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HESI LPN · HESI LPN Mental Health Nursing · HESI Mental Health 2023

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client in a long-term care facility who has multiple sclerosis is embarrassed about the need to use a wheelchair and the muscle spasms that are readily visible in her legs. Which approach is therapeutic in assisting the client to cope?

A. Keep the client in her room as much as possible

B. Assist the client with all activities of daily living

C. Tell the client that many of the people in the facility have these same sorts of problems

D. Encourage and praise perseverance in performing ADLs, and assist the client to dress and groom daily

Expert Explanatory Rationale

Correct Answer: Encourage and praise perseverance in performing ADLs, and assist the client to dress and groom daily

Question 2 of 5

A client with obsessive-compulsive disorder (OCD) spends several hours a day arranging and rearranging items in their room. What is the most therapeutic nursing intervention?

A. Distract the client with another activity.

B. Allow the client to continue the behavior.

C. Set a time limit for the behavior.

D. Encourage the client to verbalize their feelings.

Expert Explanatory Rationale

Correct Answer: Encourage the client to verbalize their feelings.

Question 3 of 5

An 86-year-old female client with Alzheimer's disease is wandering the busy halls of the extended care facility and asks the nurse, "Where should I stand for the parade?" Which response is best for the LPN/LVN to provide?

A. Anywhere you want to stand as long as you do not get hurt by those in the parade.

B. You are confused because of all the activity in the hall. There is no parade.

C. Let us go back to the activity room and see what is going on in there.

D. Remember I told you that this is a nursing home and I am your nurse.

Expert Explanatory Rationale

Correct Answer: Let us go back to the activity room and see what is going on in there.

Question 4 of 5

A client with schizophrenia is experiencing distressful thoughts secondary to paranoia. Which intervention(s) should the LPN/LVN include in the plan of care? Select one intervention that does not apply.

A. Avoid laughing when near the client

B. Whisper when communicating near the client

C. Increase socialization of the client among peers

D. Have the client sign a written release of information form

Expert Explanatory Rationale

Correct Answer: Whisper when communicating near the client

Question 5 of 5

A female client with depression attends a group and states that she sometimes misses her medication appointments because she feels very anxious about riding the bus. Which statement is the nurse's best response?

A. Can your case manager take you to your appointments?

B. Take your medication for anxiety before you ride the bus.

C. Let's talk about what happens when you feel very anxious.

D. What are some ways that you can cope with your anxiety?

Expert Explanatory Rationale

Correct Answer: What are some ways that you can cope with your anxiety?

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