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Exam (elaborations)

MENTAL HEALTH (PSYCH) HESI QUESTIONS WITH VERIFIED ANSWERS

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MENTAL HEALTH (PSYCH) HESI QUESTIONS WITH VERIFIED ANSWERS A client diagnosed with paranoid personality disorder becomes violent on a unit. Which nursing intervention is most appropriate? A. Provide objective evidence that reasons for violence are unwarranted. B. Initially restrain the client to maintain safety. C. Use clear, calm, statements and a confident physical stance. D. Empathize with the client's paranoid perceptions. -Answer- C. Use clear, calm, statements and a confident physical stance. (First thing you are going to do when a pt becomes violent, you are going to firmly and calmly let the pt know that they need to calm down. If necessary, restrain pt.) A highly emotional client presents at an outpatient clinic appointment wearing flamboyant attire, spiked heels, and theatrical makeup. Which personality disorder should a nurse associate with this behavior? A. Compulsive personality disorder B. Schizotypal personality disorder C. Histrionic personality disorder D. Manic personality disorder -Answer- C. Histrionic personality disorder (Histrionic are the drama queens, attention seeker. Underlying issue with compulsive disorder is anxiety. Schizotypal disorder, baseline is psychosis. Manic disorder are pts who are on level 100 all of the time.)

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PSYCH / MENTAL HEALTH HESI QUESTIONS WITH 100%
CORRECT ANSWERS
A nurse is preforming a follow-up teaching session with a client discharged 1
month ago. The client is taking fluoxetine (Prozac). What information would
be important for the nurse to obtain during this client visit regarding the side
effects of the medication?
1) Cardiovascular symptoms
2) Gastrointestinal dysfunctions
3) Problems with mouth dryness
4) Problems with excessive sweating -Answer-2) Gastrointestinal
dysfunctions


A nurse is caring for a client with anorexia nervosa. The nurse is monitoring
the behavior of the client and understands that a client with anorexia nervosa
manages anxiety by:
1) Engaging in immoral acts
2) Always reinforcing self-approval
3) Observing rigid rules and regulations
4) Having the need always to make the right decision -Answer-3) Observing
rigid rules and regulations


A nurse is caring for a suicidal client. The appropriate nursing intervention in
dealing with this client is to:
1) Demonstrate confidence in the client's ability to deal with stressors
2) Provide hope and reassurance that the problems will resolve themselves
3) Display an attitude of detachment, confrontation, and efficiency
4) Provide authority, action, and participation -Answer-4) Provide authority,
action, and participation

,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 -Answer-4) Encourage and praise
perseverance in performing ADLs, and assist the client to dress and groom
daily


On admission assessment, the nurse is obtaining subjective data about a
client's sexual and reproductive status. The client states, "I don't want to
discuss this; it's private and personal." Which response by the nurse is the
most therapeutic?
1) "I'd hate being asked these sorts of questions too, but it's a necessary part
of providing you with the best care."
2) "This is difficult for you to speak about, but I need this information from
you in order to perform a complete assessment."
3) "I am a professional registered nurse, and, as such, I'll have you know that
all your information is certainly kept confidential."
4) "I know that some of these questions are difficult for you, but, as a
professional nurse, I am obligated to respect your confidentiality." -Answer-
4) "I know that some of these questions are difficult for you, but, as a
professional nurse, I am obligated to respect your confidentiality."

, The nurse should include which information in the nursing plan of care for a
client with obsessive-compulsive disorder (OCD)? Select all that apply.
1) The medical diagnosis of the client
2) Individualized goals and objectives
3) Attendance at group therapy sessions
4) Self-care measures to improve hygiene
5) Interruption of all compulsive behaviors -Answer-2) Individualized goals
and objectives
3) Attendance at group therapy sessions
4) Self-care measures to improve hygiene


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 -Answer-1) 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 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

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