HESI RN MENTAL HEALTH EXAM QUESTIONS
WITH CORRECT SOLUTIONS – LATEST UPDATE
A Male Client With Bipolar Disorder Who Began Taking Lithium Carbonate
Five Days Ago Is Complaining Of Excessive Thirst, And The Rn Finds Him
Attempting To Drink Water From The Bathroom Sink Faucet. Which
Intervention Should The Rn Implement?
A. Report The Client's Serum Lithium Level To The Hcp.
B. Encourage The Client To Suck On Hard Candy To Relieve The Symptoms.
C. No Action Is Needed Since Polydipsia Is A Common Side Effect.
D. Tell The Client That Drinking From The Faucet Is Not Allowed. Correct
Answer -A. Report The Client's Serum Lithium Level To The Hcp.
A Mental Health Worker Is Caring For A Client With Escalating Aggressive
Behavior. Which Action By The Mhw Warrant Immediate Intervention By The
Rn?
A. Is Attempting To Physically Restrain The Patient.
B. Tells The Client To Go To The Quiet Area Of The Unit.
C. Is Using A Loud Voice To Talk To The Client.
D. Remains At A Distance Of 4 Feet From The Client. Correct Answer -A. Is
Attempting To Physically Restrain The Patient.
A Client Is Admitted To The Mental Health Unit And Reports Taking Extra
Antianxiety Medication Because, "I'm So Stressed Out. I Just Want To Go To Sleep."
The Rn 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 Tired Lately And Needed To Sleep."
,C. "I Really Think That I Don't Need To Be Here."
D. "I Don't Want To Walk. Nothing Matters Anymore." Correct Answer -D. "I
Don't Want To Walk. Nothing Matters Anymore."
The Rn Is Performing Intake Interviews At A Psychiatric Clinic. A Female Client
With A Known History Of Drug Abuse Reports That She Had A Heart Attack
Four Years Ago. Useof Which Substance Places The Client At Highest Risk For
Myocardial Infarction?
A. Benzodiazepine
B. Alcohol
C. Methamphetamine
D. Marijuana Correct Answer -C. Methamphetamine
A Male Client Comes To The Emergency Center Because He Has An Erection
That Will Not Resolve. The Client Reports That He Is Taking Trazodone
(Desyrel) For Insomnia. Which Information Is Most Important For The Nurse
Ask The Client?
A. When Was The Last Time You Drank Alcoholic Beverage?
B. Have You Taken Any Medications For Erectile Dysfunction?
C. Are You Having Any Other Sexual Dysfunctions Or Problems?
D. Do You Have A History Of Angina Or High Blood Pressure? Correct
Answer -B. Have You Taken Any Medications For Erectile Dysfunction?
A Female Client Admitted To The Mental Health Unit Starts To Shout And
Scream At The Rn. What Is The Best Approach For The Rn To Take?
A. Stay Quietly With The Patient
B. Tell Her That She Is Out Of Control.
C. Distract Her By Offering Her Finger Foods.
D. Ignore The Client's Acting Out Behavior. Correct Answer -A. Stay Quietly With
The Patient
,When Developing A Plan Of Care For A Client Admitted To The Psychiatric Unit
Following Aspiration Of A Caustic Material Related To A Suicide Attempt,
Which Nursing Problem Has The Highest Priority?
A. Impaired Comfort.
B. Risk For Injury.
C. Ineffective Breathing Pattern.
D. Ineffective Coping. Correct Answer -C. Ineffective Breathing Pattern.
A Female Client On A Psychiatric Unit Is Sweating Profusely While She
Vigorously Does Push-Ups And Then Runs The Length Of The Corridor Several
Times Before Crashing Into Furniture In The Sitting Room. Picking Herself Up,
She Begins To Toss Chairs Aside, Looking For A Red One To Sit In. When
Another Client Objects To The Disturbance, The Client Shouts, "I Am The Boss
Here. I Do What I Want." Which Nursing Problem Best Supports These
Observations?
A. Deficient Diversional Activity Related To Excess Energy Level.
B. Risk For Other Related Violence Related To Disruptive Behavior.
C. Risk For Activity Intolerance Related To Hyperactivity.
D. Disturbed Personal Identity Related To Grandiosity. Correct Answer -B.
Risk For Other Related Violence Related To Disruptive Behavior.
A Rn Is Preparing The Physical Environment To Interview A New Client For
Admission To The Mental Health Unit. Which Environmental Setting Facilitates
The Best Outcome Of The Interview?
A. Dim The Lights In The Room To Help The Patient Feel Calm.
B. Sit Within Two Feet Of The Client To Enhance Level Of Safety And Security.
C. Reduce The Noise Level In The Room By Turning Off The Television And Radio.
D. Position Table Between The Client And The Rn For Extra Personal Space.
Correct Answer -C. Reduce The Noise Level In The Room By Turning Off
The Television And Radio.
, The RN Is Providing Education About Strategies For A Safety Plan For A Female Client
Who Is A Victim Of Intimate Partner Violence. Which Strategies Should Be Included In
The Safety Plan? (Select All That Apply)
A. Purchase A Gun To Use For Protection.
B. Establish A Code With Family And Friends To Signify Violence.
C. Take A Self-Defense Course That Retaliates The Abuser With Injury.
D. Have A Bag Ready That Has Extra Clothes For Self And Children.
E. Plan An Escape Route To Use If The Abuser Blocks The Main Exit. Correct
Answer -B. Establish A Code With Family And Friends To Signify Violence.
D. Have A Bag Ready That Has Extra Clothes For Self And Children.
E. Plan An Escape Route To Use If The Abuser Blocks The Main Exit.
The Rn Is Admitting A Male Client Who Takes Lithium Carbonate (Eskalith) Twice
A Day. Which Information Should The Rn Report To The Hcp Immediately?
A. Short Term Memory Loss.
B. Five Pound Weight Gain
C. Decreased Affect.
D. Nausea And Vomiting. Correct Answer -D. Nausea And Vomiting.
A Homeless Client Who Reports Feeling Sad And Depressed Tells The Mental
Health Nurse That In The Past 2 Days She Has Only Had 4 Hours Of Sleep.
Which Action Is Most Important For The Rn To Implement Within The First 24
Hours After Treatment Is Initiated?
A. Allow The Client To Rest And Sleep.
B. Ensure Client Attend Groups Addressing Coping Skills For Dealing With
Depression.
C. Begin Planning For The Clients Discharge.
D. Encourage Verbalization Of Feelings. Correct Answer -A. Allow The Client To
Rest And Sleep.
A Rn Is Teaching A Client About Initiation Of A Prescribed Abstinence Therapy
WITH CORRECT SOLUTIONS – LATEST UPDATE
A Male Client With Bipolar Disorder Who Began Taking Lithium Carbonate
Five Days Ago Is Complaining Of Excessive Thirst, And The Rn Finds Him
Attempting To Drink Water From The Bathroom Sink Faucet. Which
Intervention Should The Rn Implement?
A. Report The Client's Serum Lithium Level To The Hcp.
B. Encourage The Client To Suck On Hard Candy To Relieve The Symptoms.
C. No Action Is Needed Since Polydipsia Is A Common Side Effect.
D. Tell The Client That Drinking From The Faucet Is Not Allowed. Correct
Answer -A. Report The Client's Serum Lithium Level To The Hcp.
A Mental Health Worker Is Caring For A Client With Escalating Aggressive
Behavior. Which Action By The Mhw Warrant Immediate Intervention By The
Rn?
A. Is Attempting To Physically Restrain The Patient.
B. Tells The Client To Go To The Quiet Area Of The Unit.
C. Is Using A Loud Voice To Talk To The Client.
D. Remains At A Distance Of 4 Feet From The Client. Correct Answer -A. Is
Attempting To Physically Restrain The Patient.
A Client Is Admitted To The Mental Health Unit And Reports Taking Extra
Antianxiety Medication Because, "I'm So Stressed Out. I Just Want To Go To Sleep."
The Rn 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 Tired Lately And Needed To Sleep."
,C. "I Really Think That I Don't Need To Be Here."
D. "I Don't Want To Walk. Nothing Matters Anymore." Correct Answer -D. "I
Don't Want To Walk. Nothing Matters Anymore."
The Rn Is Performing Intake Interviews At A Psychiatric Clinic. A Female Client
With A Known History Of Drug Abuse Reports That She Had A Heart Attack
Four Years Ago. Useof Which Substance Places The Client At Highest Risk For
Myocardial Infarction?
A. Benzodiazepine
B. Alcohol
C. Methamphetamine
D. Marijuana Correct Answer -C. Methamphetamine
A Male Client Comes To The Emergency Center Because He Has An Erection
That Will Not Resolve. The Client Reports That He Is Taking Trazodone
(Desyrel) For Insomnia. Which Information Is Most Important For The Nurse
Ask The Client?
A. When Was The Last Time You Drank Alcoholic Beverage?
B. Have You Taken Any Medications For Erectile Dysfunction?
C. Are You Having Any Other Sexual Dysfunctions Or Problems?
D. Do You Have A History Of Angina Or High Blood Pressure? Correct
Answer -B. Have You Taken Any Medications For Erectile Dysfunction?
A Female Client Admitted To The Mental Health Unit Starts To Shout And
Scream At The Rn. What Is The Best Approach For The Rn To Take?
A. Stay Quietly With The Patient
B. Tell Her That She Is Out Of Control.
C. Distract Her By Offering Her Finger Foods.
D. Ignore The Client's Acting Out Behavior. Correct Answer -A. Stay Quietly With
The Patient
,When Developing A Plan Of Care For A Client Admitted To The Psychiatric Unit
Following Aspiration Of A Caustic Material Related To A Suicide Attempt,
Which Nursing Problem Has The Highest Priority?
A. Impaired Comfort.
B. Risk For Injury.
C. Ineffective Breathing Pattern.
D. Ineffective Coping. Correct Answer -C. Ineffective Breathing Pattern.
A Female Client On A Psychiatric Unit Is Sweating Profusely While She
Vigorously Does Push-Ups And Then Runs The Length Of The Corridor Several
Times Before Crashing Into Furniture In The Sitting Room. Picking Herself Up,
She Begins To Toss Chairs Aside, Looking For A Red One To Sit In. When
Another Client Objects To The Disturbance, The Client Shouts, "I Am The Boss
Here. I Do What I Want." Which Nursing Problem Best Supports These
Observations?
A. Deficient Diversional Activity Related To Excess Energy Level.
B. Risk For Other Related Violence Related To Disruptive Behavior.
C. Risk For Activity Intolerance Related To Hyperactivity.
D. Disturbed Personal Identity Related To Grandiosity. Correct Answer -B.
Risk For Other Related Violence Related To Disruptive Behavior.
A Rn Is Preparing The Physical Environment To Interview A New Client For
Admission To The Mental Health Unit. Which Environmental Setting Facilitates
The Best Outcome Of The Interview?
A. Dim The Lights In The Room To Help The Patient Feel Calm.
B. Sit Within Two Feet Of The Client To Enhance Level Of Safety And Security.
C. Reduce The Noise Level In The Room By Turning Off The Television And Radio.
D. Position Table Between The Client And The Rn For Extra Personal Space.
Correct Answer -C. Reduce The Noise Level In The Room By Turning Off
The Television And Radio.
, The RN Is Providing Education About Strategies For A Safety Plan For A Female Client
Who Is A Victim Of Intimate Partner Violence. Which Strategies Should Be Included In
The Safety Plan? (Select All That Apply)
A. Purchase A Gun To Use For Protection.
B. Establish A Code With Family And Friends To Signify Violence.
C. Take A Self-Defense Course That Retaliates The Abuser With Injury.
D. Have A Bag Ready That Has Extra Clothes For Self And Children.
E. Plan An Escape Route To Use If The Abuser Blocks The Main Exit. Correct
Answer -B. Establish A Code With Family And Friends To Signify Violence.
D. Have A Bag Ready That Has Extra Clothes For Self And Children.
E. Plan An Escape Route To Use If The Abuser Blocks The Main Exit.
The Rn Is Admitting A Male Client Who Takes Lithium Carbonate (Eskalith) Twice
A Day. Which Information Should The Rn Report To The Hcp Immediately?
A. Short Term Memory Loss.
B. Five Pound Weight Gain
C. Decreased Affect.
D. Nausea And Vomiting. Correct Answer -D. Nausea And Vomiting.
A Homeless Client Who Reports Feeling Sad And Depressed Tells The Mental
Health Nurse That In The Past 2 Days She Has Only Had 4 Hours Of Sleep.
Which Action Is Most Important For The Rn To Implement Within The First 24
Hours After Treatment Is Initiated?
A. Allow The Client To Rest And Sleep.
B. Ensure Client Attend Groups Addressing Coping Skills For Dealing With
Depression.
C. Begin Planning For The Clients Discharge.
D. Encourage Verbalization Of Feelings. Correct Answer -A. Allow The Client To
Rest And Sleep.
A Rn Is Teaching A Client About Initiation Of A Prescribed Abstinence Therapy
