HESI Mental Health

Question 1 of 5

A client with obsessive-compulsive disorder (OCD) spends several hours a day washing his hands. What is the best nursing intervention?

A. Restrict the client's access to soap and water. B. Encourage the client to discuss their compulsions. C. Allow the client to continue the behavior until ready to stop. D. Schedule activities that distract the client from hand-washing.

Question 2 of 5

A male client with delirium becomes disoriented and confused in his room at night. The best initial nursing intervention is to:

A. Move the client next to the nurse's station B. Use an indirect light source and turn off the television C. Keep the television and a soft light on during the night D. Play soft music during the night, and maintain a well-lit room

Question 3 of 5

A male client with alcohol use disorder is admitted for detoxification. The nurse knows that which symptom is a sign of severe alcohol withdrawal?

A. Bradycardia B. Seizures C. Hyperglycemia D. Constipation

Question 4 of 5

A 52-year-old male client in the intensive care unit who has been oriented suddenly becomes disoriented and fearful. Assessment of vital signs and other physical parameters reveal no significant change, and the nurse formulates the diagnosis, 'Confusion related to ICU psychosis.' Which intervention would be best to implement?

A. Move all machines away from the client's immediate area. B. Attempt to allay the client's fears by explaining the etiology of his condition. C. Cluster care so that brief periods of rest can be scheduled during the day. D. Extend visitation times for family and friends.

Question 5 of 5

A 25-year-old female client has been particularly restless, and the nurse finds her trying to leave the psychiatric unit. She tells the nurse, 'Please let me go! I must leave because the secret police are after me.' Which response is best for the nurse to make?

A. No one is after you; you're safe here. B. You'll feel better after you have rested. C. I know you must feel lonely and frightened. D. Come with me to your room, and I will sit with you.

HESI Mental Health

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HESI LPN

HESI LPN