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Mental Health Hesi Review Exam (Comprehensive Document for Exam Preparation)
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Mental Health HESI Review Exam 2022-2023A client who has agoraphobia (a fear of crowds) is beginning
desensitization with the therapist, and the nurse is reinforcing the process.
Which intervention has the highest priority for this client's plan of care?
A. Encourage substitution of positive thoughts for negative ones
B. Establish trust by providing a calm, safe environment
C. Progressively expose the client to larger crowds
D. Encourage deep breathing when anxiety escalates in a crowd
B. Establish trust by providing a calm, safe environment
A male client is admitted to the psychiatric unit for recurrent negative
symptoms of chronic schizophrenia and medication adjustment of
risperidone (Risperdal). When the client walks to the nurse's station in a
literally contracted position, he states that something has made his body
contort into a monster. What action should the nurse take?
A. Medicate the client with the prescribed antipsychotic thioridazine (mellaril)
B. Offer the client a prescribed physical therapy hot pack for muscle spasms
C. Direct client to occupational therapy to distract him for somatic
complaints
D. Administer the prescribed anticholinergic benztropine (Cogentin) for
dystonia
D. Administer the prescribed anticholinergic benztropine (Cogentin) for
dystonia
A client on the mental health unit is becoming more agitated, shouting at the
staff, and pacing in the hallway. When a PRN medication is offered, the client
refuses the medication and defiantly sits on the floor in the middle of the unit
hallway. What nursing intervention should the nurse implement first?
A. Transport the client to the seclusion room
,B. Quietly approach the client with additional staff members
C. Take other client in the area to the client lounge
D. Administer medication to chemically restrain client
C. Take other client in the area to the client lounge
A male hospital employee is pushed out of the way by a female employee
because of an oncoming gurney. The pushed employee becomes very angry
and swings at the female employee. Both employees are referred for
counseling with the staff psychiatric nurse. Which factor in the pushed
employee's history is most related to the reaction that occurred?
A. Is worried about losing his job to a woman
B. Tortured animals as a child
C. Was physically abused by his mother
D. Hates to be touched by anyone
C. Was physically abused by his mother
Which nursing actions are likely to help promote the self-esteem of a male
client with moderate depression? (Select all that apply)
A. Ask the client what his long-term goals are
B. Discuss the challenges of his medical condition
C. Include the client in determining treatment protocol
D. Encourage the client to engage in recreational therapy
E. Provide opportunities for the client to discuss his concerns
C. Include the client in determining treatment protocol
D. Encourage the client to engage in recreational therapy
A client who is admitted to the mental health unit reports shortness of breath
and dizziness. The client tells the nurse, "I feel like I am going to die," which
nursing problem should the nurse include in this client's plan of care?
,A. Mood disturbance
B. Moderate anxiety
C. Altered thoughts
D. Social isolation
B. Moderate anxiety
An adolescent male receives a prescription for an antidepressant drug
because he is exhibiting a depressed affect. While the client taking the
antidepressant, which comparison of the client's behavior before and after
taking the drug is most important for the nurse to obtain?
A. His appetite
B. The emotional quality of his attitude
C. His level of activity
D. The interactions he has with others
B. The emotional quality of his attitude
The LPN/LVN calls security and has physical restraints applied when a client
who was admitted voluntarily becomes both physically and verbally abusive
while demanding to be discharged from the hospital. Which represents the
possible legal ramifications for the nurse associated with these
interventions? (Select all that apply)
A. Libel
B. Battery
C .Assault
D. Slander
E. False Imprisonment
B. Battery
C. Assault
E. False Imprisonment
, A nurse is working with a client who has sought counseling after trying to
rescue a neighbor involved in a house fire. Despite the client's efforts, the
neighbor died. Which action does the nurse engage in with the client during
the working phase of the nurse- client relationship?
A. Exploring the client's ability to function
B. Exploring the client's potential for self-harm
C. Inquiring about the client's perception of appraisal of the neighbor's death
D. Inquiring about and examine the client's feelings that may block adaptive
coping
D. Inquiring about and examine the client's feelings that may block adaptive
coping
A client who has just been sexually assaulted is calm and quiet. The nurse
analyzes this behavior as indicating which defense mechanism?
A.Denial
B.Projection
C.Rationalization
D. Intellectualization
A. Denial
Unresolved feelings related to loss most likely may be recognized during
which phase of the therapeutic nurse-client relationship?
A.Working
B.Trusting
C.Orientation
D.Termination
D. Termination
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