HESI RN MENTAL HEALTH MID CURRICULUM
EXAM Questions and Correct Answers
A nurse performed these actions while caring for patients in an inpatient psychiatric
setting. Which action violated patients' rights?
A. Prohibited a patient from using the telephone
B. In patient's presence, opened a package mailed to patient
C. Remained within arm's length of patient with homicidal ideation
D. Permitted a patient with psychosis to refuse oral psychotropic medication.
✓ ~~~ A. Prohibited a patient from using telephone
A psychiatric nurse discusses rules of the therapeutic milieu and patient's rights with
a newly admitted patient. Which rights should be included? (Select all that apply)
The right to:
A. Have visitors
B. confidentiality
C. A private Room
,D. complain about inadequate care
E. select the nurse assigned to their care
✓ ~~~ A. Have visitors
B. Confidentiality
D. Complain about inadequate care
A nurse prepares to administer a scheduled injection of haloperidol to a patient with
schizophrenia. As the nurse swabs the site, the patient shouts, "Stop! I don't want to
take that medicine anymore. I hate the side effects." Select the nurse's best action.
A. Assemble other stuff for a show of force and proceed with injection, using
restrains if necessary.
B. Stop the medication administration procedure and say to the patient, "Tell me
more about the side effects you've been having."
C. Proceed with the injection but explain to the patient that here are medications that
will help reduce the unpleasant side effects.
D. Say to the patient, "Since i've already drawn the medication in the syringe, I'm
required to give it, but let's talk to the doctor about delaying next month's dose."
, ✓ ~~~ B. Stop the medication administration procedure and say to the patient, "Tell
me more about the side effects you've been having."
An Adolescent hospitalized after a violent physical outburst tells the nurse, "i'm going
to kill my father, but you can't tell anyone." Select the nurse's best response
A. "you are right. Federal law requires me to keep clinical information private."
B. "I Am obligated to share that information with the treatment team."
C. "Those kinds of thoughts will make your hospitalization longer."
D. "You should share this thought with your psychiatrist."
✓ ~~~ B. "I Am obligated to share that information with the treatment team."
A voluntary hospitalized patient tells the nurse, "Get me the forms for discharge. I
want to leave now." Select the nurse's best response.
A. "I Will get the form for you right now and bring them to your room."
B. "Since you signed your consent for treatment, you may leave if you desire."
, C. "I will get them for you, but let's talk about your decision to leave treatment."
D. "I cannot give you those forms without your healthcare provider's permission."
✓ ~~~ C. "I will get them for you, but lets talk about your decision to leave treatment."
Which individual diagnosed with mental illness needs psychiatric hospitalization the
most? An individual:
A. Who has a panic attack after her child gets lost in a shopping mall.
B. With visions of demons emerging from cemetery plots throughout the community
C. Who takes 38 acetaminophen tablets after the person's stock portfolio becomes
worthless.
D. Diagnosed with major depression who stops taking prescribed antidepressant
medication
✓ ~~~ C. Who take 38 acetaminophen tablets after the person's stock portfolio
becomes worthless
During which phase of the nurse-patient relationship can the nurse anticipate that
identified patient issues will be explored and resolved?
EXAM Questions and Correct Answers
A nurse performed these actions while caring for patients in an inpatient psychiatric
setting. Which action violated patients' rights?
A. Prohibited a patient from using the telephone
B. In patient's presence, opened a package mailed to patient
C. Remained within arm's length of patient with homicidal ideation
D. Permitted a patient with psychosis to refuse oral psychotropic medication.
✓ ~~~ A. Prohibited a patient from using telephone
A psychiatric nurse discusses rules of the therapeutic milieu and patient's rights with
a newly admitted patient. Which rights should be included? (Select all that apply)
The right to:
A. Have visitors
B. confidentiality
C. A private Room
,D. complain about inadequate care
E. select the nurse assigned to their care
✓ ~~~ A. Have visitors
B. Confidentiality
D. Complain about inadequate care
A nurse prepares to administer a scheduled injection of haloperidol to a patient with
schizophrenia. As the nurse swabs the site, the patient shouts, "Stop! I don't want to
take that medicine anymore. I hate the side effects." Select the nurse's best action.
A. Assemble other stuff for a show of force and proceed with injection, using
restrains if necessary.
B. Stop the medication administration procedure and say to the patient, "Tell me
more about the side effects you've been having."
C. Proceed with the injection but explain to the patient that here are medications that
will help reduce the unpleasant side effects.
D. Say to the patient, "Since i've already drawn the medication in the syringe, I'm
required to give it, but let's talk to the doctor about delaying next month's dose."
, ✓ ~~~ B. Stop the medication administration procedure and say to the patient, "Tell
me more about the side effects you've been having."
An Adolescent hospitalized after a violent physical outburst tells the nurse, "i'm going
to kill my father, but you can't tell anyone." Select the nurse's best response
A. "you are right. Federal law requires me to keep clinical information private."
B. "I Am obligated to share that information with the treatment team."
C. "Those kinds of thoughts will make your hospitalization longer."
D. "You should share this thought with your psychiatrist."
✓ ~~~ B. "I Am obligated to share that information with the treatment team."
A voluntary hospitalized patient tells the nurse, "Get me the forms for discharge. I
want to leave now." Select the nurse's best response.
A. "I Will get the form for you right now and bring them to your room."
B. "Since you signed your consent for treatment, you may leave if you desire."
, C. "I will get them for you, but let's talk about your decision to leave treatment."
D. "I cannot give you those forms without your healthcare provider's permission."
✓ ~~~ C. "I will get them for you, but lets talk about your decision to leave treatment."
Which individual diagnosed with mental illness needs psychiatric hospitalization the
most? An individual:
A. Who has a panic attack after her child gets lost in a shopping mall.
B. With visions of demons emerging from cemetery plots throughout the community
C. Who takes 38 acetaminophen tablets after the person's stock portfolio becomes
worthless.
D. Diagnosed with major depression who stops taking prescribed antidepressant
medication
✓ ~~~ C. Who take 38 acetaminophen tablets after the person's stock portfolio
becomes worthless
During which phase of the nurse-patient relationship can the nurse anticipate that
identified patient issues will be explored and resolved?
