Mental Health PN Hesi Specialty V1 Latest Exam with
Verified Solutions 2024|2025
The LPN/LVN calls security and has physical restrains applied when a client who was
admitted voluntarily becomes both physically and verbally abusive while demanding to
be discharged from the hospital. Which represents the possible legal ramifications for
the nurse associated with these interventions? Select all that apply.
1) Libel
2) Battery
3) Assault
4) Slander
5) False Imprisonment Correct Answer: 2, 3, 5
A nurse is working with a client who has sought counseling after trying to rescue a
neighbor involved in a house fire. Despite the client's efforts, the neighbor died. Which
action does the nurse engage in with the client during the working phase of the nurse-
client relationship?
1) Exploring the client's ability to function
2) Exploring the client's potential for self-harm
3) Inquiring about the client's perception of appraisal of the neighbor's death
4) Inquiring about and examine the client's feelings that may block adaptive coping
Correct Answer: 4
A client who has just been sexually assaulted is calm and quiet. The nurse analyzes this
behavior as indicating which defense mechanism?
1) Denial
2) Projection
3) Rationalization
4) Intellectualization Correct Answer: 1
,Unresolved feelings related to loss most likely may be recognized during which phase of
the therapeutic nurse-client relationship?
1) Working
2) Trusting
3) Orientation
4) Termination Correct Answer: 4
Which statement demonstrates the best understanding of the nurse's role regarding
ensuring that each client's rights are respected?
1) "Autonomy is the fundamental right of each and every client."
2) "A client's rights are guaranteed by both state and federal laws."
3) "Being respectful and concerned will ensure that I'm attentive to my clients' rights."
4) "Regardless of the client's condition, all nurses have the duty to respect client rights."
Correct Answer: 3
A LPN/LVN employed in a mental health unit of a hospital is the leader of a group
psychotherapy session. The nurses's role in the termination stage of group development
is to:
1) Encourage problem solving
2) Encourage accomplishment of the group's work
3) Acknowledge the contributions of each group member
4) Encourage members to become acquainted with one another Correct Answer: 3
A male client with delirium becomes disoriented and confused in his room at night. The
best initial nursing intervention is to:
1) Move the client next to the nurse's station
2) Use an indirect light source and turn off the television
3) Keep the television and a soft light on during the night
4) Play soft music during the night, and maintain a well-lit room Correct Answer: 2
, A client is admitted to a medical nursing unit with a diagnosis of acute blindness. Many
tests are performed, and there seems to be no organic reason why this client cannot
see. The client became blind after witnessing a hit-and-run car accident, when a family
of three was killed. A LPN/LVN suspects that the client may be experiencing a:
1) Psychosis
2) Repression
3) Conversion Disorder
4) Dissociative Disorder Correct Answer: 3
A manic client announces to everyone in the day room that a stripper is coming to
perform this evening. When a nurse firmly states that this is inappropriate and will not
happen, the client becomes verbally abusive and threatens physical violence to the
nurse. Based on the analysis of this situation, the LPN/LVN determines that the
appropriate action would be to:
1) Orient the client to time, person, and place
2) Tell the client that the behavior is inappropriate
3) Escort the manic client to her room, with assistance
4) Tell the client that smoking privileges are revoked for 24 hours Correct Answer: 3
A LPN/LVN observes that a client is pacing, agitated, and presenting aggressive
gestures. The client's speech pattern is rapid, and affect is belligerent. Based on these
observations, the nurse's immediate priority of care is to:
1) Provide safety for the client and other clients on the unit
2) Provide the clients on the unit with a sense of comfort and safety
3) Assist the staff in caring for the client in a controlled environment
4) Offer the client a less stimulated area to calm down and gain control Correct Answer:
1
Select the nursing interventions for a hospitalized client with mania who is exhibiting
manipulative behavior. Select all that apply.
1) Communicate expected behaviors to the client
Verified Solutions 2024|2025
The LPN/LVN calls security and has physical restrains applied when a client who was
admitted voluntarily becomes both physically and verbally abusive while demanding to
be discharged from the hospital. Which represents the possible legal ramifications for
the nurse associated with these interventions? Select all that apply.
1) Libel
2) Battery
3) Assault
4) Slander
5) False Imprisonment Correct Answer: 2, 3, 5
A nurse is working with a client who has sought counseling after trying to rescue a
neighbor involved in a house fire. Despite the client's efforts, the neighbor died. Which
action does the nurse engage in with the client during the working phase of the nurse-
client relationship?
1) Exploring the client's ability to function
2) Exploring the client's potential for self-harm
3) Inquiring about the client's perception of appraisal of the neighbor's death
4) Inquiring about and examine the client's feelings that may block adaptive coping
Correct Answer: 4
A client who has just been sexually assaulted is calm and quiet. The nurse analyzes this
behavior as indicating which defense mechanism?
1) Denial
2) Projection
3) Rationalization
4) Intellectualization Correct Answer: 1
,Unresolved feelings related to loss most likely may be recognized during which phase of
the therapeutic nurse-client relationship?
1) Working
2) Trusting
3) Orientation
4) Termination Correct Answer: 4
Which statement demonstrates the best understanding of the nurse's role regarding
ensuring that each client's rights are respected?
1) "Autonomy is the fundamental right of each and every client."
2) "A client's rights are guaranteed by both state and federal laws."
3) "Being respectful and concerned will ensure that I'm attentive to my clients' rights."
4) "Regardless of the client's condition, all nurses have the duty to respect client rights."
Correct Answer: 3
A LPN/LVN employed in a mental health unit of a hospital is the leader of a group
psychotherapy session. The nurses's role in the termination stage of group development
is to:
1) Encourage problem solving
2) Encourage accomplishment of the group's work
3) Acknowledge the contributions of each group member
4) Encourage members to become acquainted with one another Correct Answer: 3
A male client with delirium becomes disoriented and confused in his room at night. The
best initial nursing intervention is to:
1) Move the client next to the nurse's station
2) Use an indirect light source and turn off the television
3) Keep the television and a soft light on during the night
4) Play soft music during the night, and maintain a well-lit room Correct Answer: 2
, A client is admitted to a medical nursing unit with a diagnosis of acute blindness. Many
tests are performed, and there seems to be no organic reason why this client cannot
see. The client became blind after witnessing a hit-and-run car accident, when a family
of three was killed. A LPN/LVN suspects that the client may be experiencing a:
1) Psychosis
2) Repression
3) Conversion Disorder
4) Dissociative Disorder Correct Answer: 3
A manic client announces to everyone in the day room that a stripper is coming to
perform this evening. When a nurse firmly states that this is inappropriate and will not
happen, the client becomes verbally abusive and threatens physical violence to the
nurse. Based on the analysis of this situation, the LPN/LVN determines that the
appropriate action would be to:
1) Orient the client to time, person, and place
2) Tell the client that the behavior is inappropriate
3) Escort the manic client to her room, with assistance
4) Tell the client that smoking privileges are revoked for 24 hours Correct Answer: 3
A LPN/LVN observes that a client is pacing, agitated, and presenting aggressive
gestures. The client's speech pattern is rapid, and affect is belligerent. Based on these
observations, the nurse's immediate priority of care is to:
1) Provide safety for the client and other clients on the unit
2) Provide the clients on the unit with a sense of comfort and safety
3) Assist the staff in caring for the client in a controlled environment
4) Offer the client a less stimulated area to calm down and gain control Correct Answer:
1
Select the nursing interventions for a hospitalized client with mania who is exhibiting
manipulative behavior. Select all that apply.
1) Communicate expected behaviors to the client
