Question 3 of 60

HESI Psychiatric and Mental Health Nursing. The nurse reads the history and physical and enters the room to perform the intimate partner violence screening. Which action(s) can the nurse take to increase the likelihood that the client will disclose abuse if it is happening? Select all that apply.

• $\square$ A. Probe the client if she does not speak up immediately

• $✓$ B. Conduct the interview in private

• $\square$ C. Ask the permission of the husband to perform an exam

• $✓$ D. Use an evidence-based screening tool

• $\square$ E. Convince the client that she is a bad mother if she does not talk

• $✓$ F. Start with less personal questions first to build rapport

Question 8 of 60

The charge nurse of the psychiatric unit observes clients in the day area. Which client is exhibiting symptoms of a conversion disorder?

• A. A middle-aged man who is troubled with shortness of breath and is diaphoretic

• B. An adolescent who becomes extremely anxious about going outside

• C. A young woman who suddenly goes blind with no indication of organic pathology

• D. An older adult who is continuously troubled by a headache and back pain

Question 10 of 60

A client who is admitted with a closed head injury after a fall has a blood alcohol level (BAL) of 280 mg/dL (60.8 mmol/L) and is difficult to arouse. Which intervention during the first hours following admission should the nurse identify as the priority?

• A. Give lorazepam PRN for signs of withdrawal

• B. Provide thiamine and folate supplements as prescribed

• C. Administer naloxone immediately  HESI Psychiatric and Mental Health Nursing

• D. Place in a side-lying position with head of bed elevated

Question 18 of 60

The nurse is assessing a client whose spouse died of a stroke two weeks ago and who reports having numbness and tingling on the right side of the body. The nurse should consider the client’s symptoms may likely be due to which condition?

• A. Reexperience

• B. Somatization

• C. Preoccupation

• D. Disorganization

Question 19 of 60

The nurse is assessing a client with paranoia. Which behavior can this client be expected to exhibit?

• A. Talks to voices only the client can hear

• B. Tries to run the unit, telling everyone what to do and when to do it

• C. Is openly hostile to others for no apparent reason

• D. Repeatedly tries to commit suicide  HESI Psychiatric and Mental Health Nursing

Question 20 of 60

The mother of an infant with profound mental and physical disabilities tells the nurse how depressed she is because she realizes that her child will never achieve normal growth and development milestones. How should the nurse respond to this mother?

• A. Determine if the mother has other children who do not have developmental disabilities

• B. Reassure the mother that her child will achieve some growth and development milestones

• C. Encourage the mother to write thoughts and feelings in a journal

• D. Ask the mother if she has ever thought about harming herself or her child

Question 21 of 60

A client who has agoraphobia (a fear of crowds) is beginning desensitization with the therapist, and the nurse is reinforcing the process. Which intervention has the highest priority for this client’s plan of care?

• A. Progressively expose the client to larger crowds

• B. Encourage substitution of positive thoughts for negative ones

• C. Establish trust by providing a calm, safe environment

• D. Encourage deep breathing when anxiety escalates in a crowd

Question 33 of 60

Following involvement in a motor vehicle collision, a middle-aged adult client is admitted to the hospital with multiple facial fractures. The client’s blood alcohol level is high on admission. Which PRN prescription should be administered if the client begins to exhibit signs and symptoms of delirium tremens (DTs)?

• A. Chlorpromazine 50 mg IM

• B. Lorazepam 2 mg IM

• C. Hydromorphone 2 mg IM

• D. Prochlorperazine 5 mg IM  HESI Psychiatric and Mental Health Nursing

Question 34 of 60

Prior to initiating a treatment regimen with the antidepressant sertraline, it is most important for the nurse to obtain which information?

• A. Familial history of mental illness

• B. Current weight

• C. Medication history

• D. Any history of heart disease

Question 35 of 60

The nurse is assessing a client who reports using cocaine several times in the past week. Which observations should the nurse expect on assessment?

• A. Stimulation and dilated pupils

• B. Bradycardia and bradypnea

• C. Hallucinations and delusions

• D. Lethargy and depression