Psych/Mental Health Nursing HESI
Review
A patron is experiencing excessive stages of pressure because of social situations that involve
overall performance and judgment. The patron receives a prescription for a short term medicine.
Which magnificence of medicines ought to the nurse anticipate to manage to the purchaser?
A. Norepinephrine reuptake inhibitors
B. Selective serotonin reuptake inhibitors
C. Benzodiazepines
D. Antipsychotics - ANS-C. Benzodiazepines
Social anxiety sickness is characterized by means of excessive levels of pressure caused by
social situations that contain overall performance and judgment. The nurse must assume to
manage benzodiazepines, which can be demonstrated to be powerful for short term remedy for
anxiety.
A customer is receiving benztropine mesylate for drug-precipitated extrapyramidal syndrome
(EPS). Which finding indicates that the nurse must further examine the patron?
A. Increased mouth movements
B. Decreased bowel moves
C. Decreasing hand tremors.
D. Presence of a dry mouth. - ANS-A. Increased mouth moves
Benztropine is an anti-Parkinson's agent and anticholinergic agent this is used to manage
extraordinary involuntary actions prompted by way of antipsychotics. Increased mouth
movements should suggest the persistence of signs and symptoms associated with EPS and
tardive dyskinesia, which is characterized through involuntary mouth and tongue worming
actions.
A purchaser provides within the emergency branch and states, "I was raped this night." Which
intervention is maximum critical for the nurse to put into effect?
A. Obtain a records of sexually transmitted illnesses.
B. Instruct the patron to do away with garb cautiously.
C. Assess patron's sexual hobby for the beyond 30 days.
,D. Ask the patron if the attacker may be identified. - ANS-B. Instruct the purchaser to remove
garb cautiously.
A purchaser who has agoraphobia is beginning desensitization with the therapist, and the nurse
is reinforcing the procedure. Which intervention has the best priority for this patron's plan of
care?
A. Progressively reveal the consumer to larger crowds.
B. Encourage deep breathing while tension escalates in a crowd.
C. Establish consider by means of imparting a peaceful, secure surroundings.
D. Encourage substitution of fantastic mind for bad ones. - ANS-C. Establish accept as true with
by using offering a calm, secure environment.
A customer who has been abused by using a spouse a couple of times is admitted to the
emergency branch. When taking the records, which statistics is most critical for the nurse to
achieve?
A. Ask if the partner drinks alcohol or does tablets before abuse takes place
B. Determine if the client has a plan to depart if their life is in hazard
C. Discuss the injuries that occurred from the previous abuse
D. Find out the instances that precipitated this abusive episode - ANS-B. Determine if the patron
has a plan to depart if their life is in risk
A client who's an alcoholic gets a prescription for disulfiram 500 mg PO day by day. Which
education need to the nurse provide to this consumer?
A. Take the medication each morning, beginning 48 hours after your closing drink of alcohol.
B. Begin taking the medicine without delay and take it day by day, regardless of whether or not
or no longer you drink alcohol.
C. Take the drugs with at least 8 oz.Of water and restriction alcohol intake whilst taking this
medicinal drug.
D. Take the medication at bedtime and keep away from ingesting any more than 1 ozof alcohol
each day. - ANS-A. Take the medicine each morning, starting 48 hours after your final drink of
alcohol.
A purchaser with a history of alcoholism is admitted for cleansing. Based on remedy protocol,
the nurse offers the patron a dose of lorazepam 6 mg. Which extra prescription need to the
nurse administer immediately?
A. Vitamin B1
B. Folic Acid
C. Haloperidol
D. Trazodone - ANS-A. Vitamin B1
, A purchaser with a primary depressive sickness is admitted to the inpatient psychiatric unit.
Which intervention need to the nurse use to demonstrate support of the purchaser?
A. Recommend journaling and time taken in self mirrored image.
B. Assist the client to become aware of signs of melancholy.
C. Schedule everyday durations of time for interplay with customer.
D. Incorporate animated communique techniques. - ANS-C. Schedule ordinary durations of time
for interaction with consumer.
A client with depression does now not want to talk with friends, uses television looking as a
method of escaping responsibilities, and describes the incapability to handle non-public
occasions. Which coping approach need to the nurse encompass within the plan of care?
A. Concentrate on and ventilate feelings while distressed.
B. Focus on small viable obligations, not taxing problems.
C. Shift attention from self to the desires and requests of others.
D. Relax and reduce the amount of attempt to remedy the hassle. - ANS-B. Focus on small
potential duties, not taxing problems.
A customer with schizophrenia is demonstrating echolalia, that is becoming stressful to different
customers on the unit. Which intervention is satisfactory for the nurse to put into effect?
A. Avoid recognizing the behavior.
B. Escort the purchaser to a private place.
C. Isolate the consumer from different clients.
D. Administer a PRN sedative. - ANS-B. Escort the customer to a private place.
A customer with schizophrenia returns to the health center weeks after receiving a prescription
for haloperidol. To assess for neuroleptic malignant syndrome (NMS), which information is most
important for the nurse to achieve throughout this visit?
A. Current essential symptoms
B. 24-hour urinary output
C. Blood sugar degree
D. White blood cellular matter - ANS-A. Current important signs
Haloperidol has excessive threat for neurological facet results. Symptoms of neuroleptic
malignant syndrome (NMS), a life-threatening, neurological disease caused by an adverse
response to neuroleptic or antipsychotic drugs, consist of excessive fever, sweating, unstable
blood strain, stupor muscle stress, and autonomic disorder. It is most critical to acquire the
purchaser's essential signs and symptoms to assess for NMS.
A girl patron is introduced to the emergency department after law enforcement officials observed
her disoriented, disorganized, and burdened. The nurse also determines that the customer is
Review
A patron is experiencing excessive stages of pressure because of social situations that involve
overall performance and judgment. The patron receives a prescription for a short term medicine.
Which magnificence of medicines ought to the nurse anticipate to manage to the purchaser?
A. Norepinephrine reuptake inhibitors
B. Selective serotonin reuptake inhibitors
C. Benzodiazepines
D. Antipsychotics - ANS-C. Benzodiazepines
Social anxiety sickness is characterized by means of excessive levels of pressure caused by
social situations that contain overall performance and judgment. The nurse must assume to
manage benzodiazepines, which can be demonstrated to be powerful for short term remedy for
anxiety.
A customer is receiving benztropine mesylate for drug-precipitated extrapyramidal syndrome
(EPS). Which finding indicates that the nurse must further examine the patron?
A. Increased mouth movements
B. Decreased bowel moves
C. Decreasing hand tremors.
D. Presence of a dry mouth. - ANS-A. Increased mouth moves
Benztropine is an anti-Parkinson's agent and anticholinergic agent this is used to manage
extraordinary involuntary actions prompted by way of antipsychotics. Increased mouth
movements should suggest the persistence of signs and symptoms associated with EPS and
tardive dyskinesia, which is characterized through involuntary mouth and tongue worming
actions.
A purchaser provides within the emergency branch and states, "I was raped this night." Which
intervention is maximum critical for the nurse to put into effect?
A. Obtain a records of sexually transmitted illnesses.
B. Instruct the patron to do away with garb cautiously.
C. Assess patron's sexual hobby for the beyond 30 days.
,D. Ask the patron if the attacker may be identified. - ANS-B. Instruct the purchaser to remove
garb cautiously.
A purchaser who has agoraphobia is beginning desensitization with the therapist, and the nurse
is reinforcing the procedure. Which intervention has the best priority for this patron's plan of
care?
A. Progressively reveal the consumer to larger crowds.
B. Encourage deep breathing while tension escalates in a crowd.
C. Establish consider by means of imparting a peaceful, secure surroundings.
D. Encourage substitution of fantastic mind for bad ones. - ANS-C. Establish accept as true with
by using offering a calm, secure environment.
A customer who has been abused by using a spouse a couple of times is admitted to the
emergency branch. When taking the records, which statistics is most critical for the nurse to
achieve?
A. Ask if the partner drinks alcohol or does tablets before abuse takes place
B. Determine if the client has a plan to depart if their life is in hazard
C. Discuss the injuries that occurred from the previous abuse
D. Find out the instances that precipitated this abusive episode - ANS-B. Determine if the patron
has a plan to depart if their life is in risk
A client who's an alcoholic gets a prescription for disulfiram 500 mg PO day by day. Which
education need to the nurse provide to this consumer?
A. Take the medication each morning, beginning 48 hours after your closing drink of alcohol.
B. Begin taking the medicine without delay and take it day by day, regardless of whether or not
or no longer you drink alcohol.
C. Take the drugs with at least 8 oz.Of water and restriction alcohol intake whilst taking this
medicinal drug.
D. Take the medication at bedtime and keep away from ingesting any more than 1 ozof alcohol
each day. - ANS-A. Take the medicine each morning, starting 48 hours after your final drink of
alcohol.
A purchaser with a history of alcoholism is admitted for cleansing. Based on remedy protocol,
the nurse offers the patron a dose of lorazepam 6 mg. Which extra prescription need to the
nurse administer immediately?
A. Vitamin B1
B. Folic Acid
C. Haloperidol
D. Trazodone - ANS-A. Vitamin B1
, A purchaser with a primary depressive sickness is admitted to the inpatient psychiatric unit.
Which intervention need to the nurse use to demonstrate support of the purchaser?
A. Recommend journaling and time taken in self mirrored image.
B. Assist the client to become aware of signs of melancholy.
C. Schedule everyday durations of time for interplay with customer.
D. Incorporate animated communique techniques. - ANS-C. Schedule ordinary durations of time
for interaction with consumer.
A client with depression does now not want to talk with friends, uses television looking as a
method of escaping responsibilities, and describes the incapability to handle non-public
occasions. Which coping approach need to the nurse encompass within the plan of care?
A. Concentrate on and ventilate feelings while distressed.
B. Focus on small viable obligations, not taxing problems.
C. Shift attention from self to the desires and requests of others.
D. Relax and reduce the amount of attempt to remedy the hassle. - ANS-B. Focus on small
potential duties, not taxing problems.
A customer with schizophrenia is demonstrating echolalia, that is becoming stressful to different
customers on the unit. Which intervention is satisfactory for the nurse to put into effect?
A. Avoid recognizing the behavior.
B. Escort the purchaser to a private place.
C. Isolate the consumer from different clients.
D. Administer a PRN sedative. - ANS-B. Escort the customer to a private place.
A customer with schizophrenia returns to the health center weeks after receiving a prescription
for haloperidol. To assess for neuroleptic malignant syndrome (NMS), which information is most
important for the nurse to achieve throughout this visit?
A. Current essential symptoms
B. 24-hour urinary output
C. Blood sugar degree
D. White blood cellular matter - ANS-A. Current important signs
Haloperidol has excessive threat for neurological facet results. Symptoms of neuroleptic
malignant syndrome (NMS), a life-threatening, neurological disease caused by an adverse
response to neuroleptic or antipsychotic drugs, consist of excessive fever, sweating, unstable
blood strain, stupor muscle stress, and autonomic disorder. It is most critical to acquire the
purchaser's essential signs and symptoms to assess for NMS.
A girl patron is introduced to the emergency department after law enforcement officials observed
her disoriented, disorganized, and burdened. The nurse also determines that the customer is
