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MENTAL HEALTH HESI

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MENTAL HEALTH HESI A 4 YEAR OLD IS BROUGHT TO THE CLINIC WITH A FRACTURED ARM.WHICH INFORMATION SHOULD BE A BASIS FOR THE PRACTICAL NURSE TO SUSPECT CHILD ABUSE - ANSWER-THE CHILD HAS HAD 4 PREVIOUS VISITS TO 3 NUMBER OF EMERGENCY DEPARTMENT .A client experiencing withdrawal from Xanax is having severe agitation and tremors. What should the PN do? - ANSWER-Initiate seizure precaution. .A CLIENT IS DIAGNOSED WITH TERMINAL CANCER, THE DOCTOR TOLD ME I HAVE CANCER.I DO NOT HAVE LONG TO LIVE.WHICH RESPONSE SHOULD THE PN OFFER? - ANSWER-YES, YOUR CONDITION IS SERIOUS. .A CLIENT WITH DELUSIONS, "YOU ARE NOT DOING YOUR JOB. GO GET THOSE PEOPLE OVER THERE AND SHOUT THEM BEFORE THEY GET ME. WHAT IS THE NURSE BEST RESPONSE - ANSWER-YOU SEEM QUITE FRIGHTENED RIGHT NOW .A daughter gained weight because she is under so much stress deciding whether to send dad to nursing home or her home. What should the PN do? - ANSWER-Offer to assist her in examining the pros and cons of the choices for him .A DELUSIONAL CLIENT WITH AGITATION AND LOSING CONTROL WHAT ARE SOME NURSING INTERVENTIONS? - ANSWER-MOVE THE CLIENT TO A QUIET PLACE ON THE UNIT. .A FEMALE CLIENT COULD NOT SLEEP LAST NIGHT BECAUSE SHE IS UNHAPPY IN HER JOB.WHAT TYPE OF THOUGHTS IS THE CLIENT HAVING - ANSWER-OBSESSIVE THOUGHT THAT THE CLIENT IS UNABLE TO CONTROL .A highly successful businessman presents to community mental health after complaining of sleepiness and anxiety over his financial status. What should the PN do to diminish his anxiety? - ANSWER-Teach him to limit sugar and caffeine intake. .A man complains of decrease concentration at work, tired during day, sleeps four to five hours at night. What should the PN ask? - ANSWER-Do you often feel sad. .A PARANOID CLIENT SITS QUIETLY WITHOUT COMMUNICATING THE NURSE SHOULD? - ANSWER-EXPLAIN HIS ROLE TO THE CLIENT BEFORE CARING FOR THIS CLIENT .A patient is being discharged from psychiatric facility with a prescription for the anti psychotic agent (Mellaril). What should the PN tell the patient to do? - ANSWER-Stand up slowly because the medication can cause hypotension. .A PN attempts to assist an 18 year old female with mild mental disability to ambulate first day post op after appendectomy. She refuses. What should you tell her? - ANSWER-I'll be back in 30 minutes to get you out of bed and walk around the room today. .A SINGLE MOTHER (CHILD HAVING HEAD INJURY) WHY DID THIS HAPPEN TO MY CHILD. I CAN'T JUST COPE WITH THIS - ANSWER-EXPRESS CONCERN ABOUT THE IMPACT OF THE EVENT ON THE MOTHER. .Abuse-spousal - ANSWER-The PN should ask a direct question that is supportive and nonjudgemental, and the best approach is the question, is someone hurting you? The other questions are probing and judgemental and are not the best approach to sensitive information .Abuse-spousal - ANSWER-The PN should ask a direct question that is supportive and nonjudgmental, and the best approach is the question, is someone hurting you? The other questions are probing and judgmental and are not the best approach to sensitive information. .Alcohol withdrawal-hospitalization - ANSWER-Alcohol detoxification precipitates a withdrawal syndrome that includes neurological and cardiovascular changes that require constant monitoring and medical management to safely move the client to an alcohol-free physiology. The other responses are ineffective and may contribute to the client's defensiveness. .Alcohol withdrawal-hospitalization - ANSWER-Alcohol detoxification precipitates a withdrawal syndrome that includes neurological and cardiovascular changes that require constant monitoring and medical management to safely move the client to an alcohol-free physiology. The other responses are ineffective and may contribute to the client's defensiveness.

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A 4 YEAR OLD IS BROUGHT TO THE CLINIC WITH A FRACTURED
ARM.WHICH INFORMATION SHOULD BE A BASIS FOR THE
PRACTICAL NURSE TO SUSPECT CHILD ABUSE - ANSWER-THE
CHILD HAS HAD 4 PREVIOUS VISITS TO 3 NUMBER OF
EMERGENCY DEPARTMENT


.A client experiencing withdrawal from Xanax is having severe
agitation and tremors. What should the PN do? - ANSWER-
Initiate seizure precaution.


.A CLIENT IS DIAGNOSED WITH TERMINAL CANCER, THE
DOCTOR TOLD ME I HAVE CANCER.I DO NOT HAVE LONG TO
LIVE.WHICH RESPONSE SHOULD THE PN OFFER? - ANSWER-
YES, YOUR CONDITION IS SERIOUS.


.A CLIENT WITH DELUSIONS, "YOU ARE NOT DOING YOUR JOB.
GO GET THOSE PEOPLE OVER THERE AND SHOUT THEM

,BEFORE THEY GET ME. WHAT IS THE NURSE BEST RESPONSE -
ANSWER-YOU SEEM QUITE FRIGHTENED RIGHT NOW


.A daughter gained weight because she is under so much
stress deciding whether to send dad to nursing home or her
home. What should the PN do? - ANSWER-Offer to assist her
in examining the pros and cons of the choices for him


.A DELUSIONAL CLIENT WITH AGITATION AND LOSING
CONTROL WHAT ARE SOME NURSING INTERVENTIONS? -
ANSWER-MOVE THE CLIENT TO A QUIET PLACE ON THE UNIT.


.A FEMALE CLIENT COULD NOT SLEEP LAST NIGHT BECAUSE
SHE IS UNHAPPY IN HER JOB.WHAT TYPE OF THOUGHTS IS
THE CLIENT HAVING - ANSWER-OBSESSIVE THOUGHT THAT
THE CLIENT IS UNABLE TO CONTROL


.A highly successful businessman presents to community
mental health after complaining of sleepiness and anxiety
over his financial status. What should the PN do to diminish
his anxiety? - ANSWER-Teach him to limit sugar and caffeine
intake.

, .A man complains of decrease concentration at work, tired
during day, sleeps four to five hours at night. What should the
PN ask? - ANSWER-Do you often feel sad.


.A PARANOID CLIENT SITS QUIETLY WITHOUT
COMMUNICATING THE NURSE SHOULD? - ANSWER-EXPLAIN
HIS ROLE TO THE CLIENT BEFORE CARING FOR THIS CLIENT


.A patient is being discharged from psychiatric facility with a
prescription for the anti psychotic agent (Mellaril). What
should the PN tell the patient to do? - ANSWER-Stand up
slowly because the medication can cause hypotension.


.A PN attempts to assist an 18 year old female with mild
mental disability to ambulate first day post op after
appendectomy. She refuses. What should you tell her? -
ANSWER-I'll be back in 30 minutes to get you out of bed and
walk around the room today.


.A SINGLE MOTHER (CHILD HAVING HEAD INJURY) WHY DID
THIS HAPPEN TO MY CHILD. I CAN'T JUST COPE WITH THIS -
ANSWER-EXPRESS CONCERN ABOUT THE IMPACT OF THE
EVENT ON THE MOTHER.

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