MENTAL HEALTH HESI VERIFIED
QUESTIONS AND ANSWERS
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? - CORRECT
ANSWER ✅✅✅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? - CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER ✅✅✅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? -
CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER
✅✅✅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? - CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER
✅✅✅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? - CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER ✅✅✅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
QUESTIONS AND ANSWERS
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? - CORRECT
ANSWER ✅✅✅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? - CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER ✅✅✅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? -
CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER
✅✅✅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? - CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER
✅✅✅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? - CORRECT ANSWER ✅✅✅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? - CORRECT ANSWER ✅✅✅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
