Psychiatric Mental Health - Hesi Prep

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A client who has just received a diagnosis of asthma says to the nurse, "This is just another nail in my coffin." Which response by the nurse is therapeutic? "Do you think that having asthma will kill you?" "You seem very distressed at learning that you have asthma." "I'm not going to work with you if you can't view this as a challenge rather than a 'nail in your coffin.'" "Asthma is a very treatable condition, but it's important to learn how to properly administer your medications. Let's practice with your inhalant."

"You seem very distressed at learning that you have asthma."

A primigravida is admitted to the labor unit. During assessment, the client's membranes rupture spontaneously. What is the priority nursing action? Checking the fetal heart rate Assessing the contraction pattern Checking the amniotic fluid Preparing for immediate delivery

Checking the fetal heart rate

A nurse performing an otoscopic examination of an adult client: Pulls the earlobe down and back before inserting the speculum Tilts the client's head forward before inserting the speculum Uses a small speculum to decrease the discomfort Pulls the pinna up and back before inserting the speculum

Pulls the pinna up and back before inserting the speculum

A client in a manic state emerges from her room and quickly enters the dayroom. She announces to the group that she is the star of a burlesque show and will begin her performance shortly. The priority nursing action is to: Tell the client that her bathroom privileges are being suspended because of her behavior Quietly and firmly assist the client to her room and help her dress in appropriate clothes Ask the client to go to her room and to change her clothes Tell the client firmly that burlesque shows are not allowed in the nursing unit

Quietly and firmly assist the client to her room and help her dress in appropriate clothes


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