psych hesi Flashcards

The nurse is caring for a client who is experiencing extreme sadness after the passing of a companion of 30 years. The client describes not being able to think of other things and finds it difficult to control emotions. Which action should the nurse take first?

A client reports to the nurse of taking more than the prescribed dose alprazolam each day. After counseling the client about the importance of adhering to the prescribed dosage, which observed behaviors should alert the nurse to the safety of the client in returning home alone?

The mother of an 8-month-old 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?

An adolescent comes to the mental health clinic 15 minutes before closing and reports that there is no reason to live. The nurse should..?

The nurse is using the CAGE questionnaires as a screening tool for a client who is seeking help because his wife said that he had a drinking problem. What information should the nurse explore in-depth with the client based on this screening tool?

A female client engages in repeated checks of door and window locks and behavior prevents her from arriving on time and interfering with her ability to function effectively. What action should the RN take?

In conducting the initial assessment of a preoperative client, the nurse notes that the client's home medications includes inhibitor phenelzine. Because of this client's medication history, which assessment finding is most important for the client?

a client with schizophrenia receives a prescription for fluphenazine. which instruction is most important for the nurse to include when teaching the client about this drug?

The nurse is planning the care for a client who is hospitalized with bipolar disorder. The client wanders the hallways talks sextual comments about staff. Which intervention should the nurse include in the plan of care?

A client admits to a long- standing history of alcohol abuse related to Intimate partner violence During an assessment, which findings should the nurse expect?

the nurse plans to use role playing as a therapeutic measure. which individual is most likely to benefit from this type of thereapeutic intervention

the nurse is conducting client assessments in an outpatient psychiatric clinic. which client finding is characteristics of illness anxiety disorder

A female client with bulimia is admitted to the mental health unit after she discloses to a friend that she purges what should the nurse implement first

During the admission assessment to the mental health unit, a client reports that the people at the office, where the client works, are antagonistic and client is thinking of shooting the supervisor. The client asks the nurse not to reveal this to anyone else. The nurse immediately notifies the client's therapist and other team members of the client's thought. The therapist then calls the client's supervisor and shares the client's thoughts about shooting the supervisor. What outcome is appropriate based on the action of the nurse?

A client with a major depressive disorder is admitted to the inpatient psychiatric unit. Which intervention should the practical nurse (PN) use to demonstrate support of the client?

The nurse observes a claim with a history of psychosis repeatedly, looking to the side and mumbling to himself. What comment is the best for the nurse to make

A nurse is caring for a client the nurse suspects is the victim of intimate partner violence. What is the nurse’s priority intervention for this client?

A woman who is brought to the psychiatric clinic by her husband. He reports that his wife is reluctant to leave the home because she is afraid of open places and crowds, which nursing problem applied to this clients behavior

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?

A female client who is a retired school teacher is admitted for breast biopsy. After being told that the biopsy was positive for cancer she becomes dependent, and ask her family for help with activities of daily living, that she is physically capable of performing which interpretation of the clients behavior by the nurse is likely to be most accurate.

A middle-aged adult, with major depressive disorder suffers from psychomotor retardation, hyper, insomnia, and motivation, which intervention is likely to be most effective and returning the client to a normal level of functioning

A client with schizophrenia returns to the clinic two weeks after receiving a prescription for haloperidol. To assess for Neuroleptic Malignant Syndrome which information is most important for the nurse to obtain during the visit

A RN is preparing the physical environment to interview a new client for admission to the mental health unit. Which environmental setting facilitates the best outcome of the interview?

A male client with severe anxiety becomes diaphoretic and complains of chest pain, what intervention should the nurse implement first?

The nurse documents that a male client with schizophrenia is delusional which statement supports the nurse is finding

A client with depression does not want to communicate with friends, uses television watching as a means of escaping responsibilities, and describes the inability to handle personal circumstances. Which coping strategy should the nurse include in the plan of care?

When the nurse addresses questions to an adult female client who is depressed, the client's responses are delayed. Which intervention should the nurse include in this client's plan of care?

While interviewing a client, the nurse takes notes to assist with accurate documentation later. Which statement is most accurate regarding note-taking during an interview?

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 male client is transferred to a psychiatric facility, following release from the hospital to develop a therapeutic relationship with this client which information is most important

A teenaged male client is admitted to the postoperative unit following open reduction of a fractured femur which occurred when he fell down the stairs at a party. the nurse notices needle marks on the clients arms & plans to observe for narcotic withdrawal. Early signs of narcotic withdrawal include which assessment findings?

The nurse is caring for a client who is a refugee from another country and who is experienced daily episodes minimally with the nurse. We’re going away from an appearing distress which intervention is most important for the nurse.

A client is admitted to the mental health unit & sits in the corner of the day room. When the nurse begins the admission assessment interview, the client is guarded, suspicious, & resists talking. What action should the nurse implement?

When responding to a call light, the nurse finds a client with aggressive behaviors pacing, and restless in the room. The client shouts, "What took you so long to get in here!" Which action should the nurse implement?

A male client tells the RN that he does not want to take the atypical antipsychotic drug, olanzapine (Zypexa), because of the side effects he experienced when he took the drug for a year. Which experience is most likely related to taking olanzapine?

A client with depression who is taking a tricyclics antidepressant (TCA) reports frequent early morning awakening and difficulty going back to sleep. Which information from the client is important for the PN to obtain to improve the client's sleep pattern?

A clean immense to a long standing history of alcohol abuse related to inmate part of violence during the assessment which findings should the nurse expect

A client with schizophrenia receive a prescription for fluphenazine which instruction should the nurse tell this patient about this drug

A female client engages in repeated checks of door and window locks. Behavior that prevents her form arriving on time and interferes with her ability to function effectively. What action should the nures take

The nurse is using the CAGE questionnaires as a screening tool for a client who is seeking help because his wife said that he had a drinking problem. What information should the nurse explore in-depth with the client based on this screening tool?

An adolescent comes to the mental health clinic 15 minutes before closing and reports that there is no reason to live. The nurse should

The client reports to the nurse of taking more than the prescribed dose of alprazolam each day after counseling the patient and adhering to the prescription dosage, which observed behavior should alert the nurse to the safety of the client in

The nurse is caring for a client who is experiencing extreme sadness after the passing of a companion of 30 years. The client describes not being able to think of other things and finds it difficult to control emotions. Which action should the nurse take first?

An antidepressant medication is prescribed for a client who reports sleeping only 4 hours in the past 2 days and weight loss of 9 lbs within the last month. Which client goal is most important to achieve within the first three days of treatment?