PSYCH / MENTAL HEALTH HESI QUESTIONS And Answers

PSYCH / MENTAL HEALTH HESI
QUESTIONS And Answers

Auclientudiagnoseduwithuparanoiduschizophreniauisustilluwithdrawn,uunkept,uanduunmotivat
edutougetuoutuofubed.uAumentaluhealthuaideuasksutheunurseuwhyutheuclientuisuthisuwayuafteru
beinguonufluphenazineu(Prolix)u10umguforu7udays.uTheunurseushouldutellutheuhealthuaide:u
1)u"Prolixinuisutheumostueffectiveuwithupositiveusymptomsuofuschizophrenia."u
2)u"TheuclientuwillubeulessuwithdrawnuanduunmotivateduwhenutheuProlixinutakesueffect."u
3)u"Theuclient'suProlixudoseuprobablyuneedsutoubeuincreaseduagain."u
4)u"LackuofumotivationuisuaucommonusideueffectuofutheuProlixin."u-uCORRECTuuANSWER-
1)u"Prolixinuisutheumostueffectiveuwithupositiveusymptomsuofuschizophrenia."

Auclientudiagnoseduwithuundifferentiateduschizophreniauisubeingudischargeduonuaripiprazo
leu(Ability)u5umgueveryunight.uWhenudevelopingutheuteachinguplanuaboututheumostucommo
nuadverseueffects,uwhichuofutheufollowingushouldutheunurseuinclude?uSelectualluthatuapply.u
1)uHeadachesuthatuwillusubsideuinuaufewuweeksu
2)uTransientumilduanxietyu
3)uInsomniau
4)uTorticollisu
4)uPillurollingumovementsu-uCORRECTuuANSWER-
1)uHeadachesuthatuwillusubsideuinuaufewuweeksu
2)uTransientumilduanxietyu
3)uInsomnia

Auclientuinuaulong-
termucareufacilityuwhouhasumultipleusclerosisuisuembarrasseduaboututheuneedutouuseuauwh
eelchairuandutheumuscleuspasmsuthatuareureadilyuvisibleuinuherulegs.uWhichuapproachuisut
herapeuticuinuassistingutheuclientutoucope?u
1)uKeeputheuclientuinuheruroomuasumuchuasupossibleu
2)uAssistutheuclientuwithualluactivitiesuofudailyulivingu
3)uTellutheuclientuthatumanyuofutheupeopleuinutheufacilityuhaveutheseusameusortsuofuproblem
su
4)uEncourageuandupraiseuperseveranceuinuperforminguADLs,uanduassistutheuclientutoudres
suandugroomudailyu-uCORRECTuuANSWER-
4)uEncourageuandupraiseuperseveranceuinuperforminguADLs,uanduassistutheuclientutoudres
suandugroomudaily

Auclientuinutheumentaluhealthuunitubelievesuthatutheufooduisubeingupoisoned.uWhatuinterven
tion(s)uwouldubeuhelpfuluwhenuattemptingutouencourageutheuclientutoueat?uSelectualluthatua
pply.u

, 1)uUseuopen-endeduquestionsutouencourageuclientudialogueu
2)uOfferuopinionsuaboututheunecessityuforuadequateunutritionu
3)uFocusuonutheuclient'suself-disclosureuaboutufoodupreferencesu
4)uIdentifyutheureasonsutheuclientuhasuforunotuwantingutoueatu
5)uOfferutheuclientufooduinucloseducontainers,usuchuasuinucansuthatuhaveutoubeuopenedu-
uCORRECTuuANSWER-1)uUseuopen-endeduquestionsutouencourageuclientudialogueu

5)uOfferutheuclientufooduinucloseducontainers,usuchuasuinucansuthatuhaveutoubeuopened

Auclientuisuadmittedutouaumedicalunursinguunituwithuaudiagnosisuofuacuteublindness.uManyut
estsuareuperformed,uanduthereuseemsutoubeunouorganicureasonuwhyuthisuclientucannotusee
.uTheuclientubecameublinduafteruwitnessinguauhit-and-
runucaruaccident,uwhenuaufamilyuofuthreeuwasukilled.uAunurseususpectsuthatutheuclientumayu
beuexperiencingua:u
1)uPsychosis
2)uRepressionu
3)uConversionuDisorderu
4)uDissociativeuDisorderu-uCORRECTuuANSWER-3)uConversionuDisorder

Auclientuisubeingusuccessfullyutreateduwithuclozapineu(Clozaril).uWhichuofutheufollowingusta
tementsubyutheuclientureflectsuauneeduforufurtheruteachinguaboutumanagingutheudrug'suadv
erseueffects?u
1)u"IfuIueatutooumanyufruits,uI'llugetuconstipated."u
2)uIuneedutoutakeutheumedicineuwithufoodutouavoidunausea."u
3)u"IuhaveutougetuupuslowlyusouIudon'tugetudizzy."u
4)u"SometimesuIuhaveutoupushumyselfubecauseuI'musleepy."u-uCORRECTuuANSWER-
1)u"IfuIueatutooumanyufruits,uI'llugetuconstipated."

AuclientuisupreparingutouattenduatuGamblersuAnonymousumeetinguforutheufirstutime.uTheupr
ototypeuusedubyuthisugroupuisutheu12-
stepuprogramudevelopedubyuAlcoholicsuAnonymous.uNumberuinuorderuofupriorityuhowutheu
stepsuwouldubeuaddressed.u
1)uAdmittingutouoneselfuandutouanotheruhumanubeingutheuexactunatureuofuone'suwrongsu
2)uAcknowledginguthatuoneuisuentirelyureadyutouhaveuhisuoruherudefectsuofucharacteruremo
vedu
3)uAdmittinguthatuoneselfuisupowerlessuoverugamblinguanduthatuone'sulifeuhasubecomeuun
manageableu
4)uMakinguanueffortutoupracticeutheu12-
stepuprinciplesuinualluaffairs,uandutoucarryuoututhisumessageutouotherucompulsiveugamblers
u

5)uMakingudirectuamendsuwhereverupossibleutouallupeopleuthatuhaveubeenuhurt,uexpectuwh
enutoudousouwouldufurtheruharmuthemuoruothersu-uCORRECTuuANSWER-
3)uAdmittinguthatuoneselfuisupowerlessuoverugamblinguanduthatuone'sulifeuhasubecomeuun
manageableu
1)uAdmittingutouoneselfuandutouanotheruhumanubeingutheuexactunatureuofuone'suwrongsu
2)uAcknowledginguthatuoneuisuentirelyureadyutouhaveuhisuoruherudefectsuofucharacteruremo
vedu