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

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A woman brings her 48-year-old husband to the outpatient psychiatric unit and describes his behavior to the admitting nurse. She states that he has been sleepwalking, cannot remember who he is, and exhibits multiple personalities. The nurse knows that these behaviors are often associated with

A. dissociative disorder.

B. obsessive-compulsive disorder.

C. panic disorder.

D. post-traumatic stress disorder.

Expert Explanatory Rationale

Correct Answer: dissociative disorder.

Question 2 of 5

When preparing a teaching plan for a client who is to be discharged with a prescription for lithium carbonate (Lithonate), which instruction is most important for the nurse to include?

A. It may take 3 to 4 weeks to achieve therapeutic effects.

B. Keep your dietary salt intake consistent.

C. Avoid eating aged cheese and chicken liver.

D. Eat foods high in fiber such as whole grain breads.

Expert Explanatory Rationale

Correct Answer: Keep your dietary salt intake consistent.

Question 3 of 5

A nurse working on a mental health unit receives a community call from a person who is tearful and states, 'I just feel so nervous all of the time. I don't know what to do about my problems. I haven't been able to sleep at night and have hardly eaten for the past 3 or 4 days.' The nurse should initiate a referral based on which assessment?

A. Altered thought processes.

B. Moderate levels of anxiety.

C. Inadequate social support.

D. Altered health maintenance.

Expert Explanatory Rationale

Correct Answer: Moderate levels of anxiety.

Question 4 of 5

The RN is providing care for a client diagnosed with borderline personality disorder who has self-inflicted lacerations on the abdomen. Which approach should the RN use when changing this client's dressing?

A. Provide detailed explanations during wound cleansing.

B. Perform the dressing change in a non-judgmental manner.

C. Ask the client non-threateningly why they cut their abdomen.

D. Request assistance from another staff member for the dressing change.

Expert Explanatory Rationale

Correct Answer: Perform the dressing change in a non-judgmental manner.

Question 5 of 5

A male client with schizophrenia tells the nurse that the voices he hears are saying, 'You must kill yourself.' To assist the client in coping with these thoughts, which response is best for the nurse to provide?

A. Tell yourself that the voices are unreasonable.'

B. Exercise when you hear the voices.'

C. Talk to someone when you hear the voices.'

D. The voices aren't real, so ignore them.'

Expert Explanatory Rationale

Correct Answer: Tell yourself that the voices are unreasonable.'

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