10/27/24, 6:50 PM HESI EXIT MENTAL HEALTH TEST BANK 2024-2025 /MENTAL HEALTH HESI EXIT TEST BANK REAL EXAM QUESTIONS AN…
HESI EXIT MENTAL HEALTH TEST BANK 2024-
2025 /MENTAL HEALTH HESI EXIT TEST BANK
REAL EXAM QUESTIONS AND CORRECT
ANSWERS|AGRADE
Terms in this set (84)
The nurse completes a Determine how long the client has been hearing the
physical assessment. voice and what it is saying.
When asked what brought
her to the hospital, the Rationale: Determining if voices are being heard and
client replies that things the type of voices are priority. The nurse must assess
just aren't right and begins the content of the auditory hallucinations for the
to cry. After further presence of command hallucinations. Command
conversation, the client hallucinations may be telling the client to harm herself
describes her mood as or others.
very sad now. She rarely
goes out or invites friends
to visit. She admits that she
feels like strangers are
saying bad things about
her. Sometimes she hears
a man's voice that is a little
bit scary.
,10/27/24, 6:50 PM HESI EXIT MENTAL HEALTH TEST BANK 2024-2025 /MENTAL HEALTH HESI EXIT TEST BANK REAL EXAM QUESTIONS AN…
The client is assessed by Hearing a man's voice.
the nurse, a social worker, Rationale: Auditory hallucinations are inconsistent with
and the healthcare depression and are more likely to occur with
provider (HCP). Based on psychoses. However, clients may experience a
their assessments, psychotic depression in which there is evidence of
hospitalization is psychosis.
recommended for
psychotic depression.
Which behavior is
inconsistent with
depression?
The nurse asks the client Unable to meet basic self-care needs.
to sign the consent for Rationale: Involuntary treatment can be initiated if the
treatment. client is unable to meet basic self-care needs in such
a way that he or she is a danger to self.
If the client refuses States she has a plan to harm herself.
treatment, which Rationale: Short-term involuntary care may be
behaviors justify short- initiated to protect the client if she has a plan to harm
term involuntary herself. It can also be initiated if she presents an
treatment? (Select all that intentional danger to others.
apply. One, some, or all
options may be correct.)
The client signs the Selective serotonin reuptake inhibitor (SSRI).
treatment form and is Rationale: Fluoxetine is an SSRI antidepressant.
admitted to the mental
health unit. During the first
days of hospitalization,
she begins antidepressant
therapy with fluoxetine 10
mg.
In what classification of
drugs is the
antidepressant fluoxetine?
, 10/27/24, 6:50 PM HESI EXIT MENTAL HEALTH TEST BANK 2024-2025 /MENTAL HEALTH HESI EXIT TEST BANK REAL EXAM QUESTIONS AN…
Increase availability of serotonin.
What is the major action of Rationale: The major action of SSRIs is to selectively
SSRI antidepressants? inhibit the reuptake of serotonin and increase the
availability of serotonin.
The nurse understands Tricyclics have more dangerous side effects.
that SSRIs are now more Rationale: SSRIs are more widely prescribed than
widely prescribed than tricyclics because they have fewer side effects, and
tricyclics for tricyclics can be lethal in an overdose because they
antidepressant therapy. are cardiotoxic.
What is the rationale?
Generally within 1 to 4 weeks.
Rationale: In general, it takes 2 to 4 weeks for
When the client receives
antidepressant effects to begin. However, it depends
fluoxetine, the nurse must
on the individual, and some clients may feel effects
explain the purpose and
start as soon as 1 week or as late as 4 weeks. It is
when to expect
suggested that depression occurs when a depletion
therapeutic effectiveness.
of neurotransmitters in the synapse cause the
What should the nurse tell
transmitter receptors to increase. As the
the client regarding when
antidepressants make more transmitters available, it
she will begin to feel less
takes the receptors several weeks to return their
depressed?
numbers back to normal and allow normal synaptic
activity.
The nurse should be Gastrointestinal disturbances.
aware of common side Rationale: GI disturbances such as nausea and
effects of SSRI diarrhea, as well as genitourinary side effects such as
antidepressants such as sexual dysfunction, are common with SSRIs. SSRIs do
fluoxetine. Which side not have significant anticholinergic, cardiovascular, or
effect should be sedative side effects.
communicated to the
client that commonly
occur in clients who are
taking SSRI
antidepressants?
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