HESI mental health.
.
A 38-12 months-vintage female customer is admitted with a prognosis of paranoid
schizophrenia. When her tray is added to her, she refuses to eat and tells the nurse, "I realize
you are attempting to poison me with that food." Which response could be most appropriate for
the nurse to make?
A "I'll leave your tray here. I am to be had if you want something else."
B "You're no longer being poisoned. Why do you think a person is making an attempt to poison
you?"
C "No one on this unit has ever died from poisoning. You're secure here."
D "I will speak to your healthcare company about the possibility of changing your weight loss
program." - ANS-A.
. A 19-12 months-antique girl purchaser with a diagnosis of anorexia nervosa wants to help
serve dinner trays to different customers on a psychiatric unit. What movement ought to the
nurse take?
A Encourage the patron's self-motivation by means of asking her to pass trays for the relaxation
of the week.
B Provide a further task by using asking the purchaser to assist feed the older clients.
C Suggest any other manner for this patron to participate in the unit's sports.
D Tell the client that health facility tips allow handiest staff to bypass the trays. - ANS-C
. A 22-year-old male client is admitted to the emergency center following a suicide attempt. His
facts reveal that this is his third suicide strive within the past years. He is conscious, however
does not reply to verbal instructions for remedy. Which evaluation locating have to set off the
nurse to put together the client for gastric lavage?
A He ingested the drug three hours prior to admission to the emergency center.
B The circle of relatives reviews that he took a whole bottle of acetaminophen (Tylenol).
C He is unresponsive to commands and is not able to cooperate with emetic therapy.
D Those with repeated suicide attempts choice punishment to relieve their guilt. - ANS-C>
. A 27-12 months-old woman purchaser is admitted to the psychiatric sanatorium with a
diagnosis of bipolar ailment, manic phase. She is annoying and energetic. Which intervention
ought to the nurse encompass in this patron's plan of care?
A Schedule her to attend numerous organization sports.
B Reinforce her capacity to make her personal selections.
C Encourage her to pick out emotions of anger.
D Provide a based environment with little stimuli. - ANS-D
. A 30-year-antique income manager tells the nurse, "I am considering a process change. I do
not experience like I am dwelling up to my capability." Which of Maslow's developmental tiers is
the income supervisor attempting to acquire?
, A Self-Actualization.
B Loving and Belonging.
C Basic Needs.
D Safety and Security. - ANS-A.
. A 35-12 months-vintage male customer at the psychiatric unit of a preferred hospital believes
that someone is trying to poison him. The nurse knows that a customer's delusions are most
likely associated with his
A early youth studies regarding authority problems.
B anger approximately being hospitalized.
C low vanity.
D phobic worry of food. - ANS-C
. A 35-12 months-old male consumer who has been hospitalized for two weeks for continual
paranoia maintains to state that someone is attempting to scouse borrow his apparel. The most
suitable movement for the nurse to take is to
A encourage the purchaser to actively participate in assigned sports at the unit.
B vicinity a lock on the consumer's closet.
C forget about the purchaser's paranoid ideation to extinguish these behaviors.
D give an explanation for to the consumer that his suspicions are fake. - ANS-A
. A 45-yr-antique male customer tells the nurse that he used to consider that he become Jesus
Christ, but now he is aware of he isn't always. Which reaction is first-class for the nurse to
make?
A "Did you clearly agree with you had been Jesus Christ?"
B "I think you are getting well."
C "Others have had similar thoughts while beneath stress."
"Why did you think you had been Jesus Christ?" - ANS-c
. A 65-12 months-vintage lady consumer complains to the nurse that currently she has been
hearing voices. What query ought to the nurse ask this client first?
A "Do you've got troubles with hallucinations?"
B "Are you ever alone when you pay attention the voices?"
C "Has all and sundry to your circle of relatives had hearing troubles?"
D "Do you spot matters that others cannot see?" - ANS-B
. A seventy two-12 months-antique lady consumer is admitted to the psychiatric unit with a
analysis of most important despair. Which statement by way of the client need to be of greatest
concern to the nurse and require further evaluation?
A "I will die if my cat dies." Correct
B "I don't feel like eating this morning."
C "I simply went to my pal's funeral."
D "Don't you have extra vital activities?" - ANS-A
.
A 38-12 months-vintage female customer is admitted with a prognosis of paranoid
schizophrenia. When her tray is added to her, she refuses to eat and tells the nurse, "I realize
you are attempting to poison me with that food." Which response could be most appropriate for
the nurse to make?
A "I'll leave your tray here. I am to be had if you want something else."
B "You're no longer being poisoned. Why do you think a person is making an attempt to poison
you?"
C "No one on this unit has ever died from poisoning. You're secure here."
D "I will speak to your healthcare company about the possibility of changing your weight loss
program." - ANS-A.
. A 19-12 months-antique girl purchaser with a diagnosis of anorexia nervosa wants to help
serve dinner trays to different customers on a psychiatric unit. What movement ought to the
nurse take?
A Encourage the patron's self-motivation by means of asking her to pass trays for the relaxation
of the week.
B Provide a further task by using asking the purchaser to assist feed the older clients.
C Suggest any other manner for this patron to participate in the unit's sports.
D Tell the client that health facility tips allow handiest staff to bypass the trays. - ANS-C
. A 22-year-old male client is admitted to the emergency center following a suicide attempt. His
facts reveal that this is his third suicide strive within the past years. He is conscious, however
does not reply to verbal instructions for remedy. Which evaluation locating have to set off the
nurse to put together the client for gastric lavage?
A He ingested the drug three hours prior to admission to the emergency center.
B The circle of relatives reviews that he took a whole bottle of acetaminophen (Tylenol).
C He is unresponsive to commands and is not able to cooperate with emetic therapy.
D Those with repeated suicide attempts choice punishment to relieve their guilt. - ANS-C>
. A 27-12 months-old woman purchaser is admitted to the psychiatric sanatorium with a
diagnosis of bipolar ailment, manic phase. She is annoying and energetic. Which intervention
ought to the nurse encompass in this patron's plan of care?
A Schedule her to attend numerous organization sports.
B Reinforce her capacity to make her personal selections.
C Encourage her to pick out emotions of anger.
D Provide a based environment with little stimuli. - ANS-D
. A 30-year-antique income manager tells the nurse, "I am considering a process change. I do
not experience like I am dwelling up to my capability." Which of Maslow's developmental tiers is
the income supervisor attempting to acquire?
, A Self-Actualization.
B Loving and Belonging.
C Basic Needs.
D Safety and Security. - ANS-A.
. A 35-12 months-vintage male customer at the psychiatric unit of a preferred hospital believes
that someone is trying to poison him. The nurse knows that a customer's delusions are most
likely associated with his
A early youth studies regarding authority problems.
B anger approximately being hospitalized.
C low vanity.
D phobic worry of food. - ANS-C
. A 35-12 months-old male consumer who has been hospitalized for two weeks for continual
paranoia maintains to state that someone is attempting to scouse borrow his apparel. The most
suitable movement for the nurse to take is to
A encourage the purchaser to actively participate in assigned sports at the unit.
B vicinity a lock on the consumer's closet.
C forget about the purchaser's paranoid ideation to extinguish these behaviors.
D give an explanation for to the consumer that his suspicions are fake. - ANS-A
. A 45-yr-antique male customer tells the nurse that he used to consider that he become Jesus
Christ, but now he is aware of he isn't always. Which reaction is first-class for the nurse to
make?
A "Did you clearly agree with you had been Jesus Christ?"
B "I think you are getting well."
C "Others have had similar thoughts while beneath stress."
"Why did you think you had been Jesus Christ?" - ANS-c
. A 65-12 months-vintage lady consumer complains to the nurse that currently she has been
hearing voices. What query ought to the nurse ask this client first?
A "Do you've got troubles with hallucinations?"
B "Are you ever alone when you pay attention the voices?"
C "Has all and sundry to your circle of relatives had hearing troubles?"
D "Do you spot matters that others cannot see?" - ANS-B
. A seventy two-12 months-antique lady consumer is admitted to the psychiatric unit with a
analysis of most important despair. Which statement by way of the client need to be of greatest
concern to the nurse and require further evaluation?
A "I will die if my cat dies." Correct
B "I don't feel like eating this morning."
C "I simply went to my pal's funeral."
D "Don't you have extra vital activities?" - ANS-A
