HESI RN MENTAL HEALTH TEST
BANK QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT
ANSWERS)
A client is admitted to the mental health unit and reports taking
extra anti-anxiety mediation because, "I am so stressed out. I
just wanted to go to sleep." The nurse should plan one-on-one
observation of the client based on which statement:
a. "what should I do? Nothing seems to help?"
b. "I have been so tried lately and needed to sleep/"
c. "I really think that I don't need to be here"
d. "I don't want to talk. Nothing matters anymore." - correct
answer- d
A client is being treated with lithium carbonate for bipolar
disorder develops diarrhea, vomiting, and drowsiness. What
action should the nurse take?
a. notify the HCP immediately and prepare for administration of
an antidote
b. hold the medication and refuse to administer additional
amounts of the durg
,c. record the symptoms as normal side effects and continue to
administer the prescribed dosage
d. notify the HCO of the symptoms prior to the next
administration of the medication - correct answer- d
A client is homeless and diagnosed with schizophrenia and
admitted on an involuntary basis to a mental health hospital 4
days ago. The client stopped taking the prescribed
antipsychotics approximately one month ago. Since
hospitalization, the client continues to have poor judgement and
refuses all medications. Which action should the RN take?
a. encourage the client to stay in the hospital so the client does
not have to be homeless
b. provide the client with medication if the client presents an
imminent risk to self and others
c. administer long acting antipsychotic medication so the client
can be discharged to a shelter
d. describe to the client treatment options provided at the
community mental health clinics - correct answer- c
A client is receiving substitution therapy during withdrawal from
benzodiazepines. Which expected outcome statement has the
highest priority when planning nursing care?
a. excessive CNS stimulation will be reduced
, b. co-dependent behaviors will be decreased
c. client's LOC will increase
d. client will not demonstrate cross addiction - correct
answer- a
a client on the mental health unit is becoming more agitated,
shouting at the staff, and pacing in the hallway. When a PRN
medication is offered, the client refuses the medication and
defiantly sits on the floor in the middle of the unit hallway. What
nursing intervention should the RN implement first?
a. transport the client to the seclusion room
b. quietly approach the client with additional staff members
c. take other clients in the area to the client lounge
d. administer medication to chemically restrain the patient -
correct answer- c
A client who has agoraphobia (a fear of crowds) is beginning
desensitization with the therapist, and the nurse is reinforcing
the process. Which intervention has the highest priority for this
client's plan of care?
a. encourage substitution of positive thoughts for negative ones
b. establish trust by providing a calm, safe environment
c. progressively expose the client to larger crowds
BANK QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT
ANSWERS)
A client is admitted to the mental health unit and reports taking
extra anti-anxiety mediation because, "I am so stressed out. I
just wanted to go to sleep." The nurse should plan one-on-one
observation of the client based on which statement:
a. "what should I do? Nothing seems to help?"
b. "I have been so tried lately and needed to sleep/"
c. "I really think that I don't need to be here"
d. "I don't want to talk. Nothing matters anymore." - correct
answer- d
A client is being treated with lithium carbonate for bipolar
disorder develops diarrhea, vomiting, and drowsiness. What
action should the nurse take?
a. notify the HCP immediately and prepare for administration of
an antidote
b. hold the medication and refuse to administer additional
amounts of the durg
,c. record the symptoms as normal side effects and continue to
administer the prescribed dosage
d. notify the HCO of the symptoms prior to the next
administration of the medication - correct answer- d
A client is homeless and diagnosed with schizophrenia and
admitted on an involuntary basis to a mental health hospital 4
days ago. The client stopped taking the prescribed
antipsychotics approximately one month ago. Since
hospitalization, the client continues to have poor judgement and
refuses all medications. Which action should the RN take?
a. encourage the client to stay in the hospital so the client does
not have to be homeless
b. provide the client with medication if the client presents an
imminent risk to self and others
c. administer long acting antipsychotic medication so the client
can be discharged to a shelter
d. describe to the client treatment options provided at the
community mental health clinics - correct answer- c
A client is receiving substitution therapy during withdrawal from
benzodiazepines. Which expected outcome statement has the
highest priority when planning nursing care?
a. excessive CNS stimulation will be reduced
, b. co-dependent behaviors will be decreased
c. client's LOC will increase
d. client will not demonstrate cross addiction - correct
answer- a
a client on the mental health unit is becoming more agitated,
shouting at the staff, and pacing in the hallway. When a PRN
medication is offered, the client refuses the medication and
defiantly sits on the floor in the middle of the unit hallway. What
nursing intervention should the RN implement first?
a. transport the client to the seclusion room
b. quietly approach the client with additional staff members
c. take other clients in the area to the client lounge
d. administer medication to chemically restrain the patient -
correct answer- c
A client who has agoraphobia (a fear of crowds) is beginning
desensitization with the therapist, and the nurse is reinforcing
the process. Which intervention has the highest priority for this
client's plan of care?
a. encourage substitution of positive thoughts for negative ones
b. establish trust by providing a calm, safe environment
c. progressively expose the client to larger crowds
