Exam (elaborations)
HESI Psychiatric-Mental Health Practice Exam/126 Questions & Answers
HESI Psychiatric-Mental Health Practice Exam/126 Questions & Answers
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HESI Psychiatric-Mental Health PracticeExam/126 Questions & Answers
A client who has been admitted to the psychiatric unit tells the nurse, "My
problems are so bad that noone can help me." Which response is best for the
nurse to make? - -How can I help?
-A 30-year-old sales manager tells the nurse, "I am thinking about a job
change. I don't feel like I amliving up to my potential." Which of Maslow's
developmental stages is the sales manager attempting toachieve? - -Self-
Actualization
-A male client is admitted to a mental health unit on Friday afternoon and is
very upset on Sunday because he has not had the opportunity to talk with
the healthcare provider. Which response is best for the nurse to provide this
client? - -Let me call and leave a message for your healthcare provider
-An 86-year-old female client with Alzheimer's disease is wandering the busy
halls of the extended care facility and asks the nurse, "Where should I stand
for the parade?" Which response is best for the nurse to provide? - -Let us
go back to the activity room and see what is going on in there
-A client is admitted with a diagnosis of depression. The nurse knows that
which characteristic is most indicative of depression? - -A negative view of
self and the future
-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? - -Stagnation
-An elderly female client with advanced dementia is admitted to the hospital
with a fractured hip. The client repeatedly tells the staff, "Take me home. I
want my Mommy." Which response is best for the nurse to provide? - -Tell
the client that the nurse is there and will help her
-A 45-year-old male client tells the nurse that he used to believe that he was
Jesus Christ, but now heknows he is not. Which response is best for the nurse
to make? - -Others have had similar thoughts when under stress
-A male client is admitted to the psychiatric unit with a medical diagnosis of
paranoid schizophrenia.During the admission procedure, the client looks up
and states, "No, it's not MY fault. You can't blame me. I didn't kill him, you
,did." What action is best for the nurse to take? - -Assess the content of the
hallucinations by asking the client what he is hearing
-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? - -"Rape is no
limited to strangers and frequently occurs by someone who is known to the
victim"
-A 72-year-old female client is admitted to the psychiatric unit with a
medical diagnosis of major depression. Which statement by the client should
concern the nurse and require further assessment? - -I think my cat is going
to die
-A 52-year-old male client in the intensive care unit who has been oriented
suddenly becomes disoriented and fearful. Assessment of vital signs and
other physical parameters reveal no significant change and the nurse
formulates the diagnosis, "Confusion related to ICU psychosis." Which
intervention is best to implement? - -Cluster care so that brief periods of rest
can be scheduled during the day
-A 27-year-old female client is admitted to the psychiatric hospital with a
diagnosis of bipolar disorder,manic phase. She is demanding and active.
Which intervention should the nurse include in this client's plan of care? - -
Provide a structured environment with little stimuli
-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 - -His case manager
-The parents of a 14-year-old boy bring their son to the hospital. He is
lethargic, but responsive. The mother states, "I think he took some of my
pain pills." During initial assessment of the teenager, what information is
most important for the nurse to obtain from the parents? - -If he might have
taken any other drugs
-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? - -I'll leave your tray
here. I am available if you need anything else.
, -A 35-year-old male client on the psychiatric ward of a general hospital
believes that someone is trying to poison him. The nurse understands that a
client's delusions are most likely related to his - -low self-esteem
-A manic depressive client on the psychiatric ward becomes loud, and
shouts at one of the nurses, "You fat tub of lard! Get something done around
here!" What is the best initial action for the nurse to take? - -Redirect the
client's energy by asking him to tidy the recreation room
-Which ego-defense mechanisms are exhibited by a phobic client who
refuses to leave her home? - -Symbolization
-When preparing a teaching plan for a client who is to be discharged with a
prescription for lithium carbonate (Lithonate), it is most important for the
nurse to include which instruction? - -Keep your dietary salt intake
consistent
-The nurse is leading a "current events group" with chronic psychiatric
clients. One group member states, "Saddam Hussein was my nurse during
my last hospitalization. He was a very mean nurse and wasn't nice to me."
Which response is best for the nurse to make? - -I agree that Saddam
Hussein is not a very nice man
-The nurse observes a schizophrenic female client watching the news on TV.
She begins to laugh softlyand says, "Yes, my love, I'll do it." When the nurse
questions the client about her comment shestates, "The news commentator
is my lover and he speaks to me each evening. Only I can understandwhat
he says." What is the best response for the nurse to make? - -What do you
believe the news commentator said to you?
-Which diet selection by a depressed client taking the MAO inhibitor
tranylcypromine sulfate (Parnate)indicates to the nurse that the client
understands the dietary restrictions imposed by this medication regimen? - -
Roast beef, baked potato with butter, and iced tea
-The nurse suspects child abuse when assessing a 3-year-old boy and
noticing several small, round burns on his legs and trunk that might be the
result of cigarette burns. Which parental behavior provides the greatest
validation for such suspicions? - -The parents tell the nurse that the child
was burned in a house fire which is incompatible with the nurse's
observation of the type of burn
-The nurse is preparing to administer phenelzine sulfate (Nardil) to a client
on the psychiatric unit.Which complaint related to administration of this drug
should the nurse expect this client to make? - -My mouth feels like cotton
, -The nurse should include which interventions in the plan of care for a
severely depressed client with neurovegetative symptoms? - -Permit rest
periods as needed
Speaking slowly and simply
Allow the client extra time to complete tasks
Observe and encourage food and fluid intake
Encourage mild exercise and shorts walks on the unit
-A young adult male client, diagnosed with paranoid schizophrenia, believes
that world is trying poison him. What intervention should the nurse include in
this client's plan of care? - -Ask one nurse to spend time with the client daily
-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 - -Projecting her feelings onto the nurse
-A 45-year-old female client is admitted to the psychiatric unit for
evaluation. Her husband states that she has been reluctant to leave home
for the last six months. The client has not gone to work for a month and has
been terminated from her job. She has not left the house since that time.
This client is displaying symptoms of what condition - -Agoraphobia
-The nurse is assessing the parents of a nuclear family who are attending a
support group for parents of adolescents. According to Erikson, these parents
who are adapting to middle adulthood should exhibit which characteristic? -
-Increased self understanding
-A client is receiving substitution therapy during withdrawal from
benzodiazepines. Which expected outcome statement has the highest
priority when planning nursing care? - -Excessive CNS stimulation will be
reduced
-The nurse is planning discharge for a male client with schizophrenia. The
client insists that he is returning to his apartment, although the healthcare
provider informed him that he will be moving to a boarding home. What is
the most important nursing diagnosis for discharge planning? - -Ineffective
denial related to situational anxiety
-Within several days of hospitalization, a client is repeatedly washing the top
of the same table. Whichinitial intervention is best for the nurse to
implement to help the client cope with anxiety related tothis behavior? - -
Allow time for the ritualistic behavior, then redirect the client to other
activities
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