psych-hesi-questions-practice

psych-hesi-questions-practice 1. The nurse is using the CAGE questionnaire as a screening tool for a client who is seeking help because his wife said he had a drinking problem. What information should the nurse explore in depth with the client based on this screening tool? A. Consumption, liver enzyme, gastrointestinal complaints and bleeding B. Minimize drinking, frequently misses family events, guilt about drinking, amount of daily intake C. Cancer screening results, anger, gastritis, daily alcohol intake D. Efforts to cut down, annoyance with questions, guilt, drinking as an "Eye-opener" -----------D. Efforts to cut down, annoyance with questions, guilt, drinking as an "Eye-opener" 2. A client is admitted to the mental health unit and reports taking extra antianxiety medication because, "I'm so stressed out. I just wanted to go sleep" the nurse should plan one-on- one observation of the client based on which statement? A) What should I do? Nothing seems to help." B) I have been so tired lately and needed to sleep." C) I really think that I don't need to be here." D)I don't want to talk. Nothing matters anymore." -----------D)I don't want to talk. Nothing matters anymore." 3. A male hospital employee is pushed out of the way by a female employee because of an oncoming gurney. The pushed employee becomes very angry and swings at the female employee. Both employees are referred for counseling with the staff psychiatric nurse. Which factor in the pushed employee's history is most related to the reaction that occurred? A) Is worried about losing his job to a woman B) Tortured animals as a child. C)Was physically abused by his mother D) Hates to be touched by anyone -----------C)Was physically abused by his mother 4. The nurse documents the mental status of a female client who has been hospitalized for several days by court order. The client state, "I don't need to be here" and tells the nurse that she believes that the television talks to her. The nurse should document these assessment findings in which section of the mental status exam? A) Level of concentration B)Insight and judgment C) Remote memory D) Mood and affect -----------B)Insight and judgment Downloaded by charity nimo () lOMoARcPSD| 5. The nurse on the evening shift receives report that a client is scheduled for electroconvulsive treatment (ECT) in the morning. Which intervention should the nurse implement the evening before the scheduled ECT? A) Hold all bedtime medication. B)Keep the client NPO after midnight. C) Implement elopement precautions. D) Give client an enema at bedtime. -----------B)Keep the client NPO after midnight. 6. A client who is admitted to the mental health unit report shortness of breath and dizziness. The client tells the nurse, "I feel like I'm going to die" which nursing problem should the nurse include in this client's plan of care? A) Mood disturbance B)Moderate anxiety C) Altered thoughts D) Social isolation -----------B)Moderate anxiety 7. A female client is brought to the emergency department after police officers found her disoriented, disorganized, and confuse. The nurse also determines that the client is homeless and slightly suspicious. This client's treatment plan should include what priority problem? A) Self-care deficit. B) Disturbed sensory perception. C) Ineffective community coping. D)Acute confuse. -----------D)Acute confuse. 8. A male client is admitted to the psychiatric unit for recurrent negative symptoms of chronic schizophrenia and medication adjustment of risperidone (Risperdal). When the client walks to the nurse's station in a literally contracted position, he states that something has made his body confort into a monster. What action should the nurse take a)Medicate the client with the prescribed antipsychotic thioridazine (mellaril) b) Offer the client a prescribed physical therapy hot pack for muscle spasms. c)Direct client to occupational therapy to distract him from somatic complaints. d)Administer the prescribed anticholinergic benztropine (Cogentin) for dystonia. -----------D.Administer the prescribed anticholinergic benztropine (Cogentin) for dystonia Downloaded by charity nimo () lOMoARcPSD| 9. A mental health worker (MHW) is caring for a client with escalating aggressive behavior. Which action by the MHW warrants immediate intervention by the nurse? A)Is attempting to physically restrain the client. B) Tells the client to go to the quiet area of the unit. C) Is using a loud voice to talk to the client. D) Remains at a distance of 4 feet from the client -----------A)Is attempting to physically restrain the client 10. Which nursing actions are likely to help promote the self-esteem of a male client with mental depression. (Select all that apply) A. Ask client what his long term goals are B. Discuss the challenges of his medical condition C. Include the client in determining treatment protocol D. Encourage the client to engage in recreational therapy E. Provide opportunities for the client to discuss his concerns -----------A. Ask client what his long term goals are D. Encourage the client to engage in recreational therapy E. Provide opportunities for the client to discuss his concerns 11. The nurse is preparing medications for a client with bipolar disorder and notices that the antipsychotic medication was discontinued several days ago. Which medication should also be discontinued? a.Lithium (lithotabs ) b.Benztropine (CogenTn) c.Alprazolam (Xanax) d.Magnesium (milk of magnesia) -----------b.Benztropine (Cogentin) 12. The nurse is teaching a client about the initiation of a prescribed abstinence therapy using disulfiram (Antabuse). What information should the client acknowledge understanding? a. Completely abstain from heroin or cocaine use b. Remain alcohol free from 12 hours prior to the first dose c. Attend monthly meetings of alcoholics anonymous d. Admit to others that he is a substance abuse -----------b. Remain alcohol free from 12 hours prior to the Frst dose