HESI RN MENTAL HEALTH NEWEST TEST BANK
EXAM QUESTIONS WITH CORRECT UPDATED AND
DETAILED SOLUTIONS 2025|ALREADY GRADED
A+;STUDY TO PASS
1. 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?
- answers-Assist the client in developing alternative coping skills.
2. 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?
- answers-Acute confusion.
The occupational health nurse is working with a female employee who was just notified thather 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?
- answers-Call for transportation to the hospital.
A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is
married to a female movie star and thinks that his brother wants a sexual relationship with her. What is
the priority nursing problem for admission to the psychiatric
unit?
- answers-Ineffective sexual patterns.
The RN is providing care for a client diagnosed with borderline personality disorder who has self-
inflicted lacerations on the abdomen. Which approach should the RN use when
,changing this client's dressing?
- answers-Perform the dressing change in a non-judgmental manner.
While sitting in the day room of the mental health unit, a male adolescent avoids eye contact, looks at
the floor, and talks softly when interacting verbally with the RN. The two trade places, and the RN
demonstrates the client's behaviors. What is the main goal of this
therapeutic technique?
- answers-Allow the client to identify the way he interacts.
An antidepressant medication is prescribed for a client who reports sleeping only 4 hours in the past 2
days and weight loss of 9 lbs within the last month. Which client goal is most important to achieve
within the first three days of treatment?
- answers-Sleep at least 6 hours a night.
When preparing to administer to domestic violence screening tool to a female client, which statement
should the RN provide? –
answers-All clients are screened for domestic abuse because it is common in our society.
A young adult female visits the mental health clinic complaining of diarrhea, headache, and
muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During
the physical assessment, the client tells the RN that her sister thinks she is neurotic and calls her a
hypochondriac. Which response is best for the RN to provide? –
answers-Besides your sister's comments, what in your life is troubling you?
The RN is leading a group on the inpatient psychiatric unit. Which approach should the RN use during
the working phase of group development? –
answers-Helping clients identify areas of problem in their lives.
A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients
on the unit. What intervention is best for the RN to implement?
, - answers-Escort the client to his room.
A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase. Based on which
assessment finding will the RN withhold the clonidine (Catapres) prescription?
- answers-Blood pressure readings of 90/62 mmHg to 92/58 mmHg.
The RN on the evening shift receives report that a client is scheduled for electroconvulsive treatment
(ECT) in the morning. Which intervention should the Rn implement the evening
before the scheduled ECT?
- answers-Keep the client NPO after mid-night.
A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is admitted to an
acute care hospital for uncontrolled hypertension. What dietary choices should the RN instruct the client
to avoid? –
answers-Peperoni pizza.
A mental health worker is caring for a client with escalating aggressive behavior. Which action by the
mental health worker warrants immediate intervention by the RN
? - answers-Is attempting the physically restrain the patient.
A client who recently experienced the death of a significant other arrives at the mental health center.
The client reports loss of interest in usual activities, expresses a wish to be with the decreased significant
other, has been eating very little, and has not slept in several days. Which client statement is most
important for the RN to explore at this time?
- answers-Not sleeping for several days.
A middle aged adult with major depressive disorder suffers from psychomotor retardation,
hypersomnia, and motivation. Which intervention is likely to be most effective in returning this client to
a normal level of functioning?
- answers-Teach the client to develop a plan for daily structured activities.
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
EXAM QUESTIONS WITH CORRECT UPDATED AND
DETAILED SOLUTIONS 2025|ALREADY GRADED
A+;STUDY TO PASS
1. 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?
- answers-Assist the client in developing alternative coping skills.
2. 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?
- answers-Acute confusion.
The occupational health nurse is working with a female employee who was just notified thather 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?
- answers-Call for transportation to the hospital.
A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is
married to a female movie star and thinks that his brother wants a sexual relationship with her. What is
the priority nursing problem for admission to the psychiatric
unit?
- answers-Ineffective sexual patterns.
The RN is providing care for a client diagnosed with borderline personality disorder who has self-
inflicted lacerations on the abdomen. Which approach should the RN use when
,changing this client's dressing?
- answers-Perform the dressing change in a non-judgmental manner.
While sitting in the day room of the mental health unit, a male adolescent avoids eye contact, looks at
the floor, and talks softly when interacting verbally with the RN. The two trade places, and the RN
demonstrates the client's behaviors. What is the main goal of this
therapeutic technique?
- answers-Allow the client to identify the way he interacts.
An antidepressant medication is prescribed for a client who reports sleeping only 4 hours in the past 2
days and weight loss of 9 lbs within the last month. Which client goal is most important to achieve
within the first three days of treatment?
- answers-Sleep at least 6 hours a night.
When preparing to administer to domestic violence screening tool to a female client, which statement
should the RN provide? –
answers-All clients are screened for domestic abuse because it is common in our society.
A young adult female visits the mental health clinic complaining of diarrhea, headache, and
muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During
the physical assessment, the client tells the RN that her sister thinks she is neurotic and calls her a
hypochondriac. Which response is best for the RN to provide? –
answers-Besides your sister's comments, what in your life is troubling you?
The RN is leading a group on the inpatient psychiatric unit. Which approach should the RN use during
the working phase of group development? –
answers-Helping clients identify areas of problem in their lives.
A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients
on the unit. What intervention is best for the RN to implement?
, - answers-Escort the client to his room.
A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase. Based on which
assessment finding will the RN withhold the clonidine (Catapres) prescription?
- answers-Blood pressure readings of 90/62 mmHg to 92/58 mmHg.
The RN on the evening shift receives report that a client is scheduled for electroconvulsive treatment
(ECT) in the morning. Which intervention should the Rn implement the evening
before the scheduled ECT?
- answers-Keep the client NPO after mid-night.
A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is admitted to an
acute care hospital for uncontrolled hypertension. What dietary choices should the RN instruct the client
to avoid? –
answers-Peperoni pizza.
A mental health worker is caring for a client with escalating aggressive behavior. Which action by the
mental health worker warrants immediate intervention by the RN
? - answers-Is attempting the physically restrain the patient.
A client who recently experienced the death of a significant other arrives at the mental health center.
The client reports loss of interest in usual activities, expresses a wish to be with the decreased significant
other, has been eating very little, and has not slept in several days. Which client statement is most
important for the RN to explore at this time?
- answers-Not sleeping for several days.
A middle aged adult with major depressive disorder suffers from psychomotor retardation,
hypersomnia, and motivation. Which intervention is likely to be most effective in returning this client to
a normal level of functioning?
- answers-Teach the client to develop a plan for daily structured activities.
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
