HESI NSG 221 MENTAL HEALTH
EXAM 2023 FULL STUDY QUESTIONS
AND VERIFIED ANSWERS 5 COPIES
◉ Based on noncompliance with the medication regimen, an adult client
with a diagnosis of substance abuse and schizophrenia recently had a
change in prescriptions from oral fluphenazine HCl (Prolixin) to
fluphenazine decanoate (Prolixin IM). What is most important to teach
the client and family about this change in medication regimen? Answer:
The effects of alcohol and drug interaction.
◉ A client who is being treated with lithium carbonate for bipolar
disorder develops diarrhea, vomiting, and drowsiness. What action
should the nurse take? Answer: Notify the healthcare provider of the
symptoms prior to the next administration of the drug.
◉ A female client refuses to take an oral hypoglycemic agent because
she believes that the drug is being administered as part of an elaborate
plan by the Mafia to harm her. Which nursing intervention is most
important to include in this client's plan of care? Answer: Reassess
client's mental status for thought processes and content.
◉ An anxious client expressing a fear of people and open places is
admitted to the psychiatric unit. What is the most effective way for the
nurse to assist this client? Answer: Accompany the client outside for an
increasing amount of time each day.
EXAM 2023 FULL STUDY QUESTIONS
AND VERIFIED ANSWERS 5 COPIES
◉ Based on noncompliance with the medication regimen, an adult client
with a diagnosis of substance abuse and schizophrenia recently had a
change in prescriptions from oral fluphenazine HCl (Prolixin) to
fluphenazine decanoate (Prolixin IM). What is most important to teach
the client and family about this change in medication regimen? Answer:
The effects of alcohol and drug interaction.
◉ A client who is being treated with lithium carbonate for bipolar
disorder develops diarrhea, vomiting, and drowsiness. What action
should the nurse take? Answer: Notify the healthcare provider of the
symptoms prior to the next administration of the drug.
◉ A female client refuses to take an oral hypoglycemic agent because
she believes that the drug is being administered as part of an elaborate
plan by the Mafia to harm her. Which nursing intervention is most
important to include in this client's plan of care? Answer: Reassess
client's mental status for thought processes and content.
◉ An anxious client expressing a fear of people and open places is
admitted to the psychiatric unit. What is the most effective way for the
nurse to assist this client? Answer: Accompany the client outside for an
increasing amount of time each day.
