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Homework answers / question archive / 1) A client is admitted to the mental health unit and reports taking extra antianxiety medication because, “I’m so stressed out
1) A client is admitted to the mental health unit and reports taking extra antianxiety medication because, “I’m so stressed out. I just want to go to sleep.” The RN should plan one on one observation of the client based on which statement?
A. “What should I do? Nothing seems to help.”
B. “I have been so tired lately and needed tosleep.”
C.“I really think that I don’t need to be here.”
D. “I don’t want to walk. Nothing matters anymore.”
2. A male client comes to the emergency center because he has an erection that will not resolve. The client reports that he is taking trazodone (Desyrel) for insomnia. Which information is most important for the nurse ask the client?
A. When was the last time you drank alcoholic beverage?
B. Have you taken any medications for erectile dysfunction?
C. Are you having any other sexual dysfunctions or problems?
D. Do you have a history of angina or high blood pressure?
3.A female client admitted to the mental health unit starts to shout and scream at the RN. What is the best approach for the RN to take?
A. Stay quietly with the patient
B. Tell her that she is out of control.
C. Distract her by offering her finger foods.
D. Ignore the client’s acting out behavior.
4.A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells the RN that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for the RN to provide?
A. Unless your sister has a medical education, ignore her comments.
B. I can hear that your sister's comments are overwhelming you.
C. Do you think it’s possible that you might be a hypochondriac?
D. Besides your sister’s comments, what in your life is troubling you?
5.A mental health worker is caring for a client with escalating aggressive behavior. Which action by the MHW warrant immediate intervention by the RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loud voice to talk to the client.
D. Remains at a distance of 4 feet from the client.
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