HESI MENTAL HEALTH RN V1-V3 2020 TEST BANK.
1. A client with depression remains in bed most of the C. Refusal to address nu-
day, and declines activities. Which nursing problem tritional needs.
has the greatest priority for this client?
A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
2. The RN is preparing medications for a client with bipo- b. Benzotropine
lar disorder and notices that the client discontinued
antipsychotic medication for several days. Which med-
ication should also be discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).
3. The RN is teaching a client about the initiation of B. Remain alcohol free for
the prescribed abstinence therapy using disulfiram 12 hours prior to the first
(Antabuse). What information should the client ac- dose.
knowledge understanding?
A. Completely abstain from heroin or cocaine use.
B. Remain alcohol free for 12 hours prior to the first
dose. C. Attend monthly meetings of alcoholics anony-
mous. D. Admit to others that he is a substance user
4. A male client with schizophrenia is admitted to the D. Do you hear sounds or
mental health unit after abruptly stopping his prescrip- voices that others do not
tion for ziprasidone (Geodon) one month ago. Which hear
question is most important for the RN to ask the client?
A. Have you lost interest in the things that you used
to enjoy? B. Is your ability to think or concentrate de-
, HESI MENTAL HEALTH RN V1-V3 2020 TEST BANK.
creased? C. How many continuous hours do you sleep
at night? D. Do you hear sounds or voices that others
do not hear?
5. A female client requests that her husband be allowed A. Pay close attention and
to stay in the room during the admission assess- document the nonverbal
ment. When interviewing the client, the RN notes a messages.
discrepancy between the client's verbal and nonver-
bal communication. What action does the RN take?
A. Pay close attention and document the nonverbal
messages. Downloaded by Caroline Rivera (caroliner-
) lOMoARcPSD|16253014 B. Ask the
client's husband to interpret the discrepancy. C. Ignore
the nonverbal behavior and focus on the client's verbal
messages. D. Integrate the verbal and nonverbal mes-
sages and interpret them as one.
6. A male client approaches the RN with an angry ex- B. Projection.
pression on his face and raises his voice, saying "My
roommate is the most selfish, self-centered, angry per-
son I have ever met. If he loses his temper one more
time with me, I am going to punch him out!" The RN
recognizes that the client is using which defense mech-
anism? A. Denial. B. Projection. C. Rationalization. D.
Splitting.
7. A mental health worker is caring for a client with esca- A. Is attempting to physi-
lating aggressive behavior. Which action by the MHW cally restrain the patient.
warrant immediate intervention by the RN? A. Is at-
tempting to physically restrain the patient. B. Tells the
client to go to the quiet area of the unit. C. Is using a
, HESI MENTAL HEALTH RN V1-V3 2020 TEST BANK.
loid voice to talk to the client. D. Remains at a distance
of 4 feet from the client.
8. A client on the mental health unit is becoming more C. Take other clients in the
agitated, shouting at the staff, and pacing in the hall- area to the client lounge.
way. When the PRN medication is offered, the client
refuses the medication and defiantly sits on the floor
in the middle of the unit hallway. What nursing inter-
vention should the RN implement first? A. Transport of
the client to the seclusion room. B. Quietly approach
the client with additional staff members. C. Take other
clients in the area to the client lounge. D. Administer
medication to chemically restrain the patient.
9. A male client with bipolar disorder who began taking A. Report the client's
lithium carbonate five days ago is complaining of ex- serum lithium level to the
cessive thirst, and the RN finds him attempting to drink HCP.
water from the bathroom sink faucet. Which interven-
tion 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.
10. During an annual physical by the occupational RN D. "It sounds as if there are
working in a corporate clinic, a male employee tells many situations that make
the RN that is high-stress job is causing trouble in his you feel angry."
personal life. He further explains that he often gets so
angry while driving to and from work that he has con-
sidered "getting even" with other drivers. How should
the RN respond? A. "Anger is contagious and could
1. A client with depression remains in bed most of the C. Refusal to address nu-
day, and declines activities. Which nursing problem tritional needs.
has the greatest priority for this client?
A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
2. The RN is preparing medications for a client with bipo- b. Benzotropine
lar disorder and notices that the client discontinued
antipsychotic medication for several days. Which med-
ication should also be discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).
3. The RN is teaching a client about the initiation of B. Remain alcohol free for
the prescribed abstinence therapy using disulfiram 12 hours prior to the first
(Antabuse). What information should the client ac- dose.
knowledge understanding?
A. Completely abstain from heroin or cocaine use.
B. Remain alcohol free for 12 hours prior to the first
dose. C. Attend monthly meetings of alcoholics anony-
mous. D. Admit to others that he is a substance user
4. A male client with schizophrenia is admitted to the D. Do you hear sounds or
mental health unit after abruptly stopping his prescrip- voices that others do not
tion for ziprasidone (Geodon) one month ago. Which hear
question is most important for the RN to ask the client?
A. Have you lost interest in the things that you used
to enjoy? B. Is your ability to think or concentrate de-
, HESI MENTAL HEALTH RN V1-V3 2020 TEST BANK.
creased? C. How many continuous hours do you sleep
at night? D. Do you hear sounds or voices that others
do not hear?
5. A female client requests that her husband be allowed A. Pay close attention and
to stay in the room during the admission assess- document the nonverbal
ment. When interviewing the client, the RN notes a messages.
discrepancy between the client's verbal and nonver-
bal communication. What action does the RN take?
A. Pay close attention and document the nonverbal
messages. Downloaded by Caroline Rivera (caroliner-
) lOMoARcPSD|16253014 B. Ask the
client's husband to interpret the discrepancy. C. Ignore
the nonverbal behavior and focus on the client's verbal
messages. D. Integrate the verbal and nonverbal mes-
sages and interpret them as one.
6. A male client approaches the RN with an angry ex- B. Projection.
pression on his face and raises his voice, saying "My
roommate is the most selfish, self-centered, angry per-
son I have ever met. If he loses his temper one more
time with me, I am going to punch him out!" The RN
recognizes that the client is using which defense mech-
anism? A. Denial. B. Projection. C. Rationalization. D.
Splitting.
7. A mental health worker is caring for a client with esca- A. Is attempting to physi-
lating aggressive behavior. Which action by the MHW cally restrain the patient.
warrant immediate intervention by the RN? A. Is at-
tempting to physically restrain the patient. B. Tells the
client to go to the quiet area of the unit. C. Is using a
, HESI MENTAL HEALTH RN V1-V3 2020 TEST BANK.
loid voice to talk to the client. D. Remains at a distance
of 4 feet from the client.
8. A client on the mental health unit is becoming more C. Take other clients in the
agitated, shouting at the staff, and pacing in the hall- area to the client lounge.
way. When the PRN medication is offered, the client
refuses the medication and defiantly sits on the floor
in the middle of the unit hallway. What nursing inter-
vention should the RN implement first? A. Transport of
the client to the seclusion room. B. Quietly approach
the client with additional staff members. C. Take other
clients in the area to the client lounge. D. Administer
medication to chemically restrain the patient.
9. A male client with bipolar disorder who began taking A. Report the client's
lithium carbonate five days ago is complaining of ex- serum lithium level to the
cessive thirst, and the RN finds him attempting to drink HCP.
water from the bathroom sink faucet. Which interven-
tion 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.
10. During an annual physical by the occupational RN D. "It sounds as if there are
working in a corporate clinic, a male employee tells many situations that make
the RN that is high-stress job is causing trouble in his you feel angry."
personal life. He further explains that he often gets so
angry while driving to and from work that he has con-
sidered "getting even" with other drivers. How should
the RN respond? A. "Anger is contagious and could
