HESI MENTAL HEALTH LATEST UPDATE TEST
BANK V2 FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS ALREADY GRADED A+|
REAL EXAM!!!
Which interventions should the nurse include in the plan of care for an adolescent who
is depressed? (Select all the above)
a. Limit time allowed to play video games
b. Restrict visitors to family members only
c. Encourage the clients to discuss thoughts and feelings about wanting to die
d. Reinforce statements regarding a will to live and realistic plans for the future
e. Discuss the client's suicide plan - ANSWERS -c. Encourage the clients to discuss
thoughts and feelings about wanting to die
d. Reinforce statements regarding a will to live and realistic plans for the future
A female client with obsessive-compulsive personality disorder is admitted to the
hospital for a catheterization. The afternoon before a procedure, the client begins to
keep detailed notes of the nursing care she is receiving and reports her findings to the
nurse at bedtime. What action should the nurse implement?
a. Explain to the client that her behavior invades the rights to the nursing staff
b. Ask the client to explain why she is keeping a detailed record of her nursing care
c. Encourage the client to express her feelings regarding the upcoming procedure.
d. Teach the client strategies to control her obsessive-compulsive behavior -
ANSWERS -c. Encourage the client to express her feelings regarding the upcoming
procedure.
A client who is an alcoholic receives a prescription for disulfiram 500 mg PO daily.
Which instruction should the nurse provide to this client?
a. Begin taking the medication immediately and take it daily, regardless of whether or
not you drink
alcohol.
b. Take the medication with at least 8 ounces of water and limit alcohol consumption
while taking this
medication
c. Take the medication each morning beginning 48 hours after your last drink of alcohol
d. Take the medication at bedtime and avoid consuming any more than one ounce of
alcohol daily. - ANSWERS -b. Take the medication with at least 8 ounces of water and
limit alcohol consumption while taking this
medication
, A client with a mood disorder receives a new prescription for lithium carbonate. Which
information provides by the client requires additional instruction by the nurse?
a. Therapeutic effects may take 3 weeks
b. Blood will be drawn routinely
c. Insomnia is a common side effect
d. Gastric upset may be experienced - ANSWERS -c. Insomnia is a common side
effect
A client who was in a motor vehicle collision related alcohol intoxication is recovering in
the hospital following surgery. Which statement by the client's spouse indicates
codependency?
a. The spouse informs the client of plans to move out of their home if the drinking
doesn't stop.
b. The spouse tells the nurse the accident was precipitated by high stress that led to
drinking
c. The spouse tells the nurse that the client was irresponsible and reckless for driving
while drunk.
d. The spouse tells the client they were attending a wedding of friends the following day
- ANSWERS -a. The spouse informs the client of plans to move out of their home if the
drinking doesn't stop.
A male client with known auditory hallucinations begins talking loudly and gesturing
wildly while in the unit's day room. Which action should the nurse implement first?
a. Escort the client to his room
b. Administer a PRN sedative
c. Sit in the chair next to the client
d. Listen to what the client is saying - ANSWERS -d. Listen to what the client is saying
A client diagnosed with schizophrenia has been receiving haloperidol for the past year,
and the treatment plan includes moving the client to a lower maintenance dosage.
Which intervention should the nurse include in this client's plan of care.
a. Enforcing a fluid restriction during dosage adjustment
b. Shielding the client from direct sunlight when outdoors.
c. Increasing the dosage if the while blood cell count drops
d. Gradually with drawing the medication over several days. - ANSWERS -d. Gradually
with drawing the medication over several days.
When assessing a client who takes psychotropic medications, the nurse notes that the
client has uncontrollable hand movements and is excessively protruding the tongue.
Which assessment in the client's record should the nurse review?
a. Abnormal Involuntary Movement Scale (AIMS)
b. Recent urine drug testing (UDT) results.
c. Baseline nursing admission assessment.
d. The healthcare provider's history and physical. - ANSWERS -a. Abnormal
Involuntary Movement Scale (AIMS)
BANK V2 FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS ALREADY GRADED A+|
REAL EXAM!!!
Which interventions should the nurse include in the plan of care for an adolescent who
is depressed? (Select all the above)
a. Limit time allowed to play video games
b. Restrict visitors to family members only
c. Encourage the clients to discuss thoughts and feelings about wanting to die
d. Reinforce statements regarding a will to live and realistic plans for the future
e. Discuss the client's suicide plan - ANSWERS -c. Encourage the clients to discuss
thoughts and feelings about wanting to die
d. Reinforce statements regarding a will to live and realistic plans for the future
A female client with obsessive-compulsive personality disorder is admitted to the
hospital for a catheterization. The afternoon before a procedure, the client begins to
keep detailed notes of the nursing care she is receiving and reports her findings to the
nurse at bedtime. What action should the nurse implement?
a. Explain to the client that her behavior invades the rights to the nursing staff
b. Ask the client to explain why she is keeping a detailed record of her nursing care
c. Encourage the client to express her feelings regarding the upcoming procedure.
d. Teach the client strategies to control her obsessive-compulsive behavior -
ANSWERS -c. Encourage the client to express her feelings regarding the upcoming
procedure.
A client who is an alcoholic receives a prescription for disulfiram 500 mg PO daily.
Which instruction should the nurse provide to this client?
a. Begin taking the medication immediately and take it daily, regardless of whether or
not you drink
alcohol.
b. Take the medication with at least 8 ounces of water and limit alcohol consumption
while taking this
medication
c. Take the medication each morning beginning 48 hours after your last drink of alcohol
d. Take the medication at bedtime and avoid consuming any more than one ounce of
alcohol daily. - ANSWERS -b. Take the medication with at least 8 ounces of water and
limit alcohol consumption while taking this
medication
, A client with a mood disorder receives a new prescription for lithium carbonate. Which
information provides by the client requires additional instruction by the nurse?
a. Therapeutic effects may take 3 weeks
b. Blood will be drawn routinely
c. Insomnia is a common side effect
d. Gastric upset may be experienced - ANSWERS -c. Insomnia is a common side
effect
A client who was in a motor vehicle collision related alcohol intoxication is recovering in
the hospital following surgery. Which statement by the client's spouse indicates
codependency?
a. The spouse informs the client of plans to move out of their home if the drinking
doesn't stop.
b. The spouse tells the nurse the accident was precipitated by high stress that led to
drinking
c. The spouse tells the nurse that the client was irresponsible and reckless for driving
while drunk.
d. The spouse tells the client they were attending a wedding of friends the following day
- ANSWERS -a. The spouse informs the client of plans to move out of their home if the
drinking doesn't stop.
A male client with known auditory hallucinations begins talking loudly and gesturing
wildly while in the unit's day room. Which action should the nurse implement first?
a. Escort the client to his room
b. Administer a PRN sedative
c. Sit in the chair next to the client
d. Listen to what the client is saying - ANSWERS -d. Listen to what the client is saying
A client diagnosed with schizophrenia has been receiving haloperidol for the past year,
and the treatment plan includes moving the client to a lower maintenance dosage.
Which intervention should the nurse include in this client's plan of care.
a. Enforcing a fluid restriction during dosage adjustment
b. Shielding the client from direct sunlight when outdoors.
c. Increasing the dosage if the while blood cell count drops
d. Gradually with drawing the medication over several days. - ANSWERS -d. Gradually
with drawing the medication over several days.
When assessing a client who takes psychotropic medications, the nurse notes that the
client has uncontrollable hand movements and is excessively protruding the tongue.
Which assessment in the client's record should the nurse review?
a. Abnormal Involuntary Movement Scale (AIMS)
b. Recent urine drug testing (UDT) results.
c. Baseline nursing admission assessment.
d. The healthcare provider's history and physical. - ANSWERS -a. Abnormal
Involuntary Movement Scale (AIMS)
