Psychiatric-Mental Health Practice HESI Exam 2021/2022
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HESI- Mental Health
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HESI- Mental Health
A male client with schizophrenia who is taking fluphenazine decanoate (Prolixin decanoate) is being discharged in the morning. A repeat dose of medication is scheduled for 20 days after discharge. The client tells the nurse that he is going on vacation in the Bahamas and will return in 18 days. Whi...
psychiatric mental health practice hesi exam 20212022
a male client with schizophrenia who is taking fluphenazine decanoate prolixin decanoate is being discharged in the morning a repeat dose of m
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Psychiatric-Mental Health Practice HESI
Exam 2021/2022
1.
A male client with schizophrenia who is taking fluphenazine decanoate (Prolixin
decanoate) is being discharged in the morning. A repeat dose of medication is
scheduled for 20 days after discharge. The client tells the nurse that he is going on
vacation in the Bahamas and will return in 18 days. Which statement by the client
indicates a need for health teaching?
A) When I return from my tropical island vacation, I will go to the clinic to get my Prolixin
injection. correct answer- Photosensitivity is a side effect of Prolixin and a vacation in
the Bahamas (with its tropical island climate) increases the client's chance of
experiencing this side effect. He should be instructed to avoid direct sun (A) and wear
sunscreen. (B, C, and D) indicate accurate knowledge. Alcohol acts synergistically with
Prolixin (B). (C) lists signs of agranulocytosis, which is also a side effect of Prolixin. In
order to avoid extrapyramidal symptoms (EPS), anticholinergic drugs, such as
Cogentin, are often prescribed prophylactically with Prolixin.
Correct Answer(s): A
2.
A male client is admitted to the mental health unit because he was feeling depressed
about the loss of his wife and job. The client has a history of alcohol dependency and
admits that he was drinking alcohol 12 hours ago. Vital signs are: temperature, 100° F,
pulse 100, and BP 142/100. The nurse plans to give the client lorazepam (Ativan) based
on which priority nursing diagnosis?
B) Risk for injury related to alcohol detoxification. correct answer- The most important
nursing diagnosis is related to alcohol detoxification (B) because the client has elevated
vital signs, a sign of alcohol detoxification. Maintaining client safety related to (A) should
be addressed after giving the client Ativan for elevated vital signs secondary to alcohol
withdrawal. (C and D) can be addressed when immediate needs for safety are met.
Correct Answer(s): B
3.
The charge nurse is collaborating with the nursing staff about the plan of care for a
client who is very depressed. What is the most important intervention to implement
during the first 48 hours after the client's admission to the unit?
B) Maintain safety in the client's milieu. correct answer- The most important reason for
closely observing a depressed client immediately after admission is to maintain safety
(B), since suicide is a risk with depression. (A, C, and D) are all important interventions,
but safety is the priority.
Correct Answer(s): B
,Psychiatric-Mental Health Practice HESI
Exam 2021/2022
4.
A 38-year-old female client is admitted with a diagnosis of paranoid schizophrenia.
When her tray is brought to her, she refuses to eat and tells the nurse, "I know you are
trying to poison me with that food." Which response is most appropriate for the nurse to
make?
A) I'll leave your tray here. I am available if you need anything else. correct answer- (A)
is the best choice cited. The nurse does not argue with the client nor demand that she
eat, but offers support by agreeing to "be there if needed", e.g., to warm the food. (B
and C) are arguing with the client's delusions, and (B) asks "why" which is usually not a
good question for a psychotic client. (D) has nothing to do with the actual problem; i.e.,
the problem is not the diet (she thinks any food given to her is poisoned.)
Correct Answer(s): A
5.
A client who is being treated with lithium carbonate for bipolar disorder develops
diarrhea, vomiting, and drowsiness. What action should the nurse take?
A) Notify the healthcare provider immediately and prepare for administration of an
antidote.
B) Notify the healthcare provider of the symptoms prior to the next administration of the
drug.
C) Record the symptoms as normal side effects and continue administration of the
prescribed dosage.
D) Hold the medication and refuse to administer additional amounts of the drug. correct
answer- Early side effects of lithium carbonate (occurring with serum lithium levels
below 2.0 mEq per liter) generally follow a progressive pattern beginning with diarrhea,
vomiting, drowsiness, and muscular weakness. At higher levels, ataxia, tinnitus, blurred
vision, and large dilute urine output may occur. (B) is the best choice. Although these
are expected symptoms, the healthcare provider should be notified prior to the next
administration of the drug. (A, C, and D) would not reflect good nursing judgment.
Correct Answer(s): B
6.
The parents of a 14-year-old boy bring their son to the hospital. He is lethargic, but
responsive. The mother states, "I think he took some of my pain pills." During initial
assessment of the teenager, what information is most important for the nurse to obtain
from the parents?
C) If he might have taken any other drugs. correct answer- Knowledge of all substances
taken (C) will guide further treatment, such as administration of antagonists, so
obtaining this information has the highest priority. (A and B) are also valuable in
, Psychiatric-Mental Health Practice HESI
Exam 2021/2022
planning treatment. (D) is not appropriate during the acute management of a drug
overdose.
Correct Answer(s): C
7.
The wife of a male client recently diagnosed with schizophrenia asks the nurse, "What
exactly is schizophrenia? Is my husband all right?" Which response is best for the nurse
to provide to this family member?
B) It is a chemical imbalance in the brain that causes disorganized thinking. correct
answer- The nurse should answer the client's question with factual information and
explain that schizophrenia is a chemical imbalance in the brain (B). (A) is a therapeutic
response but does not answer the question, and may be an appropriate response after
the nurse answers the question asked. Although (C) is likely true to some degree, it is
also true that some clients continue to have disorganized thinking even with
antipsychotic medications. Referring the spouse to the psychologist (D) is avoiding the
issue; the nurse can and should answer the question.
Correct Answer(s): B
8.
The community health nurse talks to a male client who has bipolar disorder. The client
explains that he sleeps 4 to 5 hours a night and is working with his partner to start two
new businesses and build an empire. The client stopped taking his medications several
days ago. What nursing problem has the highest priority?
C) Medication management. correct answer- The most important nursing problem is
medication management (C) because compliance with the medication regimen will help
prevent hospitalization. The client is also exhibiting signs of (A, B, and C); however,
these problems do not have the priority of medication management.
Correct Answer(s): C
9.
At a support meeting of parents of a teenager with polysubstance dependency, a parent
states, "Each time my son tries to quit taking drugs, he gets so depressed that I'm afraid
he will commit suicide." The nurse's response should be based on which information?
D) Careful monitoring should be provided during withdrawal from the drugs. correct
answer- The priority is to teach the parents that their son will need monitoring and
support during withdrawal (D) to ensure that he does not attempt suicide. Although (A
and C) are true, they are not as relevant to the parent's expressed concern. There is no
information to support (B).
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