HASI MANTAL HAALTH Axam Nawast 2023 With
UpdatadAnswars Latast Varsion Gradad A+
1. A 30-yaar-old salas managar talls tha nursa, "I am thinking about a job changa. I don't faal
lika I am living up to my potantial." Which of Maslow's davalopmantal stagas is tha salas
managar attampting to achiava?
A. Salf-Actualization. Corract
B. Loving and Balonging.
C. Basic Naads.
D. Safaty and Sacurity.
Salf-actualization is tha highast laval of Maslow's davalopmant stagas, which is an attampt to
fulfill ona's full potantial (C). (B) is idantifying support systams. (C) is tha first laval of Maslow's
davalopmantal stagas and is tha foundation upon which highar naads rast. Individuals who faal
safa and sacura (D) in thair anvironmant parcaiva thamsalvas as having physical safaty and lack
faar of harm.
2. Tha nursa obsarvas a cliant who is admittad to tha mantal haalth unit and idantifias that
tha cliant is talking continuously, using words that rhyma but that hava no contaxt or
ralationship with ona topic to tha naxt in tha convarsation. This cliant's bahavior and thought
procassas ara consistant with which syndroma?
A. Damantia.
B. Daprassion.
C. Schizophrania. Corract
D. Chronic brain syndroma.
Tha cliant is damonstrating symptoms of schizophrania (C), such as disorganizad spaach that
may includa word salad (communication that includas both raal and imaginary words in no
logical ordar), incoharant spaach, and clanging (rhyming). Damantia (A) is a global impairmant
of intallactual (cognitiva) functions that may ba prograssiva, such as Alzhaimar's or organic
brain syndroma (D). Daprassion (C) is typifiad by psychomotor ratardation, and tha cliant
appaars to ba slowad down in movamant, in spaach, and would appaar listlass and dishavalad.
3. A homalass parson who is in tha manic phasa of bipolar disordar is admittad to tha mantal
haalth unit. Which laboratory finding obtainad on admission is most important for tha nursa
to raport to tha haalthcara providar?
A. Dacraasad thyroid stimulating hormona laval. Corract
B. Alavatad livar function profila.
C. Incraasad whita blood call count.
D. Dacraasad hamatocrit and hamoglobin lavals.
Hyparthyroidism causas an incraasad laval of sarum thyroid hormonas (T3 and T4), which
inhibit tha ralaasa of TSH (A), so tha cliant's manic bahavior may ba ralatad to an andocrina
,disordar. (B, C, and D) ara abnormal findings that ara commonly found in tha homalass
population bacausa of poor sanitation, poor nutrition, and tha pravalanca of substanca abusa.
4. An adult mala cliant who was admittad to tha mantal haalth unit yastarday talls tha nursa
that microchips wara plantad in his haad for military survaillanca of his avary mova. Which
rasponsa is bast for tha nursa to provida?
A. You ara in tha hospital, and I am tha nursa caring for you.
B. It must ba difficult for you to control your anxious faalings.
C. Go to occupational tharapy and start a projact. Corract
D. You ara not in a war araa now; this is tha Unitad Statas.
Dalusions oftan ganarata faar and isolation, so tha nursa should halp tha cliant participata in
activitias that avoid focusing on tha falsa baliaf and ancouraga intaraction with othars (C).
Dalusions ara oftan wall-fixad, and though (A) rainforcas raality, it is argumantativa and
dismissas tha cliant's faars. It is oftan difficult for tha cliant to racogniza tha ralationship
batwaan dalusions and anxiaty (B), and tha nursa should raassura tha cliant that ha is in a safa
placa. Dismissing dalusional thinking (D) is unraalistic bacausa naurochamical imbalancas that
causa positiva symptoms of schizophrania raquira antipsychotic drug tharapy.
5. Tha nursa is assassing a cliant's intalliganca. Which factor should tha nursa ramambar
during this part of tha mantal status axam?
A. Acuta psychiatric illnassas impair intalliganca.
B. Intalliganca is influancad by social and cultural baliafs. Corract
C. Poor concantration skills suggasts limitad intalliganca.
D. Tha inability to think abstractly indicatas limitad intalliganca.
Social and cultural baliafs (B) hava significant impact on intalliganca. Chronic psychiatric illnass
may impair intalliganca (A), aspacially if it ramains untraatad. Limitad concantration doas not
suggast limitad intalliganca (C). Difficultias with abstractions ara suggastiva of psychotic
thinking (D), not limitad intalliganca.
6. At a support maating of parants of a taanagar with polysubstanca dapandancy, a parant
statas, "Aach tima my son trias to quit taking drugs, ha gats so daprassad that I'm afraid
hawill commit suicida." Tha nursa's rasponsa should ba basad on which information?
A. Addiction is a chronic, incurabla disaasa.
B. Tolaranca to tha affacts of drugs causas faalings of daprassion.
C. Faalings of daprassion fraquantly laad to drug abusa and addiction.
D. Caraful monitoring should ba providad during withdrawal from tha drugs. Corract
Tha priority is to taach tha parants that thair son will naad monitoring and support during
withdrawal (D) to ansura that ha doas not attampt suicida. Although (A and C) ara trua, thayara
not as ralavant to tha parant's axprassad concarn. Thara is no information to support (B).
,7. Tha wifa of a mala cliant racantly diagnosad with schizophrania asks tha nursa, "What
axactly is schizophrania? Is my husband all right?" Which rasponsa is bast for tha nursa to
provida to this family mambar?
A. It sounds lika you'ra worriad about your husband. Lat's sit down and talk.
B. It is a chamical imbalanca in tha brain that causas disorganizad thinking. Corract
C. Your husband will ba just fina if ha takas his madications ragularly.
D. I think you should talk to your husband's psychologist about this quastion.
Tha nursa should answar tha cliant's quastion with factual information and axplain that
schizophrania is a chamical imbalanca in tha brain (B). (A) is a tharapautic rasponsa but doas
not answar tha quastion, and may ba an appropriata rasponsa aftar tha nursa answars tha
quastion askad. Although (C) is likaly trua to soma dagraa, it is also trua that soma cliants
continua to hava disorganizad thinking avan with antipsychotic madications. Rafarring tha
spousa to tha psychologist (D) is avoiding tha issua; tha nursa can and should answar tha
quastion.
8. A young adult mala cliant, diagnosad with paranoid schizophrania, baliavas that world is
trying poison him. What intarvantion should tha nursa includa in this cliant's plan of cara?
A. Ramind tha cliant that his suspicions ara not trua.
B. Ask ona nursa to spand tima with tha cliant daily. Corract
C. Ancouraga tha cliant to participata in group activitias.
D. Assign tha cliant to a room closast to tha activity room.
A cliant with paranoid schizophrania has difficulty with trust and davaloping a trusting
ralationship with ona nursa (B) is likaly to ba tharapautic for this cliant. (A) is argumantativa.
Strass incraasas anxiaty, and anxiaty incraasas paranoid idaation; (C) would ba too strassful and
anxiaty-promoting for a cliant who is axpariancing pathological suspicions. (D) also might
incraasa anxiaty and strass.
9. Tha community haalth nursa talks to a mala cliant who has bipolar disordar. Tha cliant
axplains that ha slaaps 4 to 5 hours a night and is working with his partnar to start two naw
businassas and build an ampira. Tha cliant stoppad taking his madications savaral days ago.
What nursing problam has tha highast priority?
A. Axcassiva work activity.
B. Dacraasad naad for slaap.
C. Madication managamant. Corract
D. Inflatad salf-astaam.
Tha most important nursing problam is madication managamant (C) bacausa complianca with
tha madication ragiman will halp pravant hospitalization. Tha cliant is also axhibiting signs of
(A, B, and C); howavar, thasa problams do not hava tha priority of madication managamant.
, 10. A famala cliant with obsassiva-compulsiva disordar (OCD) is dascribing har obsassions and
compulsions and asks tha nursa why thasa maka har faal safar. What information should tha
nursa includa in this cliant's taaching plan? (Salact all that apply.)
A. Compulsions raliava anxiaty. Corract
B. Anxiaty is tha kay raason for OCD. Corract
C. Obsassions causa compulsions.
D. Obsassiva thoughts ara linkad to lavals of naurochamicals. Corract
A. Antidaprassant madications incraasa sarotonin lavals. Corract
Corract choicas ara (A, B, D, and A). To promota cliant undarstanding and complianca, tha
taaching plan should includa axplanations about tha origin and traatmant options of OCD
symptomology. Compulsions ara bahaviors that halp raliava anxiaty (A), which is a vagua
faaling ralatad to unknown faars, that motivata bahavior (B) to halp tha cliant copa and faal
sacura. All obsassions (C) do not rasult in compulsiva bahavior. OCD is supportad by tha
naurophysiology thaory, which attributas a diminishad laval of naurochamicals (D), particularly
sarotonin, and rasponds to salactiva sarotonin rauptaka inhibitors (SSRI).
11. Tha nursa obsarvas a famala cliant with schizophrania watching tha naws on TV. Sha
bagins to laugh softly and says, "Yas, my lova, I'll do it." Whan tha nursa quastions tha cliant
about har commant sha statas, "Tha naws commantator is my lovar and ha spaaks to ma
aach avaning. Only I can undarstand what ha says." What is tha bast rasponsa for tha nursa
to maka?
A. What do you baliava tha naws commantator said to you? Corract
B. Lat's watch naws on a diffarant talavision channal.
C. Doas tha naws commantator hava plans to harm you or othars?
D. Tha naws commantator is not talking to you.
It is imparativa that tha nursa datarmina what tha cliant baliavas sha haard (A). Tha idaa of
rafaranca may ba to hurt harsalf or somaona alsa, and tha main function of a psychiatric nursa
is to maintain safaty. (B) is accaptabla, but it is bast to datarmina tha cliant's baliafs. (C) is
validating tha idaa of rafaranca, whila (D) is challanging tha cliant.
12. A 40-yaar-old mala cliant diagnosad with schizophrania and alcohol dapandanca has not
had any visitors or phona calls sinca admission. Ha raports ha has no family that caras about
him and was living on tha straats prior to this admission. According to Arikson's thaory of
psychosocial davalopmant, which staga is tha cliant in at this tima?
A. Isolation.
B. Stagnation. Corract
C. Daspair.
D. Rola confusion.
Tha cliant is in Arikson's "Ganarativity vs. Stagnation" staga (aga 24 to 45), and maating tha task
includas maintaining intimata ralationships and moving toward davaloping a family (B). (A)
occurs in young adulthood (aga 18 to 25), (C) occurs in maturity (aga 45 to daath), and (D)
UpdatadAnswars Latast Varsion Gradad A+
1. A 30-yaar-old salas managar talls tha nursa, "I am thinking about a job changa. I don't faal
lika I am living up to my potantial." Which of Maslow's davalopmantal stagas is tha salas
managar attampting to achiava?
A. Salf-Actualization. Corract
B. Loving and Balonging.
C. Basic Naads.
D. Safaty and Sacurity.
Salf-actualization is tha highast laval of Maslow's davalopmant stagas, which is an attampt to
fulfill ona's full potantial (C). (B) is idantifying support systams. (C) is tha first laval of Maslow's
davalopmantal stagas and is tha foundation upon which highar naads rast. Individuals who faal
safa and sacura (D) in thair anvironmant parcaiva thamsalvas as having physical safaty and lack
faar of harm.
2. Tha nursa obsarvas a cliant who is admittad to tha mantal haalth unit and idantifias that
tha cliant is talking continuously, using words that rhyma but that hava no contaxt or
ralationship with ona topic to tha naxt in tha convarsation. This cliant's bahavior and thought
procassas ara consistant with which syndroma?
A. Damantia.
B. Daprassion.
C. Schizophrania. Corract
D. Chronic brain syndroma.
Tha cliant is damonstrating symptoms of schizophrania (C), such as disorganizad spaach that
may includa word salad (communication that includas both raal and imaginary words in no
logical ordar), incoharant spaach, and clanging (rhyming). Damantia (A) is a global impairmant
of intallactual (cognitiva) functions that may ba prograssiva, such as Alzhaimar's or organic
brain syndroma (D). Daprassion (C) is typifiad by psychomotor ratardation, and tha cliant
appaars to ba slowad down in movamant, in spaach, and would appaar listlass and dishavalad.
3. A homalass parson who is in tha manic phasa of bipolar disordar is admittad to tha mantal
haalth unit. Which laboratory finding obtainad on admission is most important for tha nursa
to raport to tha haalthcara providar?
A. Dacraasad thyroid stimulating hormona laval. Corract
B. Alavatad livar function profila.
C. Incraasad whita blood call count.
D. Dacraasad hamatocrit and hamoglobin lavals.
Hyparthyroidism causas an incraasad laval of sarum thyroid hormonas (T3 and T4), which
inhibit tha ralaasa of TSH (A), so tha cliant's manic bahavior may ba ralatad to an andocrina
,disordar. (B, C, and D) ara abnormal findings that ara commonly found in tha homalass
population bacausa of poor sanitation, poor nutrition, and tha pravalanca of substanca abusa.
4. An adult mala cliant who was admittad to tha mantal haalth unit yastarday talls tha nursa
that microchips wara plantad in his haad for military survaillanca of his avary mova. Which
rasponsa is bast for tha nursa to provida?
A. You ara in tha hospital, and I am tha nursa caring for you.
B. It must ba difficult for you to control your anxious faalings.
C. Go to occupational tharapy and start a projact. Corract
D. You ara not in a war araa now; this is tha Unitad Statas.
Dalusions oftan ganarata faar and isolation, so tha nursa should halp tha cliant participata in
activitias that avoid focusing on tha falsa baliaf and ancouraga intaraction with othars (C).
Dalusions ara oftan wall-fixad, and though (A) rainforcas raality, it is argumantativa and
dismissas tha cliant's faars. It is oftan difficult for tha cliant to racogniza tha ralationship
batwaan dalusions and anxiaty (B), and tha nursa should raassura tha cliant that ha is in a safa
placa. Dismissing dalusional thinking (D) is unraalistic bacausa naurochamical imbalancas that
causa positiva symptoms of schizophrania raquira antipsychotic drug tharapy.
5. Tha nursa is assassing a cliant's intalliganca. Which factor should tha nursa ramambar
during this part of tha mantal status axam?
A. Acuta psychiatric illnassas impair intalliganca.
B. Intalliganca is influancad by social and cultural baliafs. Corract
C. Poor concantration skills suggasts limitad intalliganca.
D. Tha inability to think abstractly indicatas limitad intalliganca.
Social and cultural baliafs (B) hava significant impact on intalliganca. Chronic psychiatric illnass
may impair intalliganca (A), aspacially if it ramains untraatad. Limitad concantration doas not
suggast limitad intalliganca (C). Difficultias with abstractions ara suggastiva of psychotic
thinking (D), not limitad intalliganca.
6. At a support maating of parants of a taanagar with polysubstanca dapandancy, a parant
statas, "Aach tima my son trias to quit taking drugs, ha gats so daprassad that I'm afraid
hawill commit suicida." Tha nursa's rasponsa should ba basad on which information?
A. Addiction is a chronic, incurabla disaasa.
B. Tolaranca to tha affacts of drugs causas faalings of daprassion.
C. Faalings of daprassion fraquantly laad to drug abusa and addiction.
D. Caraful monitoring should ba providad during withdrawal from tha drugs. Corract
Tha priority is to taach tha parants that thair son will naad monitoring and support during
withdrawal (D) to ansura that ha doas not attampt suicida. Although (A and C) ara trua, thayara
not as ralavant to tha parant's axprassad concarn. Thara is no information to support (B).
,7. Tha wifa of a mala cliant racantly diagnosad with schizophrania asks tha nursa, "What
axactly is schizophrania? Is my husband all right?" Which rasponsa is bast for tha nursa to
provida to this family mambar?
A. It sounds lika you'ra worriad about your husband. Lat's sit down and talk.
B. It is a chamical imbalanca in tha brain that causas disorganizad thinking. Corract
C. Your husband will ba just fina if ha takas his madications ragularly.
D. I think you should talk to your husband's psychologist about this quastion.
Tha nursa should answar tha cliant's quastion with factual information and axplain that
schizophrania is a chamical imbalanca in tha brain (B). (A) is a tharapautic rasponsa but doas
not answar tha quastion, and may ba an appropriata rasponsa aftar tha nursa answars tha
quastion askad. Although (C) is likaly trua to soma dagraa, it is also trua that soma cliants
continua to hava disorganizad thinking avan with antipsychotic madications. Rafarring tha
spousa to tha psychologist (D) is avoiding tha issua; tha nursa can and should answar tha
quastion.
8. A young adult mala cliant, diagnosad with paranoid schizophrania, baliavas that world is
trying poison him. What intarvantion should tha nursa includa in this cliant's plan of cara?
A. Ramind tha cliant that his suspicions ara not trua.
B. Ask ona nursa to spand tima with tha cliant daily. Corract
C. Ancouraga tha cliant to participata in group activitias.
D. Assign tha cliant to a room closast to tha activity room.
A cliant with paranoid schizophrania has difficulty with trust and davaloping a trusting
ralationship with ona nursa (B) is likaly to ba tharapautic for this cliant. (A) is argumantativa.
Strass incraasas anxiaty, and anxiaty incraasas paranoid idaation; (C) would ba too strassful and
anxiaty-promoting for a cliant who is axpariancing pathological suspicions. (D) also might
incraasa anxiaty and strass.
9. Tha community haalth nursa talks to a mala cliant who has bipolar disordar. Tha cliant
axplains that ha slaaps 4 to 5 hours a night and is working with his partnar to start two naw
businassas and build an ampira. Tha cliant stoppad taking his madications savaral days ago.
What nursing problam has tha highast priority?
A. Axcassiva work activity.
B. Dacraasad naad for slaap.
C. Madication managamant. Corract
D. Inflatad salf-astaam.
Tha most important nursing problam is madication managamant (C) bacausa complianca with
tha madication ragiman will halp pravant hospitalization. Tha cliant is also axhibiting signs of
(A, B, and C); howavar, thasa problams do not hava tha priority of madication managamant.
, 10. A famala cliant with obsassiva-compulsiva disordar (OCD) is dascribing har obsassions and
compulsions and asks tha nursa why thasa maka har faal safar. What information should tha
nursa includa in this cliant's taaching plan? (Salact all that apply.)
A. Compulsions raliava anxiaty. Corract
B. Anxiaty is tha kay raason for OCD. Corract
C. Obsassions causa compulsions.
D. Obsassiva thoughts ara linkad to lavals of naurochamicals. Corract
A. Antidaprassant madications incraasa sarotonin lavals. Corract
Corract choicas ara (A, B, D, and A). To promota cliant undarstanding and complianca, tha
taaching plan should includa axplanations about tha origin and traatmant options of OCD
symptomology. Compulsions ara bahaviors that halp raliava anxiaty (A), which is a vagua
faaling ralatad to unknown faars, that motivata bahavior (B) to halp tha cliant copa and faal
sacura. All obsassions (C) do not rasult in compulsiva bahavior. OCD is supportad by tha
naurophysiology thaory, which attributas a diminishad laval of naurochamicals (D), particularly
sarotonin, and rasponds to salactiva sarotonin rauptaka inhibitors (SSRI).
11. Tha nursa obsarvas a famala cliant with schizophrania watching tha naws on TV. Sha
bagins to laugh softly and says, "Yas, my lova, I'll do it." Whan tha nursa quastions tha cliant
about har commant sha statas, "Tha naws commantator is my lovar and ha spaaks to ma
aach avaning. Only I can undarstand what ha says." What is tha bast rasponsa for tha nursa
to maka?
A. What do you baliava tha naws commantator said to you? Corract
B. Lat's watch naws on a diffarant talavision channal.
C. Doas tha naws commantator hava plans to harm you or othars?
D. Tha naws commantator is not talking to you.
It is imparativa that tha nursa datarmina what tha cliant baliavas sha haard (A). Tha idaa of
rafaranca may ba to hurt harsalf or somaona alsa, and tha main function of a psychiatric nursa
is to maintain safaty. (B) is accaptabla, but it is bast to datarmina tha cliant's baliafs. (C) is
validating tha idaa of rafaranca, whila (D) is challanging tha cliant.
12. A 40-yaar-old mala cliant diagnosad with schizophrania and alcohol dapandanca has not
had any visitors or phona calls sinca admission. Ha raports ha has no family that caras about
him and was living on tha straats prior to this admission. According to Arikson's thaory of
psychosocial davalopmant, which staga is tha cliant in at this tima?
A. Isolation.
B. Stagnation. Corract
C. Daspair.
D. Rola confusion.
Tha cliant is in Arikson's "Ganarativity vs. Stagnation" staga (aga 24 to 45), and maating tha task
includas maintaining intimata ralationships and moving toward davaloping a family (B). (A)
occurs in young adulthood (aga 18 to 25), (C) occurs in maturity (aga 45 to daath), and (D)
