HESI LPN
Mental Health HESI Practice Questions Questions
Question 1 of 5
The nurse is preparing to administer phenelzine sulfate (Nardil) to a client on the psychiatric unit. Which complaint related to administration of this drug should the nurse expect this client to make?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A male employee who is assessed weekly in the employee clinic for blood pressure because of a history of hypertension tells the nurse that he is so upset with one of his co-workers that he would like to shoot him. What action should the nurse take first?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
What is the most important goal of care for a client diagnosed with generalized anxiety disorder (GAD) who has been taking the benzodiazepine alprazolam (Xanax) long-term? The client will:
Correct Answer: B
Rationale: The correct answer is B. The most important goal of care for a client with generalized anxiety disorder (GAD) taking alprazolam long-term is to ensure they understand the importance of not abruptly stopping the medication. Abruptly stopping benzodiazepines can lead to withdrawal symptoms and potential complications. Choice A is not the most critical goal as the focus should be on the safe continuation of the medication. Choice C is important but not as crucial as preventing abrupt discontinuation. Choice D is beneficial for overall treatment but not the most important goal in this scenario.
Question 4 of 5
A female client on the psychiatric unit tells the nurse that she feels like ending her life because she can no longer deal with her depression. What is the nurse's priority intervention?
Correct Answer: A
Rationale: The correct answer is to stay with the client and ensure her safety. Ensuring the client's safety is the top priority when a client expresses suicidal ideation. Staying with the client can help prevent self-harm while further assessment and interventions are arranged. Choice B is incorrect because simply informing the client that she is safe in the hospital does not address the immediate need for safety. Choice C is incorrect as while documentation is important, it is not the priority when a client's safety is at risk. Choice D is also incorrect as encouraging the client to join a group therapy session is not appropriate when the client is in crisis and expressing suicidal thoughts.
Question 5 of 5
When planning care for a client with anorexia nervosa, which goal should be prioritized?
Correct Answer: D
Rationale: The correct answer is D because achieving normal electrolyte balance is critical in clients with anorexia nervosa. Electrolyte imbalances can lead to serious, life-threatening complications such as cardiac arrhythmias and organ failure. While establishing normal eating patterns (choice A) and verbalizing feelings about food and weight (choice B) are important aspects of treatment, addressing electrolyte balance takes precedence due to the immediate risks associated with imbalances. Additionally, setting a weight gain goal of 2 pounds per week (choice C) may not be appropriate initially as rapid refeeding can also lead to electrolyte imbalances and other complications.