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HESI RN Psychiatric-Mental Health Exit Exam Questions And Answers (Latest 2020/2021 Version)
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HESI RN Psychiatric-Mental Health Exit Exam Questions And Answers (Latest 2020/2021 Version)
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HESI RN Psychiatric-Mental Health Exit Exam Questions And Answers (Latest 2020/2021 Version) 1. A male client is admitted to the mental health unit because he was feeling depressed
about the loss of his wife and job. The client has a history of alcohol dependency and
admits that he was drinking alcohol 12 hours ago. His temperature is 100.0 F, pulse is
100, and blood pressure is 142/100. The nurse plans to give the client lorazepam
(Ativan) based on which priority nursing diagnosis?
a. Risk for injury related to suicidal ideation.
b. Risk for injury related to alcohol detoxification.
c. Knowledge deficit related to ineffective coping.
d. Health seeking behaviors related to personal crisis.
The most important nursing diagnosis is related to alcohol detoxification (B) because the
client has elevated vital signs, a sign of alcohol detoxification. Maintaining client safety
related to suicidal ideation (A) should be addressed after giving the client Ativan for
elevated vital signs secondary to alcohol withdrawal. The client's knowledge deficit and
health seeking behaviors (C and D) can be addressed when immediate needs for safety
are met.
2. A nurse working in the emergency room of a children's hospital admits a child whose
injuries could have resulted from abuse. Which statement most accurately describes
the nurse's responsibility in cases of suspected child abuse?
a. Obtain objective data such as x-rays before reporting suspicions.
b. Confirm sus...
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