NURSING 301 HESI MENTAL HEALTH RN V1-V3 TEST BANKS assured success

Which nursing actions are likely to help promote the self-esteem of a maleclient with modern depression? A. Ask the client what his long term goals are. B. Discuss the challenges of his medical condition. C. Include the client in determining treatment protocol. D. Encourage the client to engage in recreational therapy. E. Provide opportunities for the client to discuss his concerns. 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 laterally contracted position, he states that something has made his bodycontort into a monster. What action should the RN take? A. Medicate the client with the prescribed antipsychotic thioridazine(Mellaril). B. Offer the client a prescribed physical therapy hot pack for musclespasms. C. Direct client to occupational therapy to distract him from somaticcomplaints. D. Administer the prescribed anticholinergic benztropine (Cogentin) fordystonia. A mental health worker is caring for a client with escalating aggressive behavior. Which action by the MHW warrant immediate intervention by theRN? NURSING 301 HESI MENTAL HEALTH RN V1-V3 TEST BANKS assured success A. Is attempting to physically restrain the patient. B. Tells the client to go to the quiet area of the unit. C. Is using a loid voice to talk to the client. D. Remains at a distance of 4 feet from the client. A client on the mental health unit is becoming more agitated, shouting at thestaff, and pacing in the hallway. When the 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 RN implement first? A. Transport of the client to the seclusion room. B. Quietly approach the client with additional staff members. C. C. Take other clients in the area to the client lounge. D. D. Administer medication to chemically restrain the patient. A client is admitted to the mental health unit and reports taking extra antianxiety medication because, “I’m so stressed out. I just want to go to sleep.” The RN should plan one-on-one observation of the client based onwhich statement? A. “What should I do? Nothing seems to help.” B. “I have been so tired lately and needed to sleep.” C. “I really think that I don’t need to be here.” D. “I don’t want to walk. Nothing matters anymore.” A male hospital employee is pushed out the way by a female NURSING 301 HESI MENTAL HEALTH RN V1-V3 TEST BANKS assured success employee because of an oncoming gurney. The pushed employee becomes very angryand swings at the female employee. Both employees are referred for counseling with the staff psychiatric RN. 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. C. Was physically abused by his mother. D. Hates to be touched by anyone. A male client who recently lost a loved one arrives at the mental health center and tells the RN he is no longer interested is his usual activities and has not slept for several days. Which priority nursing problem should the RNinclude in the client’s plan of care? A. Risk for suicide. B. Sleep deprivation. C. Situational low self-esteem. D. Social isolation. A male client with long history of alcohol dependency arrives in the emergency department describing the feelings of bugs crawling on his body. His blood pressure is 170/102, his pulse rate is 110 bpm, and is blood alcohollevel is 0mg/dL. Which prescription should the NURSING 301 HESI MENTAL HEALTH RN V1-V3 TEST BANKS assured success RN administer? A. Haloperidol (Haldol). B. Thiamine (Vitamin B1). C. Diphenhydramine (Benadryl). D. Lorazepam (Ativan). A client who refuses antipsychotic medications disrupts group activities, talkswith nonsensical words and wanders into client’s rooms. The RN decides thatthe client needs constant observation based on which of these assessment findings? A. Wanders into the clients rooms. B. Refuses antipsychotic medications. C. Talks with nonsensical words. D. Disrupts group activities. The RN documents the mental status of a female client who has been hospitalized for several days by court order. The client states, “I don’t need to be here” and tells the RN that she believes the television talks to her. TheRN should document these assessment findings in which section of the mental status exam/ A. Level of NURSING 301 HESI MENTAL HEALTH RN V1-V3 TEST BANKS assured success concentration.B. Insight and judgement. C. Remote memory. D. Mood and affect. A client is admitted to the mental health unit reports shortness of breath anddizziness. The client tells the RN, “I feel like I’m going to die”. Which nursing problem should the RN include in this client’s plan of care? A. Mood disturbance.B. Moderate anxiety. C. Altered thoughts. D. Social isolation