PSYCHIATRIC-MENTAL HEALTH PRACTICE
EXAM HESI. WITH ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES GRADED A+ / HESI
MENTAL HEALTH NGN REAL LATEST
EXAMS (BRAND NEW).
1.
A male client with schizophrenia who is taking fluphenazine decanoate
(Prolixin decanoate) is being discharged in the morning. A repeat
dose of medication is scheduled for 20 days after discharge. The
client tells the nurse that he is going on vacation in the Bahamas
and will return in 18 days. Which statement by the client indicates a
need for health teaching?
A) When I return from my tropical island vacation, I will go to the clinic to
get my Prolixin injection.
B) While I am on vacation and when I return, I will not eat or drink anything
that contains alcohol.
C) I will notify the healthcare provider if I have a sore throat or flu-like
symptoms.
D) I will continue to take my benztropine mesylate (Cogentin) every day. --
CORRECT ANSWER--- Photosensitivity is a side effect of Prolixin
and a vacation in the Bahamas (with its tropical island climate)
increases the client's chance of experiencing this side effect. He
should be instructed to avoid direct sun (A) and wear sunscreen. (B,
C, and D) indicate accurate knowledge. Alcohol acts synergistically
with Prolixin (B). (C) lists signs of agranulocytosis, which is also a
side effect of Prolixin. In order to avoid extrapyramidal symptoms
(EPS), anticholinergic drugs, such as Cogentin, are often prescribed
prophylactically with Prolixin.
Correct Answer(s): A
2.
A male client is admitted to the mental health unit because he was feeling
depressed about the loss of his wife and job. The client has a history
of alcohol dependency and admits that he was drinking alcohol 12
hours ago. Vital signs are: temperature, 100° F, pulse 100, and BP
142/100. The nurse plans to give the client lorazepam (Ativan) based
on which priority nursing diagnosis?
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