hesi-rn-mental-health-2018-2019.pdf/HESI RN MENTAL HEALTH 2020-2021

HESIiMENTALiHEALTHiRNi2020-i2021TESTiBANKS

A ifemale iclient iwho is iwearing idirty iclothes iand ihas ifoul ibody iodor, icomes ito ithe iclinic

ireportingifeelingiscaredibecauseisheisibeingistalked.iWhatiactionisimostimportantiforithe

iRNitoitake?

A. Offeritheiclientiaisafeiplaceitoirelaxibeforeiinterviewingiher.

B. Askitheiclientitoidescribeiwhyisheiisibeingistalked.

C. Recommendithatitheiclientitalkiwithiaisocial iworker.

D. Assureitheiclient ithatitheiHCPiwilliseeiheritoday.

DuringianiannualiphysicalibyitheioccupationaliRNiworkinginiaicorporateiclinic,iaimaleiemployee

itellsitheiRNithatisihigh-stressijobisicausingitroubleinihisipersonalilife.iHe

furtheriexplainsithatiheioftenigetsiso

a

a

b

n

i

g

rb

ry

.c

w

o

hm

ile

/h

d

e

ri

s

vi

i

ngitoiandifromiworkithatiheihas

iconsideredi“gettingieven”iwithiotheridrivers.iHowishoulditheiRNrespond?

A. “Angeriisicontagiousiandicoualdbi

rrebs.ucltoimnim/haejosriiconfrontation.”

B. “Tryinotitoiletiyouriangericauseiyouitoiacti impulsively.”

C. “Expressingiyouriangeritoiaist

a

ra

b

n

ir

g

b

e

.

r

c

c

o

om

ul

/

d

h

r

e

e

s

su

ii

lti nianiunsafeisituation.”

D. “Itisoundsiasifithereiareimanyisituationsithatimakeiyouifeeliangry.”

Aiclientiwhoihasiagoraphobiai(aifeaarboi

frbcr.ocwodms/

)hisesbeiiginningidesensitizationiwithithe

itherapist,ianditheiRNisireinforcingitheiprocess.iWhichinterventionihasitheihighestipriority

forithisiclient’siplanioficare? abirb.com/hesi

A. iEncourageisubstitutioniofipositiveithoughtsiandinegativeiones.iB.

iEstablishitrustibyiprovidingiaiacablimrb,i.scaofeme/nhveirsoinment.

C. Progressivelyiexposeitheiclient itoilargericrowds.

D. Encourageideepibreathingiwa

heb

nirb

an.c

xo

iemty

/h

ese

cs

ai

latesiiniaicrowd.

Whichinursingiactionsiareilikelyitoihelpipromoteitheiself-esteemiofiaimaleiclientiwith

modernidepression? abirb.com/hesi

A. Askitheiclientiwhatihisilongitermigoals iare.

B. Discussitheichallengesiofihisimedicalicondition.

C. Includeitheiclientiinideterminingitreatment iprotocol.

D. Encourageitheiclientitoiengageiinirecreationalitherapy.

E. Provideiopportunitiesiforitheiclientitoidiscussihisiconcerns

Aiclientiwithidepressioniremainsinibedimostiofitheiday,iandideclinesiactivities.iWhichinursing

iproblemihasitheigreatestipriorityiforithis iclient?

A. Lossiofiinterestiinidiversional iactivity.

B. Social iisolation.

C. Refusalitoiaddressinutritional ineeds.

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D. Lowiself-esteem.

The iRN is ipreparing imedications ifor ia iclient iwith ibipolar idisorder iand inotices ithat ithe

iclientidiscontinuediantipsychotic imedicationiforiseveral idays.iWhichimedicationishould

ialsoibeidiscontinued?

a. Lithium.i(Lithotabs)

b. Benzotropinei(Cogentin).

c. Alprazolami(Xanax).

d. Magnesiumi(Milkiof iMagnesia).

Aifemaleiclientirequestsithatiherihusbandibeialloweditoistayiinitheiroomiduringithe

iadmissioniassessment.iWheninterviewingitheiclient,itheiRNinotesiaidiscrepancyibetween

itheiclient’siverbaliandinonverbalicommunication.iWhatiactionidoesitheiRNitake?

A. Payicloseiattentioniandidocuambeinrbti.tcheomno/nhveesribalimessages.

B. Askitheiclient’sihusbanditoiinterpretitheidiscrepancy.

C. Ignoreitheinonverbalibehavioaribanirdb.

foccoumsi/ohnetshieiclient’siverbalimessages.

D. Integrateitheiverbaliandinonverbalimessagesiandinterpretithemiasione.

A imale iclient iapproaches ithe iRN iwithaabnirabn.gcroymex/hpreessision ion ihis iface iand iraises ihis ivoice,

isaying i“My iroommate is ithe imost iselfish, iself-centered,iangry iperson iI ihave iever imet. iIf ihe

ilosesihisitemperioneimoreitimeiwithiambei

,rIba.cmogmoi/nhgetsoiipunchihimiout!”iTheiRNirecognizesithat

itheiclientiisiusingiwhichidefenseimechanism?

A. Denial.

B. Projection.

C. Rationalization.

D. Splitting.

abirb.com/hesi

iabirb.com/hes

i

Aimaleiclientiwithibipolaridisorderiwhaobbirebg.canomtak/hinegsl

i

ithiumicarbonateifiveidaysiagois

icomplainingiofiexcessiveithirst,ianditheiRNifindsihimiattemptingitoidrinkiwaterifromithe

ibathroomisinkifaucet.iWhichiinterveanbtioirnb.schoomuld/htehesiRNimplement?

A. Reportitheiclient’siserumilithiumilevelitoitheiHCP.

B. Encourageitheiclientitoisuckionihardicandyitoirelieveitheisymptoms.

C. Noiactioniisineededisinceipolydipsiaiisiaicommonisideieffect.

D. Tellitheiclientithatidrinkingifromitheifaucetiisinot iallowed.

TheiRNisiteachingiaiclientiaboutitheinitiationiofitheiprescribediabstinenceitherapyiusing

idisulfirami(Antabuse).iWhatinformationishoulditheiclientiacknowledgeiunderstanding?

A. Completelyiabstainifromiheroinioricocaineiuse.

B. Remainialcoholifreeifori12ihoursiprioritoitheifirst idose.

C. Attendimonthlyimeetingsiofialcoholics ianonymous.

D. Admititoiothersithatiheiisiaisubstance iuser.

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Aimaleiclientiwithischizophreniaiisiadmitteditoitheimentalihealthiunitiafteriabruptly

istoppingihisiprescriptioniforiziprasidonei(Geodon)ioneimonthiago.iWhichiquestionisimost

iimportantiforitheiRNitoiaskithe iclient?

A. Haveiyouilostiinterestiinitheithingsithatiyouiuseditoienjoy?

B. Isiyouriabilityitoithinkioriconcentrateidecreased?

C. Howimanyicontinuous ihoursidoiyouisleepiatinight?

D. Doiyouihearisoundsiorivoicesithatiothersidoinotihear?

DuringianiannualiphysicalibyitheioccupationaliRNiworkinginiaicorporateiclinic,iaimale

iemployeeitellsitheiRNithatisihigh-stressijobisicausingitroubleinihisipersonalilife.iHeifurther

iexplainsithatiheioftenigetsisoiangryiwhileidrivingitoiandifromiworkithatiheihasiconsidered

i“gettingieven”iwithiotheridrivers.iHowishoulditheiRNrespond?

E. “Angeriisicontagiousiandicou

a

ld

bi

r

r

e

b

s

.

u

c

lt

o

i

m

nim/h

a

e

jo

s

r

i i

confrontation.”

F. “Tryinotitoiletiyouriangericauseiyouitoiacti impulsively.”

G. “Expressingiyouriangeritoiaistrangericouldiresultinianiunsafeisituation.”

H. “Itisoundsiasi fithereiareiman

ayi

bsi

i

t

ru

ba

.

t

cio

onmsi

/

t

hha

et

smi iakeiyouifeeliangry.”

Aiclientiwhoihasiagoraphobiai(aifea

a

r

b

o

i

f

rb

cr

.

o

c

wo

dm

s

/

)

h

is

es

be

ii

ginningidesensitizationiwithithe

itherapist,ianditheiRNisireinforcingitheiprocess.iWhichinterventionihasitheihighestipriority

forithisiclient’siplanioficare?

abirb.com/hesi

E. Encourageisubstitutioniofipositiveithoughtsiandinegativeiones.

F. Establishitrustibyiprovidingiaia

cab

l

i

mrb

,i

.

s

c

ao

feme

/

nh

ve

ir

s

o

i

nment.

G. Progressivelyiexposeitheiclient itoilargericrowds.

H. Encourageideepibreathingiwhenianxietyiescalatesiiniaicrowd.

abirb.com/hesi

Whichinursingiactionsiareilikelyitoihelpipromoteitheiself-esteemiofiaimaleiclientiwith

modernidepression? abirb.com/hesi

F. Askitheiclientiwhatihisilongitermigoals iare.

G. Discussitheichallengesiofihisambierdbi.ccaolimco/nhdeitsioin.

H. Includeitheiclientiinideterminingitreatment iprotocol.

I. Encourageitheiclientitoiengageiinirecreationalitherapy.

J. Provideiopportunitiesiforitheiclientitoidiscussihisiconcerns.

A imale iclient is iadmitted ito ithe ipsychiatric iunit ifor irecurrent inegative isymptoms iof ichronic

ischizophreniaiandimedicationiadjustmentiofiRisperidonei(Risperdal).iWhenitheiclientiwalks

itoitheinurse’sistationiniailaterallyicontractediposition,iheistatesithatisomethingihasimadeihis

ibodyicontortiintoiaimonster.iWhatiactionishoulditheiRNitake?

A. Medicateitheiclientiwithitheiprescribediantipsychoticithioridazinei(Mellaril).

B. Offeritheiclientiaiprescribediphysicalitherapyihotipackiforimuscleispasms.

C. Directiclientitoioccupationalitherapyitoidistractihimifromisomaticicomplaints.iD.

iAdministeritheiprescribedianticholinergicibenztropinei(Cogentin)iforidystonia.

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Aimentalihealthiworkerisicaringiforiaiclientiwithiescalatingiaggressiveibehavior.iWhichiactioniby

itheiMHW iwarrantiimmediateiinterventionibyitheiRN?

A. Isiattemptingitoiphysicallyirestrainithe ipatient.

B. Tellsitheiclientitoigoitoitheiquietiareaiofithe iunit.

C. Isiusingiailoidivoiceitoitalkitoithe iclient.

D. Remainsiatiaidistanceiofi4ifeetifromithe iclient.

Aiclientionitheimentalihealthiunitisibecomingimoreiagitated,ishoutingiatitheistaff,iandipacingiin

itheihallway.iWhenitheiPRNimedicationiisioffered,itheiclientirefusesitheimedicationiand

idefiantlyisitsionitheifloorinitheimiddleiofitheiunitihallway.iWhatinursingiinterventionishouldithe

iRNiimplement ifirst?

A. Transportiofitheiclientitoithei

a

se

b

c

ir

lu

b

s

.

i

c

o

o

nm

ro

/

o

h

mes

.i

i

B. Quietlyiapproachitheiclientiwithiadditionalistaffimembers.

C. Takeiothericlientsiinitheiareaitoitheiclientilounge.

D. Administerimedicationitoichemabic

ia

rblly

.cr

oesmtr

/a

hin

esth

ieipatient.

Aiclientiisiadmitteditoitheimentalihe

a

a

b

lth

irb

un

.c

it

o

am

nd

/h

r

e

e

s

po

ii

rtsitakingiextraiantianxiety

imedicationibecause,i“I’misoistressediout.iIijustiwantitoigoitoisleep.”iTheiRNishouldiplan

one-on-oneiobservationiofitheiclientibasedioniwhichistatement?

abirb.com/hesi

A. “WhatishouldiIido?iNothingiseemsito ihelp.”

B. “Iihaveibeenisoitiredilatelyiana

db

n

ir

eb

e

.

d

c

eo

dmt

/

oh

se

l

s

ee

ii

p.”

C. “IireallyithinkithatiIidon’tineeditoibe ihere.”

D. “Iidon’tiwantitoiwalk.iNothingimatters ianymore.”

abirb.com/hesi

Aimaleihospitaliemployeeiisipushedioutitheiway ibyiaifemaleiemployeeibecauseiofian

oncomingigurney.iTheipushediemploa

yb

ei

erb

b.

ec

co

omm/

eh

se

vs

ei

ryiangryiandiswingsiatitheifemale

iemployee.iBothiemployeesiareireferrediforicounselingiwithitheistaffipsychiatriciRN.iWhich

factoriinitheipushediemployee’s ihistoryiisimostirelateditoitheireactionithatioccurred?

abirb.com/hesi

A. Isiworriediaboutilosingihisijobitoia iwoman.

B. Torturedianimalsiasia ichild.

C. Wasiphysicallyiabusedibyihis imother.

D. Hatesitoibeitouchediby ianyone.

TheiRNidocumentsitheimentalistatusiofiaifemaleiclientiwhoihasibeenihospitalizediforiseveral

idaysibyicourtiorder.iTheiclientistates,i“Iidon’tineeditoibeihere”ianditellsitheiRN

ithatisheibelievesitheitelevisionitalksitoiher.iTheiRNishouldidocumentitheseiassessment

ifindingsiiniwhichisectioniofitheimentalistatus iexam/

A.iLevelioficoncentration.

iB.iInsightiandijudgement.

C. Remoteimemory.

D. Moodiandiaffect.

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