COMPREHESIVE PSYCHIATRIC MENTAL HEALTH PRACTICE
EXAM HESI NGN QUESTIONS FORMAT 2024 ACTUAL EXAM
COMPLETE TESTBANK 600 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!.
1. 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.✔✔ ANSWER✔✔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).
Correct Answer(s): D
2
The nurse 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?
,A) What do you believe the news commentator said to you?
B) Let's watch news on a different television channel.
C) Does the news commentator have plans to harm you or others?
D) The news commentator is not talking to you.✔✔ ANSWER✔✔It is
imperative that the nurse determine what the client believes she heard (A).
The idea of reference may be to hurt herself or someone else, and the main
function of a psychiatric nurse is to maintain safety. (B) is acceptable, but it is
best to determine the client's beliefs. (C) is validating the idea of reference,
while (D) is challenging the client.
Correct Answer(s): A
3
At the first meeting of a group of older adults at a daycare center for the
elderly, the nurse asks one of the members what kinds of things she would
like to do with the group. The older woman shrugs her shoulders and says,
"You tell me, you're the leader." What is the best response for the nurse to
make?
A) Yes, I am the leader today. Would you like to be the leader tomorrow?
B) Yes, I will be leading this group. What would you like to accomplish during
this time?
C) Yes, I have been assigned to be the leader of this group. I will be here for
the next six weeks.
D) Yes, I am the leader. You seem angry about not being the leader
yourself.✔✔ ANSWER✔✔Anxiety over participation in a group and testing of
the leader characteristically occur in the initial phase of group dynamics. (B)
provides information and focuses the group back to defining its function. (A)
,is manipulative bargaining. Although (C) provides information, it does not
focus the group on its purpose or task. (D) is interpreting the client's feelings
and is almost challenging.
Correct Answer(s): B
4
The nurse is planning discharge for a male client with schizophrenia. The
client insists that he is returning to his apartment, although the healthcare
provider informed him that he will be moving to a boarding home. What is
the most important nursing diagnosis for discharge planning?
A) Ineffective denial related to situational anxiety.
B) Ineffective coping related to inadequate support.
C) Social isolation related to difficult interactions.
D) Self-care deficit related to cognitive impairment.✔✔ ANSWER✔✔The
best nursing diagnosis is (A) because the client is unable to acknowledge the
move to a boarding home. (B, C, and D) are potential nursing diagnoses, but
denial is most important because it is a defense mechanism that keeps the
client from dealing with his feelings about living arrangements.
Correct Answer(s): A
5
Which diet selection by a client who is depressed and taking the MAO
inhibitor tranylcypromine sulfate (Parnate) indicates to the nurse that the
client understands the dietary restrictions imposed by this medication
regimen?
, A) Hamburger, French fries, and chocolate milkshake.
B) Liver and onions, broccoli, and decaffeinated coffee.
C) Pepperoni and cheese pizza, tossed salad, and a soft drink.
D) Roast beef, baked potato with butter, and iced tea.✔✔ ANSWER✔✔Only
(D) contains no tyramine. Tyramine in foods interacts with MAOI in the body
causing a hypertensive crisis which is life-threatening, and Parnate is
classified as an MAOI antidepressant. Some items in (A, B, and C) contain
tyramine and would not be permitted for a client taking Parnate.
Correct Answer(s): D
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.✔✔
ANSWER✔✔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)
EXAM HESI NGN QUESTIONS FORMAT 2024 ACTUAL EXAM
COMPLETE TESTBANK 600 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!.
1. 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.✔✔ ANSWER✔✔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).
Correct Answer(s): D
2
The nurse 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?
,A) What do you believe the news commentator said to you?
B) Let's watch news on a different television channel.
C) Does the news commentator have plans to harm you or others?
D) The news commentator is not talking to you.✔✔ ANSWER✔✔It is
imperative that the nurse determine what the client believes she heard (A).
The idea of reference may be to hurt herself or someone else, and the main
function of a psychiatric nurse is to maintain safety. (B) is acceptable, but it is
best to determine the client's beliefs. (C) is validating the idea of reference,
while (D) is challenging the client.
Correct Answer(s): A
3
At the first meeting of a group of older adults at a daycare center for the
elderly, the nurse asks one of the members what kinds of things she would
like to do with the group. The older woman shrugs her shoulders and says,
"You tell me, you're the leader." What is the best response for the nurse to
make?
A) Yes, I am the leader today. Would you like to be the leader tomorrow?
B) Yes, I will be leading this group. What would you like to accomplish during
this time?
C) Yes, I have been assigned to be the leader of this group. I will be here for
the next six weeks.
D) Yes, I am the leader. You seem angry about not being the leader
yourself.✔✔ ANSWER✔✔Anxiety over participation in a group and testing of
the leader characteristically occur in the initial phase of group dynamics. (B)
provides information and focuses the group back to defining its function. (A)
,is manipulative bargaining. Although (C) provides information, it does not
focus the group on its purpose or task. (D) is interpreting the client's feelings
and is almost challenging.
Correct Answer(s): B
4
The nurse is planning discharge for a male client with schizophrenia. The
client insists that he is returning to his apartment, although the healthcare
provider informed him that he will be moving to a boarding home. What is
the most important nursing diagnosis for discharge planning?
A) Ineffective denial related to situational anxiety.
B) Ineffective coping related to inadequate support.
C) Social isolation related to difficult interactions.
D) Self-care deficit related to cognitive impairment.✔✔ ANSWER✔✔The
best nursing diagnosis is (A) because the client is unable to acknowledge the
move to a boarding home. (B, C, and D) are potential nursing diagnoses, but
denial is most important because it is a defense mechanism that keeps the
client from dealing with his feelings about living arrangements.
Correct Answer(s): A
5
Which diet selection by a client who is depressed and taking the MAO
inhibitor tranylcypromine sulfate (Parnate) indicates to the nurse that the
client understands the dietary restrictions imposed by this medication
regimen?
, A) Hamburger, French fries, and chocolate milkshake.
B) Liver and onions, broccoli, and decaffeinated coffee.
C) Pepperoni and cheese pizza, tossed salad, and a soft drink.
D) Roast beef, baked potato with butter, and iced tea.✔✔ ANSWER✔✔Only
(D) contains no tyramine. Tyramine in foods interacts with MAOI in the body
causing a hypertensive crisis which is life-threatening, and Parnate is
classified as an MAOI antidepressant. Some items in (A, B, and C) contain
tyramine and would not be permitted for a client taking Parnate.
Correct Answer(s): D
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.✔✔
ANSWER✔✔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)
