Mental Health: HESI Comprehensive
Exam 1
1. A male client with schizophrenia who is taking fluphenazine
decanoate (Pro- lixin) is being discharged in the morning. A repeat
dose of medication is sched- uled 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 symp- toms.
d. I will continue to take my benztropine mesylate (Cogentin) every
day.: a. when I return from my tropical island vacation, I will go to the clinic to get my prolixin
injection.
2. A child is brought to the emergency room with a broken arm.
Because of other injuries, the nurse suspects the child may be a
victim of abuse. When the nurse tries to give the child an injection,
the child's mother becomes very loud and shouts, "I won't leave my
son! Don't you touch him! You'll hurt my child!" What is the best
behavioral interpretation of the mother's statements?
a. Regressing to an earlier behavior pattern.
b. Sublimating anger.
c. Projecting feelings onto the nurse.
d. Suppressing fear.: c. project feelings onto the nurse.
3. Based on noncompliance with the medication regimen, an
adult client with a diagnosis of substance abuse and
schizophrenia recently had a change in prescriptions from oral
fluphenazine HCl (Prolixin) to fluphenazine decanoate (Prolixin IM).
What is most important to teach the client and family about this
change in medication regimen?
a. Signs and symptoms of extrapyramidal effects (EPS).
b. Information about substance abuse and schizophrenia.
, Mental Health: HESI Comprehensive
Exam 1
c. The effects of alcohol and drug interaction.
d. The availability of support groups for those with dual diagnoses.: c.
The ettects of alcohol and drug interaction.
, Mental Health: HESI Comprehensive
Exam 1
4. A male client with mental illness and substance dependency tells
the mental health nurse that he has started using illegal drugs
again and wants to seek treatment. Since he has a dual diagnosis,
which person is best for the nurse to refer this client to first?
a. The emergency room nurse.
b. His case manager.
c. The clinic healthcare provider.
d. His support group sponsor.: b. His case manager.
5. The nurse is planning care for a 32-year-old male client diagnosed
with HIV infection who has a history of chronic depression.
Recently, the client's viral load has begun to increase rather than
decrease despite his adherence to the HIV drug regimen. What
should the nurse do first while taking the client's history on
admission to the hospital?
a. Determine if the client attends a support group weekly.
b. Hold all antidepressant medications until further notice.
c. Ask the client if he takes St. John's Wort routinely.
d. Have the client describe any recent changes in mood.: c. Ask the client if
he takes St. John's Wort routinely.
6. The nurse is assessing the parents of a nuclear family who are
attending a support group for parents of adolescents. According to
Erikson, these parents who are adapting to middle adulthood
should exhibit which characteristic?
a. Loss of independence.
b. Increased self-understanding.
c. Isolation from society.
d. Development of intimate relationships.: b. Increased self understanding
7. On admission, a client who is highly anxious describes a delusion.
The nurse understands that delusions are most likely to occur with
which class of disor- der?
a. Neurotic.
b. Personality.
c. Anxiety.
, Mental Health: HESI Comprehensive
Exam 1
d. Psychotic.: d. Psychotic
Exam 1
1. A male client with schizophrenia who is taking fluphenazine
decanoate (Pro- lixin) is being discharged in the morning. A repeat
dose of medication is sched- uled 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 symp- toms.
d. I will continue to take my benztropine mesylate (Cogentin) every
day.: a. when I return from my tropical island vacation, I will go to the clinic to get my prolixin
injection.
2. A child is brought to the emergency room with a broken arm.
Because of other injuries, the nurse suspects the child may be a
victim of abuse. When the nurse tries to give the child an injection,
the child's mother becomes very loud and shouts, "I won't leave my
son! Don't you touch him! You'll hurt my child!" What is the best
behavioral interpretation of the mother's statements?
a. Regressing to an earlier behavior pattern.
b. Sublimating anger.
c. Projecting feelings onto the nurse.
d. Suppressing fear.: c. project feelings onto the nurse.
3. Based on noncompliance with the medication regimen, an
adult client with a diagnosis of substance abuse and
schizophrenia recently had a change in prescriptions from oral
fluphenazine HCl (Prolixin) to fluphenazine decanoate (Prolixin IM).
What is most important to teach the client and family about this
change in medication regimen?
a. Signs and symptoms of extrapyramidal effects (EPS).
b. Information about substance abuse and schizophrenia.
, Mental Health: HESI Comprehensive
Exam 1
c. The effects of alcohol and drug interaction.
d. The availability of support groups for those with dual diagnoses.: c.
The ettects of alcohol and drug interaction.
, Mental Health: HESI Comprehensive
Exam 1
4. A male client with mental illness and substance dependency tells
the mental health nurse that he has started using illegal drugs
again and wants to seek treatment. Since he has a dual diagnosis,
which person is best for the nurse to refer this client to first?
a. The emergency room nurse.
b. His case manager.
c. The clinic healthcare provider.
d. His support group sponsor.: b. His case manager.
5. The nurse is planning care for a 32-year-old male client diagnosed
with HIV infection who has a history of chronic depression.
Recently, the client's viral load has begun to increase rather than
decrease despite his adherence to the HIV drug regimen. What
should the nurse do first while taking the client's history on
admission to the hospital?
a. Determine if the client attends a support group weekly.
b. Hold all antidepressant medications until further notice.
c. Ask the client if he takes St. John's Wort routinely.
d. Have the client describe any recent changes in mood.: c. Ask the client if
he takes St. John's Wort routinely.
6. The nurse is assessing the parents of a nuclear family who are
attending a support group for parents of adolescents. According to
Erikson, these parents who are adapting to middle adulthood
should exhibit which characteristic?
a. Loss of independence.
b. Increased self-understanding.
c. Isolation from society.
d. Development of intimate relationships.: b. Increased self understanding
7. On admission, a client who is highly anxious describes a delusion.
The nurse understands that delusions are most likely to occur with
which class of disor- der?
a. Neurotic.
b. Personality.
c. Anxiety.
, Mental Health: HESI Comprehensive
Exam 1
d. Psychotic.: d. Psychotic
