HESI RN MENTAL HEALTH V2 Questions with
Correct Answers 2024 Update.
A client with depression remains in bed most of the day, and declines activities. Which nursing
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problem has the greatest priority for this client?
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A. Loss of interest in diversional activity
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B. social isolation
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C. Refusal to address nutritional needs.
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D. Low self-esteem - (correct answer) -C. Refusal to address nutritional needs
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The RN is preparing medications for a client with bipolar disorder and notices that the client
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discontinued antipsychotic medication for several days. Which medication should also be
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discontinued?
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A. Lithium (Lithotabs)
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B. Benzotropine (Cogentin)
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C. Alprazolam (Xanax)
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D. Magnesium( Milk of Magnesia) - (correct answer) -B. Benzotropine
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A female client requests that her husband be allowed to stay in the room during the admission
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assessment. When interviewing the client, the RN notes a discrepancy between the clients verbal
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and nonverbal communication. What action does the RN take?
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A. Pay close attention and document the nonverbal messages
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B. Ask the client's husband to interpret the discrepancy
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C. Ignore the nonverbal behavior and focus on the clients verbal messages
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D. Integrate the verbal and nonverbal messages and interpret them as one. - (correct answer) -A.
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Pay close attention and document the nonverbal messages
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A male client approaches the RN with an angry expression on his face and raises his voice saying "
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My roommate is the most selfish, self-centered, angry person I have ever met. If he loses his
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temper one more time with me, I'm going to punch him out!" The RN recognizes that the client is
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using which defense mechanism?
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A. Denial
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B. Projection
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C. Rationalization
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D. Splitting - (correct answer) -B. Projection
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A male client with bipolar disorder wo began taking lithium carbonate five days ago is complaining
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of excessive thirst, and the RN find him attempting to drink water from the bathroom sink faucet.
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Which intervention should the RN implement?
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A. Report the clients serum lithium level to the HCP
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B. Encourage the client to suck on hard candy to relieve the symptoms
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C. No action is needed since polydipsia is a common side effect
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D. Tell the client that drinking from the faucet is not allowed. - (correct answer) -A. Report the
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clients serum lithium level to the HCP
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The Rn is teaching a client about the initiation of the prescribed abstinence therapy using disulfiram
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, (Antabuse). What information should the client acknowledge understanding?
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A. Completely abstain form heroin or cocaine use
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B. Remain alcohol free for 12 hours prior to the first dose.
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C. Attend monthly meetings of alcoholics anonymous
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D. Admit to others that he is a substance user - (correct answer) -B. Remain alcohol free for 12
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hours prior to the first dose.
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A male client with schizophrenia is admitted to the mental health unit after abruptly stopping his
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prescription for ziprasidone (Geodon) one month ago. Which question is most important for the RN
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to ask the client?
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A. Have you lost interest in things that you used to enjoy
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B. Is your ability to think or concentrate decreased?
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C. How many continuous hours do you sleep at night
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D. Do you hear sounds or voices that others do not hear? - (correct answer) -D. Do you hear sounds
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or voices that others do not hear?
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During an annual physical by the occupational RN working in a corporate clinic, a male employee
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tells the RN that is high-stress job is causing trouble in his personal life. He further explains that he
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often gets so angry while driving to and from work that he has considered "getting even" with other
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drivers. How should the RN respond?
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A. "Anger is contagious and could result in major confrontation"
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B. "Try not to let your anger cause you to act impulsively"
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C. "Expressing your anger to a stranger could result in an unsafe situation"
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D. "It sounds as if there are many situations that make you feel angry" - (correct answer) -D. "It
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sounds as if there are many situations that make you feel angry"
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A client who has agoraphobia (a fear of crowds) is beginning desensitization with the therapist, and
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the RN is reinforcing the process. Which intervention has the highest priority for this clients plan of
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care?
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A. Encourage substitution of positive thoughts and negative ones
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B. Establish trust by providing a calm, safe environment
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C. Progressively expose the client to larger crowds
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D. Encourage deep breathing when anxiety escalates in a crowd - (correct answer) -B. Establish trust
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by providing a calm, safe environment
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Which nursing actions are likely to help promote the self-esteem of a male client with modern
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depression?
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A. Ask the client what his long term care goals
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B. Discuss the challenges of his medical condition
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C. Include the client in determining treatment protocol.
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D. Encourage the client to engage in recreational therapy.
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E. Provide opportunities for the client to discuss his concerns - (correct answer) -A. Ask the client
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what his long term care goals
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D. Encourage the client to engage in recreational therapy.
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E. Provide opportunities for the client to discuss his concerns
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A male client is admitted to the psychiatric unit for the recurrent negative symptoms of chronic
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schizophrenia and medication adjustment of Risperidone (Risperdal). When the client walks to to the
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nurses station in a laterally contracted position, he states that something has made his body
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contort into a monster. What action should the RN take?
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A. Medicate the client with the prescribed antipsychotic thioridazine (Mellaril)
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B. Offer the client a prescribed physical therapy hot pack for musclespasms.
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C. Direct client occupational therapy to distract him form somatic complaints
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D. Administer the prescribed anticholinergic benztropine (Cogentin) for dystonia - (correct answer) -
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D. Administer the prescribed anticholinergic benztropine (Cogentin) for dystonia
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Correct Answers 2024 Update.
A client with depression remains in bed most of the day, and declines activities. Which nursing
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problem has the greatest priority for this client?
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A. Loss of interest in diversional activity
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B. social isolation
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C. Refusal to address nutritional needs.
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D. Low self-esteem - (correct answer) -C. Refusal to address nutritional needs
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The RN is preparing medications for a client with bipolar disorder and notices that the client
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discontinued antipsychotic medication for several days. Which medication should also be
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discontinued?
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A. Lithium (Lithotabs)
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B. Benzotropine (Cogentin)
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C. Alprazolam (Xanax)
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D. Magnesium( Milk of Magnesia) - (correct answer) -B. Benzotropine
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A female client requests that her husband be allowed to stay in the room during the admission
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assessment. When interviewing the client, the RN notes a discrepancy between the clients verbal
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and nonverbal communication. What action does the RN take?
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A. Pay close attention and document the nonverbal messages
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B. Ask the client's husband to interpret the discrepancy
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C. Ignore the nonverbal behavior and focus on the clients verbal messages
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D. Integrate the verbal and nonverbal messages and interpret them as one. - (correct answer) -A.
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Pay close attention and document the nonverbal messages
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A male client approaches the RN with an angry expression on his face and raises his voice saying "
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My roommate is the most selfish, self-centered, angry person I have ever met. If he loses his
uv uv uv uv uv uv uv uv uv uv uv uv uv uv uv uv uv
temper one more time with me, I'm going to punch him out!" The RN recognizes that the client is
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using which defense mechanism?
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A. Denial
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B. Projection
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C. Rationalization
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D. Splitting - (correct answer) -B. Projection
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A male client with bipolar disorder wo began taking lithium carbonate five days ago is complaining
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of excessive thirst, and the RN find him attempting to drink water from the bathroom sink faucet.
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Which intervention should the RN implement?
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A. Report the clients serum lithium level to the HCP
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B. Encourage the client to suck on hard candy to relieve the symptoms
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C. No action is needed since polydipsia is a common side effect
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D. Tell the client that drinking from the faucet is not allowed. - (correct answer) -A. Report the
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clients serum lithium level to the HCP
uv uv uv uv uv uv uv
The Rn is teaching a client about the initiation of the prescribed abstinence therapy using disulfiram
uv uv uv uv uv uv uv uv uv uv uv uv uv uv uv
, (Antabuse). What information should the client acknowledge understanding?
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A. Completely abstain form heroin or cocaine use
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B. Remain alcohol free for 12 hours prior to the first dose.
uv uv uv uv uv uv uv uv uv uv uv uv
C. Attend monthly meetings of alcoholics anonymous
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D. Admit to others that he is a substance user - (correct answer) -B. Remain alcohol free for 12
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hours prior to the first dose.
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A male client with schizophrenia is admitted to the mental health unit after abruptly stopping his
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prescription for ziprasidone (Geodon) one month ago. Which question is most important for the RN
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to ask the client?
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A. Have you lost interest in things that you used to enjoy
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B. Is your ability to think or concentrate decreased?
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C. How many continuous hours do you sleep at night
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D. Do you hear sounds or voices that others do not hear? - (correct answer) -D. Do you hear sounds
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or voices that others do not hear?
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During an annual physical by the occupational RN working in a corporate clinic, a male employee
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tells the RN that is high-stress job is causing trouble in his personal life. He further explains that he
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often gets so angry while driving to and from work that he has considered "getting even" with other
uv uv uv uv uv uv uv uv uv uv uv uv uv uv uv uv uv uv
drivers. How should the RN respond?
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A. "Anger is contagious and could result in major confrontation"
uv uv uv uv uv uv uv uv uv uv
B. "Try not to let your anger cause you to act impulsively"
uv uv uv uv uv uv uv uv uv uv uv uv
C. "Expressing your anger to a stranger could result in an unsafe situation"
uv uv uv uv uv uv uv uv uv uv uv uv uv
D. "It sounds as if there are many situations that make you feel angry" - (correct answer) -D. "It
uv uv uv uv uv uv uv uv uv uv uv uv uv uv uv uv uv uv
sounds as if there are many situations that make you feel angry"
uv uv uv uv uv uv uv uv uv uv uv uv
A client who has agoraphobia (a fear of crowds) is beginning desensitization with the therapist, and
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the RN is reinforcing the process. Which intervention has the highest priority for this clients plan of
uv uv uv uv uv uv uv uv uv uv uv uv uv uv uv uv uv
care?
uv uv
A. Encourage substitution of positive thoughts and negative ones
uv uv uv uv uv uv uv uv uv
B. Establish trust by providing a calm, safe environment
uv uv uv uv uv uv uv uv
C. Progressively expose the client to larger crowds
uv uv uv uv uv uv uv uv
D. Encourage deep breathing when anxiety escalates in a crowd - (correct answer) -B. Establish trust
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by providing a calm, safe environment
uv uv uv uv uv uv
Which nursing actions are likely to help promote the self-esteem of a male client with modern
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depression?
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A. Ask the client what his long term care goals
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B. Discuss the challenges of his medical condition
uv uv uv uv uv uv uv uv
C. Include the client in determining treatment protocol.
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D. Encourage the client to engage in recreational therapy.
uv uv uv uv uv uv uv uv uv
E. Provide opportunities for the client to discuss his concerns - (correct answer) -A. Ask the client
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what his long term care goals
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D. Encourage the client to engage in recreational therapy.
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E. Provide opportunities for the client to discuss his concerns
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A male client is admitted to the psychiatric unit for the recurrent negative symptoms of chronic
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schizophrenia and medication adjustment of Risperidone (Risperdal). When the client walks to to the
uv uv uv uv uv uv uv uv uv uv uv uv uv uv
nurses station in a laterally contracted position, he states that something has made his body
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contort into a monster. What action should the RN take?
uv uv uv uv uv uv uv uv uv uv uv
A. Medicate the client with the prescribed antipsychotic thioridazine (Mellaril)
uv uv uv uv uv uv uv uv uv uv
B. Offer the client a prescribed physical therapy hot pack for musclespasms.
uv uv uv uv uv uv uv uv uv uv uv uv
C. Direct client occupational therapy to distract him form somatic complaints
uv uv uv uv uv uv uv uv uv uv uv
D. Administer the prescribed anticholinergic benztropine (Cogentin) for dystonia - (correct answer) -
uv uv uv uv uv uv uv uv uv uv uv uv
D. Administer the prescribed anticholinergic benztropine (Cogentin) for dystonia
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