HESI MENTAL HEALTH
uf
c. refusal to ad-
dress
2026 HESI MENTAL HEALTH
nutritionalneeds
1. aclientwithdepressionremainsinbedmostoftheday,
anddeclinesactivities.whichnursingproblemhasthe
greatest priorityfor thisclient?
a. lossofinterestindiversionalactivity
b. social isolation
c. refusaltoaddressnutritionalneeds b.
d. lowself-esteem Benzotropine(C
ogentin)
2. theRNispreparingmedicationsforaclientwithbipo-lar
disorder and notices that client discontinued an-
tipsychotic medication for several days. which med-
icationshould also be discontinued?
a. Lithium (Lithotabs)
b. Benzotropine(Cogentin)
c. Alprazolam (Xanax)
d. Magnesium(MilkofMagnesia) b. remain
alcoholfree for
3. the RN is teaching a client about theinitiation 12 hoursprior
oftheprescribedabstinencetherapyusingDisulfiram( tothefirstdose
Antabuse). what information should the client ac-
knowledgeunderstanding?
a. completelyabstainfromheroinorcocaineuse
b. remainalcoholfreefor12hourspriortothefirstdose
c. attendmonthlymeetingsofalcoholicsanonymous
d. admittoothers thathe isa substanceuser
d. do you
4. a male client with schizophrenia is admitted to hearsounds or
themental health unit after abruptly stopping his voicesthat others
pre-scription for ziprasidone (Geodon) one month do nothear?
ago.which question is most important for the RN
to asktheclient?
a. haveyoulostinterestinthethingsthatyouusedtoenj
oy?
b. isyourabilitytothinkorconcentratedecreased?
c. howmanycontinuoushoursdoyousleepatnight?
d. doyouhearsoundsorvoicesthatothersdonothear?
1/ 38
, HESI MENTAL HEALTH
5. uf
afemaleclientrequeststhatherhusbandbealloweda.paycloseat-
tostayintheroomduringtheadmissionassessment.tentionand docu-
wheninterviewingtheclient,theRNnotesadiscrep- mentandnonver-
ancybetweentheclient'sverbalandnonverbalcom- bal messages
munication.what action doesthe RN take?
a. paycloseattentionanddocumentthenonverbalme
ssages
b. asktheclient'shusbandtointerpretthediscrepan-cy
c. ignorethenonverbalbehaviorandfocusontheclie
nt'sverbal messages
d. integratetheverbalandnonverbalmessagesandint
erpret them as one
6. a male client approaches the RN with an angry ex-
pressiononhisfaceandraiseshisvoice,saying"myroo b.projection
mmate is the most selfish, self-centered,
angryperson I have ever met. if he loses his temper
onemoretimewithme,Iamgoingtopunchhimout!"theR
Nrecognizesthattheclientisusingwhichdefensemech
anism?
a. denial
b. projection
c. rationalization
d. splitting
7. a mental health worker is caring for a client
withescalatingaggressivebehavior.whichactionbyth a. is attempting
eMHWwarrant immediateintervention by theRN? tophysically
a. isattemptingtophysicallyrestrainthepatient restrainthe
b. tellstheclient togo tothequiet areaof theunit patient
c. isusingaloidvoicetotalktotheclient
d. remainsatadistanceof4feetfromtheclient
8. a client on the mental health unit is becoming
moreagitated,shoutingatthestaff,andpacinginthehall
-way. when the PRN medication is offered, the c. take
clientrefusesthemedicationanddefiantlysitsontheflo otherclients in
orinthemiddleoftheunithallway.whatnursinginter- thearea to the
clientlounge
2/ 38
, HESI MENTAL HEALTH
uf
ventionshouldtheRNimplementfirst?
a. transportoftheclienttotheseclusionroom
b. quietlyapproachtheclientwithadditionalstaffme
mbers
c. takeotherclientsintheareatotheclientlounge
d. administermedicationtochemicallyrestrainthepa
tient
9. amaleclientwithbipolardisorderwhobegantakinglithi a. report
um carbonate five days ago is complaining theclient'sserumlit
ofexcessivethirst,andtheRN findshimattempting hi-um level to
todrinkwaterfromthebathroomsinkfaucet.whichinter theHCP
vention should the RN implement?
a. reporttheclient's serumlithiumlevel totheHCP
b. encouragetheclienttosuckonhardcandytorelie
vethe symptoms
c. noactionisneededsincepolydipsiaisacommonside
effect
d. telltheclientthatdrinkingfromthefaucetisnotallo
wed
10. during an annual physical by the occupational d. it sounds as
RNworkinginacorporateclinic,amaleemployeetellst iftherearemanysit-
he RN that is high-stress job is causing trouble uations that
inhis personal life. he further explains that he makeyoufeelangr
oftengetssoangry whiledrivingto andfromwork that y
hehasconsidered"gettingeven"withotherdrivers.how
should the RN respond?
a. angeriscontagiousandcouldresultinmajorcon-
frontation
b. trynottoletyourangercauseyoutoactimpulsive-ly
c. expressingyourangertoastrangercouldresultinanu
nsafe situation
d. itsoundsasiftherearemanysituationsthatmakeyouf
eel angry
11. a client who has agoraphobia (a fear of crowds)
isbeginningdesensitizationwiththetherapist,andthe
b. establish
trustbyproviding
3/ 38
, HESI MENTAL HEALTH
a uf
4/ 38
uf
c. refusal to ad-
dress
2026 HESI MENTAL HEALTH
nutritionalneeds
1. aclientwithdepressionremainsinbedmostoftheday,
anddeclinesactivities.whichnursingproblemhasthe
greatest priorityfor thisclient?
a. lossofinterestindiversionalactivity
b. social isolation
c. refusaltoaddressnutritionalneeds b.
d. lowself-esteem Benzotropine(C
ogentin)
2. theRNispreparingmedicationsforaclientwithbipo-lar
disorder and notices that client discontinued an-
tipsychotic medication for several days. which med-
icationshould also be discontinued?
a. Lithium (Lithotabs)
b. Benzotropine(Cogentin)
c. Alprazolam (Xanax)
d. Magnesium(MilkofMagnesia) b. remain
alcoholfree for
3. the RN is teaching a client about theinitiation 12 hoursprior
oftheprescribedabstinencetherapyusingDisulfiram( tothefirstdose
Antabuse). what information should the client ac-
knowledgeunderstanding?
a. completelyabstainfromheroinorcocaineuse
b. remainalcoholfreefor12hourspriortothefirstdose
c. attendmonthlymeetingsofalcoholicsanonymous
d. admittoothers thathe isa substanceuser
d. do you
4. a male client with schizophrenia is admitted to hearsounds or
themental health unit after abruptly stopping his voicesthat others
pre-scription for ziprasidone (Geodon) one month do nothear?
ago.which question is most important for the RN
to asktheclient?
a. haveyoulostinterestinthethingsthatyouusedtoenj
oy?
b. isyourabilitytothinkorconcentratedecreased?
c. howmanycontinuoushoursdoyousleepatnight?
d. doyouhearsoundsorvoicesthatothersdonothear?
1/ 38
, HESI MENTAL HEALTH
5. uf
afemaleclientrequeststhatherhusbandbealloweda.paycloseat-
tostayintheroomduringtheadmissionassessment.tentionand docu-
wheninterviewingtheclient,theRNnotesadiscrep- mentandnonver-
ancybetweentheclient'sverbalandnonverbalcom- bal messages
munication.what action doesthe RN take?
a. paycloseattentionanddocumentthenonverbalme
ssages
b. asktheclient'shusbandtointerpretthediscrepan-cy
c. ignorethenonverbalbehaviorandfocusontheclie
nt'sverbal messages
d. integratetheverbalandnonverbalmessagesandint
erpret them as one
6. a male client approaches the RN with an angry ex-
pressiononhisfaceandraiseshisvoice,saying"myroo b.projection
mmate is the most selfish, self-centered,
angryperson I have ever met. if he loses his temper
onemoretimewithme,Iamgoingtopunchhimout!"theR
Nrecognizesthattheclientisusingwhichdefensemech
anism?
a. denial
b. projection
c. rationalization
d. splitting
7. a mental health worker is caring for a client
withescalatingaggressivebehavior.whichactionbyth a. is attempting
eMHWwarrant immediateintervention by theRN? tophysically
a. isattemptingtophysicallyrestrainthepatient restrainthe
b. tellstheclient togo tothequiet areaof theunit patient
c. isusingaloidvoicetotalktotheclient
d. remainsatadistanceof4feetfromtheclient
8. a client on the mental health unit is becoming
moreagitated,shoutingatthestaff,andpacinginthehall
-way. when the PRN medication is offered, the c. take
clientrefusesthemedicationanddefiantlysitsontheflo otherclients in
orinthemiddleoftheunithallway.whatnursinginter- thearea to the
clientlounge
2/ 38
, HESI MENTAL HEALTH
uf
ventionshouldtheRNimplementfirst?
a. transportoftheclienttotheseclusionroom
b. quietlyapproachtheclientwithadditionalstaffme
mbers
c. takeotherclientsintheareatotheclientlounge
d. administermedicationtochemicallyrestrainthepa
tient
9. amaleclientwithbipolardisorderwhobegantakinglithi a. report
um carbonate five days ago is complaining theclient'sserumlit
ofexcessivethirst,andtheRN findshimattempting hi-um level to
todrinkwaterfromthebathroomsinkfaucet.whichinter theHCP
vention should the RN implement?
a. reporttheclient's serumlithiumlevel totheHCP
b. encouragetheclienttosuckonhardcandytorelie
vethe symptoms
c. noactionisneededsincepolydipsiaisacommonside
effect
d. telltheclientthatdrinkingfromthefaucetisnotallo
wed
10. during an annual physical by the occupational d. it sounds as
RNworkinginacorporateclinic,amaleemployeetellst iftherearemanysit-
he RN that is high-stress job is causing trouble uations that
inhis personal life. he further explains that he makeyoufeelangr
oftengetssoangry whiledrivingto andfromwork that y
hehasconsidered"gettingeven"withotherdrivers.how
should the RN respond?
a. angeriscontagiousandcouldresultinmajorcon-
frontation
b. trynottoletyourangercauseyoutoactimpulsive-ly
c. expressingyourangertoastrangercouldresultinanu
nsafe situation
d. itsoundsasiftherearemanysituationsthatmakeyouf
eel angry
11. a client who has agoraphobia (a fear of crowds)
isbeginningdesensitizationwiththetherapist,andthe
b. establish
trustbyproviding
3/ 38
, HESI MENTAL HEALTH
a uf
4/ 38
