HESI MENTAL HEALTH RN RANDOM FROM ALb b b b b b
L 2019/2020 TEST BANKS (ALL TOGETHER-
b b b b b
VARIOUS TEST QUESTIONS – b b b b
b 38 PAGES OF STUDY NOTE TEST QUESTIONS F
b b b b b b b
ROM EXAM) b
42. During admission to the psychiatric unit, a female client is extremely anxious
b b b b b b b b b b b b b
and states that she is worried about the sun coming up the next day. What interv
b b b b b b b b b b b b b b b
ention is most important for the RN to implement during the admission process?
b b b b b b b b b b b b
A. Assist the client in developing alternative coping skills.
b b b b b b b
B. Remain calm and use a matter of fact approach.
b b b b b b b b
C. Ask the client why she is so anxious
b b b b b b b
D. Administer a PRN sedative to help relieve her anxiety.
b b b b b b b b b
41. A female client is brought to the emergency department after police officers f
b b b b b b b b b b b b b
ound her disoriented, disorganized, and confused. The RN also determines that t
b b b b b b b b b b b
he client is homeless and is exhibiting suspiciousness. The client’s plan of care s
b b b b b b b b b b b b b
hould include what priority problem?
b b b b
A. Acute confusion. b
B. Ineffective community coping b b
C. Disturbed sensory perception. b b
D. Self-care deficit. b b
,39. The occupational health nurse is working with a female employee who was ju
b b b b b b b b b b b b b
st notified that her child was involved in a MVA and taken to the hospital. The em
b b b b b b b b b b b b b b b b
ployee states, “I can’t believe this. What should I do?” Which response is best for
b b b b b b b b b b b b b b b
the RN to provide in this crisis?
b b b b b b
A. Tell me what you think should happen.
b b b b b b
B. How serious was the collision?
b b b b
C. What do you think you should do?
b b b b b b
D. Call for transportation to the hospital.
b b b b b b
40. A client tells the RN that he has an IQ of 400+ and is a genius and an invento
b b b b b b b b b b b b b b b b b b b
r. He also reports that he is married to a female movie star and thinks that his bro
b b b b b b b b b b b b b b b b b
ther wants a sexual relationship with her. What is the priority nursing problem fo
b b b b b b b b b b b b b
r admission to the psychiatric unit?
b b b b b
A. Ineffective sexual patterns. b b
B. Impaired environmental interpretation. b b
C. Disturbed sensory perception. b b
D. Compromised family coping. b b b
46. The RN is providing care for a client diagnosed with borderline personality di
b b b b b b b b b b b b b
sorder who has self- b b b
inflicted lacerations on the abdomen. Which approach should the RN use when c
b b b b b b b b b b b b
hanging this client’s dressing? b b b
A. Provide detailed thorough explanations when cleansing wound.
b b b b b b
B. Perform the dressing change in a non-judgmental manner.
b b b b b b b
C. Ask in a non-threatening manner why the client cut own abdomen.
b b b b b b b b b b
D. Request another staff member assist with the dressing change.
b b b b b b b b b
36. While sitting in the day room of the mental health unit, a male adolescent avo
b b b b b b b b b b b b b b b
ids eye contact, looks at the floor, and talks softly when interacting verbally with
b b b b b b b b b b b b b b
,the RN. The two trade places, and the RN demonstrates the client’s behaviors. W
b b b b b b b b b b b b b
hat is the main goal of this therapeutic technique?
b b b b b b b b
A. Initiate a non-threatening conversation with the client.
b b b b b b
B. Dialog about the ineffectiveness of his interactions.
b b b b b b
C. Allow the client to identify the way he interacts.
b b b b b b b b
D. Discuss the client’s feelings when he responds.
b b b b b b bbb
35. An antidepressant medication is prescribed for a client who reports sleeping
b b b b b b b b b b b
only 4 hours in the past 2 days and weight loss of 9 lbs within the last month. W
b b b b b b b b b b b b b b b b b b b
hich client goal is most important to achieve within the first three days of treatme
b b b b b b b b b b b b b b
nt?
A. Meet scheduled appointment with dietitian.
b b b b
B. Sleep at least 6 hours a night.
b b b b b b
C. Understands the purpose of the medication regimen. b b b b b b
D. Describes the reasons for hospitalization. b b b b b
34. When preparing to administer to domestic violence screening tool to a femal
b b b b b b b b b b b b
e client, which statement should the RN provide?
b b b b b b b
A. If your partner is abusing you, I need to ask these questions.
b b b b b b b b b b b
B. State law mandates that I ask if you are a victim of domestic violence.
b b b b b b b b b b b b b
C. The HCP provider needs to know if you are experiencing any domestic abu
b b b b b b b b b b b b
se.
D. All clients are screened for domestic abuse because it is common in our so
b b b b b b b b b b b b b
ciety. bb
33. A young adult female visits the mental health clinic complaining of diarrhea,
b b b b b b b b b b b b b
headache, and muscle aches. She is afebrile, denies chills, and all laboratory findi
b b b b b b b b b b b b
ngs are within normal limits. During the physical assessment, the client tells the
b b b b b b b b b b b b b
, RN that her sister thinks she is neurotic and calls her a hypochondriac. Which res
b b b b b b b b b b b b b b
ponse is best for the RN to provide?
b b b b b b b
A. Unless your sister has a medical education, ignore her comments.
b b b b b b b b b
B. I can hear that your sister comments are over-whelming you.
b b b b b b b b b
C. Do you think it’s possible that you might be a hypochondriac?
b b b b b b b b b b
D. Besides your sister’s comments, what in your life is troubling you?
b b b b b b b b b b b
32. The RN is leading a group on the inpatient psychiatric unit. Which approach s
b b b b b b b b b b b b b b
hould the RN use during the working phase of group development?
b b b b b b b b b b
A. Establishing a rapport with group members. b b b b b
B. Clarifying the nurse’s role and clients’ responsibilities.
b b b b b b b
C. Discussing ways to use new coping skills learned. b b b b b b b
D. Helping clients identify areas of problem in their lives.
b b b b b b b b
31. A male client with schizophrenia is demonstrating echolalia, which is becomi
b b b b b b b b b b b
ng annoying to other clients on the unit. What intervention is best for the RN to i
b b b b b b b b b b b b b b b b
mplement?
A. Isolate the client from the other clients.
b b b b b b
B. Administer PRN sedative. b b
C. Avoid recognizing the behavior.
b b b
D. Escort the client to his room.
b b b b b b
37. A client is admitted for bipolar disorder and alcohol withdrawal, depressive
b b b b b b b b b b b b
phase. Based on which assessment finding will the RN withhold the clonidine (Ca
b b b b b b b b b b b b
tapres) prescription?
b
A. Blood pressure readings of 90/62 mmHg to 92/58 mmHg.
b b b b b b b b
B. Pulse rate of 68-78 BPM. b b b b
L 2019/2020 TEST BANKS (ALL TOGETHER-
b b b b b
VARIOUS TEST QUESTIONS – b b b b
b 38 PAGES OF STUDY NOTE TEST QUESTIONS F
b b b b b b b
ROM EXAM) b
42. During admission to the psychiatric unit, a female client is extremely anxious
b b b b b b b b b b b b b
and states that she is worried about the sun coming up the next day. What interv
b b b b b b b b b b b b b b b
ention is most important for the RN to implement during the admission process?
b b b b b b b b b b b b
A. Assist the client in developing alternative coping skills.
b b b b b b b
B. Remain calm and use a matter of fact approach.
b b b b b b b b
C. Ask the client why she is so anxious
b b b b b b b
D. Administer a PRN sedative to help relieve her anxiety.
b b b b b b b b b
41. A female client is brought to the emergency department after police officers f
b b b b b b b b b b b b b
ound her disoriented, disorganized, and confused. The RN also determines that t
b b b b b b b b b b b
he client is homeless and is exhibiting suspiciousness. The client’s plan of care s
b b b b b b b b b b b b b
hould include what priority problem?
b b b b
A. Acute confusion. b
B. Ineffective community coping b b
C. Disturbed sensory perception. b b
D. Self-care deficit. b b
,39. The occupational health nurse is working with a female employee who was ju
b b b b b b b b b b b b b
st notified that her child was involved in a MVA and taken to the hospital. The em
b b b b b b b b b b b b b b b b
ployee states, “I can’t believe this. What should I do?” Which response is best for
b b b b b b b b b b b b b b b
the RN to provide in this crisis?
b b b b b b
A. Tell me what you think should happen.
b b b b b b
B. How serious was the collision?
b b b b
C. What do you think you should do?
b b b b b b
D. Call for transportation to the hospital.
b b b b b b
40. A client tells the RN that he has an IQ of 400+ and is a genius and an invento
b b b b b b b b b b b b b b b b b b b
r. He also reports that he is married to a female movie star and thinks that his bro
b b b b b b b b b b b b b b b b b
ther wants a sexual relationship with her. What is the priority nursing problem fo
b b b b b b b b b b b b b
r admission to the psychiatric unit?
b b b b b
A. Ineffective sexual patterns. b b
B. Impaired environmental interpretation. b b
C. Disturbed sensory perception. b b
D. Compromised family coping. b b b
46. The RN is providing care for a client diagnosed with borderline personality di
b b b b b b b b b b b b b
sorder who has self- b b b
inflicted lacerations on the abdomen. Which approach should the RN use when c
b b b b b b b b b b b b
hanging this client’s dressing? b b b
A. Provide detailed thorough explanations when cleansing wound.
b b b b b b
B. Perform the dressing change in a non-judgmental manner.
b b b b b b b
C. Ask in a non-threatening manner why the client cut own abdomen.
b b b b b b b b b b
D. Request another staff member assist with the dressing change.
b b b b b b b b b
36. While sitting in the day room of the mental health unit, a male adolescent avo
b b b b b b b b b b b b b b b
ids eye contact, looks at the floor, and talks softly when interacting verbally with
b b b b b b b b b b b b b b
,the RN. The two trade places, and the RN demonstrates the client’s behaviors. W
b b b b b b b b b b b b b
hat is the main goal of this therapeutic technique?
b b b b b b b b
A. Initiate a non-threatening conversation with the client.
b b b b b b
B. Dialog about the ineffectiveness of his interactions.
b b b b b b
C. Allow the client to identify the way he interacts.
b b b b b b b b
D. Discuss the client’s feelings when he responds.
b b b b b b bbb
35. An antidepressant medication is prescribed for a client who reports sleeping
b b b b b b b b b b b
only 4 hours in the past 2 days and weight loss of 9 lbs within the last month. W
b b b b b b b b b b b b b b b b b b b
hich client goal is most important to achieve within the first three days of treatme
b b b b b b b b b b b b b b
nt?
A. Meet scheduled appointment with dietitian.
b b b b
B. Sleep at least 6 hours a night.
b b b b b b
C. Understands the purpose of the medication regimen. b b b b b b
D. Describes the reasons for hospitalization. b b b b b
34. When preparing to administer to domestic violence screening tool to a femal
b b b b b b b b b b b b
e client, which statement should the RN provide?
b b b b b b b
A. If your partner is abusing you, I need to ask these questions.
b b b b b b b b b b b
B. State law mandates that I ask if you are a victim of domestic violence.
b b b b b b b b b b b b b
C. The HCP provider needs to know if you are experiencing any domestic abu
b b b b b b b b b b b b
se.
D. All clients are screened for domestic abuse because it is common in our so
b b b b b b b b b b b b b
ciety. bb
33. A young adult female visits the mental health clinic complaining of diarrhea,
b b b b b b b b b b b b b
headache, and muscle aches. She is afebrile, denies chills, and all laboratory findi
b b b b b b b b b b b b
ngs are within normal limits. During the physical assessment, the client tells the
b b b b b b b b b b b b b
, RN that her sister thinks she is neurotic and calls her a hypochondriac. Which res
b b b b b b b b b b b b b b
ponse is best for the RN to provide?
b b b b b b b
A. Unless your sister has a medical education, ignore her comments.
b b b b b b b b b
B. I can hear that your sister comments are over-whelming you.
b b b b b b b b b
C. Do you think it’s possible that you might be a hypochondriac?
b b b b b b b b b b
D. Besides your sister’s comments, what in your life is troubling you?
b b b b b b b b b b b
32. The RN is leading a group on the inpatient psychiatric unit. Which approach s
b b b b b b b b b b b b b b
hould the RN use during the working phase of group development?
b b b b b b b b b b
A. Establishing a rapport with group members. b b b b b
B. Clarifying the nurse’s role and clients’ responsibilities.
b b b b b b b
C. Discussing ways to use new coping skills learned. b b b b b b b
D. Helping clients identify areas of problem in their lives.
b b b b b b b b
31. A male client with schizophrenia is demonstrating echolalia, which is becomi
b b b b b b b b b b b
ng annoying to other clients on the unit. What intervention is best for the RN to i
b b b b b b b b b b b b b b b b
mplement?
A. Isolate the client from the other clients.
b b b b b b
B. Administer PRN sedative. b b
C. Avoid recognizing the behavior.
b b b
D. Escort the client to his room.
b b b b b b
37. A client is admitted for bipolar disorder and alcohol withdrawal, depressive
b b b b b b b b b b b b
phase. Based on which assessment finding will the RN withhold the clonidine (Ca
b b b b b b b b b b b b
tapres) prescription?
b
A. Blood pressure readings of 90/62 mmHg to 92/58 mmHg.
b b b b b b b b
B. Pulse rate of 68-78 BPM. b b b b
