HESI LPN
HESI Mental Health Practice Questions
1. At the first meeting of a group of older adults at a daycare center for the elderly, the nurse asks one of the members what kinds of things she would like to do with the group. The older woman shrugs her shoulders and says, 'You tell me, you're the leader.' What is the best response for the nurse to make?
- A. 'Yes, I am the leader today. Would you like to be the leader tomorrow?'
- B. 'Yes, I will be leading this group. What would you like to accomplish during this time?'
- C. 'Yes, I have been assigned to be the leader of this group. I will be here for the next six weeks.'
- D. 'Yes, I am the leader. You seem angry about not being the leader yourself.'
Correct answer: B
Rationale: (B) provides information and focuses the group back to defining its function. (A) is manipulative bargaining. (C) does not focus on the group’s purpose. (D) challenges the client’s feelings.
2. A nurse notes that a depressed female client has been more withdrawn and less communicative during the past two weeks. Which intervention is most important to include in the updated plan of care for this client?
- A. Engage the client in non-threatening conversations.
- B. Schedule a daily conference with the social worker.
- C. Encourage the client's family to visit more often.
- D. Encourage the client to participate in group activities.
Correct answer: D
Rationale: The correct answer is to encourage the client to participate in group activities. Group activities can help improve social interaction and potentially reduce feelings of isolation in depressed clients. Choice A, engaging the client in non-threatening conversations, may be helpful but may not address the underlying need for social interaction that group activities can provide. Scheduling a daily conference with the social worker (Choice B) may not directly address the client's need for social engagement. Encouraging the client's family to visit more often (Choice C) is important for support but may not provide the same level of social interaction as group activities.
3. A client with borderline personality disorder tells the nurse, 'You're the only one who understands me. The other nurses don't care about me.' Which response by the nurse is most appropriate?
- A. Why do you feel that way about the other nurses?
- B. The other nurses care about you too.
- C. I am here to help you just like the other nurses.
- D. Let's talk about why you feel this way.
Correct answer: C
Rationale: The most appropriate response is 'I am here to help you just like the other nurses' (C). This response sets boundaries and avoids reinforcing the client's splitting behavior, which is common in borderline personality disorder. Choices A and D may unintentionally reinforce the splitting by focusing on the negative perception of other nurses. Choice B might be perceived as dismissive because it contradicts the client's feelings of being understood only by the nurse.
4. A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and low motivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?
- A. Provide education on methods to enhance sleep.
- B. Teach the client to develop a plan for daily structured activities.
- C. Suggest that the client develop a list of pleasurable activities.
- D. Encourage the client to exercise.
Correct answer: B
Rationale: Teaching the client to develop a plan for daily structured activities is the most effective intervention in this case. Creating a routine can help improve motivation and provide a sense of accomplishment, aiding in the recovery process. Option A, providing education on methods to enhance sleep, may address hypersomnia but does not directly target psychomotor retardation and low motivation. Option C, suggesting the client develop a list of pleasurable activities, may not address the need for structure and routine. Option D, encouraging the client to exercise, is beneficial but may not be as effective as creating a structured daily plan to address the client's specific symptoms.
5. The wife of a male client recently diagnosed with schizophrenia asks the nurse, 'What exactly is schizophrenia? Is my husband all right?' Which response is best for the LPN/LVN to provide to this family member?
- A. It sounds like you're worried about your husband. Let's sit down and talk.
- B. It is a chemical imbalance in the brain that causes disorganized thinking.
- C. Your husband will be just fine if he takes his medications regularly.
- D. I think you should talk to your husband's psychologist about this question.
Correct answer: B
Rationale: The best response for the LPN/LVN to provide to the wife of a male client diagnosed with schizophrenia is choice B: 'It is a chemical imbalance in the brain that causes disorganized thinking.' This response educates the wife about the nature of schizophrenia, explaining that it is caused by a chemical imbalance in the brain leading to disorganized thinking, helping her understand the condition better. Choice A does not directly address the question and instead shifts the focus to a different aspect. Choice C gives false reassurance without providing necessary information about schizophrenia. Choice D deflects the responsibility of providing information to the psychologist instead of addressing the wife's concerns directly.
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