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Mental Health HESI Test Bank 2024 Graded A+ Actual  Questions and Answers With Complete Solutions A male client with schizophrenia is admitted to the mental health unit after abruptly  stopping his prescription for ziprasidone (Geodon) one month ago. Which question is  most important for the nurse to ask the client? - Do you hear voices A female client with a history of drinking who was admitted 8 hours ago after  receiving treatmetn for minor abrasions occurred from a fall at home. The nurse  determines the client's blood alcohol level (BAL) was not analyzed on administration  action should the nurse take - Ask client about alcohol quantity, frequency, and time  of last drink *Which client statement suggests to the nurse that the client is using the defense  mechanism of projection to deal with anxiety related to admission to a psychiatric  unit - "I am here because the police thought I was doing something wrong" Projection- transferring one's internal feelings, thoughts, and unacceptable ideas and  traits to someone else (Saunders 991.) A female client on a psychiatric unit is sweating profusely while she vigorously does  push ups and then runs the length of the corrider several times before crashing inot  the furniture in the sitting room. Picking herself up, she begins to toss chairs aside,  looking for a red one to sit in. When another client objects to the disturbances, the  client shouts," I am the boss here. I do what I want." Which nursing problem best  supports these observations - Risk for other related violence related to disruptive  behavior A male client is admitted to the psychiatric inpatient unit with a bandaged flesh wound  after attempting to shoot himself. he is recently divorced one year ago, lost his job  four months ago, and suffered a break up of his current relationship last week. What  is the most likely source of this client's current feelings of depression - a sense of  loss What is the most important goal for a client diagnosed with major depression who has  been receiving an antidepressant medication for two weeks - [...] Rational: The nurse also looks for indications that the patient is communicating  thoughts and feelings more readily and that the patient's social network is widening.  If the person is able to talk about feelings and engage in problem solving with you, this is a positive sign (Varcarolis 485.) What nursing assessment is the priority focus for a client with major depression? - suicidal ideation: suicidal ideation is a major risk factor in a client with major  depression A male adult comes to the mental health clinic and walks back and fourth in front of  the offic door, but does not enter the office. He then walks arond a chair that is in the  hallway several times before sitting down in the chair. What action should the nurse  take first - observe the client in the chair A female client engages in repeated checks of door and window locks. Behavior that  prevents her form arriving on time and interferes with her ability to function  effectively. What action should the nures take - plan a list of activities to be carried  out daily... Bipolar patients who manifest behavior that interferes with ability to  function do better when given a schedule to adhere to with a list of planned daily  activities *A male client in the mental health unit is guarded and vaguely answers the nurse's  questions. He isolates to his room and sometimes opens the door to peek into the hall.  Which problem can the nurse anticipate - delusions of persecution A male client who is seen in the mental health clinic monthly reports feeling very  stressed and nervous and further describes becoming angry increasingly more often  during the last month. What action should the nurse take first - ask the client to  identify problems that have occured during the last month A 26 year old femal client has been particulary resteless and the nures finds her  trying to leave the psychiatric unit. She tellsher the nurse," please let me leave  because the secret police are after me." Which response is best for the nurse - "come with me to your room and i will sit with you" The nurse is preparing medications for a client with bipolar disorder and notices that  the antipsychotic medication was discontinued several days ago. Which medication  should also be discontinued - Benztropine (Cogentin) A young woman is preparing to be discharged from the psychiatric unit. Which  nursing intervention is most important for the nurse to include in this phase of the  nurse client relationship - explore the client's feelings related to discharge A female high school teacher who was a child of alcholic parents seeks counseling at  the community health clinic because of depression over a student who was killed by a  drunk driver. After several weeks of counseling, which behavior is the best indicator  that the client is coping well with the anxiety related to the student's death - becomes  the faculty sponsor for students against druin driving (SADD)