Guaranteed A Actual Questions and Answers, Complete 100

2024 Mental Health Nursing HESI Guaranteed A+ Actual Questions and Answers, Complete 100%

• A student has reported to you that he has observed several types of behavior

among the patients. Which patient needs a priority assessment?

• A patient who is having command hallucinations
• A patient who is demonstrating clang associations
• A patient who is verbalizing ideas of reference

D. A patient who is using neologisms:

Answer:

• A patient who is having command hallucinations

The voices in their head is commanding them to do things such as harm themselves and others

2. Definition of neologism:

Answer:

A new word that is coined especially by a person affected with schizophrenia and is meaningless except to the coiner, and is typically a combination of two existing words or a shortening or distortion of an existing word

3. Clang associations are...:

Answer:

Meaningless rhyming of words, can also be seen in mania, (i.e.: Dr. Seuss - Mouse on house) Association of words based on rhyming quality and punning."I wrote the boat overload showed my goat float tote." "He rained the train brain strain gain the crane."

• A geriatric nurse is teaching students about the development of delirium in

older adults. Which statement made by the nurse is the most accurate?

• Taking multiple medications may lead to adverse interactions or toxicity
• Age-related cognitive changes may lead to alterations in mental status
• Lack of rigorous exercise may lead to decreased cerebral blood flow

D. Decreased social interaction may lead to profound isolation and psychosis-:

Answer:

• Taking multiple medications may lead to adverse interactions or toxicity

Polypharmacy (multiple meds) increases risk for delirium 1 / 2

5. Delirium vs. dementia:

Answer:

Delirium: Short-term, acute, reversible, has an underlying cause

Dementia: Chronic, progressive, not reversible, no fixing the issue

6. Risk factors for delirium:

Answer:

Polypharmacy (many medications cause acute confusion) Infection (UTI) Fluid and electrolyte imbalance

• A husband has agreed to admit his spouse, diagnosed with Alzheimer's

disease (AD), to a long-term care facility. He is expressing feelings of guilt and symptoms of depression. Which appropriate nursing diagnosis and subsequent intervention would the nurse document?

• Dysfunctional grieving; AD support group
• Altered thought process; AD support group
• Major depressive episode; psychiatric referral

D. Caregiver role strain; psychiatric referral:

Answer:

• Dysfunctional grieving;

Alzheimer's support group The patient's spouse is feeling guilty for giving his wife care that he can no longer provide. He needs a support group of other spouses/children to get perspective from others who are grieving.

• A client diagnosed with vascular dementia is discharged to home under the

care of his wife. Which information should cause the nurse to question the client's safety?

• His wife works from home in telecommunication
• The client has worked the nightshift his entire career
• His wife has minimal family support

D. The client smokes one pack of cigs per day:

Answer:

• The client smokes one pack of cigs per day

This patient has VASCULAR dementia. He has decreased blood flow to the brain.Smoking causes vasoconstriction.

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