HESI MENTAL HEALTH ENTRY EXAM 2024/ ACTUAL xy xy xy xy xy xy
EXAM TEST BANK WITH 400 QUESTIONS AND
xy xy xy xy xy xy xy
CORRECTLY DETAILED ANSWERS (VERIFIED
xy xy xy xy
ANSWERS) LATEST UPDATE 2024-2025 ALREADY
xy xy xy xy xy
GRADED A+ xy xy
A male patient with bipolar disorder who began taking lithium carbonate five
xy xy xy xy xy xy xy xy xy xy xy
xy days ago is complaining of excessive thirst, and the RN finds him
xy xy xy xy xy xy xy xy xy xy xy
xy attempting to drink water from the bathroom sink faucet. Which intervention
xy xy xy xy xy xy xy xy xy xy
should the RN implement?
y
x xy xy xy
A. Report the patient's serum lithium level to the HCP. xy xy xy xy xy xy xy xy
B. Encourage the patient to suck on hard candy to relieve the xy xy xy xy xy xy xy xy xy xy
xy symptoms.C. No action is needed since polydipsia is a common side y
x xy xy xy xy xy xy xy xy xy xy
xy effect.
D. Tell the patient that drinking from the faucet is not allowed.
xy xy xy xy xy xy xy xy xy xy xy
xy -SOLUTION:->>>>A
y
x
The RN is teaching a patient about the initiation of the prescribed abstinence
xy xy xy xy xy xy xy xy xy xy xy xy
therapy using disulfiram (Antabuse). What information should the patient
y
x xy xy xy xy xy xy xy xy
xy acknowledge understanding? xy
A. Completely abstain from heroin or cocaine use. xy xy xy xy xy xy
B. Remain alcohol free for 12 hours prior to the first xy xy xy xy xy xy xy xy xy
xy dose.C. Attend monthly meetings of alcoholics
y
x xy xy xy xy xy
xy anonymous.
,D. Admit to others that he is a substance user. - SOLUTION:->>>>B
xy xy xy xy xy xy xy xy xy xy xy
A male patient with schizophrenia is admitted to the mental health unit after
xy xy xy xy xy xy xy xy xy xy xy xy
xy abruptly stopping his prescription for ziprasidone (Geodon) one month ago.
xy xy xy xy xy xy xy xy xy
Which question is most important for the RN to ask the patient?
y
x xy xy xy xy xy xy xy xy xy xy xy
A. Have you lost interest in the things that you used to enjoy?
xy xy xy xy xy xy xy xy xy xy xy xy
B. Is your ability to think or concentrate decreased?
y
x xy xy xy xy xy xy xy xy
C. How many continuous hours do you sleep at night?
xy xy xy xy xy xy xy xy xy
D. Do you hear sounds or voices that others do not hear? - SOLUTION:-
xy xy xy xy xy xy xy xy xy xy xy xy xy
>>>>D
During an annual physical by the occupational RN working in a corporate
xy xy xy xy xy xy xy xy xy xy xy
clinic, a male employee tells the RN that is high-stress job is causing
y
x xy xy xy xy xy xy xy xy xy xy xy xy
trouble in his personal life. He further explains that he often gets so angry
xy xy xy xy xy xy xy xy xy xy xy xy xy
while driving to and from work that he has considered "getting even" with
y
x xy xy xy xy xy xy xy xy xy xy xy xy
xy other drivers. How should the RN respond?
xy xy xy xy xy xy
A. "Anger is contagious and could result in major confrontation."
xy xy xy xy xy xy xy xy xy
B. "Try not to let your anger cause you to act impulsively."
y
x xy xy xy xy xy xy xy xy xy xy xy
C. "Expressing your anger to a stranger could result in an unsafe situation."
xy xy xy xy xy xy xy xy xy xy xy xy
D. "It sounds as if there are many situations that make you feel
y
x xy xy xy xy xy xy xy xy xy xy xy xy
xy angry." - SOLUTION:->>>>D xy xy
,A patient who has agoraphobia (a fear of crowds) is beginning
xy xy xy xy xy xy xy xy xy xy
xy desensitization with the therapist, and the RN is reinforcing the process. xy xy xy xy xy xy xy xy xy xy
Which intervention has the highest priority for this patient's plan of care?
y
x xy xy xy xy xy xy xy xy xy xy xy
xy A. Encourage substitution of positive thoughts and negative ones.
xy xy xy xy xy xy xy xy
B. Establish trust by providing a calm, safe
xy xy xy xy xy xy xy
xy environment.
C. Progressively expose the patient to larger crowds.
y
x xy xy xy xy xy xy xy
D. Encourage deep breathing when anxiety escalates in a crowd. -
xy xy xy xy xy xy xy xy xy xy
SOLUTION:->>>>B
y
x
Which nursing actions are likely to help promote the self-esteem of a male
xy xy xy xy xy xy xy xy xy xy xy xy
patient with modern depression?
y
x xy xy xy
A. Ask the patient what his long term goals are.
xy xy xy xy xy xy xy xy
B. Discuss the challenges of his xy xy xy xy x y medical
x y condition.C. Include the patient in determining
y
x xy xy xy xy xy
xy treatment protocol. xy
D. Encourage the patient to engage in recreational therapy.
xy xy xy xy xy xy xy xy
E. Provide opportunities for the patient to discuss his concerns.
xy xy xy xy xy xy xy xy xy
xy -SOLUTION:->>>>A D E
y
x xy xy
A male patient is admitted to the psychiatric unit for recurrent negative
xy xy xy xy xy xy xy xy xy xy xy
xy symptoms of chronic schizophrenia and medication adjustment of
xy xy xy xy xy xy xy
, xy Risperidone (Risperdal). When the patient walks to the caregiver's xy xy xy xy xy xy xy xy
xy station in alaterally contracted position, he states that something has
xy xy y
x xy xy xy xy xy xy xy
xy made his bodycontort into a monster. What action should the RN take?
xy xy y
x xy xy xy xy xy xy xy xy xy
A. Medicate the patient with the prescribed antipsychotic xy xy xy xy xy xy
xy thioridazine(Mellaril). y
x
B. Offer the patient a prescribed physical therapy hot pack for
xy xy xy xy xy xy xy xy xy
xy musclespasms. y
x
C. Direct patient to occupational therapy to distract him from
xy xy xy xy xy xy xy xy
xy somaticcomplaints. y
x
D. Administer the prescribed anticholinergic benztropine (Cogentin) for xy xy xy xy xy xy
dystonia. - SOLUTION:->>>>D
y
x xy xy
A mental health worker is caring for a patient with escalating aggressive
xy xy xy xy xy xy xy xy xy xy xy
xy behavior. Which action by the MHW warrant immediate intervention by the
xy xy xy xy xy xy xy xy xy xy
RN?
y
x
A. Is attempting to physically restrain the patient.
xy xy xy xy xy xy xy
xy B. Tells the patient to go to the quiet area of the
xy xy xy xy xy xy xy xy xy xy xy
xy unit.C. Is using a loid voice to talk to the patient.
y
x xy xy xy xy xy xy xy xy xy xy
D. Remains at a distance of 4 feet from the patient. - SOLUTION:->>>>A
xy xy xy xy xy xy xy xy xy xy xy xy
A patient on the mental health unit is becoming more agitated, shouting at
xy xy xy xy xy xy xy xy xy xy xy xy
xy the staff, and pacing in the hallway. When the PRN medication is offered,
xy xy xy xy xy xy xy xy xy xy xy xy
EXAM TEST BANK WITH 400 QUESTIONS AND
xy xy xy xy xy xy xy
CORRECTLY DETAILED ANSWERS (VERIFIED
xy xy xy xy
ANSWERS) LATEST UPDATE 2024-2025 ALREADY
xy xy xy xy xy
GRADED A+ xy xy
A male patient with bipolar disorder who began taking lithium carbonate five
xy xy xy xy xy xy xy xy xy xy xy
xy days ago is complaining of excessive thirst, and the RN finds him
xy xy xy xy xy xy xy xy xy xy xy
xy attempting to drink water from the bathroom sink faucet. Which intervention
xy xy xy xy xy xy xy xy xy xy
should the RN implement?
y
x xy xy xy
A. Report the patient's serum lithium level to the HCP. xy xy xy xy xy xy xy xy
B. Encourage the patient to suck on hard candy to relieve the xy xy xy xy xy xy xy xy xy xy
xy symptoms.C. No action is needed since polydipsia is a common side y
x xy xy xy xy xy xy xy xy xy xy
xy effect.
D. Tell the patient that drinking from the faucet is not allowed.
xy xy xy xy xy xy xy xy xy xy xy
xy -SOLUTION:->>>>A
y
x
The RN is teaching a patient about the initiation of the prescribed abstinence
xy xy xy xy xy xy xy xy xy xy xy xy
therapy using disulfiram (Antabuse). What information should the patient
y
x xy xy xy xy xy xy xy xy
xy acknowledge understanding? xy
A. Completely abstain from heroin or cocaine use. xy xy xy xy xy xy
B. Remain alcohol free for 12 hours prior to the first xy xy xy xy xy xy xy xy xy
xy dose.C. Attend monthly meetings of alcoholics
y
x xy xy xy xy xy
xy anonymous.
,D. Admit to others that he is a substance user. - SOLUTION:->>>>B
xy xy xy xy xy xy xy xy xy xy xy
A male patient with schizophrenia is admitted to the mental health unit after
xy xy xy xy xy xy xy xy xy xy xy xy
xy abruptly stopping his prescription for ziprasidone (Geodon) one month ago.
xy xy xy xy xy xy xy xy xy
Which question is most important for the RN to ask the patient?
y
x xy xy xy xy xy xy xy xy xy xy xy
A. Have you lost interest in the things that you used to enjoy?
xy xy xy xy xy xy xy xy xy xy xy xy
B. Is your ability to think or concentrate decreased?
y
x xy xy xy xy xy xy xy xy
C. How many continuous hours do you sleep at night?
xy xy xy xy xy xy xy xy xy
D. Do you hear sounds or voices that others do not hear? - SOLUTION:-
xy xy xy xy xy xy xy xy xy xy xy xy xy
>>>>D
During an annual physical by the occupational RN working in a corporate
xy xy xy xy xy xy xy xy xy xy xy
clinic, a male employee tells the RN that is high-stress job is causing
y
x xy xy xy xy xy xy xy xy xy xy xy xy
trouble in his personal life. He further explains that he often gets so angry
xy xy xy xy xy xy xy xy xy xy xy xy xy
while driving to and from work that he has considered "getting even" with
y
x xy xy xy xy xy xy xy xy xy xy xy xy
xy other drivers. How should the RN respond?
xy xy xy xy xy xy
A. "Anger is contagious and could result in major confrontation."
xy xy xy xy xy xy xy xy xy
B. "Try not to let your anger cause you to act impulsively."
y
x xy xy xy xy xy xy xy xy xy xy xy
C. "Expressing your anger to a stranger could result in an unsafe situation."
xy xy xy xy xy xy xy xy xy xy xy xy
D. "It sounds as if there are many situations that make you feel
y
x xy xy xy xy xy xy xy xy xy xy xy xy
xy angry." - SOLUTION:->>>>D xy xy
,A patient who has agoraphobia (a fear of crowds) is beginning
xy xy xy xy xy xy xy xy xy xy
xy desensitization with the therapist, and the RN is reinforcing the process. xy xy xy xy xy xy xy xy xy xy
Which intervention has the highest priority for this patient's plan of care?
y
x xy xy xy xy xy xy xy xy xy xy xy
xy A. Encourage substitution of positive thoughts and negative ones.
xy xy xy xy xy xy xy xy
B. Establish trust by providing a calm, safe
xy xy xy xy xy xy xy
xy environment.
C. Progressively expose the patient to larger crowds.
y
x xy xy xy xy xy xy xy
D. Encourage deep breathing when anxiety escalates in a crowd. -
xy xy xy xy xy xy xy xy xy xy
SOLUTION:->>>>B
y
x
Which nursing actions are likely to help promote the self-esteem of a male
xy xy xy xy xy xy xy xy xy xy xy xy
patient with modern depression?
y
x xy xy xy
A. Ask the patient what his long term goals are.
xy xy xy xy xy xy xy xy
B. Discuss the challenges of his xy xy xy xy x y medical
x y condition.C. Include the patient in determining
y
x xy xy xy xy xy
xy treatment protocol. xy
D. Encourage the patient to engage in recreational therapy.
xy xy xy xy xy xy xy xy
E. Provide opportunities for the patient to discuss his concerns.
xy xy xy xy xy xy xy xy xy
xy -SOLUTION:->>>>A D E
y
x xy xy
A male patient is admitted to the psychiatric unit for recurrent negative
xy xy xy xy xy xy xy xy xy xy xy
xy symptoms of chronic schizophrenia and medication adjustment of
xy xy xy xy xy xy xy
, xy Risperidone (Risperdal). When the patient walks to the caregiver's xy xy xy xy xy xy xy xy
xy station in alaterally contracted position, he states that something has
xy xy y
x xy xy xy xy xy xy xy
xy made his bodycontort into a monster. What action should the RN take?
xy xy y
x xy xy xy xy xy xy xy xy xy
A. Medicate the patient with the prescribed antipsychotic xy xy xy xy xy xy
xy thioridazine(Mellaril). y
x
B. Offer the patient a prescribed physical therapy hot pack for
xy xy xy xy xy xy xy xy xy
xy musclespasms. y
x
C. Direct patient to occupational therapy to distract him from
xy xy xy xy xy xy xy xy
xy somaticcomplaints. y
x
D. Administer the prescribed anticholinergic benztropine (Cogentin) for xy xy xy xy xy xy
dystonia. - SOLUTION:->>>>D
y
x xy xy
A mental health worker is caring for a patient with escalating aggressive
xy xy xy xy xy xy xy xy xy xy xy
xy behavior. Which action by the MHW warrant immediate intervention by the
xy xy xy xy xy xy xy xy xy xy
RN?
y
x
A. Is attempting to physically restrain the patient.
xy xy xy xy xy xy xy
xy B. Tells the patient to go to the quiet area of the
xy xy xy xy xy xy xy xy xy xy xy
xy unit.C. Is using a loid voice to talk to the patient.
y
x xy xy xy xy xy xy xy xy xy xy
D. Remains at a distance of 4 feet from the patient. - SOLUTION:->>>>A
xy xy xy xy xy xy xy xy xy xy xy xy
A patient on the mental health unit is becoming more agitated, shouting at
xy xy xy xy xy xy xy xy xy xy xy xy
xy the staff, and pacing in the hallway. When the PRN medication is offered,
xy xy xy xy xy xy xy xy xy xy xy xy