Hesi Psychiatric Mental Health Version 1 Practice Questions and Answers

Hesi Psychiatric Mental Health Version 1 Practice Questions and Answers 1) If client is taking Antabuse, what should we tell him? Client must stop drinking to make Antabuse effective. 2) Patient is on Haldol, Cogentin, Depakote, and Tylenol. Discontinue Tylenol. 3) Why is creatinine ordered as lab? To check lithium levels and creatinine in kidney. 4) Which patient is at highest risk for suicide? Client with divorced parents. 5) Client states only had 4 hrs of sleep. Which immediate intervention after 24 hours? Promote Sleep. 6) Alcohol withdrawal client. need to insert IV. 7) Client depression. Nurse asks questions, but client looks down. What to do? –Wait for response. 8) Client is co-dependent. Which makes them co-dependent? -Blaming husband. 9) Client had a divorce, lost job, and recent breakup of relationship. What is he at risk for? 10) Client had biopsy and positive for cancer. Ask family to assist her ADL. What is her outcome? –Expected, as client quiet area. 11) Working phase? –Explore issues and new problem areas. 12) Client on Zyprexa. What to assess –Weight 13) Nurse immediately reports to therapist and staff. Therapist immediately calls client’s supervisor. What were their actions? –Both Nurse and therapist did the right thing…appropriate. 14) What nursing assessment is the priority focus for a client with major depression? Hesi Version 1_March 2019 Mood and affect. Suicidal ideation. Correct Nutritional status. Fluid and electrolyte balance. 15) Which action is most important for the nurse to implement during the initial interview for a client who is admitted to the mental health unit? Establish rapport in each phase of the nurse-client relationship. Correct Determine the client's ability to communicate effectively. Reflect on previous psychiatric interviews the nurse has performed. Ensure data is collected and recorded in a systematic sequence. 16) GAD taking Xanax. The client will? –Decrease anxiety using 10-point scale. 17) Female heart attack 4 years ago. Use of which medication high risk for MI? –Methamphetamine 18) One-to-one session. Admitted for chronic depression. Recognize which defense mechanism? –Repression. 19) Woman fear of open places and crows. Nursing diagnosis? –Ineffective Individual Coping. 20) A female client with OCD admitted for cardiac catheterization. What action should the nurse implement? –Express feelings regarding procedure. 21) Client with bulimia nervosa. Highest priority –Electrolyte status 22) history of alcoholism admitted for detoxification; 6 mg of ativan what additional prescription administer immediately Vitamin B1 (thiamine) 23) Client who refuses antipsychotic medication disrupt group activities nurse decides client needs constant observation based on -wanders into client's room 24) "idont know, i just cant think" what activity should the nurse suggest set daily goals in the community meeting Hesi Version 1_March 2019 25) A recurrent negative symptom of chronic schizophrenia and medication Risperdal. walks laterally contracted position, something has made his body contort - administer the prescribed anticholinergic benztropine (Cogentin) for dystonia 26) smearing feces on the bathroom wall - escort the client out of the bathroom 27) borderline personality disorder self inflicted lacerations on abdomen - perform the dressing change in a nonjudgmental manner 28) victim of intimate partner violence what 3 things should you do lish a code with family and friends to signify violence. an escape route to use if the abuser blocks main exit a bag ready that has extra clothes for self and children 29) a client throws chairs; what do you do - obtain staf f assistance to help diffuse the escalating situation 30) sometimes my thoughts go so fast, is it time to eat - exhibits tangential thinking 31) nurse documents that a male client with schizophrenia is delusional, what statement made by the client would be a example? Why? - nurse at night is trying to poison me with pills (false beliefs of unfounded evidence) 32) female abused by husband, when taking her history which info is most important - if client has a plan to leave if her life is in danger 33) Client makes a statement I feel like im going to die, what level of Anxiety is it? - moderate anxiety 34) female low cut blouse, red lipstick - assist the client back to her room and help her select appropriate clothing 35) cancer patient who becomes dependent - expected, as the client to a quiet area of the unit 36) a client with bulimia what do you do?