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hesi_mental_health_rn_v1_v3.

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Institution
NURS MED
Course
NURS MED

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Uploaded on
July 15, 2025
Number of pages
223
Written in
2024/2025
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Exam (elaborations)
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Questions & answers

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1




HESI MENTAL HEALTH RN V1-V3 TEST BANK 2025/26 LATEST
EDITION WITH ALL CHAPTERS QUESTIONS AND ANSWERS


While interviewing a client, the nurse takes notes to assist with accurate
documentation later. Which statement is most accurate regarding note-taking
during an interview?
A. The nurse’ ability to directly observe the client’s nonverbal communication is
limited with note taking.
B. Taking notes during an interview is a legal obligation of the examining nurse.
C. The client’s comfort level is increased when the nurse breaks eye contact to take
note to take note.
D. The interview process is enhanced with note taking and allows the client
speak at normal pace.

An adolescent make receives a prescription for an antidepressant drug because he
is exhibiting a depressed affect. While the client is taking the antidepressant,
which comparison of the client’s behavior before and after taking the drug is most
important for the nurse to obtain?
A. His appetite.
B. The emotional quality of his attitude
C. His level of activity.
D. The interactions he has with others.

A nurse 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?
A. Purchase a gun to use for protection
B. Establish a code with family and friends to signify violence.
C. Plan an escape route to use if the abuser blocks the main exit.
D. Have a big ready that has extra clothes for self and children.

While setting in the dayroom of the mental health unit, a male adolescent avoids
eye contact, looks at the floor, and talks softly when interacting verbally with the
nurse. The two trade places, and the nurse demonstrate the client’s behavior. What
is the main goal of this therapeutic techniques?
A. Discuss the client’s feeling when he responds.
B. Allow the client to identify the way he interacts.

,2


C. Initiate a non-threatening conversation with the client.
D. Dialog about the ineffectiveness of his interactions.)



A client with depression remains in bed most of the day, and declines activities. Which

,3


nursing problem 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.

,4


The RN is preparing medications for a client with bipolar disorder and notices
that the client discontinued antipsychotic medication for several days. Which
medication should also be discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).

A female client requests that her husband be allowed to stay in the room during
the admission assessment. When interviewing the client, the RN notes a discrepancy
between the client’s verbal and nonverbal communication. What action does the
RN take?
A. Pay close attention and document the nonverbal messages.
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 messages and interpret them as one.

A male client approaches the RN with an angry expression on his face and raises his
voice, saying “My roommate is the most selfish, self-centered, angry person 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 mechanism?
A. Denial.
B. Projection.
C. Rationalization.
D. Splitting.

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.

The RN is teaching a client about the initiation of the prescribed abstinence therapy
using disulfiram (Antabuse). What information should the client acknowledge
understanding?

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