Bsn 346 PRACTICE HESI/mental health | Questions and Answers
Questions in this set (61)
The nurse completes an Reevaluate the client's blood pressure in an hour.
emergency admission of a
male client with schizophrenia
who has not been taking his
antipsychotic medications. The
client is pacing, is extremely
irritable, and has a blood
pressure of 146/96. What is the
priority nursing action?
A young adult female client Drugs taken in last 7 days.
with panic disorder arrives in
the Emergency Center with a 4-
day history of chest pain that
began when her boyfriend left
her. Initial assessment reveals
normal cardiopulmonary
findings. Which information is
most important for the nurse to
obtain?
A female client comes to an Tell the client that therapy cannot take place while she is intoxicated.
outpatient therapy
appointment intoxicated. The
spouse tells the nurse, "There
wasn't anything I could do to stop
her drinking this morning." What
intervention should the nurse
take at this time?
The nurse is planning care for a Search the client's personal belongings.
client with major depression who
is admitted to the unit after a
recent suicide attempt. Which
intervention has the highest
priority for inclusion in this
client's plan of care?
, A male client is brought to the Threats to kill his friend, hears voices telling him to kill himself,
emergency department by a reports he has not needed a bath in 4 months and says he has not
police officer, who reports the eaten in 3 days.
client was "disturbing the
peace" by running naked in the
street, striking out at others, and
smashing car windows. Which
behaviors should the client
demonstrate to determine if he
should be evaluated for
involuntary commitment?
(Choose all that apply.)
The nurse is caring for an adult High risk for fluid and electrolyte imbalance.
male client with catatonic
schizophrenia who is mute and
motionless. What is the priority
nursing problem?
At the end of a group therapy Ask a group member to seek help.
session, a client who is
hospitalized for psychosis falls to
the floor when attempting to
stand. What intervention should
the nurse implement first?
Which nursing intervention Keep the body available for a few hours in case they change their minds.
should the nurse implement
with parents who experience a
fetal demise and express the
wish not to see the baby?
An adult female who is married How did this happen to you?
and works full-time in a factory
has been absent from work for
three days at a time on
several occasions. Each time she
returns to work, she wears dark
glasses to cover facial
bruising. Her supervisor refers
her to the occupational health
nurse. What
assessment question should the
nurse use?
A client on the mental health Dietician.
unit reports concerns about
weight gain as a result of taking
Questions in this set (61)
The nurse completes an Reevaluate the client's blood pressure in an hour.
emergency admission of a
male client with schizophrenia
who has not been taking his
antipsychotic medications. The
client is pacing, is extremely
irritable, and has a blood
pressure of 146/96. What is the
priority nursing action?
A young adult female client Drugs taken in last 7 days.
with panic disorder arrives in
the Emergency Center with a 4-
day history of chest pain that
began when her boyfriend left
her. Initial assessment reveals
normal cardiopulmonary
findings. Which information is
most important for the nurse to
obtain?
A female client comes to an Tell the client that therapy cannot take place while she is intoxicated.
outpatient therapy
appointment intoxicated. The
spouse tells the nurse, "There
wasn't anything I could do to stop
her drinking this morning." What
intervention should the nurse
take at this time?
The nurse is planning care for a Search the client's personal belongings.
client with major depression who
is admitted to the unit after a
recent suicide attempt. Which
intervention has the highest
priority for inclusion in this
client's plan of care?
, A male client is brought to the Threats to kill his friend, hears voices telling him to kill himself,
emergency department by a reports he has not needed a bath in 4 months and says he has not
police officer, who reports the eaten in 3 days.
client was "disturbing the
peace" by running naked in the
street, striking out at others, and
smashing car windows. Which
behaviors should the client
demonstrate to determine if he
should be evaluated for
involuntary commitment?
(Choose all that apply.)
The nurse is caring for an adult High risk for fluid and electrolyte imbalance.
male client with catatonic
schizophrenia who is mute and
motionless. What is the priority
nursing problem?
At the end of a group therapy Ask a group member to seek help.
session, a client who is
hospitalized for psychosis falls to
the floor when attempting to
stand. What intervention should
the nurse implement first?
Which nursing intervention Keep the body available for a few hours in case they change their minds.
should the nurse implement
with parents who experience a
fetal demise and express the
wish not to see the baby?
An adult female who is married How did this happen to you?
and works full-time in a factory
has been absent from work for
three days at a time on
several occasions. Each time she
returns to work, she wears dark
glasses to cover facial
bruising. Her supervisor refers
her to the occupational health
nurse. What
assessment question should the
nurse use?
A client on the mental health Dietician.
unit reports concerns about
weight gain as a result of taking
