2023-2024 NR326 HESI Mental Health Real Exam With Answers (75 Solved Questions)

Name: 2023-2024 NR326 HESI Mental Health Real Exam With Answers (75 Solved Questions)
Brand: Chamberlain College of Nursing
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Author: Benjamin White

2023-2024 NR326 HESI Mental Health Real Exam With Answers makes exam preparation easier by providing past exam insights.

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NR 326 MENTAL HESI 7
real exam 2023-2024 latest
update graded A
Practice exam
1. A 30-year-old sales manager tells the nurse, "I am thinking about a job
change. I don't feel like I am living up to my potential." Which of Maslow's
developmental stages is the sales manager attempting to achieve?
A. Self-Actualization. Correct
B. Loving and Belonging.
C. Basic Needs.
D. Safety and Security.
Self-actualization is the highest level of Maslow's development stages, which is an
attempt to fulfill one's full potential (C). (B) is identifying support systems. (C) is the
first level of Maslow's developmental stages and is the foundation upon which higher
needs rest. Individuals who feel safe and secure (D) in their environment perceive
themselves as having physical safety and lack fear of harm.
2. The nurse observes a client who is admitted to the mental health unit and
identifies that the client is talking continuously, using words that rhyme but
that have no context or relationship with one topic to the next in the
conversation. This client's behavior and thought processes are consistent
with which syndrome?
A. Dementia.
B. Depression.
C. Schizophrenia. Correct
D. Chronic brain syndrome.
The client is demonstrating symptoms of schizophrenia (C), such as disorganized speech
that may include word salad (communication that includes both real and imaginary
words in no logical order), incoherent speech, and clanging (rhyming). Dementia (A) is a

global impairment of intellectual (cognitive) functions that may be progressive, such as
Alzheimer's or organic brain syndrome (D). Depression (C) is typified by psychomotor
retardation, and the client appears to be slowed down in movement, in speech, and
would appear listless and disheveled.
3. A homeless person who is in the manic phase of bipolar disorder is
admitted to the mental health unit. Which laboratory finding obtained on
admission is most important for the nurse to report to the healthcare
provider?
A. Decreased thyroid stimulating hormone level. Correct
B. Elevated liver function profile.
C. Increased white blood cell count.
D. Decreased hematocrit and hemoglobin levels.
Hyperthyroidism causes an increased level of serum thyroid hormones (T3 and T4),
which inhibit the release of TSH (A), so the client's manic behavior may be related to an
endocrine disorder. (B, C, and D) are abnormal findings that are commonly found in the
homeless population because of poor sanitation, poor nutrition, and the prevalence of
substance abuse.
4. An adult male client who was admitted to the mental health unit
yesterday tells the nurse that microchips were planted in his head for
military surveillance of his every move. Which response is best for the
nurse to provide?
A. You are in the hospital, and I am the nurse caring for you.
B. It must be difficult for you to control your anxious feelings.
C. Go to occupational therapy and start a project. Correct
D. You are not in a war area now; this is the United States.
Delusions often generate fear and isolation, so the nurse should help the client
participate in activities that avoid focusing on the false belief and encourage interaction
with others (C). Delusions are often well-fixed, and though (A) reinforces reality, it is

argumentative and dismisses the client's fears. It is often difficult for the client to
recognize the relationship between delusions and anxiety (B), and the nurse should
reassure the client that he is in a safe place. Dismissing delusional thinking (D) is
unrealistic because neurochemical imbalances that cause positive symptoms of
schizophrenia require antipsychotic drug therapy.
5. The nurse is assessing a client's intelligence. Which factor should the
nurse remember during this part of the mental status exam?
A. Acute psychiatric illnesses impair intelligence.
B. Intelligence is influenced by social and cultural beliefs. Correct
C. Poor concentration skills suggests limited intelligence.
D. The inability to think abstractly indicates limited intelligence.
Social and cultural beliefs (B) have significant impact on intelligence. Chronic
psychiatric illness may impair intelligence (A), especially if it remains untreated.
Limited concentration does not suggest limited intelligence (C). Difficulties with
abstractions are suggestive of psychotic thinking (D), not limited intelligence.
6. At a support meeting of parents of a teenager with polysubstance
dependency, a parent states, "Each time my son tries to quit taking drugs,
he gets so depressed that I'm afraid he will commit suicide." The nurse's
response should be based on which information?
A. Addiction is a chronic, incurable disease.
B. Tolerance to the effects of drugs causes feelings of depression.
C. Feelings of depression frequently lead to drug abuse and addiction.
D. Careful monitoring should be provided during withdrawal from the
drugs. Correct
The priority is to teach the parents that their son will need monitoring and support
during withdrawal (D) to ensure that he does not attempt suicide. Although (A and C)
are true, they are not as relevant to the parent's expressed concern. There is no
information to support (B).

7. 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 nurse 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. Correct
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.
The nurse should answer the client's question with factual information and explain that
schizophrenia is a chemical imbalance in the brain (B). (A) is a therapeutic response but
does not answer the question, and may be an appropriate response after the nurse
answers the question asked. Although (C) is likely true to some degree, it is also true
that some clients continue to have disorganized thinking even with antipsychotic
medications. Referring the spouse to the psychologist (D) is avoiding the issue; the
nurse can and should answer the question.
8. A young adult male client, diagnosed with paranoid schizophrenia,
believes that world is trying poison him. What intervention should the
nurse include in this client's plan of care?
A. Remind the client that his suspicions are not true.
B. Ask one nurse to spend time with the client daily. Correct
C. Encourage the client to participate in group activities.
D. Assign the client to a room closest to the activity room.
A client with paranoid schizophrenia has difficulty with trust and developing a trusting
relationship with one nurse (B) is likely to be therapeutic for this client. (A) is
argumentative. Stress increases anxiety, and anxiety increases paranoid ideation; (C)
would be too stressful and anxiety-promoting for a client who is experiencing
pathological suspicions. (D) also might increase anxiety and stress.

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University

Chamberlain College of Nursing

Subject

Psychology

2023-2024 NR326 HESI Mental Health Real Exam With Answers (75 Solved Questions)

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