NEW UPDATE 2022/2023 NURS 6512 HESI RN MENTAL HEALTH HESI REVIEW EXAM QUESTIONS AND ANSWERS BEST RATED A+ ASSURED SUCCESS

A client who has agoraphobia (a fear of crowds) is beginning desensitization with the therapist, and the nurse is reinforcing the process. Which intervention has the highest priority for this client's plan of care? A. Encourage substitution of positive thoughts for negative ones B. Establish trust by providing a calm, safe environment C. Progressively expose the client to larger crowds D. Encourage deep breathing when anxiety escalates in a crowd B. Establish trust by providing a calm, safe environment A male client is admitted to the psychiatric unit for recurrent negative symptoms of chronic schizophrenia and medication adjustment of risperidone (Risperdal). When the client walks to the nurse's station in a literally contracted position, he states that something has made his body contort into a monster. What action should the nurse take? A. Medicate the client with the prescribed antipsychotic thiordazine (mellaril) B. Offer the client a prescribed physical therapy hot pack for muscle spasms C. Direct client to occupational therapy to distract him for somatic complaints D. Administer the prescribed anticholinergic benztropine (Cogentin) for dystonia D. Administer the prescribed anticholinergic benztropine (Cogentin) for dystonia A client on the mental health unit is becoming more agitated, shouting at the staff, and pacing in the hallway. When a PRN medication is offered, the client refuses the medication and defiantly sits on the floor in the middle of the unit hallway. What nursing intervention should the nurse implement first? A. Transport the client to the seclusion room B. Quietly approach the client with additional staff members C. Take other client in the area to the client lounge D. Administer medication to chemically restrain client C. Take other client in the area to the client lounge A male hospital employee is pushed out of the way by a female employee because of an oncoming gurney. The pushed employee becomes very angry and swings at the female employee. Both employees are referred for counseling with the staff psychiatric nurse. Which factor in the pushed employee's history is most related to the reaction that occurred? A. Is worried about losing his job to a woman B. Tortured animals as a child