HESI Mental Health Comprehensive Questions
and Answers 100% Accuracy
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A man who has been A. Thiamine
admitted numerous times
for alcohol detoxification Rationale:
is found wandering in the A BAL greater than 0.20% depresses the entire motor
street and is unable to area of brain causing the client to stagger, lose
identify himself or his conscious control of reason, and react in an
home address. He is unpredictable manner. The client's confusion and
manifesting ataxia, alcohol tolerance causing Wernicke's encephalopathy
nystagmus, and confusion places the client at risk for Korsakoff's psychosis, a
and has a blood alcohol form of amnesia characterized by loss of short-term
level (BAL) of 0.29%. memory and precipitated by acute abstinence.
Which prescribed Thiamine deficiency causes Wernicke-Korsakoff's
medication should the syndromes, so thiamine (B) should be administered.
practical nurse (PN) (B,C,D) may be indicated during withdrawal but do not
administer to prevent prevent alcoholic encephalopathies.
Korsakoff's psychosis?
A. Thiamine
B. Benzodiazepines
C. Glucose solution
D. Haloperidol (Haldol)
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An older client who is D. acute onset of symptoms
hospitalized with
pneumonia becomes rationale:
disoriented and confused Delirium has an acute onset (D) characterized by a
2 days after admission. reduced level of consciousness, not (B), disturbed
Which factor should the sleep-wake patterns, disorientation and perceptual
practical nurse (PN) problems, and is often associated with drug
identify to differentiate cumulative effects, a medical condition, or
that the client is hospitalization, not (C). Dementia has a slow, insidious
experiencing delirium, not onset of symptoms, which include impaired memory
dementia? (A) with loss of abstract thinking, judgment, language
A. impaired memory and motor skills and is often not reversible.
B. clear awareness of
surrounding
C. unrelated to specific
cause
D. acute onset of
symptoms
Which finding should the A. thoughts of harming her infant
practical nurse (PN) report
immediately when talking rationale:
with a new mother who is thoughts of harming her infant (A) is consistent with
diagnosed with postpartum depression and should be reported
postpartum depression immediately. Although (B,C,D) may occur in
with psychotic features? postpartum depression, the major concern is the
A. thoughts of harming her potential of harm to herself or to her infant.
infant
B. personal hygiene
C. outbursts of anger
D. disinterest in her
husband
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During a prenatal visit, a D. Cocaine can cause miscarriage or premature onset
client who is in the second of labor
trimester of pregnancy
tells the practical nurse rationale:
(PN) that she is using Cocaine, a central nervous system (CNS) stimulant,
cocaine. What information use during pregnancy (D) increases the risk of uterine
about cocaine is most tonicity and preterm labor, which can result in
important for the PN to miscarriage (D), abruptio placentae, and stillbirth.
provide the client? Although the client should understand other factors
A. CNS stimulants increase about cocaine use in pregnancy (A,B,C), the most
fetal heart rate and important information is the risk of premature birth.
intrauterine movement
B. Eat foods high in iron
and protein if a decrease
in appetite occurs
C. Counseling should be
sought to learn alternative
coping behaviors
D. Cocaine can cause
miscarriage or premature
onset of labor
Which part of the client's B. the therapeutic community
plan of care is the
practical nurse (PN) rationale:
implementing when plans a therapeutic community (B) provides ways to
are used to increase a increase a client's utilization of the social environment
male client's participation by providing therapeutic milieu but do not best
in his own care and social describe the client's engagement in therapeutic
environment? experiences.
A. client autonomy
B. the therapeutic
community
C. the nurse-client
relationship
D. the multidisciplinary
mental health team
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A practical nurse (PN) is D. biopsychosocial responses
interacting with a female
client who is discussing rationale:
her divorce as a stressor. Appraisal of a stressor is the processing and
What areas should be comprehension of stressful situations that takes place
explored with the client to on many levels, specifically cognitive, affective,
gather the most relevant physiological, behavioral, and social (D). Limiting the
information? client's self analysis (A,B,C) may omit an important
A. affective responses variable that needs further intervention.
B. social responses
C. physiological
responses
D. biopsychosocial
responses
The practical nurse (PN) is B. self indulgence
inquiring about coping
strategies with a male rationale:
client who is admitted for Coping resources include economic assets, abilities,
alcohol abuse. The client skills, defensive techniques, social supports, and
tells the PN that his job motivation. Coping mechanisms can be defines as
skills and communication efforts directed at stress management and can be
skills are his best assets constructive (assets) or destructive (liabilities), such as
and support. Which alcohol abuse, which should be determined by the
additional information client's self assessment of amount and duration of
should the PN obtain alcohol abuse (B). (A,C,D) are incorrect.
about maladaptive
mechanisms?
A. family support
B. self indulgence
C. financial security
D. daily stressors
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