HESI LPN
Mental Health HESI Practice Questions
1. A female client on the psychiatric unit tells the nurse that she feels like ending her life because she can no longer deal with her depression. What is the nurse's priority intervention?
- A. Stay with the client and ensure her safety.
- B. Inform the client that she is safe in the hospital.
- C. Document the client's statements in her medical record.
- D. Encourage the client to join a group therapy session.
Correct answer: A
Rationale: The correct answer is to stay with the client and ensure her safety. Ensuring the client's safety is the top priority when a client expresses suicidal ideation. Staying with the client can help prevent self-harm while further assessment and interventions are arranged. Choice B is incorrect because simply informing the client that she is safe in the hospital does not address the immediate need for safety. Choice C is incorrect as while documentation is important, it is not the priority when a client's safety is at risk. Choice D is also incorrect as encouraging the client to join a group therapy session is not appropriate when the client is in crisis and expressing suicidal thoughts.
2. A client with amphetamine toxicity and sensory overload is being cared for by a nurse. Which intervention should the nurse implement?
- A. Immediately conduct a thorough assessment.
- B. Encourage visitors to distract the client.
- C. Provide a private room and limit stimulation.
- D. Speak softly to the client.
Correct answer: C
Rationale: The most appropriate intervention for a client with amphetamine toxicity and sensory overload is to provide a private room and limit stimulation. This approach helps reduce external stimuli, which can exacerbate sensory overload, and creates a calming environment for the client. Encouraging visitors to distract the client may worsen sensory overload by adding more stimulation. Speaking softly, rather than at a higher volume, is more suitable to help maintain a calm environment. Therefore, the correct choice is to provide a private room and limit stimulation (option C) in this scenario.
3. A nurse is planning an evening snack for a child receiving Novolin N insulin. What is the reason for this nursing action?
- A. To encourage the child to stay on the diet.
- B. Energy is needed for immediate utilization.
- C. Extra calories will help the child gain weight.
- D. Nourishment helps to counteract late insulin activity.
Correct answer: D
Rationale: The correct answer is D. Novolin N insulin peaks in the evening, leading to a higher risk of hypoglycemia during this time. Providing a snack before bedtime helps counteract the late insulin activity and prevent hypoglycemia. Choice A is incorrect as the primary reason for the snack is related to insulin activity rather than diet compliance. Choice B is not directly related to the timing of Novolin N insulin administration. Choice C is unrelated to the specific need for a snack in the evening to address insulin activity.
4. The nurse-manager is planning to transform safety ideas into prevention and protection strategies in the workplace. What committee should review and plan policies and education about safety in the workplace?
- A. policy and procedures committee
- B. quality assurance committee
- C. education committee
- D. ethics committee
Correct answer: B
Rationale: The quality assurance committee is responsible for reviewing and planning policies and education related to workplace safety. This committee focuses on ensuring the quality of care and services provided, which includes implementing safety measures. The policy and procedures committee primarily deals with developing and maintaining organizational policies and procedures. The education committee focuses on educational programs and initiatives, not specifically on safety policies. The ethics committee is concerned with ethical issues and dilemmas, not safety policies and education.
5. A client with a history of severe anxiety is scheduled for surgery. Which preoperative medication is the most appropriate for the LPN/LVN to administer to this client?
- A. Lorazepam (Ativan)
- B. Morphine sulfate
- C. Meperidine (Demerol)
- D. Promethazine (Phenergan)
Correct answer: A
Rationale: Lorazepam (Ativan) is the most appropriate preoperative medication for a client with severe anxiety. Lorazepam belongs to the benzodiazepine class and is commonly used to manage anxiety before surgical procedures due to its anxiolytic properties. Morphine sulfate and Meperidine (Demerol) are opioid analgesics, not typically indicated for preoperative anxiety. Promethazine (Phenergan) is an antihistamine used for nausea and vomiting, not anxiety management.