Mental Health (PSYCH) HESI -
PRACTICE
A 60 yr antique patron identified with continual schizophrenia gives in an emergency branch
with uncontrollable tongue movements, stiff neck, and problem swallowing. Which clinical
analysis and remedy need to a nurse assume whilst making plans care for this purchaser?
A. Neuroleptic malignant syndrome treated through discontinuing antipsychotic medicines.
B. Agranulocytosis treated with the aid of administration of clozapine (Clozaril).
C. Extrapyramidal symptoms handled by administration of benztropine (Cogentin).
D. Tardive dyskinesia handled by using discontinuing antipsychotic medicines. - ANS-Answer:
D. Tardive dyskinesia treated by using discontinuing antipsychotic medicinal drugs.
(occurs after pt has chronically taken antipsychotic medications. When prescribing
antipsychotics, you need to begin low and steadily growth dose due to this. Question clues:
"Chronic schizophrenia", "uncontrollable tongue movements, stiff neck, issue swallowing")
A purchaser began taking lithium for the treatment of BP ailment about 1 month ago. The
consumer asks if it's miles regular to have received 12 kilos on this time body. Which is the
perfect nursing response?
A. "Thats bizarre. Weight loss is the everyday pattern."
B. "What have you been consuming? Weight advantage is not commonly associate with
lithium."
C. "Weight benefit is a common but troubling side effect."
D. "Weight advantage best occurs all through the primary month of remedy with this drug." -
ANS-Answer:
C. "Weight gain is a commonplace however troubling aspect effect."
A client identified with a history of anorexia nervosa comes to an outpatient hospital after being
medically cleared. The client states, "My dad and mom watch me like a hawk and never let me
out of their sight. " Which nursing diagnosis could take priority at this time?
A. Altered nutrition much less than body requirements
B. Altered social interplay
C. Impaired verbal communication
D. Altered family approaches - ANS-Answer:
D. Altered family techniques
A purchaser identified with antisocial personality disease comes to a nurses' station at
eleven:00 p.M. Asking for to smartphone a legal professional to speak about filing for divorce.
The unit regulations nation that no smartphone calls are permitted after 10:00 p.M. Which
nursing response is maximum appropriate?
A. "Go beforehand and use the phone. I understand this pending divorce is traumatic."
,B. "You know better than smash the guidelines. Im surprised at you. "
C. "It is after the ten:00 p.M. Cellphone curfew. You may be in a position to call the next day."
D. "The choice to divorce have to not be considered till you have had a great nights sleep." -
ANS-Answer:
C. "It is after the ten:00 p.M. Smartphone curfew. You will be capable to call the following day."
A patron identified with bipolar sickness is distraught over insomnia experienced over the last
three nights and a 12- pound weight reduction over the last 2 weeks. Which ought to be this
client's priority nursing diagnosis?
A. Knowledge deficit R/T bipolar disorder AEB challenge about symptoms.
B. Altered nutrition: Less than body necessities r/t hyperactivity AEB weight reduction.
C. Risk for suicide r/t powerlessness AEB insomnia and anorexia.
D. Altered sleep patterns r/t mania AEB insomnia for the past 3 nights. - ANS-Answer:
B. Altered vitamins: Less than body requirements r/t hyperactivity AEB weight reduction.
(physical needs/fitness usually precedence.)
A client recognized with bipolar ailment: depressive section deliberately overdoses on sertraline
(Zoloft). Family individuals report that the customer has experience anorexia, insomnia, and
latest task loss. What must be the priority nursing prognosis for this purchaser?
A. Risk for suicide r/t hopelessness.
B. Anxiety: severe r/t hyperactivity
C. Imbalanced nutrients: much less than body necessities r/t refusal to eat
D. Dysfunctional grieving r/t loss of employment. - ANS-Answer:
A. Risk for suicide r/t hopelessness.
A client recognized with borderline character ailment brings up a battle with the body of workers
in a community assembly and develops a following of clients who unreasonably call for
amendment of unit guidelines. How can the nursing group of workers first-class manage this
case?
A. Allow the customers to use the democratic procedure while developing unit regulations.
B. Maintain consistency of care through open communication to keep away from team of
workers manipulation.
C. Allow the customer spokesman to verbalize issues at some stage in a unit team of workers
assembly.
D. Maintain unit order via the software of autocratic leadership. - ANS-Answer:
B. Maintain consistency of care through open verbal exchange to keep away from body of
workers manipulation.
(borderline character disorder may be very manipulative. They want to cause splitting which
looks like pitting the nurses towards each other, or someday you're the pleasant nurse ever and
then the following day you're the worst nurse in the international.)
A customer diagnosed with BP ailment has been taking lithium carbonate (Lithaine) for 1 12
months. The client gives in an emergency branch with a temp of 101F (38C), intense diarrhea,
, blurred imaginative and prescient, and tinnitus. How need to the nurse interpret those signs and
symptoms?
A. Symptoms indicate intake of ingredients high in tyramine.
B. Symptoms imply lithium carbonate discontinuation syndrome.
C. Symptoms imply the improvement of lithium carbonate tolerance.
D. Symptoms indicate lithium carbonate toxicity. - ANS-Answer:
D. Symptoms imply lithium carbonate toxicity. (0.6-1.2 regular range. Blurred imaginative and
prescient and tinnitus is maximum apparent clue)
A purchaser recognized with BP sickness is showing excessive manic behaviors. A physician
prescribes lithium carbonate (Eskalith) and olanzapine (Zyprexa). The purchaser's partner
questions the Zyprexa order. Which is an appropriate nursing response?
A. "Zyprexa in combination with Eskalith treatment plans manic signs and symptoms."
B. "Zyprexa prevents extrapyramidal aspect results."
C. "Zyprexa guarantees a good night time's sleep."
D. "Zyprexa calms hyperactivity until the Eskalith takes impact." - ANS-Answer:
D. "Zyprexa calms hyperactivity till the Eskalith takes impact."
(in relation to psych meds, it takes 4-6 wks to see impact. Give Zyprexa as a bridge till Lithium
takes in impact."
A customer identified with BP disorder: manic episode refuses to take lithium carbonate
because of immoderate weight gain. So that it will increase compliance, which remedy ought to
a nurse count on that a health practitioner will prescribe?
A. Sertraline (Zoloft)
B. Valporic acid (Depakote)
C. Trazodone (Desyrel)
D. Paroxetine (Paxil) - ANS-Answer:
B. Valporic acid (Depakote)
(prescribed to help with weight loss.)
A client identified with bulimia nervosa has been attending a mental fitness hospital for several
months. Which element should a nurse become aware of as the suitable indicator of a positive
customer behavioral alternate?
A. The patron received 2 pounds in 1 wk
B. The client centered conversations on nutritious meals
C. The purchaser tested healthy coping mechanisms that decreased tension
D. The patron verbalized an understanding of the etiology of the disease - ANS-Answer:
C. The consumer verified wholesome coping mechanisms that decreased anxiety
A consumer diagnosed with essential melancholy with psychotic functions hears voices
commanding self-harm. A nurse is unable to elicit a agreement for safety. What should be the
nurse's priority intervention at this time?
A. Obtaining an order for locked seclusion till client is now not suicidal.
B. Conducting 15-minute assessments to make sure safety.
PRACTICE
A 60 yr antique patron identified with continual schizophrenia gives in an emergency branch
with uncontrollable tongue movements, stiff neck, and problem swallowing. Which clinical
analysis and remedy need to a nurse assume whilst making plans care for this purchaser?
A. Neuroleptic malignant syndrome treated through discontinuing antipsychotic medicines.
B. Agranulocytosis treated with the aid of administration of clozapine (Clozaril).
C. Extrapyramidal symptoms handled by administration of benztropine (Cogentin).
D. Tardive dyskinesia handled by using discontinuing antipsychotic medicines. - ANS-Answer:
D. Tardive dyskinesia treated by using discontinuing antipsychotic medicinal drugs.
(occurs after pt has chronically taken antipsychotic medications. When prescribing
antipsychotics, you need to begin low and steadily growth dose due to this. Question clues:
"Chronic schizophrenia", "uncontrollable tongue movements, stiff neck, issue swallowing")
A purchaser began taking lithium for the treatment of BP ailment about 1 month ago. The
consumer asks if it's miles regular to have received 12 kilos on this time body. Which is the
perfect nursing response?
A. "Thats bizarre. Weight loss is the everyday pattern."
B. "What have you been consuming? Weight advantage is not commonly associate with
lithium."
C. "Weight benefit is a common but troubling side effect."
D. "Weight advantage best occurs all through the primary month of remedy with this drug." -
ANS-Answer:
C. "Weight gain is a commonplace however troubling aspect effect."
A client identified with a history of anorexia nervosa comes to an outpatient hospital after being
medically cleared. The client states, "My dad and mom watch me like a hawk and never let me
out of their sight. " Which nursing diagnosis could take priority at this time?
A. Altered nutrition much less than body requirements
B. Altered social interplay
C. Impaired verbal communication
D. Altered family approaches - ANS-Answer:
D. Altered family techniques
A purchaser identified with antisocial personality disease comes to a nurses' station at
eleven:00 p.M. Asking for to smartphone a legal professional to speak about filing for divorce.
The unit regulations nation that no smartphone calls are permitted after 10:00 p.M. Which
nursing response is maximum appropriate?
A. "Go beforehand and use the phone. I understand this pending divorce is traumatic."
,B. "You know better than smash the guidelines. Im surprised at you. "
C. "It is after the ten:00 p.M. Cellphone curfew. You may be in a position to call the next day."
D. "The choice to divorce have to not be considered till you have had a great nights sleep." -
ANS-Answer:
C. "It is after the ten:00 p.M. Smartphone curfew. You will be capable to call the following day."
A patron identified with bipolar sickness is distraught over insomnia experienced over the last
three nights and a 12- pound weight reduction over the last 2 weeks. Which ought to be this
client's priority nursing diagnosis?
A. Knowledge deficit R/T bipolar disorder AEB challenge about symptoms.
B. Altered nutrition: Less than body necessities r/t hyperactivity AEB weight reduction.
C. Risk for suicide r/t powerlessness AEB insomnia and anorexia.
D. Altered sleep patterns r/t mania AEB insomnia for the past 3 nights. - ANS-Answer:
B. Altered vitamins: Less than body requirements r/t hyperactivity AEB weight reduction.
(physical needs/fitness usually precedence.)
A client recognized with bipolar ailment: depressive section deliberately overdoses on sertraline
(Zoloft). Family individuals report that the customer has experience anorexia, insomnia, and
latest task loss. What must be the priority nursing prognosis for this purchaser?
A. Risk for suicide r/t hopelessness.
B. Anxiety: severe r/t hyperactivity
C. Imbalanced nutrients: much less than body necessities r/t refusal to eat
D. Dysfunctional grieving r/t loss of employment. - ANS-Answer:
A. Risk for suicide r/t hopelessness.
A client recognized with borderline character ailment brings up a battle with the body of workers
in a community assembly and develops a following of clients who unreasonably call for
amendment of unit guidelines. How can the nursing group of workers first-class manage this
case?
A. Allow the customers to use the democratic procedure while developing unit regulations.
B. Maintain consistency of care through open communication to keep away from team of
workers manipulation.
C. Allow the customer spokesman to verbalize issues at some stage in a unit team of workers
assembly.
D. Maintain unit order via the software of autocratic leadership. - ANS-Answer:
B. Maintain consistency of care through open verbal exchange to keep away from body of
workers manipulation.
(borderline character disorder may be very manipulative. They want to cause splitting which
looks like pitting the nurses towards each other, or someday you're the pleasant nurse ever and
then the following day you're the worst nurse in the international.)
A customer diagnosed with BP ailment has been taking lithium carbonate (Lithaine) for 1 12
months. The client gives in an emergency branch with a temp of 101F (38C), intense diarrhea,
, blurred imaginative and prescient, and tinnitus. How need to the nurse interpret those signs and
symptoms?
A. Symptoms indicate intake of ingredients high in tyramine.
B. Symptoms imply lithium carbonate discontinuation syndrome.
C. Symptoms imply the improvement of lithium carbonate tolerance.
D. Symptoms indicate lithium carbonate toxicity. - ANS-Answer:
D. Symptoms imply lithium carbonate toxicity. (0.6-1.2 regular range. Blurred imaginative and
prescient and tinnitus is maximum apparent clue)
A purchaser recognized with BP sickness is showing excessive manic behaviors. A physician
prescribes lithium carbonate (Eskalith) and olanzapine (Zyprexa). The purchaser's partner
questions the Zyprexa order. Which is an appropriate nursing response?
A. "Zyprexa in combination with Eskalith treatment plans manic signs and symptoms."
B. "Zyprexa prevents extrapyramidal aspect results."
C. "Zyprexa guarantees a good night time's sleep."
D. "Zyprexa calms hyperactivity until the Eskalith takes impact." - ANS-Answer:
D. "Zyprexa calms hyperactivity till the Eskalith takes impact."
(in relation to psych meds, it takes 4-6 wks to see impact. Give Zyprexa as a bridge till Lithium
takes in impact."
A customer identified with BP disorder: manic episode refuses to take lithium carbonate
because of immoderate weight gain. So that it will increase compliance, which remedy ought to
a nurse count on that a health practitioner will prescribe?
A. Sertraline (Zoloft)
B. Valporic acid (Depakote)
C. Trazodone (Desyrel)
D. Paroxetine (Paxil) - ANS-Answer:
B. Valporic acid (Depakote)
(prescribed to help with weight loss.)
A client identified with bulimia nervosa has been attending a mental fitness hospital for several
months. Which element should a nurse become aware of as the suitable indicator of a positive
customer behavioral alternate?
A. The patron received 2 pounds in 1 wk
B. The client centered conversations on nutritious meals
C. The purchaser tested healthy coping mechanisms that decreased tension
D. The patron verbalized an understanding of the etiology of the disease - ANS-Answer:
C. The consumer verified wholesome coping mechanisms that decreased anxiety
A consumer diagnosed with essential melancholy with psychotic functions hears voices
commanding self-harm. A nurse is unable to elicit a agreement for safety. What should be the
nurse's priority intervention at this time?
A. Obtaining an order for locked seclusion till client is now not suicidal.
B. Conducting 15-minute assessments to make sure safety.
