HESI MENTAL HEALTH EXAM NEWEST ACTUAL EXAM TESTBANK
HESI MENTAL HEALTH EXAM NEWEST ACTUAL EXAM TESTBANK
COMPLETE 400 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
A client frantically reports to the nurse that "You have got to help me! Something
terrible is happening. I can't think. My heart is pounding, and my head is
throbbing." The nurse should assess the client at what level of anxiety?
a. mild
b. panic
c. moderate
d. severe
d. severe
Severe anxiety is characterized by feelings of falling apart and impending doom,
impaired cognition, and severe somatic symptoms such as headache and
pounding heart. Mild anxiety involves a heightened perceptual field. In the
panic state, the individual is unable to attend to the environment, and focus is
lost. With moderate anxiety, the person grasps less of what is going on.
The nurse anticipates that the nursing history of a client diagnosed with obsessive
compulsive disorder (OCD) will reveal what common assessment data? (Select all
that apply.)
a. An eating disorder
b. A previous suicide attempt
c. A history of sexual abuse
d. A history of childhood trauma
e. A sibling with the disorder
a. An eating disorder
c. A history of sexual abuse
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, HESI MENTAL HEALTH EXAM NEWEST ACTUAL EXAM TESTBANK
d. A history of childhood trauma
e. A sibling with the disorder
Sexual and physical abuse in childhood or trauma increases the risk of this
disorder. Genetics are strongly associated with this disorder. First-degree
relatives have twice the risk. OCD tends to occur along with anxiety disorders
76% of the time. Other comorbid conditions include major depressive disorder,
bipolar disorder, and eating disorders. Suicide while a concern is not among the
most common issues for the client diagnosed with OCD.
Which statement is true regarding schizophrenia, treatment, and outcomes?
a. If treated quickly after diagnosis, schizophrenia can be cured.
b. Schizophrenia can be managed by receiving treatment only at the time of acute
exacerbations.
c. If patients with schizophrenia stay on their drug regimen, they usually lead fully
productive lives with no further symptoms.
d. Patients with schizophrenia often do not fully respond to treatment and have
residual symptoms and varying degrees of disability.
d. Patients with schizophrenia often do not fully respond to treatment and have
residual symptoms and varying degrees of disability.
Unfortunately, in most cases, schizophrenia does not respond fully to available
treatments; it leaves residual symptoms and causes varying degrees of
dysfunction or disability. Untrue statements about schizophrenia include that it
can be cured if treated quickly; that it can be managed by receiving treatment
only at the time of acute exacerbations; and that if patients with schizophrenia
stay on their drug regimen, they usually lead fully productive lives with no
further symptoms.
Which physiological condition of a patient prescribed clozapine would the nurse
monitor? Select all that apply. One, some, or all responses may be correct.
a. Liver function
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, HESI MENTAL HEALTH EXAM NEWEST ACTUAL EXAM TESTBANK
b. Kidney function
c. Total red blood cell count
d. Total white blood cell count
e. Total water intake and output
a. Liver function
d. Total white blood cell count
Agranulocytosis is the most common symptom of clozapine. It is characterized
by a reduced white blood cell count (less than 3000/mm ) and liver impairment,
therefore the nurse should frequently monitor the liver function and total white
blood cell count. Clozapine does not have an effect on the kidneys; therefore the
total water intake and output and kidney function do not need to be monitored.
Clozapine reduces white blood cell count but does not affect red blood cell
count; therefore red blood cell count need not be monitored.
Which term applies to a patient diagnosed with schizophrenia who states, "There
is nothing wrong with me! I am just in the hospital because aliens are trying to
inject me with their DNA"?
a. Anosognosia
b. Affective blunting
c. Associative looseness
d. Negative symptoms
c. Associative looseness
The patient's comment reflects an unusual speech pattern and indicates
delusional thinking. One such pattern is called associative looseness, which
results from illogical thinking and loosely connected thoughts. Anosognosia
refers to an inability to realize an illness exists. Affective blunting relates to the
patient's outward expression of emotion. Associative looseness results from
haphazard and illogical thinking where concentration is poor and thoughts are
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, HESI MENTAL HEALTH EXAM NEWEST ACTUAL EXAM TESTBANK
only loosely connected. Negative symptoms include social isolation, anergia,
lack of motivation, blunted affect, and inattention to personal hygiene.
Which information about comorbidity would be included when educating the
parents of an adolescent diagnosed with schizophrenia?
a. "Watch your child for signs of substance abuse."
b. "Make sure your child does not become dehydrated."
c. "With schizophrenia, your child will not experience any depression."
d. "Contact the healthcare provider immediately if your child has anxiety."
a. "Watch your child for signs of substance abuse."
Substance use disorders involving alcohol, marijuana, and nicotine occur in
nearly half of the people who are diagnosed with schizophrenia. Substance use
is linked to higher rates of treatment nonadherence. Schizophrenia may cause
polydipsia, which is a compulsive drinking of excess fluids, not dehydration.
Depression frequently cooccurs in individuals with schizophrenia. Anxiety
cooccurs with schizophrenia, but it is not necessary to contact the healthcare
provider immediately if these symptoms present.
Which assessment parameter takes priority when assessing a patient taking
olanzapine daily?
a. Height
b. Weight
c. Pupillary response to light
d. Integrity of mucous membranes
b. Weight
An important part of the nurse's role in the community is monitoring the
patient's response to medications, compliance, and potential side or adverse
effects. Key side effects of sexual dysfunction and weight gain are particularly
important to monitor in patients taking antipsychotic medications. Olanzapine is
an atypical antipsychotic drug that can cause significant weight gain, which
4|Page
HESI MENTAL HEALTH EXAM NEWEST ACTUAL EXAM TESTBANK
COMPLETE 400 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
A client frantically reports to the nurse that "You have got to help me! Something
terrible is happening. I can't think. My heart is pounding, and my head is
throbbing." The nurse should assess the client at what level of anxiety?
a. mild
b. panic
c. moderate
d. severe
d. severe
Severe anxiety is characterized by feelings of falling apart and impending doom,
impaired cognition, and severe somatic symptoms such as headache and
pounding heart. Mild anxiety involves a heightened perceptual field. In the
panic state, the individual is unable to attend to the environment, and focus is
lost. With moderate anxiety, the person grasps less of what is going on.
The nurse anticipates that the nursing history of a client diagnosed with obsessive
compulsive disorder (OCD) will reveal what common assessment data? (Select all
that apply.)
a. An eating disorder
b. A previous suicide attempt
c. A history of sexual abuse
d. A history of childhood trauma
e. A sibling with the disorder
a. An eating disorder
c. A history of sexual abuse
1|Page
, HESI MENTAL HEALTH EXAM NEWEST ACTUAL EXAM TESTBANK
d. A history of childhood trauma
e. A sibling with the disorder
Sexual and physical abuse in childhood or trauma increases the risk of this
disorder. Genetics are strongly associated with this disorder. First-degree
relatives have twice the risk. OCD tends to occur along with anxiety disorders
76% of the time. Other comorbid conditions include major depressive disorder,
bipolar disorder, and eating disorders. Suicide while a concern is not among the
most common issues for the client diagnosed with OCD.
Which statement is true regarding schizophrenia, treatment, and outcomes?
a. If treated quickly after diagnosis, schizophrenia can be cured.
b. Schizophrenia can be managed by receiving treatment only at the time of acute
exacerbations.
c. If patients with schizophrenia stay on their drug regimen, they usually lead fully
productive lives with no further symptoms.
d. Patients with schizophrenia often do not fully respond to treatment and have
residual symptoms and varying degrees of disability.
d. Patients with schizophrenia often do not fully respond to treatment and have
residual symptoms and varying degrees of disability.
Unfortunately, in most cases, schizophrenia does not respond fully to available
treatments; it leaves residual symptoms and causes varying degrees of
dysfunction or disability. Untrue statements about schizophrenia include that it
can be cured if treated quickly; that it can be managed by receiving treatment
only at the time of acute exacerbations; and that if patients with schizophrenia
stay on their drug regimen, they usually lead fully productive lives with no
further symptoms.
Which physiological condition of a patient prescribed clozapine would the nurse
monitor? Select all that apply. One, some, or all responses may be correct.
a. Liver function
2|Page
, HESI MENTAL HEALTH EXAM NEWEST ACTUAL EXAM TESTBANK
b. Kidney function
c. Total red blood cell count
d. Total white blood cell count
e. Total water intake and output
a. Liver function
d. Total white blood cell count
Agranulocytosis is the most common symptom of clozapine. It is characterized
by a reduced white blood cell count (less than 3000/mm ) and liver impairment,
therefore the nurse should frequently monitor the liver function and total white
blood cell count. Clozapine does not have an effect on the kidneys; therefore the
total water intake and output and kidney function do not need to be monitored.
Clozapine reduces white blood cell count but does not affect red blood cell
count; therefore red blood cell count need not be monitored.
Which term applies to a patient diagnosed with schizophrenia who states, "There
is nothing wrong with me! I am just in the hospital because aliens are trying to
inject me with their DNA"?
a. Anosognosia
b. Affective blunting
c. Associative looseness
d. Negative symptoms
c. Associative looseness
The patient's comment reflects an unusual speech pattern and indicates
delusional thinking. One such pattern is called associative looseness, which
results from illogical thinking and loosely connected thoughts. Anosognosia
refers to an inability to realize an illness exists. Affective blunting relates to the
patient's outward expression of emotion. Associative looseness results from
haphazard and illogical thinking where concentration is poor and thoughts are
3|Page
, HESI MENTAL HEALTH EXAM NEWEST ACTUAL EXAM TESTBANK
only loosely connected. Negative symptoms include social isolation, anergia,
lack of motivation, blunted affect, and inattention to personal hygiene.
Which information about comorbidity would be included when educating the
parents of an adolescent diagnosed with schizophrenia?
a. "Watch your child for signs of substance abuse."
b. "Make sure your child does not become dehydrated."
c. "With schizophrenia, your child will not experience any depression."
d. "Contact the healthcare provider immediately if your child has anxiety."
a. "Watch your child for signs of substance abuse."
Substance use disorders involving alcohol, marijuana, and nicotine occur in
nearly half of the people who are diagnosed with schizophrenia. Substance use
is linked to higher rates of treatment nonadherence. Schizophrenia may cause
polydipsia, which is a compulsive drinking of excess fluids, not dehydration.
Depression frequently cooccurs in individuals with schizophrenia. Anxiety
cooccurs with schizophrenia, but it is not necessary to contact the healthcare
provider immediately if these symptoms present.
Which assessment parameter takes priority when assessing a patient taking
olanzapine daily?
a. Height
b. Weight
c. Pupillary response to light
d. Integrity of mucous membranes
b. Weight
An important part of the nurse's role in the community is monitoring the
patient's response to medications, compliance, and potential side or adverse
effects. Key side effects of sexual dysfunction and weight gain are particularly
important to monitor in patients taking antipsychotic medications. Olanzapine is
an atypical antipsychotic drug that can cause significant weight gain, which
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