NR 326 MENTAL HESI 7 EXAM
STUDY GUIDE. GRADED A+.
QUESTIONS AND 100%
VERIFIED ANSWERS. LATEST
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Practice exam
1. A 30-year-old sales manager tells the nurse, "I am thinking about a job
change. I don't feel like I am living up to my potential." Which of Maslow's
developmental stages is the sales manager attempting to achieve?
A. Self-Actualization. Correct
B. Loving and Belonging.
C. Basic Needs.
D. Safety and Security.
Self-actualization is the highest level of Maslow's development stages, which is
an attempt to fulfill one's full potential (C). (B) is identifying support systems.
(C) is the first level of Maslow's developmental stages and is the foundation
upon which higher needs rest. Individuals who feel safe and secure (D) in their
environment perceive themselves as having physical safety and lack fear of
harm.
,NR 326 MENTAL HESI 7 EXAM STUDY GUIDE
2. The nurse observes a client who is admitted to the mental health unit and
identifies that the client is talking continuously, using words that rhyme but that
have no context or relationship with one topic to the next in the conversation.
This client's behavior and thought processes are consistent with which
syndrome?
A. Dementia.
B. Depression.
C. Schizophrenia. Correct
D. Chronic brain syndrome.
The client is demonstrating symptoms of schizophrenia (C), such as disorganized
speech that may include word salad (communication that includes both real and
imaginary words in no logical order), incoherent speech, and clanging (rhyming).
Dementia (A) is a
,NR 326 MENTAL HESI 7 EXAM STUDY GUIDE
global impairment of intellectual (cognitive) functions that may be progressive,
such as Alzheimer's or organic brain syndrome (D). Depression (C) is typified by
psychomotor retardation, and the client appears to be slowed down in
movement, in speech, and would appear listless and disheveled.
3. A homeless person who is in the manic phase of bipolar disorder is
admitted to the mental health unit. Which laboratory finding obtained on
admission is most important for the nurse to report to the healthcare
provider?
A. Decreased thyroid stimulating hormone level. Correct
B. Elevated liver function profile.
C. Increased white blood cell count.
D. Decreased hematocrit and hemoglobin levels.
Hyperthyroidism causes an increased level of serum thyroid hormones (T3 and
T4), which inhibit the release of TSH (A), so the client's manic behavior may be
related to an endocrine disorder. (B, C, and D) are abnormal findings that are
commonly found in the homeless population because of poor sanitation, poor
nutrition, and the prevalence of substance abuse.
4. An adult male client who was admitted to the mental health unit
yesterday tells the nurse that microchips were planted in his head for
military surveillance of his every move. Which response is best for the
nurse to provide?
A. You are in the hospital, and I am the nurse caring for you.
B. It must be difficult for you to control your anxious feelings.
C. Go to occupational therapy and start a project. Correct
D. You are not in a war area now; this is the United States.
, NR 326 MENTAL HESI 7 EXAM STUDY GUIDE
Delusions often generate fear and isolation, so the nurse should help the client
participate in activities that avoid focusing on the false belief and encourage
interaction with others (C). Delusions are often well-fixed, and though (A)
reinforces reality, it is