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HESI RN · HESI Mental Health · Mental Health HESI Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The client is preparing to discontinue the use of a sedative-hypnotic medication. Which instruction should the nurse include?

A. "You may experience withdrawal symptoms; these are usually mild."
B. "The medication will need to be gradually tapered off."
C. "You should increase your caffeine intake to stay alert."
D. "There should be no change in your sleep patterns during discontinuation."

Expert Explanatory Rationale

Correct Answer: "The medication will need to be gradually tapered off."

Question 2 of 5

Which client statement suggests that the client is using a defense mechanism of projection to deal with anxiety related to admission to a psychiatric unit?

A. At least I hit the wall instead of hitting the psychiatric aide.
B. I am here because the police thought I was doing something wrong.
C. I want to be here because I know it is the best psychiatric facility.
D. Don't believe everything my family tells you, I am not crazy.

Expert Explanatory Rationale

Correct Answer: At least I hit the wall instead of hitting the psychiatric aide.

Question 3 of 5

A male veteran who recently returned from a war zone has post-traumatic stress disorder (PTSD) and is admitted to the psychiatric ward due to admitted suicidal ideation. On admission, the client's family informed the healthcare provider that therapy sessions did not seem to be helping. Select only one intervention that has the highest priority.

A. Administer paroxetine 40 mg as prescribed.
B. Develop a list of therapy programs.
C. Remove all shaving equipment.
D. Determine if the client has a suicide plan.

Expert Explanatory Rationale

Correct Answer: Remove all shaving equipment.

Question 4 of 5

An adolescent with anorexia nervosa is undergoing nutritional therapy. Which finding best indicates that the client is making progress in treatment?

A. Client gains 2 pounds in a week.
B. Client describes a positive body image.
C. Client engages in recreational activities.
D. Client begins to talk about future goals.

Expert Explanatory Rationale

Correct Answer: Client gains 2 pounds in a week.

Question 5 of 5

The RN is teaching a client about the initiation of the prescribed abstinence therapy using disulfiram (Antabuse). What information should the client acknowledge understanding?

A. Completely abstain from heroin or cocaine use.
B. Remain alcohol-free for 12 hours prior to the first dose.
C. Attend monthly meetings of Alcoholics Anonymous.
D. Admit to others that he is a substance user.

Expert Explanatory Rationale

Correct Answer: Remain alcohol-free for 12 hours prior to the first dose.

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