HESI MENTAL HEALTH

A nurse is explaining a fire drill routine to a group of clients. A client becomes disruptive and continually interrupts the group. What is the nurse's best response? - Answer When you interrupt, I cannot explain what to do to the group. A client comes in after being in a car accident and is experiencing alcohol withdrawal, magnesium level of 1.1, cardiac dysrhythmias. What would you give first? - Answer Magnesium When performing a Mental Status Exam (MSE) on a client which assessment...

A client with depression remains in bed most of the day, and declines activities. Which nursing problem has the greatest priority for this client? A. Loss of interest in diversional activity. B. Social isolation. C. Refusal to address nutritional needs. D. Low self-esteem - Answer C The RN is preparing medications for a client with bipolar disorder and notices that the client discontinued antipsychotic medication for several days. Which medication should also be discontinued? a. Lit...

At the first meeting of a group at a daycare center for older adults, the nurse asks one of the members what kinds of things the client would like to do with the group. The older adult shrugs and says, "You tell me. You're the leader." What would be the best response for the nurse to make? A."Yes, I am the leader today. Would you like to be the leader tomorrow?" B."Yes, I will be leading this group. What would you like to accomplish?" C."Yes, I have been assigned to lead this group....

At the first meeting of a group at a daycare center for older adults, the nurse asks one of the members what kinds of things the client would like to do with the group. The older adult shrugs and says, "You tell me. You're the leader." What would be the best response for the nurse to make? A."Yes, I am the leader today. Would you like to be the leader tomorrow?" B."Yes, I will be leading this group. What would you like to accomplish?" C."Yes, I have been assigned to lead this group....

Anti-anxiety drug classes - Answer - benzos: [Chlordiazepoxide HCl (Librium), Diazepam (Valium), Alprazolam (Xanax), Clorazepate dipotassium (Tranxene), Lorazepam (Ativan)] - non-benzos: [Buspirone (BuSpar), Zolpidem (Ambien), Ramelteon (Rozerem)] Benzo indications - Answer - reduce anxiety - induce sedation, relax muscles, inhibit convulsions - treat alc & drug withdrawal symptoms - safer than sedative-hypnotics Benzo adverse effects - Answer - sedation - drowsiness - ataxia...

The purpose of therapeutic interaction with clients is to: - Answer Allow them the autonomy to make choices when appropriate. Keep statements value-free, advise-free and reassurance-free. Remember, just the facts! No opinions! What action should the nurse take in a psychiatric situation when the client describes a physical problem? - Answer Assess, assess, assess! If a client in the psych unit with paranoid schizophrenia complains of chest pain, take his or her BP. If the ob client who ha...

A client with depression remains in bed most of the day, declines activities and refuses meals. Which nursing problem has the greatest priority for this client? a. Loss of interest in diversional activity. b. Social isolation c. Refusal to address nutritional needs d. Low self-esteem. - Answer c. Refusal to address nutritional needs The nurse is preparing medications for a client with bipolar disorder and notices that the antipsychotic medication was discontinued several days ago. Whi...

Lab finding which supports liver disease - Answer Increased SGOT/AST Alcoholism priority at 72 hours - Answer Altered Nutrition. Vitamin B Deficiency = Wernicke's disease Accounts for symptoms of alcohol withdrawal delirium. - Answer Increased dopamine Administer which medication if the alcoholic patient has decreased liver function? - Answer Ativan What does Antabuse do? - Answer Raises acetaldehyde. Inhibits the absorption of alcohol What must occur before Antabuse th...

The home care nurse is visiting an older client whose spouse died 6 months ago. Which behavior by the client indicates ineffective coping? 1. Neglecting personal grooming 2. Looking at old snapshots of family 3. Participating in a senior citizens' program 4. Visiting their spouse's grave once a month - Answer 1. Neglecting personal grooming Rational: Coping mechanisms are behaviors used to decrease stress and anxiety. In response to a death, ineffective coping is manifested by an e...

A male client in the mental health unit is guarded and vaguely answers the nurse's questions. He isolates in his room and sometimes opens the door to peek into the hall. Which problem can the RN anticipate? A. Visual hallucinations. B. Auditory hallucinations. C. Excessive motor activity. D. Delusions of persecution. - Answer D. Delusions of persecution. A female client with obsessive compulsive personality disorder is admitted to the hospital for a cardiac catheterization. The afterno...