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Exam (elaborations)

2019 Hesi Mental Version 1 questions with answers

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If client is taking Antabuse, what should we tell him? Client must stop drinking to make Antabuse effective. 2) Patient is on Haldol, Cogentin, Depakote, and Tylenol. Discontinue Tylenol. 3) Why is creatinine ordered as lab? To check lithium levels and creatinine in kidney. 4) Which patient is at highest risk for suicide? Client with divorced parents. 5) Client states only had 4 hrs of sleep. Which immediate intervention after 24 hours? Promote Sleep. 6) Alcohol withdrawal client. need to insert IV. 7) Client depression. Nurse asks questions, but client looks down. What to do? –Wait for response. 8) Client is co-dependent. Which makes them co-dependent? -Blaming husband. 9) Client had a divorce, lost job, and recent breakup of relationship. What is he at risk for? 10) Client had biopsy and positive for cancer. Ask family to assist her ADL. What is her outcome? –Expected, as client quiet area. 11) Working phase? –Explore issues and new problem areas. 12) Client on Zyprexa. What to assess –Weight 13) Nurse immediately reports to therapist and staff. Therapist immediately calls client’s supervisor. What were their actions? –Both Nurse and therapist did the right thing…appropriate. 14) What nursing assessment is the priority focus for a client with major depression? This study source was downloaded by from CourseH on :22:08 GMT -06:00 Hesi Version 1_March 2019 Mood and affect. Suicidal ideation. Correct Nutritional status. Fluid and electrolyte balance. 15) Which action is most important for the nurse to implement during the initial interview for a client who is admitted to the mental health unit? Establish rapport in each phase of the nurse-client relationship. Correct


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