Quizlet HESI Mental Health

Quizlet HESI Mental Health Related

Review Quizlet HESI Mental Health related questions and content

A male client is admitted to the psychiatric unit for recurrent negative symptoms of chronic schizophrenia and medication adjustment of risperidone (Risperdal). When the client walks to the nurse's station in a literally contracted position, he states that something has made his body contort into a monster. What action should the nurse take?

  • A. Medicate the client with the prescribed antipsychotic thioridazine (Mellaril).
  • B. Offer the client a prescribed physical therapy hot pack for muscle spasms.
  • C. Direct the client to occupational therapy to distract him from somatic complaints.
  • D. Administer the prescribed anticholinergic benztropine (Cogentin) for dystonia.
Correct Answer: D

Rationale: The correct action for the nurse to take in this situation is to administer the prescribed anticholinergic benztropine (Cogentin) for dystonia. The client's symptoms of body contortion and feeling like a monster are indicative of acute dystonia, which can be a side effect of antipsychotic medications like risperidone. Benztropine can help alleviate these acute dystonic reactions. Choice A is incorrect because changing the antipsychotic medication at this point is not indicated. Choice B is not appropriate as the client's symptoms are likely due to acute dystonia rather than muscle spasms. Choice C is also not the best course of action as the client needs immediate intervention for the acute dystonic reaction.

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The occupational health nurse is working with a female employee who was just notified that her child was involved in a MVA and taken to the hospital. The employee states, "I can't believe this. What should I do?" Which response is best for the nurse to provide in this crisis?

  • A. Tell me what you think should be done.
  • B. How serious was the collision?
  • C. What do you think you should do?
  • D. Call for transportation to the hospital.
Correct Answer: D

Rationale: In a crisis situation where the female employee's child is involved in a motor vehicle accident (MVA) and taken to the hospital, the most appropriate response for the nurse is to provide immediate practical assistance. Calling for transportation to the hospital ensures that the employee can quickly reach her child in need of urgent medical attention. The other options (A, B, and C) do not address the immediate need for assistance and may not provide the necessary support required in such a critical situation.

The client is being educated by the healthcare provider about starting a prescribed abstinence therapy with disulfiram (Antabuse). What information should the client understand?

  • A. Maintain complete abstinence from heroin or cocaine use.
  • B. Stay alcohol-free for at least 12 hours before the first dose.
  • C. Participate in monthly Alcoholics Anonymous meetings.
  • D. Disclose to others that he is a substance abuser.
Correct Answer: B

Rationale: The correct answer is B. Before starting disulfiram therapy (Antabuse), the client must comprehend the need to remain alcohol-free for a minimum of 12 hours. This is crucial to prevent the unpleasant and potentially dangerous reactions that can occur with concurrent alcohol consumption while on disulfiram. Choices A, C, and D are incorrect because they do not directly relate to the specific requirement for alcohol abstinence before initiating disulfiram therapy.

When preparing to administer a domestic violence screening tool to a female client, which statement should the RN provide?

  • A. If your partner is abusing you, I need to ask these questions.
  • B. State law mandates that I ask if you are a victim of domestic violence.
  • C. The healthcare provider needs to know if you are experiencing any domestic abuse.
  • D. All clients are screened for domestic abuse because it is common in our society.
Correct Answer: D

Rationale: The correct answer is D because screening all clients for domestic abuse helps normalize the process and reduces the stigma, encouraging honest responses. Choice A is not the best option as it may come off as accusatory and can deter the client from being open. Choice B, mentioning state law, may create fear or pressure, affecting the client's response. Choice C focuses on the healthcare provider's needs rather than emphasizing the client's well-being, which may not facilitate open communication.

A healthcare provider is evaluating a client's response to a new antianxiety medication. Which client statement indicates a positive response to the medication?

  • A. "I feel more relaxed and less anxious."
  • B. "I am sleeping less and feel more energetic."
  • C. "I have not noticed any changes in my anxiety levels."
  • D. "I have more difficulty concentrating than before."
Correct Answer: A

Rationale: The correct answer is A: "I feel more relaxed and less anxious." A positive response to antianxiety medication is characterized by reduced anxiety and increased relaxation. Choice B, which mentions sleeping less and feeling more energetic, suggests potential side effects rather than a positive response to the medication. Choice C indicates no change in anxiety levels, which is not indicative of a positive response. Choice D, mentioning difficulty concentrating, is also a sign of a negative response to antianxiety medication as it may suggest cognitive impairment.

A female client engages in repeated checks of door and window locks, a behavior that prevents her from arriving on time and interferes with her ability to function effectively. What action should the nurse take?

  • A. Ask the client why she checks the locks.
  • B. Discuss checking the time frequently.
  • C. Determine the type and size of the locks.
  • D. Plan a list of activities to be carried out daily.
Correct Answer: D

Rationale: Planning a list of daily activities can help the client manage her time better and reduce the impact of her compulsive behaviors. Option A is incorrect because simply asking why the client checks the locks may not address the underlying issue effectively. Option B is not relevant to the compulsive behavior of checking locks. Option C does not directly address the client's compulsive behavior but focuses on the physical attributes of the locks.

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