HESI RN MENTAL HEALTH Comprehensive Questions
And Verified Answers
1. A mental health worker is caring for a client with escalating aggressive behav-
ior. Which action by the MHW warrant immediate intervention by the RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loud voice to talk to the client.
D. Remains at a distance of 4 feet from the client.: A. Is attempting to physically restrain the
patient.
2. A client is admitted to the mental health unit and reports taking extra antianx-
iety medication because, "I'm so stressed out. I just want to go to sleep." The RN
should plan one-on-one observation of the client based on which statement?
A. "What should I do? Nothing seems to help."
B. "I have been so tired lately and needed to sleep."
C. "I really think that I don't need to be here."
D. "I don't want to walk. Nothing matters anymore.": D. "I don't want to walk. Nothing matters
anymore."
3. The RN is performing intake interviews at a psychiatric clinic. A female client
with a known history of drug abuse reports that she had a heart attack four
years ago. Useof which substance places the client at highest risk for myocar -
dial infarction?
A. Benzodiazepine
B. Alcohol
C. Methamphetamine
D. Marijuana: C. Methamphetamine
4. A male client comes to the emergency center because he has an erection
that will not resolve. The client reports that he is taking trazodone (Desyrel) for
insomnia. Which information is most important for the nurse ask the client?
A. When was the last time you drank alcoholic beverage?
B. Have you taken any medications for erectile dysfunction?
C. Are you having any other sexual dysfunctions or problems?
D. Do you have a history of angina or high blood pressure?: B. Have you taken any
,medications for erectile dysfunction?
,5. A female client admitted to the mental health unit starts to shout and scream
at the RN. What is the best approach for the RN to take?
A. Stay quietly with the patient
B. Tell her that she is out of control.
C. Distract her by offering her finger foods.
D. Ignore the client's acting out behavior.: A. Stay quietly with the patient
6. When developing a plan of care for a client admitted to the psychiatric unit
following aspiration of a caustic material related to a suicide attempt, which
nursing problem has the highest priority?
A. Impaired comfort.
B. Risk for injury.
C. Ineffective breathing pattern.
D. Ineffective coping.: C. Inettective breathing pattern.
7. A female client on a psychiatric unit is sweating profusely while she vigorously
does push-ups and then runs the length of the corridor several times before
crashing into furniture in the sitting room. Picking herself up, she begins to
toss chairs aside, looking for a red one to sit in. When another client objects
to the disturbance, the client shouts, "I am the boss here. I do what I want."
Which nursing problem best supports these observations?
A. Deficient diversional activity related to excess energy level.
B. Risk for other related violence related to disruptive behavior.
C. Risk for activity intolerance related to hyperactivity.
D. Disturbed personal identity related to grandiosity.: B. Risk for other related violence
related to disruptive behavior.
8. A RN is preparing the physical environment to interview a new client for
admission to the mental health unit. Which environmental setting facilitates
the best outcome of the interview?
A. Dim the lights in the room to help the patient feel calm.
B. Sit within two feet of the client to enhance level of safety and security.
C. Reduce the noise level in the room by turning off the television and radio.
D. Position table between the client and the RN for extra personal space.: C.
Reduce the noise level in the room by turning ott the television and radio.
, 9. The RN 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? (Select all that apply)
A. Purchase a gun to use for protection.
B. Establish a code with family and friends to signify violence.
C. Take a self-defense course that retaliates the abuser with injury.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit.: B. Establish a code
with family and friends to signify violence.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit.
10. The RN is admitting a male client who takes lithium carbonate (Eskalith) twice
a day. Which information should the RN report to the HCP immediately?
A. Short term memory loss.
B. Five pound weight gain
C. Decreased affect.
D. Nausea and vomiting.: D. Nausea and vomiting.
11. A homeless client who reports feeling sad and depressed tells the mental
health nurse that in the past 2 days she has only had 4 hours of sleep. Which
action is most important for the RN to implement within the first 24 hours after
treatment is initiated?
A. Allow the client to rest and sleep.
B. Ensure client attend groups addressing coping skills for dealing with depres-
sion.
C. Begin planning for the clients discharge.
D. Encourage verbalization of feelings.: A. Allow the client to rest and sleep.
12. A RN is teaching a client about initiation of a prescribed abstinence therapy
using Disulfiram (Antabuse). What information should the client acknowledge
understanding?
A. Admit to others that he is a substance abuser.
B. Remain alcohol free for 12 hours prior to first dose.
C. Attend monthly meetings of alcoholics anonymous.
And Verified Answers
1. A mental health worker is caring for a client with escalating aggressive behav-
ior. Which action by the MHW warrant immediate intervention by the RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loud voice to talk to the client.
D. Remains at a distance of 4 feet from the client.: A. Is attempting to physically restrain the
patient.
2. A client is admitted to the mental health unit and reports taking extra antianx-
iety medication because, "I'm so stressed out. I just want to go to sleep." The RN
should plan one-on-one observation of the client based on which statement?
A. "What should I do? Nothing seems to help."
B. "I have been so tired lately and needed to sleep."
C. "I really think that I don't need to be here."
D. "I don't want to walk. Nothing matters anymore.": D. "I don't want to walk. Nothing matters
anymore."
3. The RN is performing intake interviews at a psychiatric clinic. A female client
with a known history of drug abuse reports that she had a heart attack four
years ago. Useof which substance places the client at highest risk for myocar -
dial infarction?
A. Benzodiazepine
B. Alcohol
C. Methamphetamine
D. Marijuana: C. Methamphetamine
4. A male client comes to the emergency center because he has an erection
that will not resolve. The client reports that he is taking trazodone (Desyrel) for
insomnia. Which information is most important for the nurse ask the client?
A. When was the last time you drank alcoholic beverage?
B. Have you taken any medications for erectile dysfunction?
C. Are you having any other sexual dysfunctions or problems?
D. Do you have a history of angina or high blood pressure?: B. Have you taken any
,medications for erectile dysfunction?
,5. A female client admitted to the mental health unit starts to shout and scream
at the RN. What is the best approach for the RN to take?
A. Stay quietly with the patient
B. Tell her that she is out of control.
C. Distract her by offering her finger foods.
D. Ignore the client's acting out behavior.: A. Stay quietly with the patient
6. When developing a plan of care for a client admitted to the psychiatric unit
following aspiration of a caustic material related to a suicide attempt, which
nursing problem has the highest priority?
A. Impaired comfort.
B. Risk for injury.
C. Ineffective breathing pattern.
D. Ineffective coping.: C. Inettective breathing pattern.
7. A female client on a psychiatric unit is sweating profusely while she vigorously
does push-ups and then runs the length of the corridor several times before
crashing into furniture in the sitting room. Picking herself up, she begins to
toss chairs aside, looking for a red one to sit in. When another client objects
to the disturbance, the client shouts, "I am the boss here. I do what I want."
Which nursing problem best supports these observations?
A. Deficient diversional activity related to excess energy level.
B. Risk for other related violence related to disruptive behavior.
C. Risk for activity intolerance related to hyperactivity.
D. Disturbed personal identity related to grandiosity.: B. Risk for other related violence
related to disruptive behavior.
8. A RN is preparing the physical environment to interview a new client for
admission to the mental health unit. Which environmental setting facilitates
the best outcome of the interview?
A. Dim the lights in the room to help the patient feel calm.
B. Sit within two feet of the client to enhance level of safety and security.
C. Reduce the noise level in the room by turning off the television and radio.
D. Position table between the client and the RN for extra personal space.: C.
Reduce the noise level in the room by turning ott the television and radio.
, 9. The RN 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? (Select all that apply)
A. Purchase a gun to use for protection.
B. Establish a code with family and friends to signify violence.
C. Take a self-defense course that retaliates the abuser with injury.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit.: B. Establish a code
with family and friends to signify violence.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit.
10. The RN is admitting a male client who takes lithium carbonate (Eskalith) twice
a day. Which information should the RN report to the HCP immediately?
A. Short term memory loss.
B. Five pound weight gain
C. Decreased affect.
D. Nausea and vomiting.: D. Nausea and vomiting.
11. A homeless client who reports feeling sad and depressed tells the mental
health nurse that in the past 2 days she has only had 4 hours of sleep. Which
action is most important for the RN to implement within the first 24 hours after
treatment is initiated?
A. Allow the client to rest and sleep.
B. Ensure client attend groups addressing coping skills for dealing with depres-
sion.
C. Begin planning for the clients discharge.
D. Encourage verbalization of feelings.: A. Allow the client to rest and sleep.
12. A RN is teaching a client about initiation of a prescribed abstinence therapy
using Disulfiram (Antabuse). What information should the client acknowledge
understanding?
A. Admit to others that he is a substance abuser.
B. Remain alcohol free for 12 hours prior to first dose.
C. Attend monthly meetings of alcoholics anonymous.
