HESI PN Mental Health

1.A nurse on a mental health unit is assisting with the plan of care for a newly admitted client

who has anorexia nervosa. Which of the following actions should the nurse include in the plan

of care?

Answer: Offer liquid supplements to the client

2. A nurse in a mental health facility is caring for a client who has schizophrenia. The client

becomes violent in the dayroom and begins throwing objects at staff and other clients. After

calling for assistance. Which of the following actions should the nurse take next?

Answer: Tell the client calmly to sit down

3. A nurse caring for a group of clients on a mental health unit. Which of the following client

behaviors should the nurse reports to the charge nurse?

Answer: A client who is manic has been pacing the unit for several hours

4. A nurse is collecting data from a client who is taking valproic acid for the treatment of bipolar

disorder. The nurse should identify that which of the following findings is priority to report to

the provider?

Answer: Bleeding gums

5. A nurse is attempting to resolve an ethical dilemma that involves a client’s medical decisions

and his own personal values. After collecting data and identifying the problem, which of the

following actions should the nurse take next?

Answer: Determine the benefits and consequences of respecting the client’s medical

decisions

6. A nurse is reinforcing teaching with a client who has obsessive-compulsive disorder and

performs hand hygiene to decrease anxiety. Which of the following actionsshould the nurse

take to demonstrate modeling as a behavioral intervention strategy?

Answer: Demonstrating performing hand hygiene at appropriate times

7. A nurse is caring for a client who has antisocial personality disorder. Which of the following

actions should the nurse take when caring for the client?

Answer: Remind the client of consequences for unacceptable behavior

8. A nurse is assisting with the plan of care for a client who is malnourished due o alcohol use

disorder. Which of the following interventions should the nurse include in the plan?

Answer: Restrict the client’s sodium intake

9. A nurse is collecting data from a client whose home was destroyed by a fire. Which of the

following responses should the nurse make first?

Answer: Are you experiencing feelings of hopelessness?

10. A nurse is reinforcing teaching with the parent of an adolescent who has amphetamine use

disorder. Which of the following statements by the parent should the nurse identify as

indicating an understanding of the teaching?

Answer: Dilated pupils are a sign my child is using amphetamines

11. A nurse is collecting data from a client who has agoraphobia. The nurse should identify that

which of the following situations will increase the client’s anxiety?

Answer: Traveling in an airplane

12. A nurse is monitoring communication between a client who has alcohol use disorder and

her partner. Which of the following communication patters of the client’s partner should the

nurse identify as being effective?

Answer: I become very angry when you get drunk

13. A nurse is preparing to administer lithium 450 mg PO to a client who has bipolar disorder.

Available is lithium 150 mg capsules. How many capsules should the nurse administer?

Answer: 3 capsules

14. A nurse is collecting data from a client who uses alcohol” to cope with stress.’’ Which of the

following questions should the nurse ask?

Answer: What daily activities are disrupted because of your alcohol consumption?

15. A nurse is reinforcing teaching with an adolescent client who has a history of aggressive

behavior. Which of the following statements should the nurse make?

Answer: Have you considered participating in a sport to help control your aggression

16. A nurse on an inpatient mental health unit is supervising a group of clients in the unit’s

dayroom. The nurse failsto respond to the escalating, aggressive behavior of a client eventually

becomes violent and injures another client. For which of the following is the nurse liable?

Answer: Negligence

17. A nurse is reviewing the medical record of a client who has schizophrenia. For which of the

following findings should the nurse withhold the client’s medications and notify the provider?

Answer: WBC count

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