Mental Health HESI Exam 1, Answered Latest Update

A male client in the mental health unit is guarded and vaguely answers the nurse's
questions. He isolates in his room and sometimes opens the door to peek into the hall.
Which problem can the RN anticipate?
A. Visual hallucinations.
B. Auditory hallucinations.
C. Excessive motor activity.
D. Delusions of persecution. - D. Delusions of persecution.
A female client with obsessive compulsive personality disorder is admitted to the hospital
for a cardiac catheterization. The afternoon before the procedure, the client begins to
keep detailed notes of the nursing care she is receiving, and reports her findings to the
RN at bedtime. What action should the nurse implement?
A. Explain to the client that her behavior invades the rights of the nursing staff.
B. Ask the client to explain why she is keeping a detailed record of her nursing care.
C. Teach the client strategies to control her obsessive compulsive behavior.
D. Encourage the client to express her feelings regarding the upcoming procedure. - D.
Encourage the client to express her feelings regarding the upcoming procedure.
During admission to the psychiatric unit, a female client is extremely anxious and states
that she is worried about the sun coming up the next day. What intervention is most
important for the RN to implement during the admission process?
A. Assist the client in developing alternative coping skills.
B. Remain calm and use a matter of fact approach.
C. Ask the client why she is so anxious
D. Administer a PRN sedative to help relieve her anxiety. - A. Assist the client in
developing alternative coping skills.
A female client is brought to the emergency department after police officers found her
disoriented, disorganized, and confused. The RN also determines that the client is
homeless and is exhibiting suspiciousness. The client's plan of care should include what
priority problem?