MENTAL HEALTH PRACTICE HESI EXAM ACTUAL QUESTIONS TESTED AND VERIFIED WITH COMPLETE SOLUTIONS 100% ACCURACY ANSWERED GRADED A+
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Course
MENTAL HEALTH
Institution
MENTAL HEALTH
MENTAL HEALTH PRACTICE HESI EXAM ACTUAL QUESTIONS TESTED AND VERIFIED WITH COMPLETE SOLUTIONS 100% ACCURACY ANSWERED GRADED A+
1.
A male client with schizophrenia who is taking fluphenazine decanoate (Prolixin decanoate) is being discharged in the morning. A repeat dose of medication is sched...
MENTAL HEALTH PRACTICE HESI EXAM ACTUAL QUESTIONS TESTED
AND VERIFIED WITH COMPLETE SOLUTIONS 100% ACCURACY
ANSWERED GRADED A+
1.
A male client with schizophrenia who is taking fluphenazine decanoate (Prolixin
decanoate) is being discharged in the morning. A repeat dose of medication is
scheduled for 20 days after discharge. The client tells the nurse that he is going
on vacation in the Bahamas and will return in 18 days. Which statement by the
client indicates a need for health teaching?
A) When I return from my tropical island vacation, I will go to the clinic to get my
Prolixin injection.
B) While I am on vacation and when I return, I will not eat or drink anything that
contains alcohol.
C) I will notify the healthcare provider if I have a sore throat or flu-like symptoms.
D) I will continue to take my benztropine mesylate (Cogentin) every day.
Photosensitivity is a side effect of Prolixin and a vacation in the Bahamas (with its
tropical island climate) increases the client's chance of experiencing this side effect. He
should be instructed to avoid direct sun (A) and wear sunscreen. (B, C, and D) indicate
accurate knowledge. Alcohol acts synergistically with Prolixin (B). (C) lists signs of
agranulocytosis, which is also a side effect of Prolixin. In order to avoid extrapyramidal
symptoms (EPS), anticholinergic drugs, such as Cogentin, are often prescribed
prophylactically with Prolixin.
Correct Answer(s): A
2.
A male client is admitted to the mental health unit because he was feeling
depressed about the loss of his wife and job. The client has a history of alcohol
dependency and admits that he was drinking alcohol 12 hours ago. Vital signs
,are: temperature, 100° F, pulse 100, and BP 142/100. The nurse plans to give the
client lorazepam (Ativan) based on which priority nursing diagnosis?
A) Risk for injury related to suicidal ideation.
B) Risk for injury related to alcohol detoxification.
C) Knowledge deficit related to ineffective coping.
D) Health seeking behaviors related to personal crisis.
The most important nursing diagnosis is related to alcohol detoxification (B) because
the client has elevated vital signs, a sign of alcohol detoxification. Maintaining client
safety related to (A) should be addressed after giving the client Ativan for elevated vital
signs secondary to alcohol withdrawal. (C and D) can be addressed when immediate
needs for safety are met.
Correct Answer(s): B
3.
The charge nurse is collaborating with the nursing staff about the plan of care for
a client who is very depressed. What is the most important intervention to
implement during the first 48 hours after the client's admission to the unit?
A) Monitor appetite and observe intake at meals.
B) Maintain safety in the client's milieu.
C) Provide ongoing, supportive contact.
D) Encourage participation in activities.
The most important reason for closely observing a depressed client immediately after
admission is to maintain safety (B), since suicide is a risk with depression. (A, C, and D)
are all important interventions, but safety is the priority.
Correct Answer(s): B
4.
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.
(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.)
Correct Answer(s): A
5.
A client who is being treated with lithium carbonate for bipolar disorder develops
diarrhea, vomiting, and drowsiness. What action should the nurse take?
A) Notify the healthcare provider immediately and prepare for administration of
an antidote.
B) Notify the healthcare provider of the symptoms prior to the next administration
of the drug.
C) Record the symptoms as normal side effects and continue administration of
the prescribed dosage.
D) Hold the medication and refuse to administer additional amounts of the drug.
Early side effects of lithium carbonate (occurring with serum lithium levels below 2.0
mEq per liter) generally follow a progressive pattern beginning with diarrhea, vomiting,
drowsiness, and muscular weakness. At higher levels, ataxia, tinnitus, blurred vision,
and large dilute urine output may occur. (B) is the best choice. Although these are
expected symptoms, the healthcare provider should be notified prior to the next
administration of the drug. (A, C, and D) would not reflect good nursing judgment.
Correct Answer(s): B
, 6.
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?
A) If he has seemed depressed recently.
B) If a drug overdose has ever occurred before.
C) If he might have taken any other drugs.
D) If he has a desire to quit taking drugs.
Knowledge of all substances taken (C) will guide further treatment, such as
administration of antagonists, so obtaining this information has the highest priority. (A
and B) are also valuable in planning treatment. (D) is not appropriate during the acute
management of a drug overdose.
Correct Answer(s): C
7.
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.
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.
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