PSYCHIATRIC/MENTAL HEALTH NURSING
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Psychiatric nursing Psychiatric Mental Health Nursing HESI - Medical Surg
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A parent of a 17-year-old girl Double-bind message
who has been hospitalized for
extremely disturbed acting-out
behavior leaves a gift for the
daughter but says, "I'm too busy
to visit today." The daughter
becomes upset and tearful after
being given the message and
opening the package. What
does the nurse conclude that
the parent's actions represent?
What treatment should a nurse Electroconvulsive therapy
anticipate will be prescribed for
a client with severe, persistent,
intractable depression and
suicidal ideation?
An older adult, accompanied by "Don't be afraid. I'm your nurse, and everyone here in the hospital
family members, is admitted to a is here to help you."
long-term care facility with
symptoms of dementia. During
the admission procedure the
initial statement by the nurse
most helpful to this client is:
,An older depressed person at Projection
an independent living facility
constantly complains about her
health problems to anyone who
will listen. One day the client
says, "I'm not going to any more
activities. All these old crabby
people do is talk about their
problems." What defense
mechanism does the nurse
conclude that the client is using?
A client with alcohol "No, I don't see any bugs."
dependence problem asks
whether the nurse can see the
bugs that are crawling on the
bed. What is the nurse's initial
reply?
A client is responding within an Symptoms of the heroin overdose may return after the naloxone
hour of receiving naloxone to is metabolized.
combat respiratory depression
from an overdose of heroin.
Why should a nurse continue to
closely monitor this client's
status?
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A client tells the nurse, "The "I understand that these voices are real to you, but I want you to
voices say I'll be safe only if I know that I don't hear them."
stay in this room, wear these
clothes, and avoid stepping on
the cracks between the floor
tiles." What is the best initial
response by the nurse?
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A client in the mental health Imagery
clinic has a phobia about closed
spaces. Which desensitization
method should the nurse expect
to be used successfully with this
client?
A client with schizophrenia is "I'll help you take your shower now."
admitted to a psychiatric unit.
The client is talking while
walking in the hall, is unkempt,
and obviously has not washed in
several days. What should the
nurse say when trying to help
this client shower?
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, When a client is expressing Ensuring a safe therapeutic milieu
severe anxiety by sobbing in the
fetal position on her bed, the
nurse's priority is:
A nurse is caring for several Are dependent on it
clients who are going through
withdrawal from alcohol. The
primary reason for the ingestion
of alcohol by clients with a
history of alcohol abuse is that
they:
A nurse is caring for a client with Assuring the client that the symptoms are part of the withdrawal
the diagnosis of alcohol syndrome
withdrawal delirium. Which
action is most appropriate for
the nurse to implement?
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A 30-year-old woman reports to Conversion
the mental health clinic on the
recommendation of her primary
health care provider. She has
been unable to carry out
everyday activities because of
increased pain in her lower back
and legs. Numerous
neurological and orthopedic
workups indicate that her
symptoms seem excessive when
compared with the physical
problems shown on physical
examination and repeated MRIs
and x-rays. She says that no one
understands how difficult it has
been to care for her 32-year-old
husband, who has an inoperable
brain tumor and is undergoing
chemotherapy. In light of the
history and symptoms, what
disorder should the nurse
suspect?
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A client is admitted to the "I know there's no reason to do these things, but I can't help
hospital because of myself."
incapacitating obsessive-
compulsive behavior. The
statement that best describes
how clients with obsessive-
compulsive behavior view this
disorder is:
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