HESI LPN
HESI Mental Health 2023 Questions
Question 1 of 5
A client with obsessive-compulsive disorder (OCD) spends several hours a day arranging and rearranging items in their room. What is the most therapeutic nursing intervention?
Correct Answer: D
Rationale: Encouraging the client to verbalize their feelings is the most therapeutic intervention for a client with OCD spending excessive time on compulsive behaviors. By expressing their feelings, the client can explore the underlying anxiety that drives the compulsion. This intervention also provides an opportunity for the nurse to offer support and help the client develop coping strategies.\n
Choice A, distracting the client with another activity, may provide temporary relief but does not address the root cause of the behavior.\n
Choice B, allowing the client to continue the behavior, does not promote therapeutic progress and may perpetuate the compulsion.\n
Choice C, setting a time limit for the behavior, may create additional stress for the client and does not address the underlying emotional issues associated with OCD.
Question 2 of 5
The nurse is caring for a client who received the first-time electroconvulsive therapy (ECT) a half hour ago. Which action should the nurse implement first?
Correct Answer: B
Rationale: After a client receives electroconvulsive therapy (ECT), the nurse's priority should be to monitor vital signs. This is important to ensure the client's physical stability and detect any immediate complications post-procedure. Offering oral fluids, evaluating ECT effectiveness, and encouraging group participation are all important aspects of care but monitoring vital signs takes precedence in the immediate post-ECT period.
Question 3 of 5
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 would be most appropriate for the nurse to make?
Correct Answer: A
Rationale:
Choice (
A) offers support without confrontation, allowing the client to feel safe and respected.
Choices (
B) and (
C) directly challenge the client's delusion, which can increase anxiety and distrust.
Choice (
D) focuses on a non-essential issue and does not address the client's immediate emotional needs.
Question 4 of 5
An adult male client who was admitted to the mental health unit yesterday tells the nurse that microchips were planted in his head for military surveillance of his every move. Which response is best for the nurse to provide?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
The wife of a client diagnosed with paranoid schizophrenia visits 2 days after her husband's admission and states to the nurse, 'Why isn't he eating? He's still talking about his food being poisoned.' Which of the following appraisals by the LPN/LVN is most accurate?
Correct Answer: B
Rationale: The correct answer is B. The wife needs education about her husband's medication to understand how it affects his perceptions, including paranoid thoughts about food.
Choice A is incorrect because the wife's inquiry reflects her lack of understanding of the situation rather than being reasonable.
Choice C is incorrect as the husband's condition requires specialized care beyond what the wife might consider realistic.
Choice D is incorrect as increasing medication should not be the immediate response; education and reassurance are key in this situation.