2024 RN HESI Mental Health Exam with NGN New Latest
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A client diagnosed with paranoid schizophrenia is still withdrawn, unkept, and unmotivated to get out of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 nurse 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2) "The client will be less withdrawn and unmotivated when the Prolixin takes effect."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." - ANS1) "Prolixin is the most effective with
positive symptoms of schizophrenia."
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) Pill rolling movements - ANS1) Headaches that will subside in a few weeks
2) Transient mild anxiety
3) Insomnia
A client in a long-term care facility who has multiple sclerosis is embarrassed about the need to use a
wheelchair and the muscle spasms that are readily visible in her legs. Which approach is therapeutic in
assisting the client to cope?
1) Keep the client in her room as much as possible
2) Assist the client with all activities of daily living
3) Tell the client that many of the people in the facility have these same sorts of problems
4) Encourage and praise perseverance in performing ADLs, and assist the client to dress and groom daily
- ANS4) Encourage and praise perseverance in performing ADLs, and assist the client to dress and
groom daily
A client in the mental health unit believes that the food is being poisoned. What intervention(s) would be
helpful when attempting to encourage the client to eat? Select all that apply.
1) Use open-ended questions to encourage client dialogue
2) Offer opinions about the necessity for adequate nutrition
3) Focus on the client's self-disclosure about food preferences
4) Identify the reasons the client has for not wanting to eat
5) Offer the client food in closed containers, such as in cans that have to be opened - ANS1) Use open-
ended questions to encourage client dialogue
5) Offer the client food in closed containers, such as in cans that have to be opened
A client is admitted to a medical nursing unit with a diagnosis of acute blindness. Many tests are
performed, and there seems to be no organic reason why this client cannot see. The client became blind
after witnessing a hit-and-run car accident, when a family of three was killed. A nurse suspects that the
client may be experiencing a:
1) Psychosis
2) Repression
3) Conversion Disorder
4) Dissociative Disorder - ANS3) Conversion Disorder
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."
, 2024 RN HESI Mental Health Exam with NGN New Latest
Version with All Questions and Answers Best Studying
Material
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." - ANS1) "If I eat too many fruits, I'll get
constipated."
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 - ANS3) Admitting that oneself is powerless over gambling and that one's life
has become unmanageable
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
5) Making direct amends wherever possible to all people that have been hurt, expect when to do so would
further harm them or others
4) Making an effort to practice the 12-step principles in all affairs, and to carry out this message to other
compulsive gamblers
A client says to a nurse, "I'm going to die, and I wish my family would stop hoping for a cure! I get so
angry when they carry on like this. After all, I'm the one who's dying." The therapeutic response by the
nurse is:
1) "Have you shared your feelings with your family?"
2) "I think we should talk more about your anger with your family."
3) "You're feeling angry that your family continues to hope for you to be cured."
4) "Well, it sounds like you're being pretty pessimistic. After all, years ago, people died of pneumonia." -
ANS3) "You're feeling angry that your family continues to hope for you to be cured."
A client states that she hears God's voice telling her that she has sinned and needs to punish herself.
Which response by the nurse 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" - ANS2) "Please tell staff when you think you need to punish yourself."
A client who has just been sexually assaulted is calm and quiet. The nurse analyzes this behavior as
indicating which defense mechanism?
1) Denial
2) Projection
3) Rationalization
4) Intellectualization - ANS1) Denial
A client with a leg amputation is upset about his appearance. The nurse intends to address which most
closely associated psychosocial problem?
1) Inability to be mobile
2) Isolating self from others
3) Inability to tolerate activity
4) Concern about body persona - ANS4) Concern about body persona
Version with All Questions and Answers Best Studying
Material
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 nurse 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." - ANS1) "Prolixin is the most effective with
positive symptoms of schizophrenia."
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) Pill rolling movements - ANS1) Headaches that will subside in a few weeks
2) Transient mild anxiety
3) Insomnia
A client in a long-term care facility who has multiple sclerosis is embarrassed about the need to use a
wheelchair and the muscle spasms that are readily visible in her legs. Which approach is therapeutic in
assisting the client to cope?
1) Keep the client in her room as much as possible
2) Assist the client with all activities of daily living
3) Tell the client that many of the people in the facility have these same sorts of problems
4) Encourage and praise perseverance in performing ADLs, and assist the client to dress and groom daily
- ANS4) Encourage and praise perseverance in performing ADLs, and assist the client to dress and
groom daily
A client in the mental health unit believes that the food is being poisoned. What intervention(s) would be
helpful when attempting to encourage the client to eat? Select all that apply.
1) Use open-ended questions to encourage client dialogue
2) Offer opinions about the necessity for adequate nutrition
3) Focus on the client's self-disclosure about food preferences
4) Identify the reasons the client has for not wanting to eat
5) Offer the client food in closed containers, such as in cans that have to be opened - ANS1) Use open-
ended questions to encourage client dialogue
5) Offer the client food in closed containers, such as in cans that have to be opened
A client is admitted to a medical nursing unit with a diagnosis of acute blindness. Many tests are
performed, and there seems to be no organic reason why this client cannot see. The client became blind
after witnessing a hit-and-run car accident, when a family of three was killed. A nurse suspects that the
client may be experiencing a:
1) Psychosis
2) Repression
3) Conversion Disorder
4) Dissociative Disorder - ANS3) Conversion Disorder
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."
, 2024 RN HESI Mental Health Exam with NGN New Latest
Version with All Questions and Answers Best Studying
Material
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." - ANS1) "If I eat too many fruits, I'll get
constipated."
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 - ANS3) Admitting that oneself is powerless over gambling and that one's life
has become unmanageable
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
5) Making direct amends wherever possible to all people that have been hurt, expect when to do so would
further harm them or others
4) Making an effort to practice the 12-step principles in all affairs, and to carry out this message to other
compulsive gamblers
A client says to a nurse, "I'm going to die, and I wish my family would stop hoping for a cure! I get so
angry when they carry on like this. After all, I'm the one who's dying." The therapeutic response by the
nurse is:
1) "Have you shared your feelings with your family?"
2) "I think we should talk more about your anger with your family."
3) "You're feeling angry that your family continues to hope for you to be cured."
4) "Well, it sounds like you're being pretty pessimistic. After all, years ago, people died of pneumonia." -
ANS3) "You're feeling angry that your family continues to hope for you to be cured."
A client states that she hears God's voice telling her that she has sinned and needs to punish herself.
Which response by the nurse 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" - ANS2) "Please tell staff when you think you need to punish yourself."
A client who has just been sexually assaulted is calm and quiet. The nurse analyzes this behavior as
indicating which defense mechanism?
1) Denial
2) Projection
3) Rationalization
4) Intellectualization - ANS1) Denial
A client with a leg amputation is upset about his appearance. The nurse intends to address which most
closely associated psychosocial problem?
1) Inability to be mobile
2) Isolating self from others
3) Inability to tolerate activity
4) Concern about body persona - ANS4) Concern about body persona
