HESI Mental Health Comprehensive Questions and Answers 100% Accuracy
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. ✔✔✔- 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?
A) Risk for injury related to suicidal ideation.
B) Risk for injury related to alcohol detoxification.
C) Knowledge deficit related to ineffective coping.
D) Health seeking behaviors related to personal crisis. ✔✔✔- The most important nursing diagnosis
is related to alcohol detoxification (B) because the client has elevated vital signs, a sign of alcohol
detoxification. Maintaining client safety related to (A) should be addressed after giving the client Ativan
for elevated vital signs secondary to alcohol withdrawal. (C and D) can be addressed when immediate
needs for safety are met.