HESI PN MENTAL HEALTH PROCTORED EXAM
VERSION 6
1) A nurse is teaching a client who has schizophrenia about her new prescription for risperidone. Which of the following statements should the nurse include in the teaching?
- “You should continue this medication if you develop muscle rigidity”.
- “You will experience weight loss while taking this medication.”
- “You will notice your symptoms improve within 24 hours of taking
- “You should increase your consumption of complex carbohydrates.”
- Provide the client with a quiet environment
- Determine how the client handles stress.
- Teach the client to use guided imagery.
- Ask the client to identify her strengths
- States that he hasn’t bathed in 2 days
- Reports eating twice in the past two weeks.
- Makes inappropriate sexual comments.
- Speaks in rhyming sentences.
- Validation therapy
- Thought stopping
- Operant conditioning
- Reality orientation therapy
- Encourage the client to join group activities
- Dim the lights in the clients room
- Provide detailed explanations to the client
- Administer methylphenidate 1 / 2
this medication.”
2) A nurse is admitting a client who has generalized anxiety disorder. Which of the following actions should the nurse plan to take first?
3) A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following should the nurse report to the provider?
4) A nurse is planning care for a client who has obsessive-compulsive disorder.Which of the following recommendation should the nurse include in the clients plan of care?
5) A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the following actions should the nurse take?
6) A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nurse take first.
- Initiate referrals
- Review community resources
- Identify prior coping skills
- Discuss the importance of confidentiality
- Echolalia
- Word salad
- Neologism
- Clang association
- Everyone gets depressed from time to time.
- You shouldn't worry about this because depressive disorder is easily
- Older adults are usually diagnosed with depressive disorder as they
- Tell me the reasons you think your mother is depressed.
- Meets own needs without manipulating others.
- Initiates social interactions with caregivers.
- Changes behavior as a result of peer pressure.
- Acknowledges his delusions are not real.
- Snap a rubber band on your wrist when you think about checking the
- Ask a family member to check the locks for you at night.
- Focus on abdominal breathing whenever you go to check the locks.
- Keep a journal of how often you check the locks each night.
- / 2
7) A nurse overhears a client saying, "I am a spy, a spy for the FBI. I am an I, an eye for an eye in the sky. Sky is up high." The nurse should document the client's statement as which of the following speech alterations?
8) An older adult client is brought to the mental health clinic by her daughter.The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states "I'm so worried that my mother is depressed" which of the following responses should the nurse make?
treated.
age.
9) A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan care?
10) A nurse is providing behavior therapy for a client who has obsessive- compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique?
locks.
11) A nurse is caring for a client who is starting treatment for substance