HESI RN MENTAL HEALTH Version 2

2 When preparing to administer to domestic violence screening tool to a female client, which statement should the RN provide? • If your partner is abusing you, I need to ask these questions. • State law mandates that I ask if you are a victim of domestic violence. • The HCP provider needs to know if you are experiencing any domestic abuse. • All clients are screened for domestic abuse because it is common in our society.(ANS- D During admission to the psychiatric unit, a female client is extremely anxious and states that she is worried about the sun coming up the next day. What intervention is most important for the RN to implement during the admission process? • Assist the client in developing alternative coping skills. • Remain calm and use a matter-of-fact approach. • Ask the client why she is so anxious • Administer a PRN sedative to help relieve her anxiety. (ANS- A. The occupational health nurse is working with a female employee who was just notified that her child was involved in a MVA and taken to the hospital. The employee states, "I can't believe this. What should I do?" Which response is best for the RN to provide in this crisis? • Tell me what you think should happen. • How serious was the collision? • What do you think you should do? • Call for transportation to the hospital. (ANS- D A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual relationship with her. What is the priority nursing problem for admission to the psychiatric unit? • Ineffective sexual patterns. • Impaired environmental interpretation. • Disturbed sensory perception. • Compromised family coping. (ANS- A The RN is providing care for a client diagnosed with borderline personality disorder who has self-inflicted lacerations on the abdomen. Which approach should the RN use when changing this client's dressing? A. Provide detailed thorough explanations when cleansing wound. B. Perform the dressing change in a non-judgmental manner