
Answer:
Al sensel ofl loss
QUESTION
Thel RNl documentsl thel mentall statusl ofl al femalel clientl whol hasl beenl hospitalizedl forl
severall daysl byl courtl order.l Thel clientl statesl Il don'tl needl tol bel here,l andl tellsl thel RNl
thatl shel believesl thatl thel TVl talksl tol her.l Thel RNl shouldl documentl thesel assessmentl
statementsl inl whichl sectionl ofl thel mentall statusl exam?
Answer:
Insightl andl judgement.
QUESTION
,Anl olderl alel clientl withl schizophrenial isl foundl smearingl fecesl inl thel bathrooml wallsl
ofl thel chronicl mentall healthl unitl wherel hel resides.l Whatl actionl shouldl thel RNl
implement?
Answer:
Escortl thel clientl outl ofl thel bathroom.
QUESTION
Al malel clientl tellsl thel RNl thatl hel doesl notl wantl tol takel thel atypicall antipsychoticl
drug,l olanzapinel (Zyprexa),l becausel ofl thel sidel effectsl hel experiencedl whenl hel tookl
thel drugl forl al year.l Whichl experiencel isl mostl likelyl relatedl tol takingl olanzapine?
Answer:
Weightl gainl ofl 75l lbs.
QUESTION
Al collegel studentl whol isl al victiml ofl al car-jackingl presentsl tol thel communityl healthl
centerl andl reportl increasedl anxiety.l Duringl thel interview,l whatl nursingl interventionl
shouldl takel thel highestl priority?
Answer:
Helpl thel clientl feell safel tol decreasel anxiety.
QUESTION
Thel RNl completesl anl assessmentl ofl al clientl whol isl experiencingl intimatel partnerl
violencel (IPV).l Whichl findingl ofl thel injuriesl shouldl thel RNl includel inl thel
documentation?
, Answer:
Photographs.
QUESTION
Followingl involvementl inl al MVC,l al middlel agedl adultl clientl isl admittedl tol the
hospitall withl multiplel faciall fractures.l Thel clientsl bloodl alcoholl levell isl highl onl
admission.l Whichl PRNl prescriptionl shouldl bel administeredl ifl thel clientl beginsl tol
exhibitl signsl andl symptomsl ofl deliriuml tremensl (DTs)?
Answer:
Lorazepaml (Ativan)l 2l mgl IM.
QUESTION
Al malel adultl comesl tol thel mentall healthl clinicl andl walksl backl andl forthl inl frontl ofl
thel officel doorl butl doesl notl enterl thel office.l Hel thenl walksl aroundl al chairl thatl isl inl
thel hallwayl severall timesl beforel sittingl downl inl thel chair.l Whatl actionl shouldl thel
nursel takel firstl observe.
Answer:
observel thel clientl inl thel chair.
QUESTION
Al femalel clientl engagesl inl repeatedl checksl ofl doorl andl windowl locks.l Behaviorl thatl
preventsl herl froml arrivingl onl timel andl interferesl withl herl abilityl tol functionl
effectively.l Whatl actionl shouldl thel nursel take?
Answer:
plansl al listl ofl activitiesl tol bel carriedl outl daily
2027l Update)l Mentall Healthl Nursingl V1|l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Fortis
QUESTION
Al malel clientl isl admittedl tol thel psychiatricl inpatientl unitl withl al bandagedl fleshl woundl
afterl attemptingl tol shootl himself.l Hel wasl divorcedl onel yearl ago.l Lostl hisl jobl fourl
monthsl ago,l andl sufferedl al breakupl ofl isl currentl relationshipl lastl week.l Whatl isl mostl
likelyl sourcel ofl thisl client'sl currentl feelingsl ofl depression?
Answer:
Al sensel ofl loss
QUESTION
Thel RNl documentsl thel mentall statusl ofl al femalel clientl whol hasl beenl hospitalizedl forl
severall daysl byl courtl order.l Thel clientl statesl Il don'tl needl tol bel here,l andl tellsl thel RNl
thatl shel believesl thatl thel TVl talksl tol her.l Thel RNl shouldl documentl thesel assessmentl
statementsl inl whichl sectionl ofl thel mentall statusl exam?
Answer:
Insightl andl judgement.
QUESTION
,Anl olderl alel clientl withl schizophrenial isl foundl smearingl fecesl inl thel bathrooml wallsl
ofl thel chronicl mentall healthl unitl wherel hel resides.l Whatl actionl shouldl thel RNl
implement?
Answer:
Escortl thel clientl outl ofl thel bathroom.
QUESTION
Al malel clientl tellsl thel RNl thatl hel doesl notl wantl tol takel thel atypicall antipsychoticl
drug,l olanzapinel (Zyprexa),l becausel ofl thel sidel effectsl hel experiencedl whenl hel tookl
thel drugl forl al year.l Whichl experiencel isl mostl likelyl relatedl tol takingl olanzapine?
Answer:
Weightl gainl ofl 75l lbs.
QUESTION
Al collegel studentl whol isl al victiml ofl al car-jackingl presentsl tol thel communityl healthl
centerl andl reportl increasedl anxiety.l Duringl thel interview,l whatl nursingl interventionl
shouldl takel thel highestl priority?
Answer:
Helpl thel clientl feell safel tol decreasel anxiety.
QUESTION
Thel RNl completesl anl assessmentl ofl al clientl whol isl experiencingl intimatel partnerl
violencel (IPV).l Whichl findingl ofl thel injuriesl shouldl thel RNl includel inl thel
documentation?
, Answer:
Photographs.
QUESTION
Followingl involvementl inl al MVC,l al middlel agedl adultl clientl isl admittedl tol the
hospitall withl multiplel faciall fractures.l Thel clientsl bloodl alcoholl levell isl highl onl
admission.l Whichl PRNl prescriptionl shouldl bel administeredl ifl thel clientl beginsl tol
exhibitl signsl andl symptomsl ofl deliriuml tremensl (DTs)?
Answer:
Lorazepaml (Ativan)l 2l mgl IM.
QUESTION
Al malel adultl comesl tol thel mentall healthl clinicl andl walksl backl andl forthl inl frontl ofl
thel officel doorl butl doesl notl enterl thel office.l Hel thenl walksl aroundl al chairl thatl isl inl
thel hallwayl severall timesl beforel sittingl downl inl thel chair.l Whatl actionl shouldl thel
nursel takel firstl observe.
Answer:
observel thel clientl inl thel chair.
QUESTION
Al femalel clientl engagesl inl repeatedl checksl ofl doorl andl windowl locks.l Behaviorl thatl
preventsl herl froml arrivingl onl timel andl interferesl withl herl abilityl tol functionl
effectively.l Whatl actionl shouldl thel nursel take?
Answer:
plansl al listl ofl activitiesl tol bel carriedl outl daily
