HESI MENTAL HEALTH RN V1-V3 2021 TEST BANKS (ALL TOGETHER) 46 PAGES WITH COMPLETE AND 100% CORRECT ANSWERS

HESI MENTAL HEALTH RN V1-V3 2021 TEST BANKS (ALL TOGETHER)

A client with depression remains in bed most of the day, and declines activities.

Whichnursing problem has the greatest priority for this client?

• Loss of interest in diversional activity.

• Social isolation.

• Refusal to address nutritional needs.

• Low self-esteem.

The RN is preparing medications for a client with bipolar disorder and notices that the

client discontinued antipsychotic medication for several days. Which medication should

also be discontinued?

• Lithium. (Lithotabs)

• Benzotropine (Cogentin).

• Alprazolam (Xanax).

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• Magnesium (Milk of Magnesia)b.irb.com/hesi

A female client requests that her husband be allowed to stay in the room during the

admission assessment. When intervaiebwiribng.ctohme c/hliensti, the RN notes a discrepancy

between the client’s verbal and nonverbal communication. What action does the RN

take?

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• Pay close attention and document the nonverbal messages.

• Ask the client’s husband to inatebriprbre.tctohme d/hisecsrei pancy.

• Ignore the nonverbal behavior and focus on the client’s verbal messages.

•

Integrate the verbal and nonvaebrbirabl.mcoemss/ahgeessiand interpret them as one.

A male client approaches the RN with an angry expression on his face and raises his

voice, saying “My roommate is the maobsirtbs.eclfoismh,/hselsf-icentered, angry person I have ever

met. If he loses his temper one more time with me, I am going to punch him out!”

TheRN recognizes that the client is usinagbwirhbic.chodmef/ehnesseimechanism?

• Denial.

• Projection.

• Rationalization.

• Splitting.

A male client with bipolar disorder who began taking lithium carbonate five days ago

is complaining of excessive thirst, and the RN finds him attempting to drink water

from thebathroom sink faucet. Which intervention should the RN implement?

• Report the client’s serum lithium level to the HCP.

• Encourage the client to suck on hard candy to relieve the symptoms.

• No action is needed since polydipsia is a common side effect.

• Tell the client that drinking from the faucet is not allowed.

The RN is teaching a client about the initiation of the prescribed abstinence therapy

using disulfiram (Antabuse). What information should the client acknowledge

understanding?

• Completely abstain from heroin or cocaine use.

• Remain alcohol free for 12 hours prior to the first dose.

• Attend monthly meetings of alcoholics anonymous.

• Admit to others that he is a substance user.

A male client with schizophrenia is admitted to the mental health unit after abruptly

stopping his prescription for ziprasidone (Geodon) one month ago. Which question is

most important for the RN to ask the client?

• Have you lost interest in the things that you used to enjoy?

• Is your ability to think or concentrate decreased?

• How many continuous hoursadboirybo.ucsolmee/pheatsni ight?

• Do you hear sounds or voices that others do not hear?

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During an annual physical by the occupational RN working in a corporate clinic, a male

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employee tells the RN that is high-stress job is causing trouble in his personal life.

Hefurther explains that he often gets so angry while driving to and from work that

he has

considered “getting even” with other drivers. How should the RN respond?

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• “Anger is contagious and could result in major confrontation.”

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• “Try not to let your anger cause you to act impulsively.”

• “Expressing your anger to a stranger could result in an unsafe

situation.”D. “It sounds as if there are many situations that make you feel

angry.”