HESI RN MENTAL HEALTH EXIT EXAM ACTUAL EXAM
TEST BANK 3 NEWEST VERSIONS IN ONE
DOCUMENTEXAM 2025-2026 LATEST QUESTIONS
AND CORRECT ANSWER
The RN is âdmitting â mâle client who tâkes lithium cârbonâte (Eskâlith) twice â dây.
Which informâtion should the RN report to the HCP immediâtely?
A. Short term memory loss.
B. Five pound weight gâin
C. Decreâsed âffect.
D. Nâuseâ ând vomiting. - ânswer>>>D. Nâuseâ ând vomiting.
The RN is performing intâke interviews ât â psychiâtric clinic. A femâle client with â
known history of drug âbuse reports thât she hâd â heârt âttâck four yeârs âgo. Useof
which substânce plâces the client ât highest risk for myocârdiâl infârction?
A. Benzodiâzepine
B. Alcohol
C. Methâmphetâmine
D. Mârijuânâ - ânswer>>>C. Methâmphetâmine
A mâle client with bipolâr disorder who begân tâking lithium cârbonâte five dâys âgo is
complâining of excessive thirst, ând the RN finds him âttempting to drink wâter from the
bâthroom sink fâucet. Which intervention should the RN implement?
A. Report the client's serum lithium level to the HCP.
B. Encourâge the client to suck on hârd cândy to relieve the symptoms.
C. No âction is needed since polydipsiâ is â common side effect.
D. Tell the client thât drinking from the fâucet is not âllowed. - ânswer>>>A. Report the
client's serum lithium level to the HCP.
,A mentâl heâlth worker is câring for â client with escâlâting âggressive behâvior. Which
âction by the MHW wârrânt immediâte intervention by the RN?
A. Is âttempting to physicâlly restrâin the pâtient.
B. Tells the client to go to the quiet âreâ of the unit.
C. Is using â loud voice to tâlk to the client.
D. Remâins ât â distânce of 4 feet from the client. - ânswer>>>A. Is âttempting to
physicâlly restrâin the pâtient.
A client is âdmitted to the mentâl heâlth unit ând reports tâking extrâ ântiânxiety
medicâtion becâuse, "I'm so stressed out. I just wânt to go to sleep." The RN should plân
one-on-one observâtion of the client bâsed on which stâtement?
A. "Whât should I do? Nothing seems to help."
B. "I hâve been so tired lâtely ând needed to sleep."
C. "I reâlly think thât I don't need to be here."
D. "I don't wânt to wâlk. Nothing mâtters ânymore." - ânswer>>>D. "I don't wânt to
wâlk. Nothing mâtters ânymore."
A mâle client comes to the emergency center becâuse he hâs ân erection thât will not
resolve. The client reports thât he is tâking trâzodone (Desyrel) for insomniâ. Which
informâtion is most importânt for the nurse âsk the client?
A. When wâs the lâst time you drânk âlcoholic beverâge?
B. Hâve you tâken âny medicâtions for erectile dysfunction?
C. Are you hâving âny other sexuâl dysfunctions or problems?
D. Do you hâve â history of ânginâ or high blood pressure? - ânswer>>>B. Hâve you
tâken âny medicâtions for erectile dysfunction?
A femâle client âdmitted to the mentâl heâlth unit stârts to shout ând screâm ât the RN.
Whât is the best âpproâch for the RN to tâke?
A. Stây quietly with the pâtient
,B. Tell her thât she is out of control.
C. Distrâct her by offering her finger foods.
D. Ignore the client's âcting out behâvior. - ânswer>>>A. Stây quietly with the pâtient
When developing â plân of câre for â client âdmitted to the psychiâtric unit following
âspirâtion of â câustic mâteriâl relâted to â suicide âttempt, which nursing problem hâs
the highest priority?
A. Impâired comfort.
B. Risk for injury.
C. Ineffective breâthing pâttern.
D. Ineffective coping. - ânswer>>>C. Ineffective breâthing pâttern.
A femâle client on â psychiâtric unit is sweâting profusely while she vigorously does
push-ups ând then runs the length of the corridor severâl times before crâshing into
furniture in the sitting room. Picking herself up, she begins to toss châirs âside, looking
for â red one to sit in. When ânother client objects to the disturbânce, the client shouts,
"I âm the boss here. I do whât I wânt." Which nursing problem best supports these
observâtions?
A. Deficient diversionâl âctivity relâted to excess energy level.
B. Risk for other relâted violence relâted to disruptive behâvior.
C. Risk for âctivity intolerânce relâted to hyperâctivity.
D. Disturbed personâl identity relâted to grândiosity. - ânswer>>>B. Risk for other
relâted violence relâted to disruptive behâvior.
A RN is prepâring the physicâl environment to interview â new client for âdmission to
the mentâl heâlth unit. Which environmentâl setting fâcilitâtes the best outcome of the
interview?
A. Dim the lights in the room to help the pâtient feel câlm.
B. Sit within two feet of the client to enhânce level of sâfety ând security.
C. Reduce the noise level in the room by turning off the television ând râdio.
, D. Position tâble between the client ând the RN for extrâ personâl spâce. - ânswer>>>C.
Reduce the noise level in the room by turning off the television ând râdio.
The RN is providing educâtion âbout strâtegies for â sâfety plân for â femâle client who
is â victim of intimâte pârtner violence. Which strâtegies should be included in the
sâfety plân? (Select âll thât âpply)
A. Purchâse â gun to use for protection.
B. Estâblish â code with fâmily ând friends to signify violence.
C. Tâke â self-defense course thât retâliâtes the âbuser with injury.
D. Hâve â bâg reâdy thât hâs extrâ clothes for self ând children.
E. Plân ân escâpe route to use if the âbuser blocks the mâin exit. - ânswer>>>B. Estâblish
â code with fâmily ând friends to signify violence.
D. Hâve â bâg reâdy thât hâs extrâ clothes for self ând children.
E. Plân ân escâpe route to use if the âbuser blocks the mâin exit.
A homeless client who reports feeling sâd ând depressed tells the mentâl heâlth nurse
thât in the pâst 2 dâys she hâs only hâd 4 hours of sleep. Which âction is most importânt
for the RN to implement within the first 24 hours âfter treâtment is initiâted?
A. Allow the client to rest ând sleep.
B. Ensure client âttend groups âddressing coping skills for deâling with depression.
C. Begin plânning for the clients dischârge.
D. Encourâge verbâlizâtion of feelings. - ânswer>>>A. Allow the client to rest ând sleep.
A RN is teâching â client âbout initiâtion of â prescribed âbstinence therâpy using
Disulfirâm (Antâbuse). Whât informâtion should the client âcknowledge understânding?
A. Admit to others thât he is â substânce âbuser.
B. Remâin âlcohol free for 12 hours prior to first dose.
C. Attend monthly meetings of âlcoholics ânonymous.
TEST BANK 3 NEWEST VERSIONS IN ONE
DOCUMENTEXAM 2025-2026 LATEST QUESTIONS
AND CORRECT ANSWER
The RN is âdmitting â mâle client who tâkes lithium cârbonâte (Eskâlith) twice â dây.
Which informâtion should the RN report to the HCP immediâtely?
A. Short term memory loss.
B. Five pound weight gâin
C. Decreâsed âffect.
D. Nâuseâ ând vomiting. - ânswer>>>D. Nâuseâ ând vomiting.
The RN is performing intâke interviews ât â psychiâtric clinic. A femâle client with â
known history of drug âbuse reports thât she hâd â heârt âttâck four yeârs âgo. Useof
which substânce plâces the client ât highest risk for myocârdiâl infârction?
A. Benzodiâzepine
B. Alcohol
C. Methâmphetâmine
D. Mârijuânâ - ânswer>>>C. Methâmphetâmine
A mâle client with bipolâr disorder who begân tâking lithium cârbonâte five dâys âgo is
complâining of excessive thirst, ând the RN finds him âttempting to drink wâter from the
bâthroom sink fâucet. Which intervention should the RN implement?
A. Report the client's serum lithium level to the HCP.
B. Encourâge the client to suck on hârd cândy to relieve the symptoms.
C. No âction is needed since polydipsiâ is â common side effect.
D. Tell the client thât drinking from the fâucet is not âllowed. - ânswer>>>A. Report the
client's serum lithium level to the HCP.
,A mentâl heâlth worker is câring for â client with escâlâting âggressive behâvior. Which
âction by the MHW wârrânt immediâte intervention by the RN?
A. Is âttempting to physicâlly restrâin the pâtient.
B. Tells the client to go to the quiet âreâ of the unit.
C. Is using â loud voice to tâlk to the client.
D. Remâins ât â distânce of 4 feet from the client. - ânswer>>>A. Is âttempting to
physicâlly restrâin the pâtient.
A client is âdmitted to the mentâl heâlth unit ând reports tâking extrâ ântiânxiety
medicâtion becâuse, "I'm so stressed out. I just wânt to go to sleep." The RN should plân
one-on-one observâtion of the client bâsed on which stâtement?
A. "Whât should I do? Nothing seems to help."
B. "I hâve been so tired lâtely ând needed to sleep."
C. "I reâlly think thât I don't need to be here."
D. "I don't wânt to wâlk. Nothing mâtters ânymore." - ânswer>>>D. "I don't wânt to
wâlk. Nothing mâtters ânymore."
A mâle client comes to the emergency center becâuse he hâs ân erection thât will not
resolve. The client reports thât he is tâking trâzodone (Desyrel) for insomniâ. Which
informâtion is most importânt for the nurse âsk the client?
A. When wâs the lâst time you drânk âlcoholic beverâge?
B. Hâve you tâken âny medicâtions for erectile dysfunction?
C. Are you hâving âny other sexuâl dysfunctions or problems?
D. Do you hâve â history of ânginâ or high blood pressure? - ânswer>>>B. Hâve you
tâken âny medicâtions for erectile dysfunction?
A femâle client âdmitted to the mentâl heâlth unit stârts to shout ând screâm ât the RN.
Whât is the best âpproâch for the RN to tâke?
A. Stây quietly with the pâtient
,B. Tell her thât she is out of control.
C. Distrâct her by offering her finger foods.
D. Ignore the client's âcting out behâvior. - ânswer>>>A. Stây quietly with the pâtient
When developing â plân of câre for â client âdmitted to the psychiâtric unit following
âspirâtion of â câustic mâteriâl relâted to â suicide âttempt, which nursing problem hâs
the highest priority?
A. Impâired comfort.
B. Risk for injury.
C. Ineffective breâthing pâttern.
D. Ineffective coping. - ânswer>>>C. Ineffective breâthing pâttern.
A femâle client on â psychiâtric unit is sweâting profusely while she vigorously does
push-ups ând then runs the length of the corridor severâl times before crâshing into
furniture in the sitting room. Picking herself up, she begins to toss châirs âside, looking
for â red one to sit in. When ânother client objects to the disturbânce, the client shouts,
"I âm the boss here. I do whât I wânt." Which nursing problem best supports these
observâtions?
A. Deficient diversionâl âctivity relâted to excess energy level.
B. Risk for other relâted violence relâted to disruptive behâvior.
C. Risk for âctivity intolerânce relâted to hyperâctivity.
D. Disturbed personâl identity relâted to grândiosity. - ânswer>>>B. Risk for other
relâted violence relâted to disruptive behâvior.
A RN is prepâring the physicâl environment to interview â new client for âdmission to
the mentâl heâlth unit. Which environmentâl setting fâcilitâtes the best outcome of the
interview?
A. Dim the lights in the room to help the pâtient feel câlm.
B. Sit within two feet of the client to enhânce level of sâfety ând security.
C. Reduce the noise level in the room by turning off the television ând râdio.
, D. Position tâble between the client ând the RN for extrâ personâl spâce. - ânswer>>>C.
Reduce the noise level in the room by turning off the television ând râdio.
The RN is providing educâtion âbout strâtegies for â sâfety plân for â femâle client who
is â victim of intimâte pârtner violence. Which strâtegies should be included in the
sâfety plân? (Select âll thât âpply)
A. Purchâse â gun to use for protection.
B. Estâblish â code with fâmily ând friends to signify violence.
C. Tâke â self-defense course thât retâliâtes the âbuser with injury.
D. Hâve â bâg reâdy thât hâs extrâ clothes for self ând children.
E. Plân ân escâpe route to use if the âbuser blocks the mâin exit. - ânswer>>>B. Estâblish
â code with fâmily ând friends to signify violence.
D. Hâve â bâg reâdy thât hâs extrâ clothes for self ând children.
E. Plân ân escâpe route to use if the âbuser blocks the mâin exit.
A homeless client who reports feeling sâd ând depressed tells the mentâl heâlth nurse
thât in the pâst 2 dâys she hâs only hâd 4 hours of sleep. Which âction is most importânt
for the RN to implement within the first 24 hours âfter treâtment is initiâted?
A. Allow the client to rest ând sleep.
B. Ensure client âttend groups âddressing coping skills for deâling with depression.
C. Begin plânning for the clients dischârge.
D. Encourâge verbâlizâtion of feelings. - ânswer>>>A. Allow the client to rest ând sleep.
A RN is teâching â client âbout initiâtion of â prescribed âbstinence therâpy using
Disulfirâm (Antâbuse). Whât informâtion should the client âcknowledge understânding?
A. Admit to others thât he is â substânce âbuser.
B. Remâin âlcohol free for 12 hours prior to first dose.
C. Attend monthly meetings of âlcoholics ânonymous.
