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HESI PN MENTAL HEALTH PROCTORED EXAM
2023
, HESI PN MENTAL HEALTH PROCTORED EXAM
VERSION 1
1. A nurse manager is discussing the care of a client who has a personality disorder with a
newly licensed nurse. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching?
C. “I should practice limit‐setting to help prevent client manipulation.”
2. A nurse is caring for a client who has avoidant personality disorder. Which of the
following statements is expected from a client who has this type of personality disorder?
A. “I’m scared that you’re going to leave me.” Clients who have avoidant personality
disorder often have a fear of abandonment. this type of statement is expected.
3. A nurse is caring for a client who has borderline personality disorder.
the client says, “The nurse on the evening shift is always nice! You are the meanest nurse
ever!” the nurse should recognize the client’s statement as an example of which of the
following defense mechanisms?
B. splitting occurs when a person is unable to see both positive and negative qualities at
the same time. The client who has borderline personality disorder tends to see a person as
all bad one time and all good another time.
4. A nurse is assisting with a court‐ordered evaluation of a client who has antisocial
personality disorder. Which of the following findings should the nurse expect? (select all
that apply.)
C. attempts to convince other clients to give him their belongings. Exploitation and
manipulation of others is an expected finding of antisocial personality disorder.
, E. Blames others for his past and current problems. Failure to accept personal
responsibility is an expected finding of clients who have antisocial personality disorder.
5. A charge nurse is preparing a staff education session on personality disorders. Which of
the following personality characteristics associated with all of the personality disorders
should the charge nurse include in the teaching? (select all that apply.)
A. Difficulty in getting along with other members of a group
C. Display of defense mechanisms when routines are changed. Maladaptive response to
stress is a personality characteristic that can be seen with all personality disorder types.
E. Difficulty understanding why it is inappropriate to have a personal relationship with
staff. Difficulty understanding personal boundaries is a personality characteristic that can
be seen with all personality disorder types.
6.A nurse is caring for a client who has early stage Alzheimer’s disease and a new
prescription for donepezil. the nurse should include which of the following statements when
teaching the client about the medication?
B. “You can expect the progression of cognitive decline to slow with donepezil.”
7.A nurse in a long‐term care facility is caring for a client who has major neurocognitive
disorder and attempts to wander out of the building. the client states, “I have to get home.”
Which of the following statements should the nurse make?
D. “I am your nurse. Let’s walk together to your room.”
8.A home health nurse is making a visit to a client who has Alzheimer’s disease to assess the
home for safety. Which of the following suggestions should the nurse make to decrease the
client’s risk for injury?
A. Install childproof door locks.
D. Place the client’s mattress on the floor.
E. install light fixtures above stairs. Stairs should have adequate lighting to reduce the
risk for falls.
, 9.A nurse is making a home visit to a client who is in the late stage of Alzheimer’s
disease. The client’s partner, who is the primary caregiver, wishes to discuss concerns about
the client’s nutrition and the stress of providing care. Which of the following actions should
the nurse take?
A. Provide information on resources for respite care. Providing information on resources
for respite care is an appropriate action to provide the client’s partner with a break
from caregiving responsibilities.
10.A nurse is performing an admission assessment for a client who has delirium related to an
acute urinary tract infection. Which of the following findings should the nurse expect? (select
all that apply.)
B. Family report of personality changes. the client who has delirium can experience
rapid personality changes.
C. Hallucinations. the client who has delirium can have perceptual disturbances, such as
hallucinations and illusions.
D. Restlessness. the client who has delirium commonly exhibits restlessness and
agitation.
11A nurse is planning a staff education program on substance use in older adults. Which of
the following is appropriate for the nurse to include in the presentation?
C. older adults are at an increased risk for substance use following retirement.
12A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal.
Which of the following findings should the nurse expect? (Select all that apply.)
b. Fine tremors of both hands
d. vomiting
e. restlessness
13A nurse is planning care for a client who is experiencing benzodiazepine withdrawal.
Which of the following interventions should the nurse identify as the priority?
C. implement seizure precautions.
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