Exam (elaborations)
HESI PN MENTAL HEALTH (VERSION 1). LATEST UPDATE
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HESI PN MENTAL HEALTH (VERSION 1). LATEST UPDATE
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HESI PN MENTAL HEALTH (VERSION 1). LATEST UPDATEA client with an eating disorder is planning to attend group meetings with Overeaters
Anonymous. The LPN/LVN describes this group to the client, knowing that which
finding(s) are characteristic of this form of self-help group? Select all that apply.
1) A common goal is shared by all members
2) Members are required to remain anonymous
3) The leader is a professional mental health care provider
4) Attendance must be prescribed by the health care provider
5) The program is designed to provide support and bring about personal change
6) The group is composed of individuals who are experiencing similar problems - 1,5,6
A client with schizophrenia is experiencing distressful thoughts secondary to paranoia.
Which intervention(s) should the LPN/LVN include in the plan of care? Select all that
apply.
1) Avoid laughing when near the client
2) Whisper when communicating near the client
3) Increase socialization of the client among his peers
4) Have the client sign a written release of information form
5) Provide food items that are in containers that need to be opened
6) Begin to educate the client about social supports in the community - 1,5
A client is preparing to attend at Gamblers Anonymous meeting for the first time. The
prototype used by this group is the 12-step program developed by Alcoholics
Anonymous. Number in order of priority how the steps would be addressed.
1) Admitting to oneself and to another human being the exact nature of one's wrongs
2) Acknowledging that one is entirely ready to have his or her defects of character
removed
3) Admitting that oneself is powerless over gambling and that one's life has become
unmanageable
4) Making an effort to practice the 12-step principles in all affairs, and to carry out this
message to other compulsive gamblers
5) Making direct amends wherever possible to all people that have been hurt, expect
when to do so would further harm them or others - 3,1,2,5,4
An outpatient clinic who has been receiving haloperidol (Haldol) for
2 days develops muscular rigidity, altered consciousness, a temperature
of 103, and trouble breathing on day 3. The LPN/LVN interest these findings as
indicating which of the following.
1) Neuroleptic Malignant Syndrome
2) Tardive dyskinesia
3) Extrapyramidal adverse effects
4) Drug-induced parksonism - 1
,A newly admitted client describes her mission in life as one of saving her son by
eliminating the "provocative sluts" of the world. There are several attractive young
women on the unit. What should the LPN/LVN do first?
1) Ask the client for her definition of "provocative sluts"
2) Ask the young female clients on the unit to dress less provocatively
3) Ask the client to discuss her concerns in the next group session
4) Ask the client to inform the staff if she has negative thoughts about other clients - 4
The wife of a client diagnosed with paranoid schizophrenia visits 2 days after her
husband;s admission and states to the nurse, "Why isn' he eating? He's still talking
about his food being poisoning." With of the following appraisals by the LPN/LVN is
most accurate?
1) The wife's inquiry is reasonable
2) Education about her husband's medication is needed
3) Her expectations of her husband are realistic
4) An increase in the client's medication is needed - 2
A client states that she hears God's voice telling her that she has sinned and needs to
punish herself. Which response by the LPN/LVN is most important?
1) "How do you think you will be punished?"
2) "Please tell staff when you think you need to punish yourself."
3) "What exactly do you think you have done to be punished?"
4) "Let's talk about your strengths" - 2
A client diagnosed with paranoid schizophrenia is still withdrawn, unkept, and
unmotivated to get out of bed. A mental health aide asks the nurse why the client is this
way after being on fluphenazine (Prolix) 10 mg for 7 days. The LPN/LVN should tell the
health aide:
1) "Prolixin is the most effective with positive symptoms of schizophrenia."
2) "The client will be less withdrawn and unmotivated when the Prolixin takes effect."
3) "The client's Prolix dose probably needs to be increased again."
4) "Lack of motivation is a common side effect of the Prolixin." - 1
A client is being successfully treated with clozapine (Clozaril). Which of the following
statements by the client reflects a need for further teaching about managing the drug's
adverse effects?
1) "If I eat too many fruits, I'll get constipated."
2) I need to take the medicine with food to avoid nausea."
3) "I have to get up slowly so I don't get dizzy."
4) "Sometimes I have to push myself because I'm sleepy." - 1
The LPN/LVN is assessing a client who is taking an antipsychotic medication. Which of
the following symptoms is uniquely indicative of neuroleptic malignant syndrome (NMS)
and requires immediate attention?
1) Very high temperature
, 2) Muscular rigidity
3) Tremors
4) Altered consciousness - 1
A client diagnosed with undifferentiated schizophrenia is being discharged on
aripiprazole (Ability) 5 mg every night. When developing the teaching plan about the
most common adverse effects, which of the following should the nurse include? Select
all that apply.
1) Headaches that will subside in a few weeks
2) Transient mild anxiety
3) Insomnia
4) Torticollis - 4,1,2,3
An elderly client was prescribed Ativan 1 mg three times a day to help calm her anxiety
after her husband's death. The next day the client calls her daughter asking when she is
picking her up to go to the graveside. The client says she has been walking up and
down the driveway for the past hour waiting for her daughter. Noting the client's
agitation, hyperactivity, and instance, the daughter calls the nurse to report her mother's
behavior. Which of the following would the nurse suspect as the cause of the mother's
behavior and what action should she suggest?
1) The client is manic and may need a sleeping pill
2) The client is experiencing a medication interaction and should go to the ED
3) The client is experiencing a paradoxical reaction to the Ativan and should stop the
new medication immediately
4) The client is overcome by grief and probably needs an antidepressant - 3
A client who is being treated with lithium carbonate for bipolar disorder develops
diarrhea, vomiting, and drowsiness. What action should the LPN/LVN take?
1) Notify the healthcare provider immediately and prepare for administration of an
antidote.
2) Notify the healthcare provider of the symptoms prior to the next administration of the
drug.
3) Record the symptoms as normal side effects and continue administration of the
prescribed dosage.
4) Hold the medication and refuse to administer additional amounts of the drug. - 2
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?
1) If he has seemed depressed recently.
2) If a drug overdose has ever occurred before.
3) If he might have taken any other drugs.
4) If he has a desire to quit taking drugs. - 3
, 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
LPN/LVN to provide to this family member?
1) It sounds like you're worried about your husband. Let's sit down and talk.
2) It is a chemical imbalance in the brain that causes disorganized thinking.
3) Your husband will be just fine if he takes his medications regularly.
4) I think you should talk to your husband's psychologist about this question. - 2
The community health nurse talks to a male client who has bipolar disorder. The client
explains that he sleeps 4 to 5 hours a night and is working with his partner to start two
new businesses and build an empire. The client stopped taking his medications several
days ago. What nursing problem has the highest priority?
1) Excessive work activity.
2) Decreased need for sleep.
3) Medication management.
4) Inflated self-esteem. - 3
At a support meeting of parents of a teenager with polysubstance dependency, a parent
states, "Each time my son tries to quit taking drugs, he gets so depressed that I'm afraid
he will commit suicide." The nurse's response should be based on which information?
1) Addiction is a chronic, incurable disease.
2) Tolerance to the effects of drugs causes feelings of depression.
3) Feelings of depression frequently lead to drug abuse and addiction.
4) Careful monitoring should be provided during withdrawal from the drugs. - 4
The LPN/LVN observes a female client with schizophrenia watching the news on TV.
She begins to laugh softly and says, "Yes, my love, I'll do it." When the nurse questions
the client about her comment she states, "The news commentator is my lover and he
speaks to me each evening. Only I can understand what he says." What is the best
response for the nurse to make?
1) What do you believe the news commentator said to you?
2) Let's watch news on a different television channel.
3) Does the news commentator have plans to harm you or others?
4) The news commentator is not talking to you. - 1
Which data indicate to the nurse that a client is experiencing effective coping following
the loss of a spouse? Select all that apply.
1.Looks at old snapshots of family
2.Constantly neglects personal grooming
3.Visits the spouse's grave once a month
4.Visits the senior citizens' center once a month
5.Prefers to spend time alone and avoids contact with others
Looking at old snapshots of family
Visits the Spouse's grave once a month
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