Exam (elaborations)
MENTAL HESI V7 2021
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- Exams
- Institution
- Chamberlain College Of Nursng
MENTAL HESI V7 2021/ MENTAL HESI V7 2021/ MENTAL HESI V7 2021/ MENTAL HESI V7 2021
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,MENTAL HESI 7
Practice exam
1. A 30-year-old sales manager tells the nurse, "I am thinking about a job change. I don't feel
like I am living up to my potential." Which of Maslow's developmental stages is the sales
manager attempting to achieve?
A. Self-Actualization. Correct
B. Loving and Belonging.
C. Basic Needs.
D. Safety and Security.
Self-actualization is the highest level of Maslow's development stages, which is an attempt to
fulfill one's full potential (C). (B) is identifying support systems. (C) is the first level of Maslow's
developmental stages and is the foundation upon which higher needs rest. Individuals who feel
safe and secure (D) in their environment perceive themselves as having physical safety and lack
fear of harm.
2. The nurse observes a client who is admitted to the mental health unit and identifies that
the client is talking continuously, using words that rhyme but that have no context or
relationship with one topic to the next in the conversation. This client's behavior and thought
processes are consistent with which syndrome?
A. Dementia.
B. Depression.
C. Schizophrenia. Correct
D. Chronic brain syndrome.
The client is demonstrating symptoms of schizophrenia (C), such as disorganized speech that
may include word salad (communication that includes both real and imaginary words in no
logical order), incoherent speech, and clanging (rhyming). Dementia (A) is a global impairment
of intellectual (cognitive) functions that may be progressive, such as Alzheimer's or organic
brain syndrome (D). Depression (C) is typified by psychomotor retardation, and the client
appears to be slowed down in movement, in speech, and would appear listless and disheveled.
3. A homeless person who is in the manic phase of bipolar disorder is admitted to the mental
health unit. Which laboratory finding obtained on admission is most important for the nurse
to report to the healthcare provider?
A. Decreased thyroid stimulating hormone level. Correct
B. Elevated liver function profile.
C. Increased white blood cell count.
D. Decreased hematocrit and hemoglobin levels.
, Hyperthyroidism causes an increased level of serum thyroid hormones (T3 and T4), which
inhibit the release of TSH (A), so the client's manic behavior may be related to an endocrine
disorder. (B, C, and D) are abnormal findings that are commonly found in the homeless
population because of poor sanitation, poor nutrition, and the prevalence of substance abuse.
4. An adult male client who was admitted to the mental health unit yesterday tells the nurse
that microchips were planted in his head for military surveillance of his every move. Which
response is best for the nurse to provide?
A. You are in the hospital, and I am the nurse caring for you.
B. It must be difficult for you to control your anxious feelings.
C. Go to occupational therapy and start a project. Correct
D. You are not in a war area now; this is the United States.
Delusions often generate fear and isolation, so the nurse should help the client participate in
activities that avoid focusing on the false belief and encourage interaction with others (C).
Delusions are often well-fixed, and though (A) reinforces reality, it is argumentative and
dismisses the client's fears. It is often difficult for the client to recognize the relationship
between delusions and anxiety (B), and the nurse should reassure the client that he is in a safe
place. Dismissing delusional thinking (D) is unrealistic because neurochemical imbalances that
cause positive symptoms of schizophrenia require antipsychotic drug therapy.
5. The nurse is assessing a client's intelligence. Which factor should the nurse remember
during this part of the mental status exam?
A. Acute psychiatric illnesses impair intelligence.
B. Intelligence is influenced by social and cultural beliefs. Correct
C. Poor concentration skills suggests limited intelligence.
D. The inability to think abstractly indicates limited intelligence.
Social and cultural beliefs (B) have significant impact on intelligence. Chronic psychiatric illness
may impair intelligence (A), especially if it remains untreated. Limited concentration does not
suggest limited intelligence (C). Difficulties with abstractions are suggestive of psychotic thinking
(D), not limited intelligence.
6. 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?
A. Addiction is a chronic, incurable disease.
B. Tolerance to the effects of drugs causes feelings of depression.
C. Feelings of depression frequently lead to drug abuse and addiction.
D. Careful monitoring should be provided during withdrawal from the drugs. Correct
The priority is to teach the parents that their son will need monitoring and support during
withdrawal (D) to ensure that he does not attempt suicide. Although (A and C) are true, they are
not as relevant to the parent's expressed concern. There is no information to support (B).
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