Mental Health (PSYCH) HESI - PRACTICE 2021/2022

The nurse is discussing the grieving process with the client. Which stages are included in Kubler-Ross' stages of grief? Rank in the correct order. 1. Acceptance 2. Bargaining 3. Denial 4. Anger 5. Depression - Answer - Answer: 3. Denial 4. Anger 2. Bargaining 5. Depression 1. Acceptance Which situation requires priority intervention on an inpatient psychiatric unit? 1. A client is threatening to throw the television at another client. 2. A male client wants to use the phone to call his spouse. 3. A client sitting in a chair is delusional and hallucinating 4. A client has refused to eat anything for the last 2 days. - Answer - Answer: 1. A client is threatening to throw the television at another client. The client diagnosed with bipolar disorder and who is prescribed lithium, an anti mania medication, is admitted to the psychiatric unit in an acute manic state. Which intervention should the nurse implement first? 1. Have the laboratory draw a STAT serum lithium level. 2. Evaluate what behavior prompted the psychiatric admission. 3. Assess and treat the client's physiological needs. 4. Administer STAT dose of lithium to the client. - Answer - Answer: 3. Assess and treat the client's physiological needs. The psychiatric unit staff is upset about the new female charge nurse who just sits in her office all day. One of the staff members informs the clinical manager indicates a laissez-faire leadership style? 1. "I will schedule a meeting to discuss the concerns of the charge nurse." 2. "I hired the new charge nurse and she is doing what I told her to do." 3. "You and the staff really should take care of this situation on your own." 4. "I will talk to the charge nurse about your concerns and get back to you." - Answer - Answer: 3. "You and the staff really should take care of this situation on your own." (laissez-faire attitude is an "everybody is driving their own train" attitude, you guys take care of it)(option 1. is democratic. 2. is an autocratic style. authoritarian approach. 4. is taking charge of the situation.) The mental health worker reports that one of the nurses threatened to force-fed the male client diagnosed with schizophrenia if the client did not eat the meal on the lunch tray. Which action should the charge nurse take first? 1. Tell the MHW that this intervention is part of the client's care plan. 2. Request the nurs