MENTAL HEALTH HESI EXAM WITH CORRECT ANSWERS
AND 100%GUARANTEE PASS.
if a female client is sitting alone in the group room of psychiatric unit,
nodding head and talking to herself, hearing voices and they are telling her
to turn herself in to FBI, what should the PN do? - CORRECT ANSWER -
Distract her by turning on tv
Depression-sleep - CORRECT ANSWER -Severrly depressed chients usually
report experiencing disruption in normal sleep patterns. The PN should
assess the client for sleep disturbances. The other problems may
accompany depression, but sleep disturbances is a classic symptom.
Benzodiazepine-instruct - CORRECT ANSWER -Aalprazolam (xanax) is
contraindicated in acute angle-closure glaucoma or untreated open-angle
glaucoma. The PN should instruct the family and client to call the clinic if
the client is diagnosed with acute narrow angle glaucoma. The other
options are important interventions but they do not have priority.
Suicide-narcan - CORRECT ANSWER -The half-life of hydrocone (Vicodin) is
3.8 hours, and the half-life of naloxone (Narcan) is 60 to 90 minutes. The
effects of hydroconone will outlast the antagonist effects of naxolone, and
further dosage with naloxone may be required. In planning care, it is most
importantly that the client is observed closely for recurrence of narcotic
actions until the effects of hydrocodone have been eliminated. Other
actions are not the priority action at this time.
Reflective dialog - CORRECT ANSWER -The PN should first demonstrate
therapeutic communication by being present and actively listening to the
client. Sharing a perception of what is happening with the client is a useful
, communication technique that prvides the client an opportunity to verify
the PN's perception and asses the client to clarify and focus on the
decisional conflict that is being experienced. Examples of nontherapeutic
techniques in communication include giving advice, giving reassurance and
failing to explore the client's feelings.
Antidepressants - CORRECT ANSWER -Tolerance to anticholinergic side effects
caused by tricyclic antidepressants (TRC) develops gradually and typically
inscludes dry mouth, blurred vision, and constipation. The other findings
are adverse reactions to TRC antidepressants, not expected side effects.
Anxiety-nursing action - CORRECT ANSWER -The best intervention is to
encourage verbalization and explore reasons for wanting to be discharged.
The other actions should be implemented after determining the source of
the client's anxiety.
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 - CORRECT ANSWER -YOU
SEEM QUITE FRIGHTENED RIGHT NOW
A SINGLE MOTHER (CHILD HAVING HEAD INJURY) WHY DID THIS
HAPPEN TO MY CHILD. I CAN'T JUST COPE WITH THIS - CORRECT
ANSWER -EXPRESS CONCERN ABOUT THE IMPACT OF THE EVENT ON
THE MOTHER.
A DELUSIONAL CLIENT WITH AGITATION AND LOSING CONTROL
WHAT ARE SOME NURSING INTERVENTIONS? - CORRECT ANSWER -
MOVE THE CLIENT TO A QUIET PLACE ON THE UNIT.
AND 100%GUARANTEE PASS.
if a female client is sitting alone in the group room of psychiatric unit,
nodding head and talking to herself, hearing voices and they are telling her
to turn herself in to FBI, what should the PN do? - CORRECT ANSWER -
Distract her by turning on tv
Depression-sleep - CORRECT ANSWER -Severrly depressed chients usually
report experiencing disruption in normal sleep patterns. The PN should
assess the client for sleep disturbances. The other problems may
accompany depression, but sleep disturbances is a classic symptom.
Benzodiazepine-instruct - CORRECT ANSWER -Aalprazolam (xanax) is
contraindicated in acute angle-closure glaucoma or untreated open-angle
glaucoma. The PN should instruct the family and client to call the clinic if
the client is diagnosed with acute narrow angle glaucoma. The other
options are important interventions but they do not have priority.
Suicide-narcan - CORRECT ANSWER -The half-life of hydrocone (Vicodin) is
3.8 hours, and the half-life of naloxone (Narcan) is 60 to 90 minutes. The
effects of hydroconone will outlast the antagonist effects of naxolone, and
further dosage with naloxone may be required. In planning care, it is most
importantly that the client is observed closely for recurrence of narcotic
actions until the effects of hydrocodone have been eliminated. Other
actions are not the priority action at this time.
Reflective dialog - CORRECT ANSWER -The PN should first demonstrate
therapeutic communication by being present and actively listening to the
client. Sharing a perception of what is happening with the client is a useful
, communication technique that prvides the client an opportunity to verify
the PN's perception and asses the client to clarify and focus on the
decisional conflict that is being experienced. Examples of nontherapeutic
techniques in communication include giving advice, giving reassurance and
failing to explore the client's feelings.
Antidepressants - CORRECT ANSWER -Tolerance to anticholinergic side effects
caused by tricyclic antidepressants (TRC) develops gradually and typically
inscludes dry mouth, blurred vision, and constipation. The other findings
are adverse reactions to TRC antidepressants, not expected side effects.
Anxiety-nursing action - CORRECT ANSWER -The best intervention is to
encourage verbalization and explore reasons for wanting to be discharged.
The other actions should be implemented after determining the source of
the client's anxiety.
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 - CORRECT ANSWER -YOU
SEEM QUITE FRIGHTENED RIGHT NOW
A SINGLE MOTHER (CHILD HAVING HEAD INJURY) WHY DID THIS
HAPPEN TO MY CHILD. I CAN'T JUST COPE WITH THIS - CORRECT
ANSWER -EXPRESS CONCERN ABOUT THE IMPACT OF THE EVENT ON
THE MOTHER.
A DELUSIONAL CLIENT WITH AGITATION AND LOSING CONTROL
WHAT ARE SOME NURSING INTERVENTIONS? - CORRECT ANSWER -
MOVE THE CLIENT TO A QUIET PLACE ON THE UNIT.
