MENTAL HEALTH (PSYCH) HESI – FINAL EXAM
g g g g g g g
PRACTICE QUESTIONS & ANSWERS
g g g
1. Thegnursegisgdiscussinggtheggrievinggprocessgwithgthegclient.gWhichgstages
garegincludedgingKubler-Ross'gstagesgofggrief?gRankgingthegcorrectgorder.
1. Acceptance
2. Bargaining
3. Denial
4. Anger
5. Depression:gAnswer:
3. Denial
4. Anger
2. Bargaining
5. Depression
1. Acceptance
2. Whichgsituationgrequiresgpriorityginterventiongonganginpatientgpsychiatric
gunit?
1.gAgclientgisgthreateninggtogthrowgthegtelevisiongatganothergclient.
2.gAgmalegclientgwantsgtogusegthegphonegtogcallghisgspouse.
3. Agclientgsittinggingagchairgisgdelusionalgandghallucinating
4. Agclientghasgrefusedgtogeatganythinggforgtheglastg2gdays.:gAnswer:
1.gAgclientgisgthreateninggtogthrowgthegtelevisiongatganothergclient.
3. Thegclientgdiagnosedgwithgbipolargdisordergandgwhogisgprescribedglithium,
gangantigmaniagmedication,gisgadmittedgtogthegpsychiatricgunitgingangacutegm
anicgstate.gWhichginterventiongshouldgthegnursegimplementgfirst?
1. HavegtheglaboratorygdrawgagSTATgserumglithiumglevel.
2. Evaluategwhatgbehaviorgpromptedgthegpsychiatricgadmission.
3. Assessgandgtreatgthegclient'sgphysiologicalgneeds.
4. AdministergSTATgdosegofglithiumgtogthegclient.:gAnswer:
3. Assessgandgtreatgthegclient'sgphysiologicalgneeds.
4. Thegpsychiatricgunitgstaffgisgupsetgaboutgthegnewgfemalegchargegnursegwhog
justgsitsginghergofficegallgday.gOnegofgthegstaffgmembersginformsgthegclinicalg
managergindicatesgaglaissez-fairegleadershipgstyle?
1. "Igwillgschedulegagmeetinggtogdiscussgthegconcernsgofgthegchargegnurse."
2. "IghiredgthegnewgchargegnursegandgshegisgdoinggwhatgIgtoldghergtogdo."
3. "Yougandgthegstaffgreallygshouldgtakegcaregofgthisgsituationgongyourgown."
4. "Igwillgtalkgtogthegchargegnursegaboutgyourgconcernsgandggetgbackgtog
you.":gAnswer:
3.g"Yougandgthegstaffgreallygshouldgtakegcaregofgthisgsituationgongyourgown."g(la
issez-fairegattitudegisgang"everybodygisgdrivinggtheirgowngtrain"gattitude,gyou
1g/g32
, MENTAL HEALTH (PSYCH) HESI – FINAL EXAM
g g g g g g g
PRACTICE QUESTIONS & ANSWERS
g g g
guysgtakegcaregofgit)(optiong1.gisgdemocratic.g2.gisgangautocraticgstyle.gauthoritarianga
pproach.g4.gisgtakinggchargegofgthegsituation.)
5. Thegmentalghealthgworkergreportsgthatgonegofgthegnursesgthreatenedgtogf
orce-
fedgthegmalegclientgdiagnosedgwithgschizophreniagifgthegclientgdidgnotgeatgth
egmealgongtheglunchgtray.gWhichgactiongshouldgthegchargegnursegtakegfirst?
1. TellgthegMHWgthatgthisginterventiongisgpartgofgthegclient'sgcaregplan.
2. RequestgthegnursegtogcomegtogthegofficegandgdiscussgthegMHWgallegation.
3. Askgthegclientgwhatghappenedgbetweenghimgandgthegnursegduringglunch.
4. AskgthegMHWgtogwritegdowngthegsituationgtogsubmitgtogthegheadgnurse.:gAn-
gswer:
2.gRequestgthegnursegtogcomegtogthegofficegandgdiscussgthegMHWgallegation.g(neve
rgchooseganganswerglikeg4.gwheregitgsuggestsgyoug"passgitgup"gsogthatgyougdon'tghavegt
ogdealgwithgthegproblem.gitgwillgbegwrong)
6. Thegclientgdiagnosedgwithgparanoidgschizophreniagisgimminentlygaggres-
gsivegandgisgdangerousgtoghimself,gthegothergclients,gandgthegpsychiatric
staffgmembers.gThegclientgisgplacedgingagseclusiongroom.gWhichginterventionsg
shouldgthegpsychiatricgnursegimplement?gSelectgallgthatgapply.
1. Assessgthegclientgeveryg2ghoursgforgsidegeffectsgofgmedication.
2. Tellgthegclientgwhatgbehaviorgwillgpromptgthegreleasegfromgseclusion.
3. Dognotgnotifygthegclient'sgfamilygofgtheginitiationgofgseclusion.
4. Explaingthatgthegclientgwillgbegingseclusiongroomgforg24ghours.
5. InstructgthegMHWgtogcheckgthegclientgeveryg10-15gminutes.:gAnswer:
1. Assessgthegclientgeveryg2ghoursgforgsidegeffectsgofgthegmedication.,g2.gTellgtheggcl
ientgwhatgbehaviorgwillgpromptgthegreleasegfromgseclusion.,g5.gInstructgthegMHWgto
gcheckgthegclientgeveryg10-15gminutes.
7. ThegpsychiatricgnursegoverhearsgagMHWgarguinggwithgagclientgdiagnosed
gwithgparanoidgschizophrenia.gWhichgactiongshouldgthegnursegimplement?
1. AskgthegMHWgtoggogtogthegnurse'sgstation.
2. TellgthegMHWgtogquitgarguinggwithgthegclient.
3. Notifygthegclinicalgmanagergofgthegpsychiatricgunit.
4. Reportgthegbehaviorgtogthegclientgabusegcommittee.:gAnswer:
1. AskgthegMHWgtoggogtogthegnurse'sgstation.g(firstgthinggyougareggoinggtogdogisgassessgs
ituationgwithgthegMHW.)
8. Thegpsychiatricgnurseghasgtakeng15gminutesgextragforgtheglunchgbreakgtwog
timesgingtheglastgweek.gWhichgactiongshouldgthegfemalegclinicalgmanagergim
plement?
1. Takegnogactiongandgcontinuegtogwatchgthegnurse'sgbehavior.
2g/g32
, MENTAL HEALTH (PSYCH) HESI – FINAL EXAM
g g g g g g g
PRACTICE QUESTIONS & ANSWERS
g g g
2. Documentgthegbehaviorgingwritinggandgplacegingthegnurse'sgfile.
3. Tellgthegnursegtogcheckgingandgoutgwithghergwhengtakingglunch.
4. Talkgtogthegnurseginformallygaboutgtakingg45gminutesgforglunch.:gAnswer:
4.gTalkgtogthegnurseginformallygaboutgtakingg45gminutesgforglunch.g(Assess)
9. ThegclientgdiagnosedgwithgAlzheimer'sgdiseasegisgongagspecialgunitgforgcli
entsgwithgcognitivegdisorders.gWhichgassessmentgdatagwouldgwarrantgim-
gmediateginterventiongbygthegpsychiatricgnurse?
1. Thegclientgdoesgnotgknowghisgorghergname,gdate,gorgplace.
2. Thegclientgisgunablegtogdressghimselfgorgherselfgwithoutgassistance.
3. Thegclientgisgdifficultgtogarousegfromgsleep.
4. Thegclientgneedsgassistancegwhengeatinggagmeal.:gAnswer:
3.gThegclientgisgdifficultgtogarousegfromgsleep.
10. Thegmothergofgagclientgrecentlygdiagnosedgwithgschizophreniagsaysgtogthe
gnurse,g"Igwasgafraidgofgmygson.gWillghegbegalright?"gWhichgresponsegbygtheg
psychiatricgnursegsupportsgthegethicalgprincipalgofgveracity?
1. "Igcangseegyourgfear;gyougaregconcernedgyourgsongwillgnotgbegalright."
2. "Ifgyourgsongtakesgmedication,gthegsymptomsgcangbegcontrolled."
3. "Whygweregyougafraidgofgyourgson?gDidgyougthinkghegwouldghurtgyou?"
4. "Schizophreniagisgagmentalgillgnessgandgyourgsongwillgnotgbegalright.":gAn-
gswer:
2. "Ifgyourgsongtakesgmedication,gthegsymptomsgcangbegcontrolled."
(veracitygmeansgtogtellgthegtruth.g1.gisgagtherapeuticgresponse.g3.gdon'tgaskgthegptgwhyg
orgwhatgmadegyou.g4.goppositegofgveracity,gthatgisgnotgtrue.
11. Thegclientgingthegpsychiatricgunitgtellsgagnurse,g"Someonegjustgputgagbombg
undergthegcouchgingtheglobby."gWhichgactiongshouldgthegnursegimplementgfir
st?
1. Lookgundergthegcouchgforgagbomb.
2. Implementgthegbombgscaregprotocol.
3. Havegthegstaffgevacuategthegunit.
4. Tellgthegclientgtheregisgnotgagbomb.:gAnswer:
1. Lookgundergthegcouchgforgagbomb.g(Assess)
12. Thegheadgnursegingagpsychiatricgunitgingthegcountygemergencygdepartment
gisgassigninggclientgtogthegstaffgnurses.gWhichgclientgshouldgbegassignedgtogth
egmostgexperiencedgnurse?
1. Thegclientgwhogisgcryinggandgupsetgbecausegshegwasgraped.
2. Thegclientgdiagnosedgwithgbipolargdisordergwhogisgagitated.
3. Thegclientgwhogwasgfoundgwanderinggthegstreetsgingagdaze.
4. Thegclientgdiagnosedgwithgschizophreniagwhogisghallucinating.:gAnswer:
3g/g32
, MENTAL HEALTH (PSYCH) HESI – FINAL EXAM
g g g g g g g
PRACTICE QUESTIONS & ANSWERS
g g g
3. Thegclientgwhogwasgfoundgwanderinggthegstreetsgingagdaze.g(whengthegQgasksg"w
hogaregyouggoinggtoggivegtogthegmostgexperiencedgnurse"gwhatgtheygaregreallygaski
nggisg"whogisgthegmostgunstable."g"whogrequiresgthegmostgin-
depthgassessmentgandgteaching?"gwegknowgwhatgisgwronggwithgallgofgthesegpatient
s,gbesidesg#3.,gwegonlygknowgthegclientgwasgfoundgwalkinggingagdaze,gwegdon'tgkno
wganythinggaboutgthem)
13. thegclientgdiagnosedgwithganorexiagisgrefusinggtogeatgandgisglessgthang20
%gofgidealgbodygweightgforghergheightgandgstructure.gThegclientghasgnotgeate
nganythinggsincegadmissiong2gdaysgago.gWhichgactiongshouldgthegnursegimp
lement?
1. Notifygthegpsychiatristgtogrequestgagcourtgordergtogfeedgthegclient.
2. Takegnogactiongbecausegthegclientghasgthegrightgtogrefusegtreatment.
3. Dischargegthegclientgbecausegshegisgnotgcomplyinggwithgthegtreatment.
4. Physicallygrestraingthegclientgandginsertgagnasogastricgtubegforgfeeding.:g-
Answer:
1. Notifygthegpsychiatristgtogrequestgagcourtgordergtogfeedgthegclient.
14. Thegnurseganswersgthegclient'sgphonegingtheglobbygareagandgthegpersong
asks,g"MaygIgspeakgtogMr.gJones?"gWhichgactiongshouldgthegnursegimplement?
1. AskgthegcallergwhogisgaskinggforgMr.gJones.
2. TellgthegcallergMr.gJonesgcannotghavegphonegcalls.
3. Requestgthegcallergtoggivegthegaccessgcodegforginformation.
4. FindgMr.gJonesgandgtellgthemgheghasgagphonegcall.:gAnswer:
4. FindgMr.gJonesgandgtellgthemgheghasgagphonegcall.g(Thisgisgthegclient'sgphone.g
Facilitygphonegwouldgbegdifferent.)
15. Thegclientgbeinggthegpsychiatricgnursegingthegmentalghealthgclinicgtellsgtheg
nurseg"IfgIgtellgyougsomethinggverygimportant,gwillgyougpromisegnotgtogtellgan
yone?"gWhichgstatementgisgthegnurse'sgbestgresponse?
1. "IgpromisegIgwillgnotgtellganyonegifgyougdon'tgwantgmegto."
2. "IfgitgaffectsgyourgcaregIgwillghavegtogtellgsomeonegwhogcanghelp."
3. "Ifgyougdon'tgwantgmegtogtellganyone,gthengpleasegdon'tgtellgme."
4. "Whygdogyougnotgwantgmegtogtellganyonegifgitgisgsogimportant?":gAnswer:
2. "IfgitgaffectsgyourgcaregIgwillghavegtogtellgsomeonegwhogcanghelp."
(1.gdon'tgpromiseganything.g3.gdognotgshutgagptgdowngwhengtheygaregtryinggtogcommu
nicate.g4.gnevergaskgagptg"why"gorg"whatgmadegyou".)
16. Whichgsituationgwouldgwarrantgimmediateginterventiongbygthegcharge
gnursegongthegpsychiatricgunitgaftergreceivinggthega.m.gshiftgreport?
1. Thegclientgdiagnosedgwithgparanoidgschizophreniagwhogisgdelusional.
2. Thegp.m.gshiftglicensedgpracticalgnursegcalledgingtogsaygthatghegorgshegwould
4g/g32
g g g g g g g
PRACTICE QUESTIONS & ANSWERS
g g g
1. Thegnursegisgdiscussinggtheggrievinggprocessgwithgthegclient.gWhichgstages
garegincludedgingKubler-Ross'gstagesgofggrief?gRankgingthegcorrectgorder.
1. Acceptance
2. Bargaining
3. Denial
4. Anger
5. Depression:gAnswer:
3. Denial
4. Anger
2. Bargaining
5. Depression
1. Acceptance
2. Whichgsituationgrequiresgpriorityginterventiongonganginpatientgpsychiatric
gunit?
1.gAgclientgisgthreateninggtogthrowgthegtelevisiongatganothergclient.
2.gAgmalegclientgwantsgtogusegthegphonegtogcallghisgspouse.
3. Agclientgsittinggingagchairgisgdelusionalgandghallucinating
4. Agclientghasgrefusedgtogeatganythinggforgtheglastg2gdays.:gAnswer:
1.gAgclientgisgthreateninggtogthrowgthegtelevisiongatganothergclient.
3. Thegclientgdiagnosedgwithgbipolargdisordergandgwhogisgprescribedglithium,
gangantigmaniagmedication,gisgadmittedgtogthegpsychiatricgunitgingangacutegm
anicgstate.gWhichginterventiongshouldgthegnursegimplementgfirst?
1. HavegtheglaboratorygdrawgagSTATgserumglithiumglevel.
2. Evaluategwhatgbehaviorgpromptedgthegpsychiatricgadmission.
3. Assessgandgtreatgthegclient'sgphysiologicalgneeds.
4. AdministergSTATgdosegofglithiumgtogthegclient.:gAnswer:
3. Assessgandgtreatgthegclient'sgphysiologicalgneeds.
4. Thegpsychiatricgunitgstaffgisgupsetgaboutgthegnewgfemalegchargegnursegwhog
justgsitsginghergofficegallgday.gOnegofgthegstaffgmembersginformsgthegclinicalg
managergindicatesgaglaissez-fairegleadershipgstyle?
1. "Igwillgschedulegagmeetinggtogdiscussgthegconcernsgofgthegchargegnurse."
2. "IghiredgthegnewgchargegnursegandgshegisgdoinggwhatgIgtoldghergtogdo."
3. "Yougandgthegstaffgreallygshouldgtakegcaregofgthisgsituationgongyourgown."
4. "Igwillgtalkgtogthegchargegnursegaboutgyourgconcernsgandggetgbackgtog
you.":gAnswer:
3.g"Yougandgthegstaffgreallygshouldgtakegcaregofgthisgsituationgongyourgown."g(la
issez-fairegattitudegisgang"everybodygisgdrivinggtheirgowngtrain"gattitude,gyou
1g/g32
, MENTAL HEALTH (PSYCH) HESI – FINAL EXAM
g g g g g g g
PRACTICE QUESTIONS & ANSWERS
g g g
guysgtakegcaregofgit)(optiong1.gisgdemocratic.g2.gisgangautocraticgstyle.gauthoritarianga
pproach.g4.gisgtakinggchargegofgthegsituation.)
5. Thegmentalghealthgworkergreportsgthatgonegofgthegnursesgthreatenedgtogf
orce-
fedgthegmalegclientgdiagnosedgwithgschizophreniagifgthegclientgdidgnotgeatgth
egmealgongtheglunchgtray.gWhichgactiongshouldgthegchargegnursegtakegfirst?
1. TellgthegMHWgthatgthisginterventiongisgpartgofgthegclient'sgcaregplan.
2. RequestgthegnursegtogcomegtogthegofficegandgdiscussgthegMHWgallegation.
3. Askgthegclientgwhatghappenedgbetweenghimgandgthegnursegduringglunch.
4. AskgthegMHWgtogwritegdowngthegsituationgtogsubmitgtogthegheadgnurse.:gAn-
gswer:
2.gRequestgthegnursegtogcomegtogthegofficegandgdiscussgthegMHWgallegation.g(neve
rgchooseganganswerglikeg4.gwheregitgsuggestsgyoug"passgitgup"gsogthatgyougdon'tghavegt
ogdealgwithgthegproblem.gitgwillgbegwrong)
6. Thegclientgdiagnosedgwithgparanoidgschizophreniagisgimminentlygaggres-
gsivegandgisgdangerousgtoghimself,gthegothergclients,gandgthegpsychiatric
staffgmembers.gThegclientgisgplacedgingagseclusiongroom.gWhichginterventionsg
shouldgthegpsychiatricgnursegimplement?gSelectgallgthatgapply.
1. Assessgthegclientgeveryg2ghoursgforgsidegeffectsgofgmedication.
2. Tellgthegclientgwhatgbehaviorgwillgpromptgthegreleasegfromgseclusion.
3. Dognotgnotifygthegclient'sgfamilygofgtheginitiationgofgseclusion.
4. Explaingthatgthegclientgwillgbegingseclusiongroomgforg24ghours.
5. InstructgthegMHWgtogcheckgthegclientgeveryg10-15gminutes.:gAnswer:
1. Assessgthegclientgeveryg2ghoursgforgsidegeffectsgofgthegmedication.,g2.gTellgtheggcl
ientgwhatgbehaviorgwillgpromptgthegreleasegfromgseclusion.,g5.gInstructgthegMHWgto
gcheckgthegclientgeveryg10-15gminutes.
7. ThegpsychiatricgnursegoverhearsgagMHWgarguinggwithgagclientgdiagnosed
gwithgparanoidgschizophrenia.gWhichgactiongshouldgthegnursegimplement?
1. AskgthegMHWgtoggogtogthegnurse'sgstation.
2. TellgthegMHWgtogquitgarguinggwithgthegclient.
3. Notifygthegclinicalgmanagergofgthegpsychiatricgunit.
4. Reportgthegbehaviorgtogthegclientgabusegcommittee.:gAnswer:
1. AskgthegMHWgtoggogtogthegnurse'sgstation.g(firstgthinggyougareggoinggtogdogisgassessgs
ituationgwithgthegMHW.)
8. Thegpsychiatricgnurseghasgtakeng15gminutesgextragforgtheglunchgbreakgtwog
timesgingtheglastgweek.gWhichgactiongshouldgthegfemalegclinicalgmanagergim
plement?
1. Takegnogactiongandgcontinuegtogwatchgthegnurse'sgbehavior.
2g/g32
, MENTAL HEALTH (PSYCH) HESI – FINAL EXAM
g g g g g g g
PRACTICE QUESTIONS & ANSWERS
g g g
2. Documentgthegbehaviorgingwritinggandgplacegingthegnurse'sgfile.
3. Tellgthegnursegtogcheckgingandgoutgwithghergwhengtakingglunch.
4. Talkgtogthegnurseginformallygaboutgtakingg45gminutesgforglunch.:gAnswer:
4.gTalkgtogthegnurseginformallygaboutgtakingg45gminutesgforglunch.g(Assess)
9. ThegclientgdiagnosedgwithgAlzheimer'sgdiseasegisgongagspecialgunitgforgcli
entsgwithgcognitivegdisorders.gWhichgassessmentgdatagwouldgwarrantgim-
gmediateginterventiongbygthegpsychiatricgnurse?
1. Thegclientgdoesgnotgknowghisgorghergname,gdate,gorgplace.
2. Thegclientgisgunablegtogdressghimselfgorgherselfgwithoutgassistance.
3. Thegclientgisgdifficultgtogarousegfromgsleep.
4. Thegclientgneedsgassistancegwhengeatinggagmeal.:gAnswer:
3.gThegclientgisgdifficultgtogarousegfromgsleep.
10. Thegmothergofgagclientgrecentlygdiagnosedgwithgschizophreniagsaysgtogthe
gnurse,g"Igwasgafraidgofgmygson.gWillghegbegalright?"gWhichgresponsegbygtheg
psychiatricgnursegsupportsgthegethicalgprincipalgofgveracity?
1. "Igcangseegyourgfear;gyougaregconcernedgyourgsongwillgnotgbegalright."
2. "Ifgyourgsongtakesgmedication,gthegsymptomsgcangbegcontrolled."
3. "Whygweregyougafraidgofgyourgson?gDidgyougthinkghegwouldghurtgyou?"
4. "Schizophreniagisgagmentalgillgnessgandgyourgsongwillgnotgbegalright.":gAn-
gswer:
2. "Ifgyourgsongtakesgmedication,gthegsymptomsgcangbegcontrolled."
(veracitygmeansgtogtellgthegtruth.g1.gisgagtherapeuticgresponse.g3.gdon'tgaskgthegptgwhyg
orgwhatgmadegyou.g4.goppositegofgveracity,gthatgisgnotgtrue.
11. Thegclientgingthegpsychiatricgunitgtellsgagnurse,g"Someonegjustgputgagbombg
undergthegcouchgingtheglobby."gWhichgactiongshouldgthegnursegimplementgfir
st?
1. Lookgundergthegcouchgforgagbomb.
2. Implementgthegbombgscaregprotocol.
3. Havegthegstaffgevacuategthegunit.
4. Tellgthegclientgtheregisgnotgagbomb.:gAnswer:
1. Lookgundergthegcouchgforgagbomb.g(Assess)
12. Thegheadgnursegingagpsychiatricgunitgingthegcountygemergencygdepartment
gisgassigninggclientgtogthegstaffgnurses.gWhichgclientgshouldgbegassignedgtogth
egmostgexperiencedgnurse?
1. Thegclientgwhogisgcryinggandgupsetgbecausegshegwasgraped.
2. Thegclientgdiagnosedgwithgbipolargdisordergwhogisgagitated.
3. Thegclientgwhogwasgfoundgwanderinggthegstreetsgingagdaze.
4. Thegclientgdiagnosedgwithgschizophreniagwhogisghallucinating.:gAnswer:
3g/g32
, MENTAL HEALTH (PSYCH) HESI – FINAL EXAM
g g g g g g g
PRACTICE QUESTIONS & ANSWERS
g g g
3. Thegclientgwhogwasgfoundgwanderinggthegstreetsgingagdaze.g(whengthegQgasksg"w
hogaregyouggoinggtoggivegtogthegmostgexperiencedgnurse"gwhatgtheygaregreallygaski
nggisg"whogisgthegmostgunstable."g"whogrequiresgthegmostgin-
depthgassessmentgandgteaching?"gwegknowgwhatgisgwronggwithgallgofgthesegpatient
s,gbesidesg#3.,gwegonlygknowgthegclientgwasgfoundgwalkinggingagdaze,gwegdon'tgkno
wganythinggaboutgthem)
13. thegclientgdiagnosedgwithganorexiagisgrefusinggtogeatgandgisglessgthang20
%gofgidealgbodygweightgforghergheightgandgstructure.gThegclientghasgnotgeate
nganythinggsincegadmissiong2gdaysgago.gWhichgactiongshouldgthegnursegimp
lement?
1. Notifygthegpsychiatristgtogrequestgagcourtgordergtogfeedgthegclient.
2. Takegnogactiongbecausegthegclientghasgthegrightgtogrefusegtreatment.
3. Dischargegthegclientgbecausegshegisgnotgcomplyinggwithgthegtreatment.
4. Physicallygrestraingthegclientgandginsertgagnasogastricgtubegforgfeeding.:g-
Answer:
1. Notifygthegpsychiatristgtogrequestgagcourtgordergtogfeedgthegclient.
14. Thegnurseganswersgthegclient'sgphonegingtheglobbygareagandgthegpersong
asks,g"MaygIgspeakgtogMr.gJones?"gWhichgactiongshouldgthegnursegimplement?
1. AskgthegcallergwhogisgaskinggforgMr.gJones.
2. TellgthegcallergMr.gJonesgcannotghavegphonegcalls.
3. Requestgthegcallergtoggivegthegaccessgcodegforginformation.
4. FindgMr.gJonesgandgtellgthemgheghasgagphonegcall.:gAnswer:
4. FindgMr.gJonesgandgtellgthemgheghasgagphonegcall.g(Thisgisgthegclient'sgphone.g
Facilitygphonegwouldgbegdifferent.)
15. Thegclientgbeinggthegpsychiatricgnursegingthegmentalghealthgclinicgtellsgtheg
nurseg"IfgIgtellgyougsomethinggverygimportant,gwillgyougpromisegnotgtogtellgan
yone?"gWhichgstatementgisgthegnurse'sgbestgresponse?
1. "IgpromisegIgwillgnotgtellganyonegifgyougdon'tgwantgmegto."
2. "IfgitgaffectsgyourgcaregIgwillghavegtogtellgsomeonegwhogcanghelp."
3. "Ifgyougdon'tgwantgmegtogtellganyone,gthengpleasegdon'tgtellgme."
4. "Whygdogyougnotgwantgmegtogtellganyonegifgitgisgsogimportant?":gAnswer:
2. "IfgitgaffectsgyourgcaregIgwillghavegtogtellgsomeonegwhogcanghelp."
(1.gdon'tgpromiseganything.g3.gdognotgshutgagptgdowngwhengtheygaregtryinggtogcommu
nicate.g4.gnevergaskgagptg"why"gorg"whatgmadegyou".)
16. Whichgsituationgwouldgwarrantgimmediateginterventiongbygthegcharge
gnursegongthegpsychiatricgunitgaftergreceivinggthega.m.gshiftgreport?
1. Thegclientgdiagnosedgwithgparanoidgschizophreniagwhogisgdelusional.
2. Thegp.m.gshiftglicensedgpracticalgnursegcalledgingtogsaygthatghegorgshegwould
4g/g32
