Hesi Rn Mental Health Hesi Review - Multiple Choice Exam With Correct Answers,A+Graded

Hesi Rn Mental Health Hesi Review - Multiple
Choice Exam With Correct Answers,A+Graded.




A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of
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excessive thirst, and the RN finds him attempting to drink water from the bathroom sink faucet. Which
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intervention should the RN implement?
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A. Report the client's serum lithium level to the HCP.
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B. Encourage the client to suck on hard candy to relieve the symptoms.
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C. No action is needed since polydipsia is a common side effect.
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D. Tell the client that drinking from the faucet is not allowed. - CORRECT ANSWER✔✔A
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A mental health worker is caring for a client with escalating aggressive behavior. Which action by the MHW
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warrant immediate intervention by the RN?
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A. Is attempting to physically restrain the patient.
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B. Tells the client to go to the quiet area of the unit.
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C. Is using a loud voice to talk to the client.
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D. Remains at a distance of 4 feet from the client. - CORRECT ANSWER✔✔A
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,A client is admitted to the mental health unit and reports taking extra antianxiety medication because, "I'm
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so stressed out. I just want to go to sleep." The RN should plan one-on-one observation of the client based on
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which statement?
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A. "What should I do? Nothing seems to help."
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B. "I have been so tired lately and needed to sleep."
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C. "I really think that I don't need to be here."
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D. "I don't want to walk. Nothing matters anymore." - CORRECT ANSWER✔✔D
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The RN is performing intake interviews at a psychiatric clinic. A female client with a known history of drug
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abuse reports that she had a heart attack four years ago. Useof which substance places the client at highest
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risk for myocardial infarction?
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A. Benzodiazepine
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B. Alcohol
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C. Methamphetamine
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D. Marijuana - CORRECT ANSWER✔✔C
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A male client comes to the emergency center because he has an erection that will not resolve. The client
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reports that he is taking trazodone (Desyrel) for insomnia. Which information is most important for the
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nurse ask the client?
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A. When was the last time you drank alcoholic beverage?
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B. Have you taken any medications for erectile dysfunction?
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C. Are you having any other sexual dysfunctions or problems?
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D. Do you have a history of angina or high blood pressure? - CORRECT ANSWER✔✔B
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A female client admitted to the mental health unit starts to shout and scream at the RN. What is the best
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approach for the RN to take?
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A. Stay quietly with the patient
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,B. Tell her that she is out of control.
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C. Distract her by offering her finger foods.
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D. Ignore the client's acting out behavior. - CORRECT ANSWER✔✔A
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When developing a plan of care for a client admitted to the psychiatric unit following aspiration of a caustic
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material related to a suicide attempt, which nursing problem has the highest priority?
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A. Impaired comfort.
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B. Risk for injury.
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C. Ineffective breathing pattern.
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D. Ineffective coping. - CORRECT ANSWER✔✔C
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A female client on a psychiatric unit is sweating profusely while she vigorously does push-ups and then runs
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the length of the corridor several times before crashing into furniture in the sitting room. Picking herself up,
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she begins to toss chairs aside, looking for a red one to sit in. When another client objects to the disturbance,
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the client shouts, "I am the boss here. I do what I want." Which nursing problem best supports these
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observations?
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A. Deficient diversional activity related to excess energy level.
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B. Risk for other related violence related to disruptive behavior.
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C. Risk for activity intolerance related to hyperactivity.
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D. Disturbed personal identity related to grandiosity. - CORRECT ANSWER✔✔B
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A RN is preparing the physical environment to interview a new client for admission to the mental health unit.
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Which environmental setting facilitates the best outcome of the interview?
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A. Dim the lights in the room to help the patient feel calm.
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B. Sit within two feet of the client to enhance level of safety and security.
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C. Reduce the noise level in the room by turning off the television and radio.
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D. Position table between the client and the RN for extra personal space. - CORRECT ANSWER✔✔C
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, The RN is providing education about strategies for a safety plan for a female client who is a victim of intimate
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partner violence. Which strategies should be included in the safety plan? (Select all that apply)
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A. Purchase a gun to use for protection.
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B. Establish a code with family and friends to signify violence.
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C. Take a self-defense course that retaliates the abuser with injury.
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D. Have a bag ready that has extra clothes for self and children.
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E. Plan an escape route to use if the abuser blocks the main exit. - CORRECT ANSWER✔✔B, D, and E
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The RN is admitting a male client who takes lithium carbonate (Eskalith) twice a day. Which information
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should the RN report to the HCP immediately?
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A. Short term memory loss.
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B. Five pound weight gain
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C. Decreased affect.
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D. Nausea and vomiting. - CORRECT ANSWER✔✔D
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A homeless client who reports feeling sad and depressed tells the mental health nurse that in the past 2 days
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she has only had 4 hours of sleep. Which action is most important for the RN to implement within the first 24
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hours after treatment is initiated?
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A. Allow the client to rest and sleep.
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B. Ensure client attend groups addressing coping skills for dealing with depression.
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C. Begin planning for the clients discharge.
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D. Encourage verbalization of feelings. - CORRECT ANSWER✔✔A
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A RN is teaching a client about initiation of a prescribed abstinence therapy using Disulfiram (Antabuse).
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What information should the client acknowledge understanding?
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A. Admit to others that he is a substance abuser.
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B. Remain alcohol free for 12 hours prior to first dose.
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