MENTAL HEALTH HESI QUIZ AND CORRECT ANSWERS UPDATED
Which diet selection by a client who is depressed and taking the MAO inhibitor
tranylcypromine sulfate (Parnate) indicates to the nurse that the client
understands the dietary restrictions imposed by this medication regimen?A)
Hamburger, French fries, and chocolate milkshake.B) Liver and onions, broccoli,
and decaffeinated coffee.C) Pepperoni and cheese pizza, tossed salad, and a soft
drink.D) Roast beef, baked potato with butter, and iced tea.
Roast beef, baked potato with butter, and iced tea.
Only (D) contains no tyramine. Tyramine in foods interacts with MAOI in the body
causing a hypertensive crisis which is life-threatening, and Parnate is classified as an
MAOI antidepressant. Some items in (A, B, and C) contain tyramine and would not be
permitted for a client taking Parnate.
A client who is known to abuse drugs is admitted to the psychiatric unit. Which
medication should the nurse anticipate administering to a client who is exhibiting
benzodiazepine withdrawal symptoms?A) Perphenazine (Trilafon).B)
Diphenhydramine (Benadryl).C) Chlordiazepoxide (Librium).D) Isocarboxazid
(Marplan).
Chlordiazepoxide (Librium)
Librium (C), an antianxiety drug, as well as other benzodiazepines, are used in titrated
doses to reduce the severity of abrupt benzodiazepine withdrawal. (A) is an
antipsychotic agent. (B) is an antihistamine and antianxiety drug. (D) is an MAO
inhibitor.
A 45-year-old female client is admitted to the psychiatric unit for evaluation. Her
husband states that she has been reluctant to leave home for the last six months.
The client has not gone to work for a month and has been terminated from her
job. She has not left the house since that time. This client is displaying symptoms
of what condition?A) Claustrophobia.B) Acrophobia.C) Agoraphobia.D) Post-
traumatic stress disorder.
, Agoraphobia
Agoraphobia (C) is the fear of crowds or being in an open place. (A) is the fear of being
in closed places. (B) is the fear of high places. Remember, a phobia is an unrealistic
fear which is associated with severe anxiety. (D) consists of the development of anxiety
symptoms following a life event that is particularly serious and stressful (war, witnessing
a child killed, etc.) and is experienced with terror, fear, and helplessness--a phobia is
different.
The community health nurse talks to a male client who has bipolar disorder. The
client explains that he sleeps 4 to 5 hours a night and is working with his partner
to start two new businesses and build an empire. The client stopped taking his
medications several days ago. What nursing problem has the highest priority?A)
Excessive work activity.B) Decreased need for sleep.C) Medication
management.D) Inflated self-esteem.
The most important nursing problem is medication management (C) because
compliance with the medication regimen will help prevent hospitalization. The
client is also exhibiting signs of (A, B, and C); however, these problems do not
have the priority of medication management.Correct Answer(s): C
medication management
The priority is to teach the parents that their son will need monitoring and support during
withdrawal (D) to ensure that he does not attempt suicide. Although (A and C) are true,
they are not as relevant to the parent's expressed concern. There is no information to
support (B).
The nurse is assessing the parents of a nuclear family who are attending a
support group for parents of adolescents. According to Erikson, these parents
who are adapting to middle adulthood should exhibit which characteristic?A)
Loss of independence.B) Increased self-understanding.C) Isolation from
society.D) Development of intimate relationships.
Increased self-understanding
Which diet selection by a client who is depressed and taking the MAO inhibitor
tranylcypromine sulfate (Parnate) indicates to the nurse that the client
understands the dietary restrictions imposed by this medication regimen?A)
Hamburger, French fries, and chocolate milkshake.B) Liver and onions, broccoli,
and decaffeinated coffee.C) Pepperoni and cheese pizza, tossed salad, and a soft
drink.D) Roast beef, baked potato with butter, and iced tea.
Roast beef, baked potato with butter, and iced tea.
Only (D) contains no tyramine. Tyramine in foods interacts with MAOI in the body
causing a hypertensive crisis which is life-threatening, and Parnate is classified as an
MAOI antidepressant. Some items in (A, B, and C) contain tyramine and would not be
permitted for a client taking Parnate.
A client who is known to abuse drugs is admitted to the psychiatric unit. Which
medication should the nurse anticipate administering to a client who is exhibiting
benzodiazepine withdrawal symptoms?A) Perphenazine (Trilafon).B)
Diphenhydramine (Benadryl).C) Chlordiazepoxide (Librium).D) Isocarboxazid
(Marplan).
Chlordiazepoxide (Librium)
Librium (C), an antianxiety drug, as well as other benzodiazepines, are used in titrated
doses to reduce the severity of abrupt benzodiazepine withdrawal. (A) is an
antipsychotic agent. (B) is an antihistamine and antianxiety drug. (D) is an MAO
inhibitor.
A 45-year-old female client is admitted to the psychiatric unit for evaluation. Her
husband states that she has been reluctant to leave home for the last six months.
The client has not gone to work for a month and has been terminated from her
job. She has not left the house since that time. This client is displaying symptoms
of what condition?A) Claustrophobia.B) Acrophobia.C) Agoraphobia.D) Post-
traumatic stress disorder.
, Agoraphobia
Agoraphobia (C) is the fear of crowds or being in an open place. (A) is the fear of being
in closed places. (B) is the fear of high places. Remember, a phobia is an unrealistic
fear which is associated with severe anxiety. (D) consists of the development of anxiety
symptoms following a life event that is particularly serious and stressful (war, witnessing
a child killed, etc.) and is experienced with terror, fear, and helplessness--a phobia is
different.
The community health nurse talks to a male client who has bipolar disorder. The
client explains that he sleeps 4 to 5 hours a night and is working with his partner
to start two new businesses and build an empire. The client stopped taking his
medications several days ago. What nursing problem has the highest priority?A)
Excessive work activity.B) Decreased need for sleep.C) Medication
management.D) Inflated self-esteem.
The most important nursing problem is medication management (C) because
compliance with the medication regimen will help prevent hospitalization. The
client is also exhibiting signs of (A, B, and C); however, these problems do not
have the priority of medication management.Correct Answer(s): C
medication management
The priority is to teach the parents that their son will need monitoring and support during
withdrawal (D) to ensure that he does not attempt suicide. Although (A and C) are true,
they are not as relevant to the parent's expressed concern. There is no information to
support (B).
The nurse is assessing the parents of a nuclear family who are attending a
support group for parents of adolescents. According to Erikson, these parents
who are adapting to middle adulthood should exhibit which characteristic?A)
Loss of independence.B) Increased self-understanding.C) Isolation from
society.D) Development of intimate relationships.
Increased self-understanding
