HESI Mental Health Exam 1 2024
A male client in the mental health unit is guarded and vaguely answers the nurse's questions.
He isolates in his room and sometimes opens the door to peek into the hall. Which problem
can the RN anticipate?
A. Visual hallucinations.
B. Auditory hallucinations.
C. Excessive motor activity.
D. Delusions of persecution. - D. Delusions of persecution.
A female client with obsessive compulsive personality disorder is admitted to the hospital for
a cardiac catheterization. The afternoon before the procedure, the client begins to keep
detailed notes of the nursing care she is receiving, and reports her findings to the RN at
bedtime. What action should the nurse implement?
A. Explain to the client that her behavior invades the rights of the nursing staff.
B. Ask the client to explain why she is keeping a detailed record of her nursing care.
C. Teach the client strategies to control her obsessive compulsive behavior.
D. Encourage the client to express her feelings regarding the upcoming procedure. - D.
Encourage the client to express her feelings regarding the upcoming procedure.
During admission to the psychiatric unit, a female client is extremely anxious and states that
she is worried about the sun coming up the next day. What intervention is most important for
the RN to implement during the admission process?
A. Assist the client in developing alternative coping skills.
B. Remain calm and use a matter of fact approach.
C. Ask the client why she is so anxious
D. Administer a PRN sedative to help relieve her anxiety. - A. Assist the client in developing
alternative coping skills.
A female client is brought to the emergency department after police officers found her
disoriented, disorganized, and confused. The RN also determines that the client is homeless
and is exhibiting suspiciousness. The client's plan of care should include what priority
problem?
A. Acute confusion.
B. Ineffective community coping
C. Disturbed sensory perception.
D. Self-care deficit. - A. Acute confusion.
The occupational health nurse is working with a female employee who was just notified that
her child was involved in a MVA and taken to the hospital. The employee states, "I can't
believe this. What should I do?" Which response is best for the RN to provide in this crisis?
A. Tell me what you think should happen.
,B. How serious was the collision?
C. What do you think you should do?
D. Call for transportation to the hospital. - D. Call for transportation to the hospital.
A rclient rtells rthe rRN rthat rhe rhas ran rIQ rof r400+ rand ris ra rgenius rand ran rinventor. rHe ralso
rreports rthat rhe ris rmarried rto ra rfemale rmovie rstar rand rthinks rthat rhis rbrother rwants ra
rsexual rrelationship rwith rher. rWhat ris rthe rpriority rnursing rproblem rfor radmission rto rthe
rpsychiatric runit? r
r
A. rIneffective rsexual r
rpatterns.
B. rImpaired renvironmental r
rinterpretation.
C. rDisturbed rsensory r
rperception.
D. rCompromised rfamily rcoping. r- rA. rIneffective rsexual
rpatterns.
r
The rRN ris rproviding rcare rfor ra rclient rdiagnosed rwith rborderline rpersonality rdisorder rwho
rhas r
self-inflicted rlacerations ron rthe rabdomen. rWhich rapproach rshould rthe rRN ruse rwhen
rchanging r
this rclient's r
rdressing?
r
A. Provide rdetailed rthorough rexplanations rwhen rcleansing rwound. r
B. Perform rthe rdressing rchange rin ra rnon-judgmental rmanner. r
C. Ask rin ra rnon-threatening rmanner rwhy rthe rclient rcut rown rabdomen. r
D. Request ranother rstaff rmember rassist rwith rthe rdressing rchange. r- rB. rPerform rthe
rdressing rchange rin ra rnon-judgmental rmanner. r
r
While rsitting rin rthe rday rroom rof rthe rmental rhealth runit, ra rmale radolescent ravoids reye
rcontact,looks rat rthe rfloor, rand rtalks rsoftly rwhen rinteracting rverbally rwith rthe rRN. rThe
rtwo rtrade rplaces,and rthe rRN rdemonstrates rthe rclient's rbehaviors. rWhat ris rthe rmain rgoal
rof rthis rtherapeutic rtechnique? r
r
A. Initiate ra rnon-threatening rconversation rwith rthe rclient. r
B. Dialog rabout rthe rineffectiveness rof rhis rinteractions. r
C. Allow rthe rclient rto ridentify rthe rway rhe rinteracts. r
D. Discuss rthe rclient's rfeelings rwhen rhe rresponds. r- rC. rAllow rthe rclient rto ridentify rthe
rway rhe rinteracts. r
r
An rantidepressant rmedication ris rprescribed rfor ra rclient rwho rreports rsleeping ronly r4
rhours rin r
the rpast r2 rdays rand rweight rloss rof r9 rlbs rwithin rthe rlast rmonth. rWhich rclient rgoal ris r
rmost
important rto rachieve rwithin rthe rfirst rthree rdays rof r
rtreatment?
, r
A. rMeet rscheduled rappointment rwith r
rdietitian.
B. rSleep rat rleast r6 rhours ra r
rnight.
C. rUnderstands rthe rpurpose rof rthe rmedication r
rregimen.
D. rDescribes rthe rreasons rfor rhospitalization. r- rB. rSleep rat rleast r6 rhours ra
rnight.
r
When rpreparing rto radminister rto rdomestic rviolence rscreening rtool rto ra rfemale rclient,
rwhich r
statement rshould rthe rRN r
rprovide?
r
A. If ryour rpartner ris rabusing ryou, rI rneed rto rask rthese rquestions. r
B. State rlaw rmandates rthat rI rask rif ryou rare ra rvictim rof rdomestic rviolence. r
C. The rHCP rprovider rneeds rto rknow rif ryou rare rexperiencing rany rdomestic rabuse. r
D. All rclients rare rscreened rfor rdomestic rabuse rbecause rit ris rcommon rin rour rsociety. r- rD.
rAll rclients rare rscreened rfor rdomestic rabuse rbecause rit ris rcommon rin rour rsociety. r
r
A ryoung radult rfemale rvisits rthe rmental rhealth rclinic rcomplaining rof rdiarrhea, rheadache,
rand rmuscle raches. rShe ris rafebrile, rdenies rchills, rand rall rlaboratory rfindings rare rwithin
rnormal rlimits.During rthe rphysical rassessment, rthe rclient rtells rthe rRN rthat rher rsister
rthinks rshe ris rneurotic rand rcalls rher ra rhypochondriac. rWhich rresponse ris rbest rfor rthe rRN
rto rprovide? r
r
A. Unless ryour rsister rhas ra rmedical reducation, rignore rher rcomments. r
B. I rcan rhear rthat ryour rsister rcomments rare rover-whelming ryou. r
C. Do ryou rthink rit's rpossible rthat ryou rmight rbe ra rhypochondriac? r
D. Besides ryour rsister's rcomments, rwhat rin ryour rlife ris rtroubling ryou? r- rD. rBesides ryour
rsister's rcomments, rwhat rin ryour rlife ris rtroubling ryou? r
r
The rRN ris rleading ra rgroup ron rthe rinpatient rpsychiatric runit. rWhich rapproach rshould rthe
rRN r
use rduring rthe rworking rphase rof rgroup r
rdevelopment?
r
A. Establishing ra rrapport rwith rgroup rmembers. r
B. Clarifying rthe rnurse's rrole rand rclients' rresponsibilities. r
C. Discussing rways rto ruse rnew rcoping rskills rlearned. r
D. Helping rclients ridentify rareas rof rproblem rin rtheir rlives. r- rD. rHelping rclients ridentify
rareas rof rproblem rin rtheir rlives. r
r
A rmale rclient rwith rschizophrenia ris rdemonstrating recholalia, rwhich ris rbecoming
rannoying rto r
other rclients ron rthe runit. rWhat rintervention ris rbest rfor rthe rRN rto r
rimplement?
r
A male client in the mental health unit is guarded and vaguely answers the nurse's questions.
He isolates in his room and sometimes opens the door to peek into the hall. Which problem
can the RN anticipate?
A. Visual hallucinations.
B. Auditory hallucinations.
C. Excessive motor activity.
D. Delusions of persecution. - D. Delusions of persecution.
A female client with obsessive compulsive personality disorder is admitted to the hospital for
a cardiac catheterization. The afternoon before the procedure, the client begins to keep
detailed notes of the nursing care she is receiving, and reports her findings to the RN at
bedtime. What action should the nurse implement?
A. Explain to the client that her behavior invades the rights of the nursing staff.
B. Ask the client to explain why she is keeping a detailed record of her nursing care.
C. Teach the client strategies to control her obsessive compulsive behavior.
D. Encourage the client to express her feelings regarding the upcoming procedure. - D.
Encourage the client to express her feelings regarding the upcoming procedure.
During admission to the psychiatric unit, a female client is extremely anxious and states that
she is worried about the sun coming up the next day. What intervention is most important for
the RN to implement during the admission process?
A. Assist the client in developing alternative coping skills.
B. Remain calm and use a matter of fact approach.
C. Ask the client why she is so anxious
D. Administer a PRN sedative to help relieve her anxiety. - A. Assist the client in developing
alternative coping skills.
A female client is brought to the emergency department after police officers found her
disoriented, disorganized, and confused. The RN also determines that the client is homeless
and is exhibiting suspiciousness. The client's plan of care should include what priority
problem?
A. Acute confusion.
B. Ineffective community coping
C. Disturbed sensory perception.
D. Self-care deficit. - A. Acute confusion.
The occupational health nurse is working with a female employee who was just notified that
her child was involved in a MVA and taken to the hospital. The employee states, "I can't
believe this. What should I do?" Which response is best for the RN to provide in this crisis?
A. Tell me what you think should happen.
,B. How serious was the collision?
C. What do you think you should do?
D. Call for transportation to the hospital. - D. Call for transportation to the hospital.
A rclient rtells rthe rRN rthat rhe rhas ran rIQ rof r400+ rand ris ra rgenius rand ran rinventor. rHe ralso
rreports rthat rhe ris rmarried rto ra rfemale rmovie rstar rand rthinks rthat rhis rbrother rwants ra
rsexual rrelationship rwith rher. rWhat ris rthe rpriority rnursing rproblem rfor radmission rto rthe
rpsychiatric runit? r
r
A. rIneffective rsexual r
rpatterns.
B. rImpaired renvironmental r
rinterpretation.
C. rDisturbed rsensory r
rperception.
D. rCompromised rfamily rcoping. r- rA. rIneffective rsexual
rpatterns.
r
The rRN ris rproviding rcare rfor ra rclient rdiagnosed rwith rborderline rpersonality rdisorder rwho
rhas r
self-inflicted rlacerations ron rthe rabdomen. rWhich rapproach rshould rthe rRN ruse rwhen
rchanging r
this rclient's r
rdressing?
r
A. Provide rdetailed rthorough rexplanations rwhen rcleansing rwound. r
B. Perform rthe rdressing rchange rin ra rnon-judgmental rmanner. r
C. Ask rin ra rnon-threatening rmanner rwhy rthe rclient rcut rown rabdomen. r
D. Request ranother rstaff rmember rassist rwith rthe rdressing rchange. r- rB. rPerform rthe
rdressing rchange rin ra rnon-judgmental rmanner. r
r
While rsitting rin rthe rday rroom rof rthe rmental rhealth runit, ra rmale radolescent ravoids reye
rcontact,looks rat rthe rfloor, rand rtalks rsoftly rwhen rinteracting rverbally rwith rthe rRN. rThe
rtwo rtrade rplaces,and rthe rRN rdemonstrates rthe rclient's rbehaviors. rWhat ris rthe rmain rgoal
rof rthis rtherapeutic rtechnique? r
r
A. Initiate ra rnon-threatening rconversation rwith rthe rclient. r
B. Dialog rabout rthe rineffectiveness rof rhis rinteractions. r
C. Allow rthe rclient rto ridentify rthe rway rhe rinteracts. r
D. Discuss rthe rclient's rfeelings rwhen rhe rresponds. r- rC. rAllow rthe rclient rto ridentify rthe
rway rhe rinteracts. r
r
An rantidepressant rmedication ris rprescribed rfor ra rclient rwho rreports rsleeping ronly r4
rhours rin r
the rpast r2 rdays rand rweight rloss rof r9 rlbs rwithin rthe rlast rmonth. rWhich rclient rgoal ris r
rmost
important rto rachieve rwithin rthe rfirst rthree rdays rof r
rtreatment?
, r
A. rMeet rscheduled rappointment rwith r
rdietitian.
B. rSleep rat rleast r6 rhours ra r
rnight.
C. rUnderstands rthe rpurpose rof rthe rmedication r
rregimen.
D. rDescribes rthe rreasons rfor rhospitalization. r- rB. rSleep rat rleast r6 rhours ra
rnight.
r
When rpreparing rto radminister rto rdomestic rviolence rscreening rtool rto ra rfemale rclient,
rwhich r
statement rshould rthe rRN r
rprovide?
r
A. If ryour rpartner ris rabusing ryou, rI rneed rto rask rthese rquestions. r
B. State rlaw rmandates rthat rI rask rif ryou rare ra rvictim rof rdomestic rviolence. r
C. The rHCP rprovider rneeds rto rknow rif ryou rare rexperiencing rany rdomestic rabuse. r
D. All rclients rare rscreened rfor rdomestic rabuse rbecause rit ris rcommon rin rour rsociety. r- rD.
rAll rclients rare rscreened rfor rdomestic rabuse rbecause rit ris rcommon rin rour rsociety. r
r
A ryoung radult rfemale rvisits rthe rmental rhealth rclinic rcomplaining rof rdiarrhea, rheadache,
rand rmuscle raches. rShe ris rafebrile, rdenies rchills, rand rall rlaboratory rfindings rare rwithin
rnormal rlimits.During rthe rphysical rassessment, rthe rclient rtells rthe rRN rthat rher rsister
rthinks rshe ris rneurotic rand rcalls rher ra rhypochondriac. rWhich rresponse ris rbest rfor rthe rRN
rto rprovide? r
r
A. Unless ryour rsister rhas ra rmedical reducation, rignore rher rcomments. r
B. I rcan rhear rthat ryour rsister rcomments rare rover-whelming ryou. r
C. Do ryou rthink rit's rpossible rthat ryou rmight rbe ra rhypochondriac? r
D. Besides ryour rsister's rcomments, rwhat rin ryour rlife ris rtroubling ryou? r- rD. rBesides ryour
rsister's rcomments, rwhat rin ryour rlife ris rtroubling ryou? r
r
The rRN ris rleading ra rgroup ron rthe rinpatient rpsychiatric runit. rWhich rapproach rshould rthe
rRN r
use rduring rthe rworking rphase rof rgroup r
rdevelopment?
r
A. Establishing ra rrapport rwith rgroup rmembers. r
B. Clarifying rthe rnurse's rrole rand rclients' rresponsibilities. r
C. Discussing rways rto ruse rnew rcoping rskills rlearned. r
D. Helping rclients ridentify rareas rof rproblem rin rtheir rlives. r- rD. rHelping rclients ridentify
rareas rof rproblem rin rtheir rlives. r
r
A rmale rclient rwith rschizophrenia ris rdemonstrating recholalia, rwhich ris rbecoming
rannoying rto r
other rclients ron rthe runit. rWhat rintervention ris rbest rfor rthe rRN rto r
rimplement?
r
