HESI MENTAL HEALTH RN V1-V3 TEST BANK 2024-2025 EXAM WITH UPDATED QUESTIONS AND ANSWERS (GRADED A+)

HESI MENTAL HEALTH RN V1-V3 TEST BANK
2024-2025 EXAM WITH UPDATED QUESTIONS
AND ANSWERS (GRADED A+)
The nurse is preparing to administer phenelzine sulfate (Nardil) to a
client on the psychiatric unit.Which complaint related to
administration of this drug should the nurse expect this client to
make? - ANSWER-My mouth feels like cotton
The nurse should include which interventions in the plan of care for
a severely depressed client with neurovegetative symptoms? -
ANSWER-Permit rest periods as needed
Speaking slowly and simply
Allow the client extra time to complete tasks Observe and
encourage food and fluid intake
Encourage mild exercise and shorts walks on the unit
A young adult male client, diagnosed with paranoid schizophrenia,
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believes that world is trying poison him. What intervention should
the nurse include in this client's plan of care? - ANSWER-Ask one
nurse to spend time with the client daily
A child is brought to the emergency room with a broken arm.
Because of other injuries, the nurse suspects the child may be a
victim of abuse. When the nurse tries to give the child an injection,
the child's mother becomes very loud and shouts, "I won't leave my
son! Don't you touch him! You'll hurt my child!" What is the best
interpretation of the mother's statements? The mother is -
ANSWER-Projecting her feelings onto the nurse
A 45-year-old female client is admitted to the psychiatric unit for
evaluation. Her husband states that she has been reluctant to
leave home for the last six months. The client has not gone to work
for a month and has been terminated from her job. She has not left
the house since that time. This client is displaying symptoms of
what condition - ANSWER-Agoraphobia
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The nurse is assessing the parents of a nuclear family who are
attending a support group for parents of adolescents. According to
Erikson, these parents who are adapting to middle adulthood
should exhibit which characteristic? - ANSWER-Increased self
understanding
A client is receiving substitution therapy during withdrawal from
benzodiazepines. Which expected outcome statement has the
highest priority when planning nursing care? - ANSWER-Excessive
CNS stimulation will be reduced
The nurse is planning discharge for a male client with
schizophrenia. The client insists that he is returning to his
apartment, although the healthcare provider informed him that he
will be moving to a boarding home. What is the most important
nursing diagnosis for discharge planning? - ANSWER-Ineffective
denial related to situational anxiety
Within several days of hospitalization, a client is repeatedly
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washing the top of the same table. Whichinitial intervention is best
for the nurse to implement to help the client cope with anxiety
related tothis behavior? - ANSWER-Allow time for the ritualistic
behavior, then redirect the client to other activities
A 35-year-old male client who has been hospitalized for two weeks
for chronic paranoia continues tostate that someone is trying to
steal his clothing. Which action should the nurse implement? -
ANSWER-Encourage the client to actively participate in assigned
activities on the unit
A male client is admitted to the psychiatric unit with a medical
diagnosis of paranoid schizophrenia.During the admission
procedure, the client looks up and states, "No, it's not MY fault. You
can't blame me. I didn't kill him, you did." What action is best for the
nurse to take? - ANSWER-Assess the content of the hallucinations
by asking the client what he is hearing
A woman arrives in the Emergency Center and tells the nurse she
thinks she has been raped. The client is sobbing and expresses