Science Medicine Nursing
2023-2024 HESI MENTAL HEALTH RN
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N129 HESI Mental Health HESI 2024 WGU D116 Pharmaco
120 terms 22 terms Teacher 161 terms
a630hdz Preview mayathewb Preview Tally_Kim
A client on the mental health Take other clients in the area to the client lounge.
unit is becoming more agitated,
shouting at the staff, and pacing
in the hallway. When the PRN
medication is offered, the client
refuses the medication and
defiantly sits on the floor in the
middle of the unit hallway. What
nursing intervention should the
RN implement first?
A client is admitted to the "I don't want to walk. Nothing matters anymore."
mental health unit and reports
taking extra antianxiety
medication because, "I'm so
stressed out. I just want to go to
sleep." The RN should plan one-
on-one observation of the client
based on which statement?
A male hospital employee is Was physically abused by his mother.
pushed out the way by a female
employee because of an
oncoming gurney. The pushed
employee becomes very angry
and swings at the female
employee. Both employees are
referred for counseling with the
staff psychiatric RN. Which
factor in the pushed
employee'shistory is most
related to the reaction that
occurred?
,The RN documents the mental Insight and judgement
status of a female client who has
been hospitalized for several
days by court order. The client
states, "I don't need to be here"
and tells the RN that she
believes the television talks to
her. The RN should document
these assessment findings in
which section of the mental
status exam
A client is admitted to the Moderate anxiety
mental health unit reports
shortness of breath and
dizziness. The client tells the RN,
"I feel like I'm going to die".
Which nursing problem should
the RN include in this client's
plan of care?
A female client who is wearing Offer the client a safe place to relax before interviewing her.
dirty clothes and has foul body
odor, comes to the clinic
reporting feeling scared
because she is being stalked.
What action is most important
for the RN to take?
The RN leading a group session Redirect him by encouraging him to read from the handout
of adolescent clients gives the
members a handout about anger
management. One of the male
clients is fidgety, interrupts
peers when they try and talk,
and talks about his pets at home.
What nursing action is best for
the RN to take?
A male adolescent was admitted Offer to play a game of cards with the client.
to the unit two days ago for
depression. When the mental
health RN tries to interview the
client to establish rapport, he
becomes very irritated and
sarcastic. Which action is best
for the RN to take? A. Report the
behavior to the next shift.
, A male adult is admitted Do not take any over the counter meds
because of an acetaminophen
(Tylenol) overdose. After
transfer to the mental health
unit, the client is told he has liver
damage. Which information is
most important for the nurse to
include in the client's discharge
plan?
See an expert-written answer!
After receiving treatment for Recommend assignment to the receptionist's office.
anorexia, a student asks the
school RN for permission to
work in the school cafeteria as
part of the school's work study
program. What action should the
RN take?
The Rn accepts a transfer to the Mental status examination.
metal health unit and
understands that the client is
distractible and is exhibiting a
decreased ability to
concentrate. The RN only has 15
minutes to talk to the client. To
develop treatment plan for this
client, which assessment is most
important for the RN to obtain?
See an expert-written answer!
A male client who recently lost a Sleep deprivation.
loved one arrives at the mental
health center and tells the RN
he is no longer interested is his
usual activities and has not slept
for several days. Which priority
nursing problem should the RN
include in the client's plan of
care?
See an expert-written answer!
A male client with long history Lorazepam (Ativan)
of alcohol dependency arrives
in the emergency department
describing the feelings of bugs
crawling on his body. His blood
pressure is 170/102, his pulse rate
is 110 bpm, and is blood alcohol
level is 0mg/dL. Which
prescription should the RN
administer?
See an expert-written answer!
2023-2024 HESI MENTAL HEALTH RN
Save
Students also studied
Flashcard sets Study guides
N129 HESI Mental Health HESI 2024 WGU D116 Pharmaco
120 terms 22 terms Teacher 161 terms
a630hdz Preview mayathewb Preview Tally_Kim
A client on the mental health Take other clients in the area to the client lounge.
unit is becoming more agitated,
shouting at the staff, and pacing
in the hallway. When the PRN
medication is offered, the client
refuses the medication and
defiantly sits on the floor in the
middle of the unit hallway. What
nursing intervention should the
RN implement first?
A client is admitted to the "I don't want to walk. Nothing matters anymore."
mental health unit and reports
taking extra antianxiety
medication because, "I'm so
stressed out. I just want to go to
sleep." The RN should plan one-
on-one observation of the client
based on which statement?
A male hospital employee is Was physically abused by his mother.
pushed out the way by a female
employee because of an
oncoming gurney. The pushed
employee becomes very angry
and swings at the female
employee. Both employees are
referred for counseling with the
staff psychiatric RN. Which
factor in the pushed
employee'shistory is most
related to the reaction that
occurred?
,The RN documents the mental Insight and judgement
status of a female client who has
been hospitalized for several
days by court order. The client
states, "I don't need to be here"
and tells the RN that she
believes the television talks to
her. The RN should document
these assessment findings in
which section of the mental
status exam
A client is admitted to the Moderate anxiety
mental health unit reports
shortness of breath and
dizziness. The client tells the RN,
"I feel like I'm going to die".
Which nursing problem should
the RN include in this client's
plan of care?
A female client who is wearing Offer the client a safe place to relax before interviewing her.
dirty clothes and has foul body
odor, comes to the clinic
reporting feeling scared
because she is being stalked.
What action is most important
for the RN to take?
The RN leading a group session Redirect him by encouraging him to read from the handout
of adolescent clients gives the
members a handout about anger
management. One of the male
clients is fidgety, interrupts
peers when they try and talk,
and talks about his pets at home.
What nursing action is best for
the RN to take?
A male adolescent was admitted Offer to play a game of cards with the client.
to the unit two days ago for
depression. When the mental
health RN tries to interview the
client to establish rapport, he
becomes very irritated and
sarcastic. Which action is best
for the RN to take? A. Report the
behavior to the next shift.
, A male adult is admitted Do not take any over the counter meds
because of an acetaminophen
(Tylenol) overdose. After
transfer to the mental health
unit, the client is told he has liver
damage. Which information is
most important for the nurse to
include in the client's discharge
plan?
See an expert-written answer!
After receiving treatment for Recommend assignment to the receptionist's office.
anorexia, a student asks the
school RN for permission to
work in the school cafeteria as
part of the school's work study
program. What action should the
RN take?
The Rn accepts a transfer to the Mental status examination.
metal health unit and
understands that the client is
distractible and is exhibiting a
decreased ability to
concentrate. The RN only has 15
minutes to talk to the client. To
develop treatment plan for this
client, which assessment is most
important for the RN to obtain?
See an expert-written answer!
A male client who recently lost a Sleep deprivation.
loved one arrives at the mental
health center and tells the RN
he is no longer interested is his
usual activities and has not slept
for several days. Which priority
nursing problem should the RN
include in the client's plan of
care?
See an expert-written answer!
A male client with long history Lorazepam (Ativan)
of alcohol dependency arrives
in the emergency department
describing the feelings of bugs
crawling on his body. His blood
pressure is 170/102, his pulse rate
is 110 bpm, and is blood alcohol
level is 0mg/dL. Which
prescription should the RN
administer?
See an expert-written answer!
