HESI LPN
Mental Health HESI Practice Questions
1. A client with an eating disorder is planning to attend group meetings with Overeaters Anonymous. The LPN/LVN describes this group to the client, knowing that which finding(s) are characteristic of this form of self-help group? Select one that does not apply.
- A. A common goal is shared by all members
- B. Members are required to remain anonymous
- C. The leader is a professional mental health care provider
- D. Attendance must be prescribed by the health care provider
Correct answer: A
Rationale: Overeaters Anonymous is a self-help group characterized by shared goals among members to address eating disorders. This provides a supportive environment for personal change and growth. Choice B is incorrect as members are not required to remain anonymous in Overeaters Anonymous. Choice C is incorrect as the leader in such self-help groups is usually a member who has experienced similar issues, not necessarily a professional mental health care provider. Choice D is incorrect as attendance at Overeaters Anonymous meetings is voluntary and not prescribed by a healthcare provider.
2. Which statement about contemporary mental health nursing practice is accurate?
- A. There is one approved theoretical framework for psychiatric nursing practice.
- B. Psychiatric nursing has yet to be recognized as a core mental health discipline.
- C. Contemporary practice of psychiatric nursing is primarily focused on inpatient care.
- D. The psychiatric nursing client may be an individual, family, group, organization, or community.
Correct answer: D
Rationale: The accurate statement about contemporary mental health nursing practice is that the psychiatric nursing client may be an individual, family, group, organization, or community. Mental health nursing extends beyond individual care to address the impact of psychiatric stressors on families, groups, and entire communities. Choices A, B, and C are incorrect: A is false as there are various theoretical frameworks used in psychiatric nursing, B is inaccurate as psychiatric nursing is a core discipline in mental health, and C is wrong as contemporary psychiatric nursing involves various settings beyond just inpatient care.
3. What is the most important nursing intervention during the first 48 hours for a client with anorexia nervosa admitted to the hospital?
- A. Providing high-calorie, high-protein meals.
- B. Monitoring vital signs and electrolytes.
- C. Encouraging the client to talk about feelings.
- D. Observing for signs of purging.
Correct answer: B
Rationale: The most important nursing intervention during the first 48 hours for a client with anorexia nervosa is monitoring vital signs and electrolytes (B) to assess for life-threatening complications. This helps in early detection of any physiological imbalances that could lead to serious consequences. Providing high-calorie, high-protein meals (A) is important for nutritional rehabilitation but comes after ensuring the client's physical stability. Encouraging the client to talk about feelings (C) and observing for signs of purging (D) are relevant aspects of care but are not as critical as monitoring vital signs and electrolytes in the initial phase of treatment.
4. A male client with mental illness and substance dependency tells the mental health nurse that he has started using illegal drugs again and wants to seek treatment. Since he has a dual diagnosis, which person is best for the nurse to refer this client to first?
- A. The emergency room nurse.
- B. His case manager.
- C. The clinic healthcare provider.
- D. His support group sponsor.
Correct answer: B
Rationale: The case manager (B) is responsible for coordinating community services, making them the best person to refer the client to first as they can describe available treatment options. The emergency room nurse (A) is unnecessary unless the client's behaviors pose imminent threats. The clinic healthcare provider (C) and support group sponsor (D) may be useful but coordinating a treatment program tailored to the client's needs is the priority in this scenario.
5. In observing a client who is pacing, agitated, and presenting aggressive gestures, with rapid speech pattern and belligerent affect, what is the immediate priority of care for the nurse?
- A. Provide safety for the client and other clients on the unit
- B. Provide the clients on the unit with a sense of comfort and safety
- C. Assist the staff in caring for the client in a controlled environment
- D. Offer the client a less stimulated area to calm down and gain control
Correct answer: A
Rationale: In a situation where a client is displaying aggression and agitation, the immediate priority of care for the nurse is to ensure safety for the client and others on the unit. Providing a safe environment and implementing calming measures take precedence over other interventions. Option A is the correct choice as it addresses the crucial need for safety in a potentially volatile situation. Options B, C, and D, although important, do not address the primary concern of ensuring safety for all individuals involved.
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