Exam (elaborations)
HESI Psychiatric/Mental Health Practice Test Exam/50 Questions and Answers
HESI Psychiatric/Mental Health Practice Test Exam/50 Questions and Answers
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HESI Psychiatric/Mental Health PracticeTest Exam/50 Questions and Answers
A female client is anxious about a scheduled diagnostic procedure and keeps
asking the same question of every staff person. How should the practical
nurse respond?
A) Encourage the client to watch television as a distraction.
B) Reinforce with the client the need for the procedure regardless.
C) Affirm the client's anxiety and ask if she wants to talk.
D) Reassure the client that the procedure is performed for others every day.
- -C) Affirm the client's anxiety and ask if she wants to talk.
-Which behavior should the practical nurse identify as aggressive in a client
who is admitted to the mental health unit?
A) Acts passive when personal rights are challenged.
B) Uses statements that express feelings of victimization.
C) Verbally attacks and demeans peers in group settings.
D) Addresses others with Mister or Misses before last name. - -C) Verbally
attacks and demeans peers in group settings.
-A male client arrives at the mental health clinic and tells the practical nurse
(PN) that he is overwhelmed and does not know who to talk to about his life.
Based on the client's comments, what aspect of the client's life should the
practical nurse explore first with the client?
A) Coping mechanisms.
B) Problem resolution.
C) Support system.
D) Perception of the event. - -C) Support system.
-A confused male client who unexpectedly becomes agitated and
combative, raises his fist and threatens a female practical nurse (PN) stating
that he is going to bash in her face. What action should the PN take?
A) Activate the de-escalation response team.
B) Administer a PRN antianxiety agent.
C) Tell the client his behavior is not acceptable.
D) Summon the in-house security guard. - -A) Activate the de-escalation
response team.
-The practical nurse (PN) is caring for a female client with borderline
personality disorder and a history of self-mutilation. The client tells the PN
, that another staff member makes her feel angry and unimportant. What
priority intervention should the PN implement?
A) Tell the client that she will be secluded if she acts out.
B) Give the client a reward for expressing her anger.
C) Explain that she should cope by doing something physical.
D) Ask her if she feels like hurting herself when she is angry. - -D) Ask her if
she feels like hurting herself when she is angry.
-Which drug is commonly prescribed for a client with attention-deficit
hyperactivity disorder (ADHD)?
A) Haloperidol (Haldol).
B) Imipramine (Tofranil).
C) Fluphenazine (Prolixin).
D) Methylphenidate (Ritalin). - -D) Methylphenidate (Ritalin).
-A male client is admitted to a drug rehabilitation program for chronic
cocaine abuse. Which nursing problem should the practical nurse consider is
the client's highest priority?
A) Risk for noncompliance related to chronic drug use.
B) Risk for self-violence related to suicidal depression.
C) Sensory perceptual alteration related to stimulant drug use.
D) Risk for other-directed violence related to underlying personality disorder.
- -B) Risk for self-violence related to suicidal depression.
-What is the primary purpose for the practical nurse (PN) to use therapeutic
communication?
A) Maintain relationships.
B) Mutually share information.
C) Promote growth and change in clients.
D) Offer advice, suggestions, and spontaneous messages. - -C) Promote
growth and change in clients.
-A client was admitted with major depressive disorder 3 weeks ago and
received a prescription for sertraline (Zoloft) on admission. Today the client
self-reports feeling great. It is most important for the practical nurse (PN) to
consider which information when implementing care for this client?
A) The relationship between the depth of depression and suicide ideation
exists.
B) The client may be at increased risk for suicide as the depression lifts.
C) The medication takes 2 weeks to be effective, so the treatment is working
well.
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