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HESI PSYCH MENTAL HEALTH ACTUAL EXAM 100 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+$27.99
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HESI PSYCH MENTAL HEALTH ACTUAL EXAM 100 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
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Course
HESI PSYCH MENTAL HEALTH
Institution
HESI PSYCH MENTAL HEALTH
HESI PSYCH MENTAL HEALTH ACTUAL
EXAM 100 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
HESI PSYCH MENTAL HEALTH ACTUAL
EXAM 100 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED...
HESI PSYCH MENTAL HEALTH 2023-2024 ACTUAL
EXAM 100 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A 35-year-old male client who has been hospitalized for two weeks for chronic paranoia continues to
state that someone is trying to steal his clothing- Which action should the nurse implement?
A- Encourage the client to actively participate in assigned activities on the unit
B- Place a lock on the client's closet
C- Ignore the client's paranoid ideation to extinguish these behaviors
D- Explain to the client that his suspicions are false - ANSWER-ANSWER A
Diverting the client's attention from paranoid ideation and encouraging him to complete assignments
can be helpful in assisting him to develop a positive self-image (A)- The clients problem is not security,
and (B) actually supports his paranoid ideation- (C) is not correct because ignoring the client's symptoms
may lower his self-esteem- The nurse should not argue with the client about his delusions (D), and
should not try to reason with the client regarding his paranoid ideation
A male client with mental illness and substance dependency tells the mental health nurse that he has
started using illegal drugs again and wants to seek treatment. Since he has a dual diagnosis, which
person is best for the nurse to refer this client to first?
A. The emergency room nurse.
B. His case manager.
C. The clinic healthcare provider.
D. His support group sponsor. - ANSWER-ANSWER B
The case manager (B) is responsible for coordinating community services, and since this client has a dual
diagnosis, this is the best person to describe available treatment options. (A) is unnecessary, unless the
client experiences behaviors that threaten his safety or the safety of others. (C and D) might also be
useful, but it is most important at this time that a treatment program be coordinated to meet this
client's needs.
Based on non-compliance with the medication regimen, an adult client with a medical diagnosis of
substance abuse and schizophrenia was recently switched from oral fluphenazine HCI (Prolixin) to IM
fluphenazine decanoate (Prolixin Decanoate)- What is most important to teach the client and family
about this change in medication regimen?
,A- Signs and symptoms of extrapyramidal effects (EPS)-
B- Information about substance abuse and schizophrenia-
C- The effects of alcohol and drug interaction-
D- The availability of support groups for those with dual diagnoses- - ANSWER-ANSWER C
Alcohol enhances the EPS side effects of Prolixin. The half-life of Prolixin PO is 8 hours, whereas the half-
life of the Prolixin Decanoate IM is 2 to 4 weeks- That means the side effects of drinking alcohol are far
more severe when the client drinks alcohol alter taking the long-acting Prolixin Decanoate IM- (A, B, and
D) provide valuable information and should be included in the client/family teaching, but they do not
have the priority of (C).
A 38-year-old female client is admitted with a diagnosis of paranoid schizophrenia- When her tray is
brought to her, she refuses to eat and tells the nurse, "I know you are trying to poison me with that
food-" Which response is most appropriate for the nurse to make?
A- I'll leave your tray here- I am available if you need anything else-
B- You're not being poisoned- Why do you think someone is trying to poison you?
C- No one on this unit has ever died from poisoning- You're safe here-
D- I will talk to your healthcare provider about the possibility of changing your diet- - ANSWER-ANSWER
A
(A) is the best choice cited- The nurse does not argue with the client nor demand that she eat, but offers
support by agreeing to "be there if needed", e-g-, to warm the food- (B and C) are arguing with the
client's delusions, and (B) asks "why" which is usually not a good question for a psychotic client- (D) has
nothing to do with the actual problem; i.e.-, the problem is not the diet (she thinks any food given to her
is poisoned-)
A woman arrives in the Emergency Center and tells the nurse she thinks she has been raped- The client
is sobbing and expresses disbelief that a rape could happen because the man is her best friend- After
acknowledging the client's fear and anxiety, how should the nurse respond?
A- "I would be very upset and mad if my best friend did that to me"
B- "You must feel betrayed, but maybe you might have led him on?"
C- "Rape is not limited to strangers and frequently occurs by someone who is known to the victim"
D- "This does not sound like rape- Did you change your mind about having sex after the fact?" -
ANSWER-ANSWER C
A victim of date rape or acquaintance rape is less prone to recognize what is happening because the
incident usually involves persons who know each other and the dynamics are different than rape by a
,stranger. (C) provides confrontation for the client's denial because the victim frequently knows and
trusts the perpetrator. Nurses should not express personal feelings (A) when dealing with victims-
Suggesting that the client led on the rapist (B) indicates that the sexual assault was somehow the
victim's fault- (D) is judgmental and does not display compassion or establish trust between the nurse
and the client
A child is brought to the emergency room with a broken arm- Because of other injuries, the nurse
suspects the child may be a victim of abuse- When the nurse tries to give the child an injection, the
child's mother becomes very loud and shouts, "I won't leave my son! Don't you touch him! You'll hurt
my child!" What is the best interpretation of the mother's statements? The mother is
A- regressing to an earlier behavior pattern-
B- sublimating her anger-
C- projecting her feelings onto the nurse-
D- suppressing her fear- - ANSWER-ANSWER C
Projection is attributing one's own thoughts, impulses, or behaviors onto another-it is the mother who is
probably harming the child and she is attributing her actions to the nurse (C)- The mother may be
immature, but (A) is not the best description of her behavior. (B) is substituting a socially acceptable
feeling for an unacceptable one- These are not socially acceptable feelings- The mother may be
suppressing her fear (D) by displaying anger, but such an interpretation cannot be concluded from the
data presented
The wife of a male client recently diagnosed with schizophrenia asks the nurse, 'What exactly is
schizophrenia? Is my husband all right?" Which response is best for the nurse to provide to this family
member?
A- It sounds like you're worried about your husband- Let's sit down and talk
B- It is a chemical imbalance in the brain that causes disorganized thinking
C- Your husband will be just fine if he takes his medications regularly
D- I think you should talk to your husband's psychologist about this question - ANSWER-ANSWER B
The nurse should answer the client's question with factual information and explain that schizophrenia is
a chemical imbalance in the brain (B)
(A) is a therapeutic response but does not answer the question, and may be an appropriate response
after the nurse answers the question asked Although (C) is likely true to some degree, it is also true that
some clients continue to have disorganized thinking even with antipsychotic medications- Referring the
spouse to the psychologist (D) is avoiding the issue; the nurse can and should answer the question
, A 40-year-old male client diagnosed with schizophrenia and alcohol dependence has not had any visitors
or phone calls since admission. He reports he has no family that cares about him and was living on the
streets prior to this admission. According to Erikson's theory of psychosocial development, which stage
is the client in at this time?
A. Isolation.
B. Stagnation.
C. Despair.
D. Role confusion. - ANSWER-ANSWER B
The client is in Erikson's "Generativity vs- Stagnation" stage (age 24 to 45), and meeting the task includes
maintaining intimate relationships and moving toward developing a family (B)- (A) occurs in young
adulthood (age 18 to 25), (C) occurs in maturity (age 45 to death), and (D) occurs in adolescence (age 12
to 20)- These are all stages that occur if individuals are not successfully coping with their psychosocial
developmental stage
The community health nurse talks to a male client who has bipolar disorder. The client explains that he
sleeps 4 to 5 hours a night and is working with his partner to start two new businesses and build an
empire. The client stopped taking his medications several days ago. What nursing problem has the
highest priority?
A. Excessive work activity.
B. Decreased need for sleep.
C. . Medication management.
D. Inflated self-esteem. - ANSWER-ANSWER C
The most important nursing problem is medication management (C) because compliance with the
medication regimen will help prevent hospitalization. The client is also exhibiting signs of (A, B, and C);
however, these problems do not have the priority of medication management.
The nurse is assessing a client's intelligence- Which factor should the nurse remember during this part of
the mental status exam?
D- The inability to think abstractly indicates limited intelligence- - ANSWER-ANSWER B
Social and cultural beliefs (B) have significant impact on intelligence- Chronic psychiatric illness may
impair intelligence (A), especially if it remains untreated- Limited concentration does not suggest limited
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