HESI RN PSYCH MENTAL HEALTH EXIT EXAM (V1, V2 & V3) | QUESTIONS & ANSWERS (SCORED A+) | BRAND NEW 2023

A clienton thementalhealth unitis becomingmoreagitated, shouting atthestaff, andpacing inthe hallway.WhenthePRNmedicationisoffered,theclientrefusesthemedicationanddefiantlysitson the floor in the middle of the unit hallway. What nursing intervention should the RN implement first? A.Transportoftheclienttotheseclusionroom. B.Quietlyapproachtheclientwithadditionalstaffmembers. C.Takeotherclientsintheareatotheclient lounge. D.Administermedicationtochemicallyrestrainthe patient. Aclientisadmittedtothementalhealthunitandreportstakingextraantianxietymedicationbecause, “I’m so stressed out. I just want to go to sleep.” The RN should plan one-on-one observation of the client based on which statement? A.“WhatshouldIdo?Nothingseemstohelp.” B.“Ihavebeensotiredlatelyandneededtosleep.” C.“IreallythinkthatIdon’tneedtobehere.” D.“Idon’twanttowalk.Nothingmattersanymore.” Amalehospitalemployeeispushedoutthewaybyafemaleemployeebecauseofanoncoming gurney. The pushed employee becomes very angry and swings at the female employee. Both employees are referred for counseling with the staff psychiatric RN. Which factor in the pushed employee’s history is most related to the reaction that occurred? A.Isworriedaboutlosinghisjobtoa woman. B.Torturedanimalsasachild. C.Wasphysically abusedbyhismother. D.Hatestobetouchedby anyone. TheRNdocumentsthementalstatusofafemaleclientwhohasbeenhospitalizedforseveraldays by court order. The client states, “I don’t need to be here” and tells the RN that she believes the television talks to her.The RN should document these assessment findings in which section of the mental status exam/ A.Levelofconcentration. B.Insightandjudgement. C.Remotememory. D.Moodand affect. Aclientisadmittedtothementalhealthunitreportsshortnessofbreathanddizziness.Theclienttells the RN, “Ifeel like I’m going to die”. Which nursing problem should the RN include in this client’s plan of care? A.Mooddisturbance. B.Moderateanxiety. C.Alteredthoughts. D.Socialisolation. Afemaleclientwhoiswearingdirtyclothesandhasfoulbodyodor,comestotheclinicreporting feeling scared because she is being stalked. What action is most important for the RN to take? A.Offertheclientasafeplacetorelaxbeforeinterviewingher. B.Asktheclienttodescribewhysheisbeingstalked. C.Recommendthattheclienttalkwithasocialworker. D.AssuretheclientthattheHCPwillseehertoday.