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A client with depression remains in bed most of the day, and
declines activities. Which nursing problem has the greatest priority
for this client?
A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. 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?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).
A female client requests that her husband be allowed to stay in
the room during the admission assessment. When interviewing the
client, the RN notes a discrepancy between the client’s verbal and
nonverbal communication.
NUR 634 HESI MENTAL HEALTH RN V1-V3
QUESTIONS & ANSWERS 100%
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, NUR 634 HESI MENTAL HEALTH RN V1-V3
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What action does the RN take?
A. Pay close attention and document the nonverbal messages.
B. Ask the client’s husband to interpret the discrepancy.
C. Ignore the nonverbal behavior and focus on the
client’s verbal messages.
D. Integrate the verbal and nonverbal messages and
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 most
selfish, self-centered, angry person I have ever met. If he loses
his temper one more time with me, I am going to punch him out!”
The RN recognizes that the client is using which defense
mechanism?
A.
Denial. B.
Projection.
C. Rationalization.
D. Splitting.
NUR 634 HESI MENTAL HEALTH RN V1-V3
QUESTIONS & ANSWERS 100%
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, NUR 634 HESI MENTAL HEALTH RN V1-V3
QUESTIONS & ANSWERS 100%
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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 the bathroom sink
faucet. Which intervention should the RN implement?
NUR 634 HESI MENTAL HEALTH RN V1-V3
QUESTIONS & ANSWERS 100%
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, NUR 634 HESI MENTAL HEALTH RN V1-V3
QUESTIONS & ANSWERS 100%
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A. Report the client’s serum lithium level to the HCP.
B. Encourage the client to suck on hard candy to relieve the
symptoms.
C. No action is needed since polydipsia is a common side effect.
D. 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?
A. Completely abstain from heroin or cocaine use.
B. Remain alcohol free for 12 hours prior to the first dose.
C. Attend monthly meetings of alcoholics anonymous.
D. 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?
A. Have you lost interest in the things that you used to enjoy?
B. Is your ability to think or concentrate decreased?
NUR 634 HESI MENTAL HEALTH RN V1-V3
QUESTIONS & ANSWERS 100%
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