HESI MENTAL HEALTH RN V1-V3 latest update TEST BANK EXAM Q& A BEST SOLUTION GRADED A+

A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is admitted
to an acute care hospital for uncontrolled hypertension. What dietary choices should the RN
instruct the client to avoid?
A. Pan-seared catfish.
B. Peperoni pizza.
C. Deep fried shrimp.
D. Beef trips with gravy.
A mental health worker is caring for a client with escalating aggressive behavior. Which action
by the mental health worker warrants immediate intervention by the RN?
A. Is attempting the physically restrain the patient.
B. Remains at a distance of 4 feet from the client.
C. Tells the client to go to the quiet area of the unit.
D. Is using a load voice to talk to the client.
A client who recently experienced the death of a significant other arrives at the mental health
center. The client reports loss of interest in usual activities, expresses a wish to be with the
decreased significant other, has been eating very little, and has not slept in several days. Which
client statement is most important for the RN to explore at this time?
A. Not sleeping for several days.
B. Wishing to be with spouse.
C. Lack of interest in usual activities.
D. Eating very little.
A middle aged adult with major depressive disorder suffers from psychomotor retardation,
hypersomnia, and motivation. Which intervention is likely to be most effective in returning this
client to a normal level of functioning?
A. Provide education on methods to enhance sleep.
B. Teach the client to develop a plan for daily structured activities.
C. Suggest that the client develop a list of pleasurable activities.
D. Encourage the client to exercise.
When developing a plan of care for a client admitted to the psychiatric unit following aspiration
of a caustic material related to a suicide attempt, which nursing problem has the highest priority?
A. Impaired comfort.
B. Risk for injury.