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HESI PN MENTAL HEALTH EXAM PREP REVIEW QUESTIONS AND CORRECT ANSWERS (DETAILED ANSWERS) WITH RATIONALES RATED A (285 Q & A) | 2024 UPDATE$18.49
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HESI PN MENTAL HEALTH EXAM PREP
REVIEW QUESTIONS AND CORRECT
ANSWERS (DETAILED ANSWERS) WITH
RATIONALES RATED A (285 Q & A) |
2024 UPDATE
A 30-year-old woman reports to the mental health clinic on the recommendation
of her primary health care provider. She has been unable to carry out everyday
activities because of increased pain in her lower back and legs. Numerous
neurological and orthopedic workups indicate that her symptoms seem excessive
when compared with the physical problems shown on physical examination and
repeated MRIs and x-rays. She says that no one understands how difficult it has
been to care for her 32-year-old husband, who has an inoperable brain tumor and
is undergoing chemotherapy. In light of the history and symptoms, what disorder
should the nurse suspect?
1. Conversion
2. Malingering
3. Referred pain
4. Body dysmorphic
1. Conversion
Clients with conversion disorder have physical symptoms caused by
psychological conflicts and stressors. It is the most common of the somatoform
disorders and is initiated or exacerbated by significant psychological stressors.
Malingering is a type of manipulation in which false or exaggerated symptoms
are used to obtain a specific result, such as avoiding work or jail. Referred pain
,originates in one area of the body and is experienced (referred) in another part
of the body that is not receiving the noxious stimulus directly. Body dysmorphic
disorder is when a person believes that his or her body is deformed in some
manner that is not readily observed by others.
A client with schizophrenia is taking benztropine (Cogentin) in conjunction with an
antipsychotic. The client tells a nurse, "Sometimes I forget to take the Cogentin."
What should the nurse teach the client to do if this happens again?
1. Take 2 pills at the next regularly scheduled dose.
2. Notify the health care provider about the missed dose immediately.
3. Take a dose as soon as possible, up to 2 hours before the next dose.
4. Skip the dose, then take the next regularly scheduled dose 2 hours early.
3. Take a dose as soon as possible, up to 2 hours before the next dose.
Taking a dose as soon as possible is the advised intervention when a dose is
missed; interruption of the medication may precipitate signs of withdrawal such
as anxiety and tachycardia. Taking 2 pills at the next regularly scheduled dose
will provide an excessive amount of the medication at one time. Notifying the
health care provider about the missed dose immediately is unnecessary.
Skipping a dose is not advised if the next regularly scheduled dose is due within
2 hours.
A 10-year-old child in whom autism was diagnosed at the age of 3 attends a
school for developmentally disabled children and lives with his parents. The child
has frequent episodes of self-biting and head-banging and needs help with
feeding and toileting. What is the priority nursing goal for this child?
,1. Controlling repetitive behaviors
2. Being able to feed independently
3. Remaining safe from self-inflicted injury
4. Developing control of urinary elimination
3. Remaining safe from self-inflicted injury
The priority is safety; the child must be protected from self-harm. Repetitive
behaviors are comforting, and unless they are harmful their limitation is not a
priority. Although feeding independently is a basic need that may be achieved,
it is not the priority. Children who need help with toileting are not necessarily
incontinent, and it is not the priority.
A nurse encourages a client to join a self-help group after being discharged from a
mental health facility. What is the purpose of having people work in a group?
1. Support
2. Confrontation
3. Psychotherapy
4. Self-awareness
1. Support
Members of a self-help group share similar experiences and can provide
valuable understanding and support to one other. Although confrontation and
self-awareness may occur, these are not the primary purposes of self-help
, groups. Self-help groups provide an opportunity for people to interact, not to
engage in professional psychotherapy.
A client who has been taking the prescribed dose of zolpidem for 5 days returns
to the clinic for a follow-up visit. When interviewing the client, the nurse identifies
that the medication has been effective when the client makes which statement?
1. "I have less pain."
2. "I have been sleeping better."
3. "My blood glucose is under control."
4. "My blood pressure is coming down."
2. "I have been sleeping better."
Zolpidem is a sedative-hypnotic that produces central nervous system
depression in the limbic, thalamic, and hypothalamic areas of the brain.
Zolpidem is not an analgesic, antidiabetic, or antihypertensive medication.
A nurse is caring for a client with generalized anxiety disorder. Which factor
should be evaluated to determine the client's present status?
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