HESI Mental Health NGN Exams 2024: Updated Version A & B with Verified Answers and Rationale (Grade A+!)

HESI Mental Health NGN Exams 2024: Updated
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Version A & B with Verified Answers and
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Rationale (Grade A+!)
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Question 1: O




A nurse is caring for a client with generalized anxiety disorder (GAD).
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The nurse understands that which of the following is a primary
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characteristic of GAD?
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A) Recurrent, unexpected panic attacks O O O




B) Intrusive, distressing thoughts and compulsive behaviors
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C) Persistent and excessive worry about a variety of topics
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D) Flashbacks to past traumatic events O O O O




Answer: C) Persistent and excessive worry about a variety of topics
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Rationale:
Generalized anxiety disorder (GAD) is characterized by persistent and
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excessive worry or anxiety about various aspects of life, including work,
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health, and social interactions. This excessive worry occurs more days
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than not for at least six months.
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Question 2: O




A client with major depressive disorder is admitted to a psychiatric unit.
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The nurse recognizes that which of the following is a common symptom
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of major depressive disorder?
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A) Hallucinations
B) Elevated mood O




C) Difficulty concentrating and making decisionsO O O O




D) Euphoria
Answer: C) Difficulty concentrating and making decisions
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Rationale:
In major depressive disorder, clients often experience cognitive
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symptoms, including difficulty concentrating, making decisions, and
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feelings of hopelessness. Hallucinations and euphoria are not
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Ocharacteristic of depression. O O




Question 3: O




A client with schizophrenia is prescribed haloperidol (Haldol). Which of
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the following is a priority for the nurse to monitor?
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A) Blood pressure O




B) Respiratory rate O




C) Level of consciousness
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D) Extrapyramidal side effects O O




Answer: D) Extrapyramidal side effects
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Rationale:
Haloperidol is an antipsychotic medication that can cause
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extrapyramidal symptoms (EPS), including tremors, rigidity,
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bradykinesia, and tardive dyskinesia. Monitoring for EPS is critical, as
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these side effects can impair motor function and affect the client’s
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safety.
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Question 4: O




A client with borderline personality disorder (BPD) is admitted to the
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psychiatric unit. Which of the following behaviors would the nurse
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expect to observe in this client?
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A) Chronic sense of emptiness O O O




B) Detachment from reality O O




C) Avoidance of social situations O O O




D) Sudden loss of interest in activities
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Answer: A) Chronic sense of emptiness
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Rationale:
Borderline personality disorder is characterized by emotional instability,
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impulsive behaviors, and a chronic sense of emptiness. Clients may
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experience intense and unstable relationships, fear of abandonment, and
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difficulty managing emotions.
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Question 5: O




A nurse is assessing a client who has recently been diagnosed with post-
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traumatic stress disorder (PTSD). The nurse recognizes that which of the
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following is a key symptom of PTSD?
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A) Persistent, intrusive memories of the traumatic eventO O O O O O




B) Decreased need for sleep O O O




C) Elevated mood and energy O O O




D) Increased attention to detail and focus O O O O O




Answer: A) Persistent, intrusive memories of the traumatic event
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Rationale:
PTSD is characterized by intrusive memories, flashbacks, or nightmares
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related to a traumatic event. Clients may also experience
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hypervigilance, avoidance of reminders, and emotional numbness. O O O O O O




Question 6: O




A nurse is working with a client diagnosed with obsessive-compulsive
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disorder (OCD). Which of the following interventions is most
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appropriate to help the client manage obsessive thoughts?
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