HESI PN MENTAL HEALTH EXAM
(QUESTION BANK) | NEWEST ACTUAL
EXAM COMPREHENSIVE QUESTIONS
AND VERIFIED ANSWERS GRADED A+ |
100% PASS | 2025 UPDATE!
The nurse is collecting data on a client who is actively hallucinating.
Which nursing statement would be therapeutic at this time?
1."I know you feel ‘they are out to get you,' but it's not true."
2."I can hear the voice, and she wants you to come to dinner."
3."Sometimes people hear things or voices others can't hear."
4."I talked to the voices you're hearing and they won't hurt you now."
"Sometimes people hear things or voices others can't hear."
,It is important for the nurse to reinforce reality with the client.
Options 1, 2, and 4 do not reinforce reality but reinforce the
hallucination that the voices are real.
The nurse in a psychiatric unit is assigned to care for a client admitted
to the unit 2 days ago. During review of the client's record, the nurse
notes that the admission was a voluntary one. Based on this type of
admission, which would the nurse expect to note?
1.The client will be angry and will refuse care.
2.The client will participate in the treatment plan.
3.The client will be very resistant to treatment measures.
4.The client's family will be very resistant to treatment measures.
The client will participate in the treatment plan.
Generally, voluntary admission is sought by the client or client's
guardian. If the client seeks voluntary admission, the most likely
expectation is that the client will participate in the treatment
program. Options 1 and 3 are not likely for a client seeking voluntary
admission. Option 4 is not centered on the individual client.
, The nurse is caring for a client with a diagnosis of depression. The nurse
monitors for signs of constipation and urinary retention, knowing that
these problems are likely caused by which situation?
1.Poor dietary choices
2.Lack of exercise and poor diet
3.Inadequate dietary intake and dehydration
4.Psychomotor retardation and side effects of medication
Psychomotor retardation and side effects of medication
In this situation, urinary retention is most likely caused by
medications. Option 4 is the only option that addresses both
constipation and urinary retention. Constipation can be related to
inadequate food intake, lack of exercise, and poor diet.
A client is admitted to the in-patient unit and is being considered for
electroconvulsive therapy (ECT). The client appears calm, but the family
(QUESTION BANK) | NEWEST ACTUAL
EXAM COMPREHENSIVE QUESTIONS
AND VERIFIED ANSWERS GRADED A+ |
100% PASS | 2025 UPDATE!
The nurse is collecting data on a client who is actively hallucinating.
Which nursing statement would be therapeutic at this time?
1."I know you feel ‘they are out to get you,' but it's not true."
2."I can hear the voice, and she wants you to come to dinner."
3."Sometimes people hear things or voices others can't hear."
4."I talked to the voices you're hearing and they won't hurt you now."
"Sometimes people hear things or voices others can't hear."
,It is important for the nurse to reinforce reality with the client.
Options 1, 2, and 4 do not reinforce reality but reinforce the
hallucination that the voices are real.
The nurse in a psychiatric unit is assigned to care for a client admitted
to the unit 2 days ago. During review of the client's record, the nurse
notes that the admission was a voluntary one. Based on this type of
admission, which would the nurse expect to note?
1.The client will be angry and will refuse care.
2.The client will participate in the treatment plan.
3.The client will be very resistant to treatment measures.
4.The client's family will be very resistant to treatment measures.
The client will participate in the treatment plan.
Generally, voluntary admission is sought by the client or client's
guardian. If the client seeks voluntary admission, the most likely
expectation is that the client will participate in the treatment
program. Options 1 and 3 are not likely for a client seeking voluntary
admission. Option 4 is not centered on the individual client.
, The nurse is caring for a client with a diagnosis of depression. The nurse
monitors for signs of constipation and urinary retention, knowing that
these problems are likely caused by which situation?
1.Poor dietary choices
2.Lack of exercise and poor diet
3.Inadequate dietary intake and dehydration
4.Psychomotor retardation and side effects of medication
Psychomotor retardation and side effects of medication
In this situation, urinary retention is most likely caused by
medications. Option 4 is the only option that addresses both
constipation and urinary retention. Constipation can be related to
inadequate food intake, lack of exercise, and poor diet.
A client is admitted to the in-patient unit and is being considered for
electroconvulsive therapy (ECT). The client appears calm, but the family
