Psychiatric-Mental Health Practice Exam
HESI / 558 Questions with Complete
Elaboration, (All Answers Explained &
Correct Answer’s given) Newest Updated
2025 / (Certified Solutions)
Terms in this set (558)
,1. Photosensitivity is a side effect of Prolixin and a vacation in
A male client with the Bahamas (with its tropical island climate) increases the
schizophrenia who is taking client's chance of experiencing this side effect. He should be
fluphenazine decanoate instructed to avoid direct sun (A) and wear sunscreen. (B, C,
(Prolixin decanoate) is being and D) indicate accurate knowledge. Alcohol acts
discharged in the morning. A synergistically with Prolixin (B). (C) lists signs of
repeat dose of medication is agranulocytosis, which is also a side effect of Prolixin. In
scheduled for 20 days after order to avoid extrapyramidal symptoms (EPS),
discharge. The client tells the anticholinergic drugs, such as Cogentin, are often prescribed
nurse that he is going on prophylactically with Prolixin.
vacation in the
Bahamas and will return in 18 Correct Answer(s): A
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 flulike symptoms.
D) I will continue to take my
benztropine mesylate
(Cogentin) every day.
,2. The most important nursing diagnosis is related to alcohol
A male client is admitted to detoxification (B) because the client has elevated vital signs,
the mental health unit a sign of alcohol detoxification. Maintaining client safety
because he was feeling related to (A) should be addressed after giving the client
depressed about the loss of Ativan for elevated vital signs secondary to alcohol
his wife and job. The client withdrawal. (C and D) can be addressed when immediate
has a history of alcohol needs for safety are met.
dependency and admits that
he was drinking alcohol 12 Correct Answer(s): B
hours ago. Vital signs are:
temperature, 100° F, pulse
100, and BP 142/100. The
nurse plans to give the client
lorazepam (Ativan) based on
which priority nursing
diagnosis?
A) Risk for injury related
tosuicidal ideation.
B) Risk for injury related
toalcohol detoxification. C)
Knowledge deficit related to
ineffective coping.
D) Health seeking
behaviors related to
personal crisis.
, 3. The most important reason for closely observing a depressed
The charge nurse is client immediately after admission is to maintain safety (B),
collaborating with the since suicide is a risk with depression. (A, C, and D) are all
nursing staff about the plan important interventions, but safety is the priority.
of care for a client who is
very depressed. What is the Correct Answer(s): B
most important intervention
to implement during the first
48 hours after the client's
admission to the unit?
A) Monitor appetite and
observe intake at meals. B)
Maintain safety in the
client's milieu.
C) Provide ongoing,
supportive contact. D)
Encourage
participation in activities.
HESI / 558 Questions with Complete
Elaboration, (All Answers Explained &
Correct Answer’s given) Newest Updated
2025 / (Certified Solutions)
Terms in this set (558)
,1. Photosensitivity is a side effect of Prolixin and a vacation in
A male client with the Bahamas (with its tropical island climate) increases the
schizophrenia who is taking client's chance of experiencing this side effect. He should be
fluphenazine decanoate instructed to avoid direct sun (A) and wear sunscreen. (B, C,
(Prolixin decanoate) is being and D) indicate accurate knowledge. Alcohol acts
discharged in the morning. A synergistically with Prolixin (B). (C) lists signs of
repeat dose of medication is agranulocytosis, which is also a side effect of Prolixin. In
scheduled for 20 days after order to avoid extrapyramidal symptoms (EPS),
discharge. The client tells the anticholinergic drugs, such as Cogentin, are often prescribed
nurse that he is going on prophylactically with Prolixin.
vacation in the
Bahamas and will return in 18 Correct Answer(s): A
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 flulike symptoms.
D) I will continue to take my
benztropine mesylate
(Cogentin) every day.
,2. The most important nursing diagnosis is related to alcohol
A male client is admitted to detoxification (B) because the client has elevated vital signs,
the mental health unit a sign of alcohol detoxification. Maintaining client safety
because he was feeling related to (A) should be addressed after giving the client
depressed about the loss of Ativan for elevated vital signs secondary to alcohol
his wife and job. The client withdrawal. (C and D) can be addressed when immediate
has a history of alcohol needs for safety are met.
dependency and admits that
he was drinking alcohol 12 Correct Answer(s): B
hours ago. Vital signs are:
temperature, 100° F, pulse
100, and BP 142/100. The
nurse plans to give the client
lorazepam (Ativan) based on
which priority nursing
diagnosis?
A) Risk for injury related
tosuicidal ideation.
B) Risk for injury related
toalcohol detoxification. C)
Knowledge deficit related to
ineffective coping.
D) Health seeking
behaviors related to
personal crisis.
, 3. The most important reason for closely observing a depressed
The charge nurse is client immediately after admission is to maintain safety (B),
collaborating with the since suicide is a risk with depression. (A, C, and D) are all
nursing staff about the plan important interventions, but safety is the priority.
of care for a client who is
very depressed. What is the Correct Answer(s): B
most important intervention
to implement during the first
48 hours after the client's
admission to the unit?
A) Monitor appetite and
observe intake at meals. B)
Maintain safety in the
client's milieu.
C) Provide ongoing,
supportive contact. D)
Encourage
participation in activities.
