PSYCH MENTAL HEALTH HESI QUESTIONS Latest
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if a female client is sitting alone in the group room of psychiatric unit, nodding head and talking to
herself, hearing voices and they are telling her to turn herself in to FBI, what should the PN do? -
ANSWER-Distract her by turning on tv
An OCD patient repeatedly washing a table top. What intervention should the PN do? - ANSWER-
Allow time for behavior and then redirect to other activities
A highly successful businessman presents to community mental health after complaining of sleepiness
and anxiety over his financial status. What should the PN do to diminish his anxiety? - ANSWER-Teach
him to limit sugar and caffeine intake.
A patient is being discharged from psychiatric facility with a prescription for the anti psychotic agent
(Mellaril). What should the PN tell the patient to do? - ANSWER-Stand up slowly because the
medication can cause hypotension.
An 18 year old has been told he has Hodkins disease when the PN enters the room. He yells to get out,
I want to die. What should the PN tell him? - ANSWER-Tell me what the health care provider said.
The grandmother of a young adult male admitted to psychiatric unit request info about his treatment.
What should the PN do? - ANSWER-Ensure a signed release of info includes grandma.
A client experiencing withdrawal from Xanax is having severe agitation and tremors. What should the
PN do? - ANSWER-Initiate seizure precaution.
A daughter gained weight because she is under so much stress deciding whether to send dad to
nursing home or her home. What should the PN do? - ANSWER-Offer to assist her in examining the
pros and cons of the choices for him
A man complains of decrease concentration at work, tired during day, sleeps four to five hours at
night. What should the PN ask? - ANSWER-Do you often feel sad.
A PN attempts to assist an 18 year old female with mild mental disability to ambulate first day post op
after appendectomy. She refuses. What should you tell her? - ANSWER-I'll be back in 30 minutes to
get you out of bed and walk around the room today.
A CLIENT IS DIAGNOSED WITH TERMINAL CANCER, THE DOCTOR TOLD ME I HAVE CANCER.I DO NOT
HAVE LONG TO LIVE.WHICH RESPONSE SHOULD THE PN OFFER? - ANSWER-YES, YOUR CONDITION IS
SERIOUS.
WHILE CONDUCTING A MENTAL STATUS EXAMINATION OF A NEWLY ADMITTED MALE CLIENT HEAD
LOWERED AND STARES AT HIS HANDS BASED ON THIS OBSERVATION WHAT SHOULD THE PN
RESPOND? - ANSWER-HOW ARE YOU FEELING TODAY
ALCOHOLIC ADMITTED TO THE HOSPITAL WITH EARLY STAGE OF CIRRHOSIS OF THE LIVER, HE TELLS
THE PN THAT HE KNOWS HE CAN NOT STOP DRINKING WHAT RESPONSES IS BEST TO PROVIDE -
ANSWER-TELL ME WHAT YOU THINK WILL HAPPEN TO YOU IF YOU DO CONTINUE TO DRINK
, A 4 YEAR OLD IS BROUGHT TO THE CLINIC WITH A FRACTURED ARM.WHICH INFORMATION SHOULD
BE A BASIS FOR THE PRACTICAL NURSE TO SUSPECT CHILD ABUSE - ANSWER-THE CHILD HAS HAD 4
PREVIOUS VISITS TO 3 NUMBER OF EMERGENCY DEPARTMENT
NURSING MEASURE FOR VICODIN - ANSWER-OBSERVE THE CLIENT FOR FURTHER NARCOTIC EFFECTS
OLDER CLIENT BECOME DISORIENTED AND CONFUSED. SIGNS OF LEFT EXTREMITY WEAKNESS BUT NO
NEURO CHANGES. - ANSWER-CALL AN AMBULANCE TO TAKE THE CLIENT TO THE HOSPITAL
HALDOL INCREASE TEMP: 104 F AND MUSCULAR RIGIDITY - ANSWER-CALL AN AMBULANCE
ALZHEIMER'S PATIENT ADMITTED TO AN EXTENDED CARE FACILITY. WHAT SHOULD YOU DO? -
ANSWER-PLAN TO HAVE THE SAME NURSING STAFF PROVIDE CARE FOR THE CLIENT WHENEVER
POSSIBLE
A FEMALE CLIENT COULD NOT SLEEP LAST NIGHT BECAUSE SHE IS UNHAPPY IN HER JOB.WHAT TYPE
OF THOUGHTS IS THE CLIENT HAVING - ANSWER-OBSESSIVE THOUGHT THAT THE CLIENT IS UNABLE
TO CONTROL
Alcohol withdrawal-hospitalization - ANSWER-Alcohol detoxification precipitates a withdrawal
syndrome that includes neurological and cardiovascular changes that require constant monitoring and
medical management to safely move the client to an alcohol-free physiology. The other responses are
ineffective and may contribute to the client's defensiveness.
Depression-1st priority - ANSWER-Maslow's hierarchy or needs begins with ensuring physiologic
needs and safety as primary needs. The priority investigation is to provide a safe stable, and
predictable routine that will meet the client's basic needs. The other actions are indicated, but first an
environment that is predictable should be ensured to facilitate the client's participation in self care.
Abuse-spousal - ANSWER-The PN should ask a direct question that is supportive and nonjudgmental,
and the best approach is the question, is someone hurting you? The other questions are probing and
judgmental and are not the best approach to sensitive information.
Stress-decision conflict - ANSWER-The daughter is reporting stress-induced behavior from a decisional
conflict. It is most helpful for the PN to implement actions directed toward resolution of the conflict,
and offer to assist in examining the pros and cons of the choices. The other actions are less helpful in
resolving the daughter's conflict about her father's placement.
Child abuse-historic signs - ANSWER-Trauma in child, such as arm fracture, should be assessed for
other common trends in parenting that may be the result of child abuse, which can be life-threatening
and require reporting to the proper authorities. Repeated visits to one or more emergency
departments with injuries to a child is a sign of possible physical abuse. The other findings describe
normal behavior for an injured child and family dynamics that are not necessarily a sign of potential
child abuse.
Depression-sleep - ANSWER-Severrly depressed chients usually report experiencing disruption in
normal sleep patterns. The PN should assess the client for sleep disturbances. The other problems
may accompany depression, but sleep disturbances is a classic symptom.
Benzodiazepine-instruct - ANSWER-Aalprazolam (xanax) is contraindicated in acute angle-closure
glaucoma or untreated open-angle glaucoma. The PN should instruct the family and client to call the
clinic if the client is diagnosed with acute narrow angle glaucoma. The other options are important
interventions but they do not have priority.
Suicide-narcan - ANSWER-The half-life of hydrocone (Vicodin) is 3.8 hours, and the half-life of
naloxone (Narcan) is 60 to 90 minutes. The effects of hydroconone will outlast the antagonist effects
of naxolone, and further dosage with naloxone may be required. In planning care, it is most
Update Real Exam Questions and 100% Verified
Correct Answers Already Graded A+ Verified by
Professor
if a female client is sitting alone in the group room of psychiatric unit, nodding head and talking to
herself, hearing voices and they are telling her to turn herself in to FBI, what should the PN do? -
ANSWER-Distract her by turning on tv
An OCD patient repeatedly washing a table top. What intervention should the PN do? - ANSWER-
Allow time for behavior and then redirect to other activities
A highly successful businessman presents to community mental health after complaining of sleepiness
and anxiety over his financial status. What should the PN do to diminish his anxiety? - ANSWER-Teach
him to limit sugar and caffeine intake.
A patient is being discharged from psychiatric facility with a prescription for the anti psychotic agent
(Mellaril). What should the PN tell the patient to do? - ANSWER-Stand up slowly because the
medication can cause hypotension.
An 18 year old has been told he has Hodkins disease when the PN enters the room. He yells to get out,
I want to die. What should the PN tell him? - ANSWER-Tell me what the health care provider said.
The grandmother of a young adult male admitted to psychiatric unit request info about his treatment.
What should the PN do? - ANSWER-Ensure a signed release of info includes grandma.
A client experiencing withdrawal from Xanax is having severe agitation and tremors. What should the
PN do? - ANSWER-Initiate seizure precaution.
A daughter gained weight because she is under so much stress deciding whether to send dad to
nursing home or her home. What should the PN do? - ANSWER-Offer to assist her in examining the
pros and cons of the choices for him
A man complains of decrease concentration at work, tired during day, sleeps four to five hours at
night. What should the PN ask? - ANSWER-Do you often feel sad.
A PN attempts to assist an 18 year old female with mild mental disability to ambulate first day post op
after appendectomy. She refuses. What should you tell her? - ANSWER-I'll be back in 30 minutes to
get you out of bed and walk around the room today.
A CLIENT IS DIAGNOSED WITH TERMINAL CANCER, THE DOCTOR TOLD ME I HAVE CANCER.I DO NOT
HAVE LONG TO LIVE.WHICH RESPONSE SHOULD THE PN OFFER? - ANSWER-YES, YOUR CONDITION IS
SERIOUS.
WHILE CONDUCTING A MENTAL STATUS EXAMINATION OF A NEWLY ADMITTED MALE CLIENT HEAD
LOWERED AND STARES AT HIS HANDS BASED ON THIS OBSERVATION WHAT SHOULD THE PN
RESPOND? - ANSWER-HOW ARE YOU FEELING TODAY
ALCOHOLIC ADMITTED TO THE HOSPITAL WITH EARLY STAGE OF CIRRHOSIS OF THE LIVER, HE TELLS
THE PN THAT HE KNOWS HE CAN NOT STOP DRINKING WHAT RESPONSES IS BEST TO PROVIDE -
ANSWER-TELL ME WHAT YOU THINK WILL HAPPEN TO YOU IF YOU DO CONTINUE TO DRINK
, A 4 YEAR OLD IS BROUGHT TO THE CLINIC WITH A FRACTURED ARM.WHICH INFORMATION SHOULD
BE A BASIS FOR THE PRACTICAL NURSE TO SUSPECT CHILD ABUSE - ANSWER-THE CHILD HAS HAD 4
PREVIOUS VISITS TO 3 NUMBER OF EMERGENCY DEPARTMENT
NURSING MEASURE FOR VICODIN - ANSWER-OBSERVE THE CLIENT FOR FURTHER NARCOTIC EFFECTS
OLDER CLIENT BECOME DISORIENTED AND CONFUSED. SIGNS OF LEFT EXTREMITY WEAKNESS BUT NO
NEURO CHANGES. - ANSWER-CALL AN AMBULANCE TO TAKE THE CLIENT TO THE HOSPITAL
HALDOL INCREASE TEMP: 104 F AND MUSCULAR RIGIDITY - ANSWER-CALL AN AMBULANCE
ALZHEIMER'S PATIENT ADMITTED TO AN EXTENDED CARE FACILITY. WHAT SHOULD YOU DO? -
ANSWER-PLAN TO HAVE THE SAME NURSING STAFF PROVIDE CARE FOR THE CLIENT WHENEVER
POSSIBLE
A FEMALE CLIENT COULD NOT SLEEP LAST NIGHT BECAUSE SHE IS UNHAPPY IN HER JOB.WHAT TYPE
OF THOUGHTS IS THE CLIENT HAVING - ANSWER-OBSESSIVE THOUGHT THAT THE CLIENT IS UNABLE
TO CONTROL
Alcohol withdrawal-hospitalization - ANSWER-Alcohol detoxification precipitates a withdrawal
syndrome that includes neurological and cardiovascular changes that require constant monitoring and
medical management to safely move the client to an alcohol-free physiology. The other responses are
ineffective and may contribute to the client's defensiveness.
Depression-1st priority - ANSWER-Maslow's hierarchy or needs begins with ensuring physiologic
needs and safety as primary needs. The priority investigation is to provide a safe stable, and
predictable routine that will meet the client's basic needs. The other actions are indicated, but first an
environment that is predictable should be ensured to facilitate the client's participation in self care.
Abuse-spousal - ANSWER-The PN should ask a direct question that is supportive and nonjudgmental,
and the best approach is the question, is someone hurting you? The other questions are probing and
judgmental and are not the best approach to sensitive information.
Stress-decision conflict - ANSWER-The daughter is reporting stress-induced behavior from a decisional
conflict. It is most helpful for the PN to implement actions directed toward resolution of the conflict,
and offer to assist in examining the pros and cons of the choices. The other actions are less helpful in
resolving the daughter's conflict about her father's placement.
Child abuse-historic signs - ANSWER-Trauma in child, such as arm fracture, should be assessed for
other common trends in parenting that may be the result of child abuse, which can be life-threatening
and require reporting to the proper authorities. Repeated visits to one or more emergency
departments with injuries to a child is a sign of possible physical abuse. The other findings describe
normal behavior for an injured child and family dynamics that are not necessarily a sign of potential
child abuse.
Depression-sleep - ANSWER-Severrly depressed chients usually report experiencing disruption in
normal sleep patterns. The PN should assess the client for sleep disturbances. The other problems
may accompany depression, but sleep disturbances is a classic symptom.
Benzodiazepine-instruct - ANSWER-Aalprazolam (xanax) is contraindicated in acute angle-closure
glaucoma or untreated open-angle glaucoma. The PN should instruct the family and client to call the
clinic if the client is diagnosed with acute narrow angle glaucoma. The other options are important
interventions but they do not have priority.
Suicide-narcan - ANSWER-The half-life of hydrocone (Vicodin) is 3.8 hours, and the half-life of
naloxone (Narcan) is 60 to 90 minutes. The effects of hydroconone will outlast the antagonist effects
of naxolone, and further dosage with naloxone may be required. In planning care, it is most
