HESI RN Mental Health Exam

HESI RN Mental Health Exam

VERSION 21

A nurse is teaching a family member and a client who has a sew diagnosis of Alzheimer’s disease and is to start taking donepezil. Which of the following statements should the nurse include in the teaching? 1 / 2

• "Take this medication in the evening at bedtime."
• The client should take this medication in the evening for optimal effectiveness.
• A client should never double the dose after a missed dose due to adverse effects of the

medication but should notify the provider. Chewing, crushing, or splitting the medication can affect the absorption of the medication. If the client has difficulty swallowing, the provider can prescribe orally disintegrating tablets.

A nurse is discussing a 12-step program with a patient who has alcohol use disorder and is in an acute care facility undergoing detoxification. Which of the following information should the nurse include in the teaching?

• The client should obtain a sponsor before discharge for an increased chance of recovery.
• This is because the client-sponsor relationship has been shown to increase program

attendance and the chances of recovery.

During morning rounds, a nurse finds a client who has schizophrenia trembling and tearful in her bed. She reports that a bomb was placed in her room by a family member during visiting hours.Which of the following actions should the nurse take?

• Assess the client for evidence of a perceptual disturbance.
• The nurse should assess the situation to determine if the client is hallucinating or

misperceiving external stimuli (experiencing illusions).

A nurse is admitting a patient with major depression disorder and a new prescription for tranylcypromine. Which of the following OTC medications that the patient reports taking should alert the nurse to a potential adverse reaction?

• Phenylephrine
• Tranylcypromine is an MAOI antidepressant, which should not be taken with

phenylephrine and other OTC medications for sinus congestions, colds, or allergies due to their actions on the sympathetic nervous system, which can result in severe hypertension.

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