Quizlet Mental Health HESI

Question 1 of 5

A client with borderline personality disorder is admitted to the psychiatric unit. Which behavior should the nurse prioritize in the care plan?

A. Self-harming behavior. B. Difficulty with interpersonal relationships. C. Impulsive spending and substance abuse. D. Inconsistent adherence to the treatment regimen.

Question 2 of 5

The RN is admitting a male client who takes lithium carbonate (Eskalith) twice a day. Which information should the RN report to the HCP immediately?

A. Short-term memory loss. B. Five-pound weight gain. C. Decreased affect. D. Nausea and vomiting.

Question 3 of 5

What action is most important for the RN to implement within the first 24 hours after treatment is initiated for a homeless client who reports feeling sad and depressed and has only had 4 hours of sleep in the past 2 days?

A. Allow the client to rest and sleep. B. Ensure the client attends groups addressing coping skills for dealing with depression. C. Begin planning for the client's discharge. D. Encourage verbalization of feelings.

Question 4 of 5

A female client requests that her husband be allowed to stay in the room during the admission assessment. While interviewing the client, the nurse notes a discrepancy between the client's verbal and nonverbal communication. What action should the nurse take?

A. Pay close attention and document the nonverbal messages. B. Ask the client's husband to interpret the discrepancy. C. Ignore the nonverbal behavior and focus on the client's verbal messages. D. Integrate the verbal and nonverbal messages and interpret them as one.

Question 5 of 5

Kyle, a patient with schizophrenia, began taking the first-generation antipsychotic haloperidol (Haldol) last week. One day you find him sitting very stiffly and not moving. He is diaphoretic, and when you ask if he is okay, he seems unable to respond verbally. His vital signs are: BP 170/100, P 110, T 104.2�F. What is the priority nursing intervention? Select all that apply.

A. Hold his medication and contact his prescriber. B. Wipe him with a washcloth wet with cold water or alcohol. C. Administer a medication such as benztropine IM to correct this dystonic reaction. D. Reassure him that although there is no treatment for his tardive dyskinesia, it will pass.

Quizlet Mental Health HESI

Skildor

HESI RN

HESI RN