HESI LPN
HESI Mental Health Practice Exam Questions
Question 1 of 5
A client is being successfully treated with clozapine (Clozaril). Which of the following statements by the client reflects a need for further teaching about managing the drug's adverse effects?
Correct Answer: A
Rationale:
Choice A reflects a need for further teaching as the client mistakenly believes that eating too many fruits causes constipation, showing a misunderstanding about dietary fiber's role in preventing constipation.
Choices B, C, and D demonstrate accurate understanding of managing clozapine's adverse effects, such as taking it with food to avoid nausea, getting up slowly to prevent dizziness, and pushing oneself when feeling sleepy.
Question 2 of 5
A client in the mental health unit believes that the food is being poisoned. What intervention(s) would be helpful when attempting to encourage the client to eat? Select one that does not apply.
Correct Answer: B
Rationale: Using open-ended questions and focusing on the client's self-disclosure about food preferences can help build rapport and trust with the client, encouraging them to eat. Identifying the reasons the client has for not wanting to eat can provide insights into their concerns. However, offering opinions about the necessity for adequate nutrition may come across as imposing views on the client, potentially leading to resistance. This approach may not be as effective in encouraging the client to eat as it could create a power dynamic that hinders the therapeutic relationship.
Question 3 of 5
A client with schizophrenia is experiencing auditory hallucinations that command him to harm himself. What is the nurse's priority action?
Correct Answer: A
Rationale: The correct answer is to ensure the client is not left alone. When a client with schizophrenia is having auditory hallucinations that command self-harm, the priority is to ensure the client's safety. Leaving the client alone may increase the risk of self-harm. Documenting the content of the hallucinations (choice
B) is important but not the priority when immediate safety is a concern. Administering PRN antipsychotic medication (choice
C) may be necessary but is not the priority over ensuring the client's immediate safety. Encouraging the client to ignore the voices (choice
D) is not as effective as ensuring the client's safety by being present and providing support.
Question 4 of 5
A client sought counseling after trying to rescue a neighbor involved in a house fire. Despite the client's efforts, the neighbor died. Which action does the nurse engage in with the client during the working phase of the nurse-client relationship?
Correct Answer: D
Rationale: During the working phase of the nurse-client relationship, it is crucial for the nurse to inquire about and examine the client's feelings that may hinder adaptive coping. This helps the client process the traumatic event, explore their emotional responses, and identify any barriers to moving forward effectively. Exploring the client's ability to function (
Choice
A) may be more relevant in the assessment phase, while exploring the client's potential for self-harm (
Choice
B) is important but may not be the primary focus at this stage. Inquiring about the client's perception of the neighbor's death (
Choice
C) is valuable, but addressing feelings blocking adaptive coping is essential for therapeutic progress.
Question 5 of 5
A client, who is on a 30-day commitment to a drug rehabilitation unit, asks the nurse if he can go for a walk on the grounds of the treatment center. When he is told that his privileges do not include walking on the grounds, the client becomes verbally abusive. Which approach will the nurse take?
Correct Answer: C
Rationale: (
C) is the correct approach in this situation as it reinforces unit rules, setting clear boundaries and expectations. By reminding the client of the unit rules, the nurse is helping to maintain a safe and structured environment within the drug rehabilitation unit. (
A) is unnecessary since the client's behavior does not warrant immediate physical intervention. (
B) is not ideal because the client's privileges have already been explained, and suggesting he speak to his healthcare provider may not address the immediate issue. (
D) is not appropriate as addressing inappropriate behavior is essential in a therapeutic setting.