PN MENTAL HEALTH PROCTORED EXAM
HESI PN MENTAL HEALTH PROCTORED EXAM
QUESTIONS AND ANSWERS ALREADY
GRADED A+. 100% Verified Solutions | Updated
Per Latest Guidelines | Graded A+
A client taking lithium reports vomiting, abdominal pain, diarrhea, blurred vision, tinnitus, and tremors.
The lithium level is 2.5 mEq/L (2.5 mmol/L). The nurse plans care based on which representation of this
level?
1.Toxic
2.Normal
3.Slightly above normal
4.Excessively below normal –
Correct Answer :Toxic
A+ TEST BANK 1
, PN MENTAL HEALTH PROCTORED EXAM
Rationale:Maintenance serum levels of lithium are 0.6 to 1.2 mEq/L (0.6 to 1.2 mmol/L). Symptoms of
toxicity begin to appear at levels of 1.5 mEq/L (1.5 mmol/L). Lithium toxicity requires immediate
medical attention and the primary health care provider is notified if symptoms of toxicity occur.
A client gives the home health nurse a bottle of clomipramine. The nurse notes that the medication
has not been taken by the client in 2 months. Which behavior observed in the client would validate
noncompliance with this medication?
1.Complaints of insomnia
2.Complaints of hunger and fatigue
3.A pulse rate less than 60 beats per minute
4.Frequent hand washing with hot, soapy water –
Correct Answer :Frequent hand washing with hot, soapy water
Rationale:Clomipramine is a tricyclic antidepressant used to treat obsessive-compulsive disorder.
Sedation sometimes occurs. Insomnia seldom is a side effect. Weight gain and tachycardia are side
and adverse effects of this medication.
A hospitalized client has begun taking bupropion as an antidepressant agent. The nurse determines
that which is an adverse effect, indicating that the client is taking an excessive amount of medication?
1.Constipation
2.Seizure activity
3.Increased weight
4.Dizziness when getting upright –
Correct Answer :Seizure activity
Rationale:Seizure activity can occur in clients taking bupropion dosages greater than 450 mg daily.
Weight gain is an occasional side effect, whereas constipation is a common side effect of this
medication. This medication does not cause significant orthostatic blood pressure changes.
A+ TEST BANK 2
, PN MENTAL HEALTH PROCTORED EXAM
A client receiving tricyclic antidepressants arrives at the mental health clinic. Which observation would
indicate that the client is following the medication plan correctly?
1.Client reports not going to work for the past week.
2.Client complains of not being able to "do anything" anymore. 3.Client arrives at the clinic neat and
appropriate in appearance. 4.Client reports sleeping 12 hours per night and 3 to 4 hours during the day.
- Correct Answer :Client arrives at the clinic neat and appropriate in appearance
Rationale:Depressed individuals sleep for long periods, are unable to go to work, and feel as if they
cannot "do anything." When these clients have had some therapeutic effect from their medication,
they report resolution of many of these complaints and exhibit an improvement in their appearance.
Options 1, 2, and 4 identify continued depression.
The clinic nurse is reviewing the record of a client scheduled to be seen in the clinic. The nurse notes
that the client is taking selegiline hydrochloride. The nurse suspects that the client has which disorder?
1.Diabetes mellitus
2.Parkinson's disease
3.Alzheimer's disease
4.Coronary artery disease –
Correct Answer :Parkinson's disease
Rationale:Selegiline hydrochloride is an antiparkinsonian medication. The medication increases
dopaminergic action, assisting in the reduction of tremor, akinesia, and the rigidity of parkinsonism.
This medication is not used to treat diabetes mellitus, Alzheimer's disease, or coronary artery disease.
A+ TEST BANK 3
, PN MENTAL HEALTH PROCTORED EXAM
Before giving the client the initial dose of disulfiram, what should the psychiatric home health nurse
determine?
1.If there is a history of hyperthyroidism
2.When the last full meal was consumed
3.If there is a history of diabetes insipidus
4.When the last alcoholic drink was consumed –
Correct Answer :When the last alcoholic drink was consumed
Rationale:Disulfiram is an adjunctive treatment for some clients with chronic alcoholism to assist in
maintaining enforced sobriety. Because clients must abstain from alcohol for at least 12 hours before
the initial dose, the most important assessment is when the last alcoholic intake was consumed. The
medication should be used cautiously in clients with hypothyroidism, diabetes mellitus, epilepsy,
cerebral damage, nephritis, and hepatic disease. It is contraindicated in persons with severe heart
disease, psychosis, or hypersensitivity to the medication. Food is not a consideration with this
medication.
The nurse is providing a health promotion session to a group of teenagers and is discussing the abuse
of barbiturates. The nurse should provide which information to the teenagers?
1.Barbiturate use commonly results in a rush of energy.
2.Barbiturate abuse is the cause of many drug overdose deaths.
3.The primary outcome of barbiturate abuse is psychological dependency.
4.A dangerous increase in blood pressure (BP) occurs with barbiturate abuse. –
Correct Answer :Barbiturate abuse is the cause of many drug overdose deaths.
Rationale:The abuse of barbiturates, a class of central nervous system (CNS) depressants, is a major
cause of fatal drug overdoses. The abuse of barbiturates results in both physical and psychological
dependency. Energy rushes and elevated BP result from the use of a CNS stimulant.
A+ TEST BANK 4
HESI PN MENTAL HEALTH PROCTORED EXAM
QUESTIONS AND ANSWERS ALREADY
GRADED A+. 100% Verified Solutions | Updated
Per Latest Guidelines | Graded A+
A client taking lithium reports vomiting, abdominal pain, diarrhea, blurred vision, tinnitus, and tremors.
The lithium level is 2.5 mEq/L (2.5 mmol/L). The nurse plans care based on which representation of this
level?
1.Toxic
2.Normal
3.Slightly above normal
4.Excessively below normal –
Correct Answer :Toxic
A+ TEST BANK 1
, PN MENTAL HEALTH PROCTORED EXAM
Rationale:Maintenance serum levels of lithium are 0.6 to 1.2 mEq/L (0.6 to 1.2 mmol/L). Symptoms of
toxicity begin to appear at levels of 1.5 mEq/L (1.5 mmol/L). Lithium toxicity requires immediate
medical attention and the primary health care provider is notified if symptoms of toxicity occur.
A client gives the home health nurse a bottle of clomipramine. The nurse notes that the medication
has not been taken by the client in 2 months. Which behavior observed in the client would validate
noncompliance with this medication?
1.Complaints of insomnia
2.Complaints of hunger and fatigue
3.A pulse rate less than 60 beats per minute
4.Frequent hand washing with hot, soapy water –
Correct Answer :Frequent hand washing with hot, soapy water
Rationale:Clomipramine is a tricyclic antidepressant used to treat obsessive-compulsive disorder.
Sedation sometimes occurs. Insomnia seldom is a side effect. Weight gain and tachycardia are side
and adverse effects of this medication.
A hospitalized client has begun taking bupropion as an antidepressant agent. The nurse determines
that which is an adverse effect, indicating that the client is taking an excessive amount of medication?
1.Constipation
2.Seizure activity
3.Increased weight
4.Dizziness when getting upright –
Correct Answer :Seizure activity
Rationale:Seizure activity can occur in clients taking bupropion dosages greater than 450 mg daily.
Weight gain is an occasional side effect, whereas constipation is a common side effect of this
medication. This medication does not cause significant orthostatic blood pressure changes.
A+ TEST BANK 2
, PN MENTAL HEALTH PROCTORED EXAM
A client receiving tricyclic antidepressants arrives at the mental health clinic. Which observation would
indicate that the client is following the medication plan correctly?
1.Client reports not going to work for the past week.
2.Client complains of not being able to "do anything" anymore. 3.Client arrives at the clinic neat and
appropriate in appearance. 4.Client reports sleeping 12 hours per night and 3 to 4 hours during the day.
- Correct Answer :Client arrives at the clinic neat and appropriate in appearance
Rationale:Depressed individuals sleep for long periods, are unable to go to work, and feel as if they
cannot "do anything." When these clients have had some therapeutic effect from their medication,
they report resolution of many of these complaints and exhibit an improvement in their appearance.
Options 1, 2, and 4 identify continued depression.
The clinic nurse is reviewing the record of a client scheduled to be seen in the clinic. The nurse notes
that the client is taking selegiline hydrochloride. The nurse suspects that the client has which disorder?
1.Diabetes mellitus
2.Parkinson's disease
3.Alzheimer's disease
4.Coronary artery disease –
Correct Answer :Parkinson's disease
Rationale:Selegiline hydrochloride is an antiparkinsonian medication. The medication increases
dopaminergic action, assisting in the reduction of tremor, akinesia, and the rigidity of parkinsonism.
This medication is not used to treat diabetes mellitus, Alzheimer's disease, or coronary artery disease.
A+ TEST BANK 3
, PN MENTAL HEALTH PROCTORED EXAM
Before giving the client the initial dose of disulfiram, what should the psychiatric home health nurse
determine?
1.If there is a history of hyperthyroidism
2.When the last full meal was consumed
3.If there is a history of diabetes insipidus
4.When the last alcoholic drink was consumed –
Correct Answer :When the last alcoholic drink was consumed
Rationale:Disulfiram is an adjunctive treatment for some clients with chronic alcoholism to assist in
maintaining enforced sobriety. Because clients must abstain from alcohol for at least 12 hours before
the initial dose, the most important assessment is when the last alcoholic intake was consumed. The
medication should be used cautiously in clients with hypothyroidism, diabetes mellitus, epilepsy,
cerebral damage, nephritis, and hepatic disease. It is contraindicated in persons with severe heart
disease, psychosis, or hypersensitivity to the medication. Food is not a consideration with this
medication.
The nurse is providing a health promotion session to a group of teenagers and is discussing the abuse
of barbiturates. The nurse should provide which information to the teenagers?
1.Barbiturate use commonly results in a rush of energy.
2.Barbiturate abuse is the cause of many drug overdose deaths.
3.The primary outcome of barbiturate abuse is psychological dependency.
4.A dangerous increase in blood pressure (BP) occurs with barbiturate abuse. –
Correct Answer :Barbiturate abuse is the cause of many drug overdose deaths.
Rationale:The abuse of barbiturates, a class of central nervous system (CNS) depressants, is a major
cause of fatal drug overdoses. The abuse of barbiturates results in both physical and psychological
dependency. Energy rushes and elevated BP result from the use of a CNS stimulant.
A+ TEST BANK 4
