HESI PSYCH MENTAL HEALTH TEST
B B B B
BANK ACTUAL EXAM 300 REAL EXAM
B B B B B B
QUESTIONS AND ANSWERS ALREADY
B B B B
GRADED A+.
B B
A B35-year-old Bmale Bclient Bwho Bhas Bbeen Bhospitalized Bfor Btwo Bweeks Bfor Bchronic
paranoia Bcontinues Bto Bstate Bthat Bsomeone Bis Btrying Bto Bsteal Bhis Bclothing- BWhich
B
action Bshould Bthe Bnurse Bimplement?
B
A- BEncourage Bthe Bclient Bto Bactively Bparticipate Bin Bassigned Bactivities Bon Bthe Bunit
B- BPlace Ba Block Bon Bthe Bclient's Bcloset
C- BIgnore Bthe Bclient's Bparanoid Bideation Bto Bextinguish Bthese Bbehaviors
D- BExplain Bto Bthe Bclient Bthat Bhis Bsuspicions Bare Bfalse B- BANSWER-ANSWER BA
Diverting Bthe Bclient's Battention Bfrom Bparanoid Bideation Band Bencouraging Bhim Bto
complete Bassignments Bcan Bbe Bhelpful Bin Bassisting Bhim Bto Bdevelop Ba Bpositive Bself-
B
image B(A)- BThe Bclients Bproblem Bis Bnot Bsecurity, Band B(B) Bactually Bsupports Bhis
paranoid Bideation- B(C) Bis Bnot Bcorrect Bbecause Bignoring Bthe Bclient's Bsymptoms Bmay
B
lower Bhis Bself-esteem- BThe Bnurse Bshould Bnot Bargue Bwith Bthe Bclient Babout Bhis
B
delusions B(D), Band Bshould Bnot Btry Bto Breason Bwith Bthe Bclient Bregarding Bhis Bparanoid
B
ideation
B
,A Bmale Bclient Bwith Bmental Billness Band Bsubstance Bdependency Btells Bthe Bmental
health Bnurse Bthat Bhe Bhas Bstarted Busing Billegal Bdrugs Bagain Band Bwants Bto Bseek
B
treatment. BSince Bhe Bhas Ba Bdual Bdiagnosis, Bwhich Bperson Bis Bbest Bfor Bthe Bnurse Bto
B
refer Bthis Bclient Bto Bfirst?
B
A. BThe Bemergency Broom Bnurse.
B. BHis Bcase Bmanager.
C. BThe Bclinic Bhealthcare Bprovider.
D. BHis Bsupport Bgroup Bsponsor. B- BANSWER-ANSWER BB
The Bcase Bmanager B(B) Bis Bresponsible Bfor Bcoordinating Bcommunity Bservices, Band
since Bthis Bclient Bhas Ba Bdual Bdiagnosis, Bthis Bis Bthe Bbest Bperson Bto Bdescribe
B
available Btreatment Boptions. B(A) Bis Bunnecessary, Bunless Bthe Bclient Bexperiences
B
behaviors Bthat Bthreaten Bhis Bsafety Bor Bthe Bsafety Bof Bothers. B(C Band BD) Bmight Balso
B
be Buseful, Bbut Bit Bis Bmost Bimportant Bat Bthis Btime Bthat Ba Btreatment Bprogram Bbe
B
coordinated Bto Bmeet Bthis Bclient's Bneeds.
B
Based Bon Bnon-compliance Bwith Bthe Bmedication Bregimen, Ban Badult Bclient Bwith Ba
medical Bdiagnosis Bof Bsubstance Babuse Band Bschizophrenia Bwas Brecently Bswitched
B
from Boral Bfluphenazine BHCI B(Prolixin) Bto BIM Bfluphenazine Bdecanoate B(Prolixin
B
Decanoate)- BWhat Bis Bmost Bimportant Bto Bteach Bthe Bclient Band Bfamily Babout Bthis
B
change Bin Bmedication Bregimen?
B
A- BSigns Band Bsymptoms Bof Bextrapyramidal Beffects B(EPS)-
B- BInformation Babout Bsubstance Babuse Band Bschizophrenia-
C- BThe Beffects Bof Balcohol Band Bdrug Binteraction-
,D- BThe Bavailability Bof Bsupport Bgroups Bfor Bthose Bwith Bdual Bdiagnoses- B- BANSWER-
ANSWER BC
Alcohol Benhances Bthe BEPS Bside Beffects Bof BProlixin. BThe Bhalf-life Bof BProlixin BPO Bis
8 Bhours, Bwhereas Bthe Bhalf-life Bof Bthe BProlixin BDecanoate BIM Bis B2 Bto B4 Bweeks- BThat
B
means Bthe Bside Beffects Bof Bdrinking Balcohol Bare Bfar Bmore Bsevere Bwhen Bthe Bclient
B
drinks Balcohol Balter Btaking Bthe Blong-acting BProlixin BDecanoate BIM- B(A, BB, Band BD)
B
provide Bvaluable Binformation Band Bshould Bbe Bincluded Bin Bthe Bclient/family Bteaching,
B
but Bthey Bdo Bnot Bhave Bthe Bpriority Bof B(C).
B
A B38-year-old Bfemale Bclient Bis Badmitted Bwith Ba Bdiagnosis Bof Bparanoid
schizophrenia- BWhen Bher Btray Bis Bbrought Bto Bher, Bshe Brefuses Bto Beat Band Btells Bthe
B
nurse, B"I Bknow Byou Bare Btrying Bto Bpoison Bme Bwith Bthat Bfood-" BWhich Bresponse Bis
B
most Bappropriate Bfor Bthe Bnurse Bto Bmake?
B
A- BI'll Bleave Byour Btray Bhere- BI Bam Bavailable Bif Byou Bneed Banything Belse-
B- BYou're Bnot Bbeing Bpoisoned- BWhy Bdo Byou Bthink Bsomeone Bis Btrying Bto Bpoison
you?
B
C- BNo Bone Bon Bthis Bunit Bhas Bever Bdied Bfrom Bpoisoning- BYou're Bsafe Bhere-
D- BI Bwill Btalk Bto Byour Bhealthcare Bprovider Babout Bthe Bpossibility Bof Bchanging Byour
diet- B- BANSWER-ANSWER BA
B
(A) Bis Bthe Bbest Bchoice Bcited- BThe Bnurse Bdoes Bnot Bargue Bwith Bthe Bclient Bnor
demand Bthat Bshe Beat, Bbut Boffers Bsupport Bby Bagreeing Bto B"be Bthere Bif Bneeded", Be-g-
B
, Bto Bwarm Bthe Bfood- B(B Band BC) Bare Barguing Bwith Bthe Bclient's Bdelusions, Band B(B)
asks B"why" Bwhich Bis Busually Bnot Ba Bgood Bquestion Bfor Ba Bpsychotic Bclient- B(D) Bhas
B
, nothing Bto Bdo Bwith Bthe Bactual Bproblem; Bi.e.-, Bthe Bproblem Bis Bnot Bthe Bdiet B(she
B
thinks Bany Bfood Bgiven Bto Bher Bis Bpoisoned-)
B
A Bwoman Barrives Bin Bthe BEmergency BCenter Band Btells Bthe Bnurse Bshe Bthinks Bshe
has Bbeen Braped- BThe Bclient Bis Bsobbing Band Bexpresses Bdisbelief Bthat Ba Brape Bcould
B
happen Bbecause Bthe Bman Bis Bher Bbest Bfriend- BAfter Backnowledging Bthe Bclient's Bfear
B
and Banxiety, Bhow Bshould Bthe Bnurse Brespond?
B
A- B"I Bwould Bbe Bvery Bupset Band Bmad Bif Bmy Bbest Bfriend Bdid Bthat Bto Bme"
B- B"You Bmust Bfeel Bbetrayed, Bbut Bmaybe Byou Bmight Bhave Bled Bhim Bon?"
C- B"Rape Bis Bnot Blimited Bto Bstrangers Band Bfrequently Boccurs Bby Bsomeone Bwho Bis
known Bto Bthe Bvictim"
B
D- B"This Bdoes Bnot Bsound Blike Brape- BDid Byou Bchange Byour Bmind Babout Bhaving Bsex
after Bthe Bfact?" B- BANSWER-ANSWER BC
B
A Bvictim Bof Bdate Brape Bor Bacquaintance Brape Bis Bless Bprone Bto Brecognize Bwhat Bis
happening Bbecause Bthe Bincident Busually Binvolves Bpersons Bwho Bknow Beach Bother
B
and Bthe Bdynamics Bare Bdifferent Bthan Brape Bby Ba Bstranger. B(C) Bprovides
B
confrontation Bfor Bthe Bclient's Bdenial Bbecause Bthe Bvictim Bfrequently Bknows Band Btrusts
B
the Bperpetrator. BNurses Bshould Bnot Bexpress Bpersonal Bfeelings B(A) Bwhen Bdealing
B
with Bvictims- BSuggesting Bthat Bthe Bclient Bled Bon Bthe Brapist B(B) Bindicates Bthat Bthe
B
sexual Bassault Bwas Bsomehow Bthe Bvictim's Bfault- B(D) Bis Bjudgmental Band Bdoes Bnot
B
display Bcompassion Bor Bestablish Btrust Bbetween Bthe Bnurse Band Bthe Bclient
B
B B B B
BANK ACTUAL EXAM 300 REAL EXAM
B B B B B B
QUESTIONS AND ANSWERS ALREADY
B B B B
GRADED A+.
B B
A B35-year-old Bmale Bclient Bwho Bhas Bbeen Bhospitalized Bfor Btwo Bweeks Bfor Bchronic
paranoia Bcontinues Bto Bstate Bthat Bsomeone Bis Btrying Bto Bsteal Bhis Bclothing- BWhich
B
action Bshould Bthe Bnurse Bimplement?
B
A- BEncourage Bthe Bclient Bto Bactively Bparticipate Bin Bassigned Bactivities Bon Bthe Bunit
B- BPlace Ba Block Bon Bthe Bclient's Bcloset
C- BIgnore Bthe Bclient's Bparanoid Bideation Bto Bextinguish Bthese Bbehaviors
D- BExplain Bto Bthe Bclient Bthat Bhis Bsuspicions Bare Bfalse B- BANSWER-ANSWER BA
Diverting Bthe Bclient's Battention Bfrom Bparanoid Bideation Band Bencouraging Bhim Bto
complete Bassignments Bcan Bbe Bhelpful Bin Bassisting Bhim Bto Bdevelop Ba Bpositive Bself-
B
image B(A)- BThe Bclients Bproblem Bis Bnot Bsecurity, Band B(B) Bactually Bsupports Bhis
paranoid Bideation- B(C) Bis Bnot Bcorrect Bbecause Bignoring Bthe Bclient's Bsymptoms Bmay
B
lower Bhis Bself-esteem- BThe Bnurse Bshould Bnot Bargue Bwith Bthe Bclient Babout Bhis
B
delusions B(D), Band Bshould Bnot Btry Bto Breason Bwith Bthe Bclient Bregarding Bhis Bparanoid
B
ideation
B
,A Bmale Bclient Bwith Bmental Billness Band Bsubstance Bdependency Btells Bthe Bmental
health Bnurse Bthat Bhe Bhas Bstarted Busing Billegal Bdrugs Bagain Band Bwants Bto Bseek
B
treatment. BSince Bhe Bhas Ba Bdual Bdiagnosis, Bwhich Bperson Bis Bbest Bfor Bthe Bnurse Bto
B
refer Bthis Bclient Bto Bfirst?
B
A. BThe Bemergency Broom Bnurse.
B. BHis Bcase Bmanager.
C. BThe Bclinic Bhealthcare Bprovider.
D. BHis Bsupport Bgroup Bsponsor. B- BANSWER-ANSWER BB
The Bcase Bmanager B(B) Bis Bresponsible Bfor Bcoordinating Bcommunity Bservices, Band
since Bthis Bclient Bhas Ba Bdual Bdiagnosis, Bthis Bis Bthe Bbest Bperson Bto Bdescribe
B
available Btreatment Boptions. B(A) Bis Bunnecessary, Bunless Bthe Bclient Bexperiences
B
behaviors Bthat Bthreaten Bhis Bsafety Bor Bthe Bsafety Bof Bothers. B(C Band BD) Bmight Balso
B
be Buseful, Bbut Bit Bis Bmost Bimportant Bat Bthis Btime Bthat Ba Btreatment Bprogram Bbe
B
coordinated Bto Bmeet Bthis Bclient's Bneeds.
B
Based Bon Bnon-compliance Bwith Bthe Bmedication Bregimen, Ban Badult Bclient Bwith Ba
medical Bdiagnosis Bof Bsubstance Babuse Band Bschizophrenia Bwas Brecently Bswitched
B
from Boral Bfluphenazine BHCI B(Prolixin) Bto BIM Bfluphenazine Bdecanoate B(Prolixin
B
Decanoate)- BWhat Bis Bmost Bimportant Bto Bteach Bthe Bclient Band Bfamily Babout Bthis
B
change Bin Bmedication Bregimen?
B
A- BSigns Band Bsymptoms Bof Bextrapyramidal Beffects B(EPS)-
B- BInformation Babout Bsubstance Babuse Band Bschizophrenia-
C- BThe Beffects Bof Balcohol Band Bdrug Binteraction-
,D- BThe Bavailability Bof Bsupport Bgroups Bfor Bthose Bwith Bdual Bdiagnoses- B- BANSWER-
ANSWER BC
Alcohol Benhances Bthe BEPS Bside Beffects Bof BProlixin. BThe Bhalf-life Bof BProlixin BPO Bis
8 Bhours, Bwhereas Bthe Bhalf-life Bof Bthe BProlixin BDecanoate BIM Bis B2 Bto B4 Bweeks- BThat
B
means Bthe Bside Beffects Bof Bdrinking Balcohol Bare Bfar Bmore Bsevere Bwhen Bthe Bclient
B
drinks Balcohol Balter Btaking Bthe Blong-acting BProlixin BDecanoate BIM- B(A, BB, Band BD)
B
provide Bvaluable Binformation Band Bshould Bbe Bincluded Bin Bthe Bclient/family Bteaching,
B
but Bthey Bdo Bnot Bhave Bthe Bpriority Bof B(C).
B
A B38-year-old Bfemale Bclient Bis Badmitted Bwith Ba Bdiagnosis Bof Bparanoid
schizophrenia- BWhen Bher Btray Bis Bbrought Bto Bher, Bshe Brefuses Bto Beat Band Btells Bthe
B
nurse, B"I Bknow Byou Bare Btrying Bto Bpoison Bme Bwith Bthat Bfood-" BWhich Bresponse Bis
B
most Bappropriate Bfor Bthe Bnurse Bto Bmake?
B
A- BI'll Bleave Byour Btray Bhere- BI Bam Bavailable Bif Byou Bneed Banything Belse-
B- BYou're Bnot Bbeing Bpoisoned- BWhy Bdo Byou Bthink Bsomeone Bis Btrying Bto Bpoison
you?
B
C- BNo Bone Bon Bthis Bunit Bhas Bever Bdied Bfrom Bpoisoning- BYou're Bsafe Bhere-
D- BI Bwill Btalk Bto Byour Bhealthcare Bprovider Babout Bthe Bpossibility Bof Bchanging Byour
diet- B- BANSWER-ANSWER BA
B
(A) Bis Bthe Bbest Bchoice Bcited- BThe Bnurse Bdoes Bnot Bargue Bwith Bthe Bclient Bnor
demand Bthat Bshe Beat, Bbut Boffers Bsupport Bby Bagreeing Bto B"be Bthere Bif Bneeded", Be-g-
B
, Bto Bwarm Bthe Bfood- B(B Band BC) Bare Barguing Bwith Bthe Bclient's Bdelusions, Band B(B)
asks B"why" Bwhich Bis Busually Bnot Ba Bgood Bquestion Bfor Ba Bpsychotic Bclient- B(D) Bhas
B
, nothing Bto Bdo Bwith Bthe Bactual Bproblem; Bi.e.-, Bthe Bproblem Bis Bnot Bthe Bdiet B(she
B
thinks Bany Bfood Bgiven Bto Bher Bis Bpoisoned-)
B
A Bwoman Barrives Bin Bthe BEmergency BCenter Band Btells Bthe Bnurse Bshe Bthinks Bshe
has Bbeen Braped- BThe Bclient Bis Bsobbing Band Bexpresses Bdisbelief Bthat Ba Brape Bcould
B
happen Bbecause Bthe Bman Bis Bher Bbest Bfriend- BAfter Backnowledging Bthe Bclient's Bfear
B
and Banxiety, Bhow Bshould Bthe Bnurse Brespond?
B
A- B"I Bwould Bbe Bvery Bupset Band Bmad Bif Bmy Bbest Bfriend Bdid Bthat Bto Bme"
B- B"You Bmust Bfeel Bbetrayed, Bbut Bmaybe Byou Bmight Bhave Bled Bhim Bon?"
C- B"Rape Bis Bnot Blimited Bto Bstrangers Band Bfrequently Boccurs Bby Bsomeone Bwho Bis
known Bto Bthe Bvictim"
B
D- B"This Bdoes Bnot Bsound Blike Brape- BDid Byou Bchange Byour Bmind Babout Bhaving Bsex
after Bthe Bfact?" B- BANSWER-ANSWER BC
B
A Bvictim Bof Bdate Brape Bor Bacquaintance Brape Bis Bless Bprone Bto Brecognize Bwhat Bis
happening Bbecause Bthe Bincident Busually Binvolves Bpersons Bwho Bknow Beach Bother
B
and Bthe Bdynamics Bare Bdifferent Bthan Brape Bby Ba Bstranger. B(C) Bprovides
B
confrontation Bfor Bthe Bclient's Bdenial Bbecause Bthe Bvictim Bfrequently Bknows Band Btrusts
B
the Bperpetrator. BNurses Bshould Bnot Bexpress Bpersonal Bfeelings B(A) Bwhen Bdealing
B
with Bvictims- BSuggesting Bthat Bthe Bclient Bled Bon Bthe Brapist B(B) Bindicates Bthat Bthe
B
sexual Bassault Bwas Bsomehow Bthe Bvictim's Bfault- B(D) Bis Bjudgmental Band Bdoes Bnot
B
display Bcompassion Bor Bestablish Btrust Bbetween Bthe Bnurse Band Bthe Bclient
B
