MENTAL HEALTH RN HESI TEST
BANK QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
A client is admitted to the mental health unit and reports
taking extra antianxiety 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 -
correct answer- d
A client on the mental health unit is becoming more
agitated, shouting at the staff, and pacing in the hallway.
When a PRN medication is offered, the client refuses the
medication and defiantly sits on the floor in the middle of
the unit hallway. What nursing intervention should the
nurse implement first?
,A. Transport the client to the seclusion room
B. Quietly approach the client with additional staff
members
C. Take other client in the area to the client lounge
D. Administer medication to chemically restrain client -
correct answer- c
A client who has agoraphobia (a fear of crowds) is
beginning desensitization with the therapist, and the RN is
reinforcing the process. Which intervention has the
highest priority for this clients plan of care?
a. establish substitution of positive thoughts and negative
ones
b. establish trust by providing a calm safe environment
c. progressively expose the client to larger crowds
d. encourage deep breathing when anxiety escalates in a
crowd. - correct answer- b
A client who is recently experienced a death of a
significant other arrives at the mental health center. The
client reports loss of interest in usual activities, expresses
, a wish to be with the deceased significant other, had been
eating very little, and has not slept in several days. Which
client statement is most important for the RN to explore
at this time?
A. no sleeping for several days
B. wishing to be with spouse
C. lack of interest in usual activities
D. eating very little - correct answer- a
A client with bulimia and depression who is taking
phenelzine (Nardil) 90 mg daily is admitted to an acute
care hospital for uncontrolled hypertension. What dietary
choices should the RN instruct the client to avoid?
A. Pan-seared catfish
B. Deep fried shrimp
C. Pepperoni pizza
D. Beef trips with gravy - correct answer- c
A client with depression remains in bed most of the day,
declines activities and refuses meals. Which nursing
problem has the greatest priority for this client?
BANK QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
A client is admitted to the mental health unit and reports
taking extra antianxiety 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 -
correct answer- d
A client on the mental health unit is becoming more
agitated, shouting at the staff, and pacing in the hallway.
When a PRN medication is offered, the client refuses the
medication and defiantly sits on the floor in the middle of
the unit hallway. What nursing intervention should the
nurse implement first?
,A. Transport the client to the seclusion room
B. Quietly approach the client with additional staff
members
C. Take other client in the area to the client lounge
D. Administer medication to chemically restrain client -
correct answer- c
A client who has agoraphobia (a fear of crowds) is
beginning desensitization with the therapist, and the RN is
reinforcing the process. Which intervention has the
highest priority for this clients plan of care?
a. establish substitution of positive thoughts and negative
ones
b. establish trust by providing a calm safe environment
c. progressively expose the client to larger crowds
d. encourage deep breathing when anxiety escalates in a
crowd. - correct answer- b
A client who is recently experienced a death of a
significant other arrives at the mental health center. The
client reports loss of interest in usual activities, expresses
, a wish to be with the deceased significant other, had been
eating very little, and has not slept in several days. Which
client statement is most important for the RN to explore
at this time?
A. no sleeping for several days
B. wishing to be with spouse
C. lack of interest in usual activities
D. eating very little - correct answer- a
A client with bulimia and depression who is taking
phenelzine (Nardil) 90 mg daily is admitted to an acute
care hospital for uncontrolled hypertension. What dietary
choices should the RN instruct the client to avoid?
A. Pan-seared catfish
B. Deep fried shrimp
C. Pepperoni pizza
D. Beef trips with gravy - correct answer- c
A client with depression remains in bed most of the day,
declines activities and refuses meals. Which nursing
problem has the greatest priority for this client?
