Mental Health Final Exam Questions,
HESI RN MENTAL HEALTH HESI
REVIEW - MULTIPLE CHOICE
Amnursemperformedmthesemactionsmwhilemcaringmformpatientsminmanminpatientmpsychiatricmsetting.m
Whichmactionmviolatedmpatients'mrights?
A.mProhibitedmampatientmfrommusingmthemtelephone
B.mInmpatient'smpresence,mopenedmampackagemmailedmtompatient
C.mRemainedmwithinmarm'smlengthmofmpatientmwithmhomicidalmideation
D.mPermittedmampatientmwithmpsychosismtomrefusemoralmpsychotropicmmedication.m-
mCORRECTmANSWERmA.mProhibitedmampatientmfrommusingmtelephone
Ampsychiatricmnursemdiscussesmrulesmofmthemtherapeuticmmilieumandmpatient'smrightsmwithmamnewl
ymadmittedmpatient.mWhichmrightsmshouldmbemincluded?m(Selectmallmthatmapply)
Themrightmto:
A.mHavemvisitors
B.mconfidentiality
C.mAmprivatemRoom
D.mcomplainmaboutminadequatemcare
E.mselectmthemnursemassignedmtomtheirmcarem-mCORRECTmANSWERmA.mHavemvisitors
B.mConfidentiality
D.mComplainmaboutminadequatemcare
,Amnursempreparesmtomadministermamscheduledminjectionmofmhaloperidolmtomampatientmwithmschizop
hrenia.mAsmthemnursemswabsmthemsite,mthempatientmshouts,m"Stop!mImdon'tmwantmtomtakemthatmmed
icinemanymore.mImhatemthemsidemeffects."mSelectmthemnurse'smbestmaction.
A.mAssemblemothermstuffmformamshowmofmforcemandmproceedmwithminjection,musingmrestrainsmifmnec
essary.
B.mStopmthemmedicationmadministrationmproceduremandmsaymtomthempatient,m"Tellmmemmoremabou
tmthemsidemeffectsmyou'vembeenmhaving."
C.mProceedmwithmtheminjectionmbutmexplainmtomthempatientmthatmheremaremmedicationsmthatmwillmh
elpmreducemthemunpleasantmsidemeffects.
D.mSaymtomthempatient,m"Sincemi'vemalreadymdrawnmthemmedicationminmthemsyringe,mI'mmrequiredmt
omgivemit,mbutmlet'smtalkmtomthemdoctormaboutmdelayingmnextmmonth'smdose."m-
mCORRECTmANSWERmB.mStopmthemmedicationmadministrationmproceduremandmsaymtomthempatient,
m"Tellmmemmoremaboutmthemsidemeffectsmyou'vembeenmhaving."
AnmAdolescentmhospitalizedmaftermamviolentmphysicalmoutburstmtellsmthemnurse,m"i'mmgoingmtomkillm
mymfather,mbutmyoumcan'tmtellmanyone."mSelectmthemnurse'smbestmresponse
A.m"youmaremright.mFederalmlawmrequiresmmemtomkeepmclinicalminformationmprivate."
B.m"ImAmmobligatedmtomsharemthatminformationmwithmthemtreatmentmteam."
C.m"Thosemkindsmofmthoughtsmwillmmakemyourmhospitalizationmlonger."
D.m"Youmshouldmsharemthismthoughtmwithmyourmpsychiatrist."m-
mCORRECTmANSWERmB.m"ImAmmobligatedmtomsharemthatminformationmwithmthemtreatmentmteam."
,Amvoluntarymhospitalizedmpatientmtellsmthemnurse,m"Getmmemthemformsmformdischarge.mImwantmtoml
eavemnow."mSelectmthemnurse'smbestmresponse.
A.m"ImWillmgetmthemformmformyoumrightmnowmandmbringmthemmtomyourmroom."
B.m"Sincemyoumsignedmyourmconsentmformtreatment,myoummaymleavemifmyoumdesire."
C.m"Imwillmgetmthemmformyou,mbutmlet'smtalkmaboutmyourmdecisionmtomleavemtreatment."
D.m"Imcannotmgivemyoumthosemformsmwithoutmyourmhealthcaremprovider'smpermission."m-
mCORRECTmANSWERmC.m"Imwillmgetmthemmformyou,mbutmletsmtalkmaboutmyourmdecisionmtomleavemtre
atment."
Whichmindividualmdiagnosedmwithmmentalmillnessmneedsmpsychiatricmhospitalizationmthemmost?mA
nmindividual:
A.mWhomhasmampanicmattackmaftermhermchildmgetsmlostminmamshoppingmmall.
B.mWithmvisionsmofmdemonsmemergingmfrommcemeterymplotsmthroughoutmthemcommunity
C.mWhomtakesm38macetaminophenmtabletsmaftermthemperson'smstockmportfoliombecomesmworthless
.
D.mDiagnosedmwithmmajormdepressionmwhomstopsmtakingmprescribedmantidepressantmmedicationm
-
mCORRECTmANSWERmC.mWhomtakem38macetaminophenmtabletsmaftermthemperson'smstockmportfolio
mbecomesmworthless
, Duringmwhichmphasemofmthemnurse-
patientmrelationshipmcanmthemnursemanticipatemthatmidentifiedmpatientmissuesmwillmbemexploredman
dmresolved?
A.mPreorientation
B.mOrientation
C.mWorking
D.mTerminationm-mCORRECTmANSWERmC.mWorking
Amstaffmnursemcompletesmorientationmtomampsychiatricmunit.mThemnursemmaymexpertmanmadvancedm
practicemnursemtomperformmwhichmadditionalmintervention?
A.mConductmmentalmhealthmassessments.
B.mPrescribedmpsychotropicmmedication
C.mEstablishedmtherapeuticmrelationships.
D.mIndividualizemnursingmcaremplans.m-
mCORRECTmANSWERmB.mPrescribedmpsychotropicmmedication
Whichmfindingmbestmindicatesmthatmthemgoalm"Demonstratemmentallymhealthymbehavior"mwasmachi
eved?mAmpatient:
A.mSeesmselfmasmcapablemofmachievingmidealsmandmmeetingmdemands
HESI RN MENTAL HEALTH HESI
REVIEW - MULTIPLE CHOICE
Amnursemperformedmthesemactionsmwhilemcaringmformpatientsminmanminpatientmpsychiatricmsetting.m
Whichmactionmviolatedmpatients'mrights?
A.mProhibitedmampatientmfrommusingmthemtelephone
B.mInmpatient'smpresence,mopenedmampackagemmailedmtompatient
C.mRemainedmwithinmarm'smlengthmofmpatientmwithmhomicidalmideation
D.mPermittedmampatientmwithmpsychosismtomrefusemoralmpsychotropicmmedication.m-
mCORRECTmANSWERmA.mProhibitedmampatientmfrommusingmtelephone
Ampsychiatricmnursemdiscussesmrulesmofmthemtherapeuticmmilieumandmpatient'smrightsmwithmamnewl
ymadmittedmpatient.mWhichmrightsmshouldmbemincluded?m(Selectmallmthatmapply)
Themrightmto:
A.mHavemvisitors
B.mconfidentiality
C.mAmprivatemRoom
D.mcomplainmaboutminadequatemcare
E.mselectmthemnursemassignedmtomtheirmcarem-mCORRECTmANSWERmA.mHavemvisitors
B.mConfidentiality
D.mComplainmaboutminadequatemcare
,Amnursempreparesmtomadministermamscheduledminjectionmofmhaloperidolmtomampatientmwithmschizop
hrenia.mAsmthemnursemswabsmthemsite,mthempatientmshouts,m"Stop!mImdon'tmwantmtomtakemthatmmed
icinemanymore.mImhatemthemsidemeffects."mSelectmthemnurse'smbestmaction.
A.mAssemblemothermstuffmformamshowmofmforcemandmproceedmwithminjection,musingmrestrainsmifmnec
essary.
B.mStopmthemmedicationmadministrationmproceduremandmsaymtomthempatient,m"Tellmmemmoremabou
tmthemsidemeffectsmyou'vembeenmhaving."
C.mProceedmwithmtheminjectionmbutmexplainmtomthempatientmthatmheremaremmedicationsmthatmwillmh
elpmreducemthemunpleasantmsidemeffects.
D.mSaymtomthempatient,m"Sincemi'vemalreadymdrawnmthemmedicationminmthemsyringe,mI'mmrequiredmt
omgivemit,mbutmlet'smtalkmtomthemdoctormaboutmdelayingmnextmmonth'smdose."m-
mCORRECTmANSWERmB.mStopmthemmedicationmadministrationmproceduremandmsaymtomthempatient,
m"Tellmmemmoremaboutmthemsidemeffectsmyou'vembeenmhaving."
AnmAdolescentmhospitalizedmaftermamviolentmphysicalmoutburstmtellsmthemnurse,m"i'mmgoingmtomkillm
mymfather,mbutmyoumcan'tmtellmanyone."mSelectmthemnurse'smbestmresponse
A.m"youmaremright.mFederalmlawmrequiresmmemtomkeepmclinicalminformationmprivate."
B.m"ImAmmobligatedmtomsharemthatminformationmwithmthemtreatmentmteam."
C.m"Thosemkindsmofmthoughtsmwillmmakemyourmhospitalizationmlonger."
D.m"Youmshouldmsharemthismthoughtmwithmyourmpsychiatrist."m-
mCORRECTmANSWERmB.m"ImAmmobligatedmtomsharemthatminformationmwithmthemtreatmentmteam."
,Amvoluntarymhospitalizedmpatientmtellsmthemnurse,m"Getmmemthemformsmformdischarge.mImwantmtoml
eavemnow."mSelectmthemnurse'smbestmresponse.
A.m"ImWillmgetmthemformmformyoumrightmnowmandmbringmthemmtomyourmroom."
B.m"Sincemyoumsignedmyourmconsentmformtreatment,myoummaymleavemifmyoumdesire."
C.m"Imwillmgetmthemmformyou,mbutmlet'smtalkmaboutmyourmdecisionmtomleavemtreatment."
D.m"Imcannotmgivemyoumthosemformsmwithoutmyourmhealthcaremprovider'smpermission."m-
mCORRECTmANSWERmC.m"Imwillmgetmthemmformyou,mbutmletsmtalkmaboutmyourmdecisionmtomleavemtre
atment."
Whichmindividualmdiagnosedmwithmmentalmillnessmneedsmpsychiatricmhospitalizationmthemmost?mA
nmindividual:
A.mWhomhasmampanicmattackmaftermhermchildmgetsmlostminmamshoppingmmall.
B.mWithmvisionsmofmdemonsmemergingmfrommcemeterymplotsmthroughoutmthemcommunity
C.mWhomtakesm38macetaminophenmtabletsmaftermthemperson'smstockmportfoliombecomesmworthless
.
D.mDiagnosedmwithmmajormdepressionmwhomstopsmtakingmprescribedmantidepressantmmedicationm
-
mCORRECTmANSWERmC.mWhomtakem38macetaminophenmtabletsmaftermthemperson'smstockmportfolio
mbecomesmworthless
, Duringmwhichmphasemofmthemnurse-
patientmrelationshipmcanmthemnursemanticipatemthatmidentifiedmpatientmissuesmwillmbemexploredman
dmresolved?
A.mPreorientation
B.mOrientation
C.mWorking
D.mTerminationm-mCORRECTmANSWERmC.mWorking
Amstaffmnursemcompletesmorientationmtomampsychiatricmunit.mThemnursemmaymexpertmanmadvancedm
practicemnursemtomperformmwhichmadditionalmintervention?
A.mConductmmentalmhealthmassessments.
B.mPrescribedmpsychotropicmmedication
C.mEstablishedmtherapeuticmrelationships.
D.mIndividualizemnursingmcaremplans.m-
mCORRECTmANSWERmB.mPrescribedmpsychotropicmmedication
Whichmfindingmbestmindicatesmthatmthemgoalm"Demonstratemmentallymhealthymbehavior"mwasmachi
eved?mAmpatient:
A.mSeesmselfmasmcapablemofmachievingmidealsmandmmeetingmdemands