Mental Health HESI - Nurselytic

Questions 43

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Mental Health HESI Questions

Question 1 of 5

During a group session on anger management, a male adolescent client is fidgety, interrupts peers, and talks about his pets at home. What action should the nurse take?

Correct Answer: D

Rationale: The best nursing action in this scenario is to redirect the client by encouraging him to read from the handout. This approach helps refocus the client's attention on the topic being discussed, which is anger management.
Choice A is not appropriate as it may disrupt the group session and does not address the client's behavior.
Choice B, while important in understanding the client's background, does not address the immediate disruptive behavior.
Choice C involves others to manage the client's behavior instead of direct intervention by the nurse, which may not be effective in this situation.

Question 2 of 5

A client diagnosed with obsessive-compulsive disorder (OCD) engages in repetitive hand washing that lasts for several hours. Which strategy should the nurse use to manage this behavior?

Correct Answer: C

Rationale: In managing obsessive-compulsive disorder (OC
D), it's crucial to gradually reduce the compulsive behavior to help the client learn to manage anxiety in a structured manner. Encouraging the client to continue the behavior (
Choice
A) would reinforce the cycle of compulsions. While establishing a routine schedule (
Choice
B) may provide some structure, it doesn't address the core issue of excessive hand washing. Ignoring the behavior (
Choice
D) may lead to worsening symptoms and does not help the client in managing their OCD effectively.

Question 3 of 5

A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. What dietary choices should the RN instruct the client to avoid?

Correct Answer: D

Rationale: When a client is taking MAO inhibitors like phenelzine, foods containing tyramine should be avoided. Tyramine-rich foods can interact with MAO inhibitors and lead to a hypertensive crisis. Beef strips with gravy contain tyramine, making choice D the correct answer.

Choices A, B, and C do not contain high levels of tyramine and are not specifically contraindicated with MAO inhibitors.

Question 4 of 5

A female client on a psychiatric unit is sweating profusely while vigorously doing push-ups and then running the length of the corridor several times before crashing into furniture in the sitting room. Picking herself up, she begins to toss chairs aside, looking for a red one to sit in. When another client objects to the disturbance, the client shouts, "I am the boss here. I do what I want." Which nursing problem best supports these observations?

Correct Answer: D

Rationale: The client's behavior of engaging in disruptive and aggressive actions, as well as claiming authority over others in the setting, indicates a risk for other-directed violence. This behavior poses a potential threat to the safety of others in the environment.
Choice A is incorrect as the client's behavior is not solely indicative of a lack of diversional activities but rather a more serious issue.
Choice B is incorrect as the behavior described does not primarily reflect disturbances in personal identity but rather displays of power and aggression.
Choice C is incorrect as the client's actions do not suggest an intolerance to activity but rather an excessive and potentially harmful level of hyperactivity.

Question 5 of 5

A male client with bipolar disorder tells the nurse that he needs to 'make some deals so that he can improve his retirement savings.' Based on this information, which client outcome should the nurse include in the plan of care?

Correct Answer: A

Rationale: In individuals with bipolar disorder experiencing mania, impulsivity and poor judgment are common. Delaying business decisions until the mania subsides is crucial to prevent impulsive and potentially harmful financial choices.
Choice B, identifying feelings associated with behaviors, may be important but does not directly address the immediate need to prevent risky financial decisions. Seeking legal counsel (
Choice
C) may be appropriate in some situations but is not the priority in managing acute mania. Describing why he feels fearful about finances (
Choice
D) is relevant for understanding emotions but does not address the immediate risk of impulsive financial actions during mania.

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