HESI PN MENTAL HEALTH PROCTORED EXAM

HESI PN MENTAL HEALTH PROCTORED EXAM

VERSION 1

• A nurse manager is discussing the care of a client who has a personality disorder with a

newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

• “I should practice limit‐setting to help prevent client manipulation.”

• A nurse is caring for a client who has avoidant personality disorder. Which of the

following statements is expected from a client who has this type of personality disorder?

• “I’m scared that you’re going to leave me.” Clients who have avoidant personality

disorder often have a fear of abandonment. this type of statement is expected.

• A nurse is caring for a client who has borderline personality disorder.

the client says, “The nurse on the evening shift is always nice! You are the meanest nurse ever!” the nurse should recognize the client’s statement as an example of which of the following defense mechanisms?

• splitting occurs when a person is unable to see both positive and negative qualities at

the same time. The client who has borderline personality disorder tends to see a person as all bad one time and all good another time.

• A nurse is assisting with a court‐ordered evaluation of a client who has antisocial

personality disorder. Which of the following findings should the nurse expect? (select all that apply.)

• attempts to convince other clients to give him their belongings. exploitation and

manipulation of others is an expected finding of antisocial personality disorder.

• Blames others for his past and current problems. Failure to accept personal

responsibility is an expected finding of clients who have antisocial personality disorder.

• A charge nurse is preparing a staff education session on personality disorders. Which of

the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? (select all that apply.)

• Difficulty in getting along with other members of a group
• Display of defense mechanisms when routines are changed. Maladaptive response to

stress is a personality characteristic that can be seen with all personality disorder types.

• Difficulty understanding why it is inappropriate to have a personal relationship with

staff. Difficulty understanding personal boundaries is a personality characteristic that can be seen with all personality disorder types.Mental Health HESI PN Test Bank Proctored (3000+ Questions and Answers) - Brand New Q&As Latest 2023 1 / 4

6.A nurse is caring for a client who has early stage Alzheimer’s disease and a new prescription for donepezil. the nurse should include which of the following statements when teaching the client about the medication?

• “You can expect the progression of cognitive decline to slow with donepezil.”

7.A nurse in a long‐term care facility is caring for a client who has major neurocognitive disorder and attempts to wander out of the building. the client states, “I have to get home.” Which of the following statements should the nurse make?

• “I am your nurse. Let’s walk together to your room.”

8.A home health nurse is making a visit to a client who has Alzheimer’s disease to assess the home for safety. Which of the following suggestions should the nurse make to decrease the client’s risk for injury?

• Install childproof door locks.
• Place the client’s mattress on the floor.
• install light fixtures above stairs. Stairs should have adequate lighting to reduce the

risk for falls.

9.A nurse is making a home visit to a client who is in the late stage of Alzheimer’s disease. The client’s partner, who is the primary caregiver, wishes to discuss concerns about the client’s nutrition and the stress of providing care. Which of the following actions should the nurse take?

• Provide information on resources for respite care. Providing information on resources

for respite care is an appropriate action to provide the client’s partner with a break from caregiving responsibilities.

10.A nurse is performing an admission assessment for a client who has delirium related to an acute urinary tract infection. Which of the following findings should the nurse expect? (select all that apply.) 2 / 4

• Family report of personality changes. the client who has delirium can experience

rapid personality changes.

• Hallucinations. the client who has delirium can have perceptual disturbances, such as

hallucinations and illusions.

• Restlessness. the client who has delirium commonly exhibits restlessness and

agitation.

11A nurse is planning a staff education program on substance use in older adults. Which of the following is appropriate for the nurse to include in the presentation?

• older adults are at an increased risk for substance use following retirement.

12A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal.Which of the following findings should the nurse expect? (Select all that apply.)

• Fine tremors of both hands
• vomiting
• restlessness

13A nurse is planning care for a client who is experiencing benzodiazepine withdrawal.Which of the following interventions should the nurse identify as the priority?

• implement seizure precautions.

14A nurse is caring for a client who has alcohol use disorder. the client is no longer experiencing withdrawal manifestations. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol?

• disulfiram

15A nurse is providing teaching to the family of a client who has a substance use disorder.Which of the following statements by a family member indicate an understanding of the teaching? (Select all that apply.)

• “eliminating any codependent behavior will promote her recovery.”
• “The primary goal of her treatment is abstinence from substance use.”
• “She needs to discuss her feelings about substance use to help her recover.” 3 / 4

16A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flat affect. the nurse should anticipate a prescription of which of the following medications?

• risperidone. second‐generation antipsychotics, such as risperidone, are effective in

treating negative symptoms of schizophrenia, such as lack of grooming and at affect.

17A nurse is caring for a client who takes ziprasidone. the client reports difficulty swallowing the oral medication and becomes extremely agitated with injectable administration. the nurse should contact the provider to discuss a change to which of the following medications? (select all that apply.)

• aripiprazole is available in an orally disintegrating tablet, which is appropriate for

clients who have difficulty swallowing oral tablets. this route also decreases the risk for agitation associated with an injection.

• clozapine
• asenapine

18A charge nurse is discussing manifestations of schizophrenia with a newly licensed nurse.Which of the following manifestations should the charge nurse identify as being effectively treated by first‐generation antipsychotics? (select all that apply.)

• auditory hallucinations
• delusions of grandeur
• severe agitation

19.A nurse is assessing a client who is currently taking perphenazine. Which of the following findings should the nurse identify as an extrapyramidal symptom (EPS)? (select all that apply.)

• drooling
• involuntary arm movements
• continual pacing

20.A nurse is providing discharge teaching for a client who has schizophrenia and a new prescription for iloperidone. Which of the following client statements indicates understanding of the teaching?

• “I will be careful not to gain too much weight while taking this medication.”
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