HESI PSYCH MENTAL HEALTH 5 LATEST VERSIONS (V1,V2,V3,V4 AND
) COMPLETE EACH VERSION CONTAINS 150 QUESTIONS AND CORRE
DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+
Study online at https://quizlet.com/_fhbgu9
1. A 35-year-old male client who has ANSWER A
been hospitalized for two weeks Diverting the client's attention from
for chronic paranoia continues to paranoid ideation and encouraging him
state that someone is trying to to complete assignments can be helpful
steal his clothing- Which action in assisting him to develop a positive
should the nurse implement? self-image (A)- The clients problem is
A- Encourage the client to actively not security, and (B) actually supports
participate in assigned activities his paranoid ideation- (C) is not correct
on the unit because ignoring the client's symptoms
B- Place a lock on the client's clos- may lower his self-esteem- The nurse
et should not argue with the client about
C- Ignore the client's paranoid his delusions (D), and should not try
ideation to extinguish these be- to reason with the client regarding his
haviors paranoid ideation
D- Explain to the client that his
suspicions are false
2. A male client with mental illness ANSWER B
and substance dependency tells The case manager (B) is responsible for
the mental health nurse that he coordinating community services, and
has started using illegal drugs since this client has a dual diagnosis,
again and wants to seek treat- this is the best person to describe avail-
ment. Since he has a dual diagno- able treatment options. (A) is unneces-
sis, which person is best for the sary, unless the client experiences be-
nurse to refer this client to first? haviors that threaten his safety or the
A. The emergency room nurse. safety of others. (C and D) might also
B. His case manager. be useful, but it is most important at
C. The clinic healthcare provider. this time that a treatment program be
D. His support group sponsor. coordinated to meet this client's needs.
3. Based on non-compliance with ANSWER C
the medication regimen, an adult Alcohol enhances the EPS side effects
client with a medical diagnosis of of Prolixin. The half-life of Prolixin PO
substance abuse and schizophre- is 8 hours, whereas the half-life of the
nia was recently switched from Prolixin Decanoate IM is 2 to 4 weeks-
oral fluphenazine HCI (Prolixin) to That means the side effects of drink-
IM fluphenazine decanoate (Pro- ing alcohol are far more severe when
lixin Decanoate)- What is most im- the client drinks alcohol alter taking the
, HESI PSYCH MENTAL HEALTH 5 LATEST VERSIONS (V1,V2,V3,V4 AND
) COMPLETE EACH VERSION CONTAINS 150 QUESTIONS AND CORRE
DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+
Study online at https://quizlet.com/_fhbgu9
portant to teach the client and long-acting Prolixin Decanoate IM- (A,
family about this change in med- B, and D) provide valuable information
ication regimen? and should be included in the client/fam-
A- Signs and symptoms of ex- ily teaching, but they do not have the
trapyramidal effects (EPS)- priority of (C).
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 diag-
noses-
4. A 38-year-old female client is ad- ANSWER A
mitted with a diagnosis of para- (A) is the best choice cited- The nurse
noid schizophrenia- When her tray does not argue with the client nor de-
is brought to her, she refuses to mand that she eat, but offers support by
eat and tells the nurse, "I know you agreeing to "be there if needed", e-g-,
are trying to poison me with that to warm the food- (B and C) are arguing
food-" Which response is most ap- with the client's delusions, and (B) asks
propriate for the nurse to make? "why" which is usually not a good ques-
A- I'll leave your tray here- I am tion for a psychotic client- (D) has noth-
available if you need anything ing to do with the actual problem; i.e.-,
else- the problem is not the diet (she thinks
B- You're not being poisoned- Why any food given to her is poisoned-)
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-
5. A woman arrives in the Emer- ANSWER C
gency Center and tells the nurse A victim of date rape or acquaintance
she thinks she has been raped- rape is less prone to recognize what is
The client is sobbing and express- happening because the incident usually
, HESI PSYCH MENTAL HEALTH 5 LATEST VERSIONS (V1,V2,V3,V4 AND
) COMPLETE EACH VERSION CONTAINS 150 QUESTIONS AND CORRE
DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+
Study online at https://quizlet.com/_fhbgu9
es disbelief that a rape could involves persons who know each other
happen because the man is her and the dynamics are different than rape
best friend- After acknowledging by a stranger. (C) provides confronta-
the client's fear and anxiety, how tion for the client's denial because the
should the nurse respond? victim frequently knows and trusts the
A- "I would be very upset and mad perpetrator. Nurses should not express
if my best friend did that to me" personal feelings (A) when dealing with
B- "You must feel betrayed, but victims- Suggesting that the client led on
maybe you might have led him the rapist (B) indicates that the sexual
on?" assault was somehow the victim's fault-
C- "Rape is not limited to (D) is judgmental and does not display
strangers and frequently occurs compassion or establish trust between
by someone who is known to the the nurse and the client
victim"
D- "This does not sound like rape-
Did you change your mind about
having sex after the fact?"
6. A child is brought to the emer- ANSWER C
gency room with a broken arm- Projection is attributing one's own
Because of other injuries, the thoughts, impulses, or behaviors onto
nurse suspects the child may be another-it is the mother who is probably
a victim of abuse- When the nurse harming the child and she is attributing
tries to give the child an injection, her actions to the nurse (C)- The moth-
the child's mother becomes very er may be immature, but (A) is not the
loud and shouts, "I won't leave my best description of her behavior. (B) is
son! Don't you touch him! You'll substituting a socially acceptable feeling
hurt my child!" What is the best in- for an unacceptable one- These are not
terpretation of the mother's state- socially acceptable feelings- The moth-
ments? The mother is er may be suppressing her fear (D) by
A- regressing to an earlier behav- displaying anger, but such an interpreta-
ior pattern- tion cannot be concluded from the data
B- sublimating her anger- presented
C- projecting her feelings onto the
nurse-
D- suppressing her fear-
7.
, HESI PSYCH MENTAL HEALTH 5 LATEST VERSIONS (V1,V2,V3,V4 AND
) COMPLETE EACH VERSION CONTAINS 150 QUESTIONS AND CORRE
DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+
Study online at https://quizlet.com/_fhbgu9
The wife of a male client recent- ANSWER B
ly diagnosed with schizophrenia The nurse should answer the client's
asks the nurse, 'What exactly is question with factual information and ex-
schizophrenia? Is my husband all plain that schizophrenia is a chemical
right?" Which response is best for imbalance in the brain (B)
the nurse to provide to this family
member? (A) is a therapeutic response but does
A- It sounds like you're worried not answer the question, and may be
about your husband- Let's sit an appropriate response after the nurse
down and talk answers the question asked Although
B- It is a chemical imbalance in the (C) is likely true to some degree, it
brain that causes disorganized is also true that some clients contin-
thinking ue to have disorganized thinking even
C- Your husband will be just fine if with antipsychotic medications- Refer-
he takes his medications regularly ring the spouse to the psychologist (D)
D- I think you should talk to your is avoiding the issue; the nurse can and
husband's psychologist about should answer the question
this question
8. A 40-year-old male client diag- ANSWER B
nosed with schizophrenia and al- The client is in Erikson's "Generativity
cohol dependence has not had vs- Stagnation" stage (age 24 to 45),
any visitors or phone calls since and meeting the task includes maintain-
admission. He reports he has no ing intimate relationships and moving
family that cares about him and toward developing a family (B)- (A) oc-
was living on the streets prior curs in young adulthood (age 18 to 25),
to this admission. According to (C) occurs in maturity (age 45 to death),
Erikson's theory of psychosocial and (D) occurs in adolescence (age 12
development, which stage is the to 20)- These are all stages that occur if
client in at this time? individuals are not successfully coping
A. Isolation. with their psychosocial developmental
B. Stagnation. stage
C. Despair.
D. Role confusion.
9. The community health nurse talks ANSWER C
to a male client who has bipolar The most important nursing problem is
disorder. The client explains that medication management (C) because
