HESI MENTAL HEALTH

HESI MENTAL HEALTH HESI MENTAL HEALTH RN V3 QUESTIONS AND ANSWERS 1. A client with paranoia is admitted to the mental health unit and immediately goes to the corner of the room and sits quietly without communicating. In approaching the client, what intervention should the nurse implement first? • Explain the nurse's role to the client. 2. client treated with lithium for bipolar develops diarrhea, vomiting and drowsiness, what action should the nurse do • Notify HCP of the symptoms prior to the next admin of the drug 3. A mental health worker (MHW) is caring for a client with escalating aggressive behavior, which action by the MHW warrants immediate intervention by the nurse? • Is attempting to physically restrain the client. 4. woman who is bipolar is wearing low cut blouse, and skirt with no underwear, what does nurse do? • Walk her to room and help her pick out something more appropriate 5. Older man who recently got divorced and is 2 years sober, and an alcoholic loves God. He loves kids also. What should nurse ask at his initial interaction? • What is your biggest concern? 6. Woman is diagnosed with breast cancer and she becomes dependent and asks family members if they can do ADL's that she is fully capable of doing. What is the reason for this behavior? • Its expected; regression is a natural start for recovery 7. Patient having to get treated for benzodiazepam and methadone overdose. What do you use? • Narcan 8. Patient watching TV starts talking loud to himself. The nurse comes in and can't distract him so turns down the TV. What should the nurse do then? • Move client to quieter room 9. In group therapy the charge nurse notices a client increasing to severe levels of anxiety. What should the nurse do? • Talk in a calm, approaching manner 10. A chronic depressed older man refuses to leave his room. His family moved away to a further location so they're not able to visit him as much. What approach should the nurse take with this man? • May I lay with you for a little? 11. Patient who is really depressed and won't talk or communicate, later is energetic and talkative. What should the nurse do? • Closely monitor the patient (could be suicidal) 12. Patient who had generalized anxiety disorder on Xanax long- term. What is the outcome? • Importance of not quickly stopping the drug 13. Mother has a 9-month old baby with mental issues and growth issues. The mother comes in and says she's depressed because she’ll never have a normal baby. What should the nurse say? • Have you had any thoughts of harming your baby or yourself? 14. Lithium level 1.5. What do you tell the client who had a recent suicide attempt after seeing him become very anxious after hearing his Lithium levels? • drink 2-3L of water in 24 hours 15. Woman comes into ED having been raped by her date. What should the nurse document? • document she stated "I was raped by my date" 16. Which patient would require CAGE assessment? • Alcohol patient, cut down, annoyed, guilty, eye opener 17. A nurse is changing a dressing on a bipolar patient's stomach from self-inflicting knife wound. What is the nurse's best approach? • showing no signs of being judgmental 18. Woman is at a meeting with you, what is important for the nurse to document after hearing her issues in the relationship • get spouses statement as well 19. patient in corner with paranoid symptoms, staring and watching you. They refused to communicate with you. What do you do? • ask simple questions 20. patient states "I can't get my thoughts together I should really sell my car. It’s not in here. Let's buy a car. What is the patient experiencing? • Tangential thinking 21. A depressed adolescent becomes sarcastic and irritates when you start to ask him questions. What does the nurse do? • Ask him to play cards 22. A patient who has been on an antidepressant for 2 weeks. What should you watch for? • suicidal attempts 23. A patient won't take oral meds that is going through alcohol withdrawal. The nurse starts giving saline lock per alcohol protocol and thiamine. What do you tell them that it will help with recovery? • Thiamine will replenish alcohol effects on the body (something to do with iron) 24. A male patient got divorced a year ago, lost his job, and recently suffered from a break up. What is his reason for his recent depression? • feelings of loss 25. A patient is being admitted for drug overdose. She says the reason she is using drugs is because of a recent breakup of an intimate relationship? what does the nurse do first • ask the patient if they feel as if they have a plan of suicide 26. a bipolar patient has stopped taking an antipsychotic. What other medication should the nurse expect to be D/C • benzotropine (Congentin) 27. what should you recommend to a patient saying she can't get any sleep recently after receiving news she has breast cancer. What medication should you recommend? • Ativan 28. A patient has possessions she doesn't trust anyone to hold because she thinks they will steal them. How does the nurse establish trust? • make sure to talk short comments every now and then to her