HESI MENTAL HEALTH PSYCH 2018 V4 55 QUESTIONS & ANSWERS

HESI MENTAL HEALTH PSYCH 2018 V4 55 QUESTIONS & ANSWERS 1. Disturbed thought process. 2. 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? -When you interrupt, I cannot explain what to do to the group. 3. When performing a MSE on a client which assessment intervention would best assist the nurse? -Ask the client to interpret the proverb a stitch in time saves nine. 4. A client comes in after being in a car accident and is experiencing alcohol withdrawal, magnesium level of 1.1, cardiac dysthrythmias. What would you give first? -Magnesium. 5. A woman is just told of her husband's dx of terminal cancer. What would the nurse offer for the spouse (wife)? -How would you like to be involved with your husband's care? 6. A nurse is to remove staples from an abdominal incision, the client is very anxious. What is the most important intervention? -Attempt to distract the client with general conversation. 7. A man who was stranded on the roof of his house for two days after a natural disaster, months later ... -Implement anxiety control strategies 8. A man dx with bipolar disorder states, "I don't understand, I believe in God and have not done anything to deserve this". What is the nurse's best response? -You didn't do anything wrong. You have a chemical imbalance in your brain. 9. A client becomes upset when the nurse he requests is not assigned to him, what is the nurse's best response? -Advise the client that nursing assignments are not based on client requests. 10. A client needs to wash her hands for two hours before able to go on with her morning. She doesn't want to sit on the chairs in the dayroom for fear of getting dirty. What is this mechanism? -Compulsion. 11. A client in group is talking about her prostitution, the nurse asks her if she was abused by her parents. She states "my mother ran my father out when I was young". What defense mechanism was used? Repression. 12. A woman calls the crisis hotline and says she has a loaded gun and is going to kill herself. To maintain patient confidentiality what would the nurse do? -Contact the person the client chooses to go to the home and remove the weapon. 13. A client with anger management issues uses belt making and bangs the leather heavily. What defense mechanisms is being used? -Sublimation. 14. A bipolar client comes into the clinic and tells the nurse that the next time she sees her sister I'm going to kill her. What should the nurse do? -Inform the sister. 15. What would be the nurse's highest priority for a newly admitted depressed client upon admission? -The nurse should go through the client's belongings. ................CONTINUED