Quizlet Mental Health HESI

Quizlet Mental Health HESI Related

Review Quizlet Mental Health HESI related questions and content

Pablo is a homeless adult who has no family connections. Pablo passed out on the street, and emergency medical services took him to the hospital where he expresses a wish to die. The physician recognizes evidence of substance use problems and mental health issues and recommends inpatient treatment for Pablo. What is the rationale for this treatment choice? Select all that apply.

  • A. Intermittent supervision is available in inpatient settings.
  • B. He requires stabilization of multiple symptoms.
  • C. He has nutritional and self-care needs.
  • D. Medication adherence will be mandated.
Correct Answer: A

Rationale: The correct answer is A. In inpatient settings, there is continuous supervision available, ensuring safety and comprehensive care for individuals like Pablo who may be at risk due to substance use problems, mental health issues, and expressing a wish to die. Choice B is incorrect because the need for stabilization of multiple symptoms alone is not the primary rationale for inpatient treatment. Choice C is incorrect as although self-care and nutritional needs are important, they do not solely justify inpatient treatment. Choice D is incorrect because while medication adherence can be monitored in inpatient settings, it is not the primary rationale for choosing inpatient treatment for Pablo in this scenario.

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What assessment question will provide healthcare providers with information regarding the effects of a woman's circadian rhythms on her quality of life?

  • A. How much sleep do you usually get each night?
  • B. Does your heart ever seem to skip a beat?
  • C. When was the last time you had a fever?
  • D. Do you have problems urinating?
Correct Answer: A

Rationale: Asking about the amount of sleep a woman gets each night is crucial in understanding her circadian rhythms and how they may affect her quality of life. Circadian rhythms are the body's internal clock that regulates the sleep-wake cycle. Monitoring sleep patterns can provide insights into how well these rhythms are functioning and impacting daily life. Choices B, C, and D are unrelated to circadian rhythms and do not directly assess the effects of these rhythms on quality of life.

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?

  • A. Attempting to physically restrain the client.
  • B. Telling the client to go to the quiet area of the unit.
  • C. Using a loud voice to talk to the client.
  • D. Remaining at a distance of 4 feet from the client.
Correct Answer: A

Rationale: The correct answer is A: Attempting to physically restrain the client. Physical restraint should only be performed by trained professionals in a safe manner to prevent harm to the client and staff. In this scenario, the mental health worker should not attempt physical restraint, as it can escalate the situation and potentially lead to harm. Choices B, C, and D do not pose an immediate risk and can be part of de-escalation strategies. Choice B suggests guiding the client to a quiet area, choice C involves using a loud voice for better communication, and choice D indicates maintaining a safe distance, which are appropriate interventions to manage escalating aggressive behavior.

A male adult is admitted because of an acetaminophen (Tylenol) overdose. After transfer to the mental health unit, the client is told he has liver damage. Which information is most important for the nurse to include in the client's discharge plan?

  • A. Eat a high-carbohydrate, low-fat, low-protein diet.
  • B. Do not take any over-the-counter medication.
  • C. Call the crisis hotline if feeling lonely.
  • D. Avoid exposure to large crowds.
Correct Answer: B

Rationale: The most important information for the nurse to include in the client's discharge plan is to not take any over-the-counter medication. This is crucial because over-the-counter medications can potentially interact with the damaged liver and worsen the condition. Choices A, C, and D are not as critical in the context of liver damage from an acetaminophen overdose. While diet is important for overall health, specifically for liver damage, avoiding over-the-counter medications takes precedence. Calling the crisis hotline for loneliness and avoiding exposure to large crowds are important considerations but are not directly related to the client's liver damage from the acetaminophen overdose.

A healthcare professional is assessing a client for symptoms of post-traumatic stress disorder (PTSD). Which symptom should the healthcare professional expect to find?

  • A. Persistent thoughts about the trauma.
  • B. Increased energy and enthusiasm.
  • C. Decreased need for sleep.
  • D. Increased appetite and weight gain.
Correct Answer: A

Rationale: The correct answer is A: Persistent thoughts about the trauma. In post-traumatic stress disorder (PTSD), individuals often experience persistent intrusive thoughts about the traumatic event, which can be distressing and disruptive. This symptom is a hallmark feature of PTSD. Choices B, C, and D are incorrect because increased energy, enthusiasm, decreased need for sleep, increased appetite, and weight gain are not typical symptoms of PTSD. Instead, individuals with PTSD may commonly experience symptoms such as flashbacks, nightmares, hypervigilance, avoidance of triggers related to the trauma, and negative changes in mood and cognition.

An RN is providing education to the family of a client diagnosed with schizophrenia who is being treated with clozapine (Clozaril). The RN should instruct the family to report which symptom immediately?

  • A. Sore throat
  • B. Weight loss
  • C. Constipation
  • D. Lightheadedness
Correct Answer: A

Rationale: The correct answer is A: Sore throat. Clozapine can lead to agranulocytosis, a condition characterized by a significant decrease in white blood cells. A sore throat can be an early sign of agranulocytosis, a potentially life-threatening adverse effect of clozapine. The family should report this symptom immediately to the healthcare provider for further evaluation and management. Choices B, C, and D are incorrect because weight loss, constipation, and lightheadedness are not typically associated with the serious adverse effect of agranulocytosis related to clozapine therapy.

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