Mental Health HESI test bank 2022-2023
Study online at https://quizlet.com/_cgizfd
1. A male client in the mental health unit is guarded and vaguely answers the
nurse's questions. He isolates in his room and sometimes opens the door to
peek into the hall. Which problem can the RN anticipate?
A. Visual hallucinations.
B. Auditory hallucinations.
C. Excessive motor activity.
D. Delusions of persecution.: D. Delusions of persecution.
2. A female client with obsessive compulsive personality disorder is admitted
to the hospital for a cardiac catheterization. The afternoon before the pro-
cedure, the client begins to keep detailed notes of the nursing care she is
receiving, and reports her findings to the RN at bedtime. What action should
the nurse implement?
A. Explain to the client that her behavior invades the rights of the nursing staff.
B. Ask the client to explain why she is keeping a detailed record of her nursing
care.
C. Teach the client strategies to control her obsessive compulsive behavior.
D. Encourage the client to express her feelings regarding the upcoming pro-
cedure.: D. Encourage the client to express her feelings regarding the upcoming
procedure.
3. During admission to the psychiatric unit, a female client is extremely anx-
ious and states that she is worried about the sun coming up the next day. What
intervention is most important for the RN to implement during the admission
process?
A. Assist the client in developing alternative coping skills.
B. Remain calm and use a matter of fact approach.
C. Ask the client why she is so anxious
D. Administer a PRN sedative to help relieve her anxiety.: A. Assist the client in
developing alternative coping skills.
4. A female client is brought to the emergency department after police officers
found her disoriented, disorganized, and confused. The RN also determines
that the client is homeless and is exhibiting suspiciousness. The client's plan
of care should include what priority problem?
A. Acute confusion.
B. Ineffective community coping
C. Disturbed sensory perception.
D. Self-care deficit.: A. Acute confusion.
, Mental Health HESI test bank 2022-2023
Study online at https://quizlet.com/_cgizfd
5. The occupational health nurse is working with a female employee who was
just notified that her child was involved in a MVA and taken to the hospital.
The employee states, "I can't believe this. What should I do?" Which response
is best for the RN to provide in this crisis?
A. Tell me what you think should happen.
B. How serious was the collision?
C. What do you think you should do?
D. Call for transportation to the hospital.: D. Call for transportation to the hospital.
6. A client tells the RN that he has an IQ of 400+ and is a genius and an inventor.
He also reports that he is married to a female movie star and thinks that
his brother wants a sexual relationship with her. What is the priority nursing
problem for admission to the psychiatric unit?
A. Ineffective sexual patterns.
B. Impaired environmental interpretation.
C. Disturbed sensory perception.
D. Compromised family coping.: A. Ineffective sexual patterns.
7. The RN is providing care for a client diagnosed with borderline personality
disorder who has self-inflicted lacerations on the abdomen. Which approach
should the RN use when changing this client's dressing?
A. Provide detailed thorough explanations when cleansing wound.
B. Perform the dressing change in a non-judgmental manner.
C. Ask in a non-threatening manner why the client cut own abdomen.
D. Request another staff member assist with the dressing change.: B. Perform
the dressing change in a non-judgmental manner.
8. While sitting in the day room of the mental health unit, a male adolescent
avoids eye contact,looks at the floor, and talks softly when interacting ver-
bally with the RN. The two trade places,and the RN demonstrates the client's
behaviors. What is the main goal of this therapeutic technique?
A. Initiate a non-threatening conversation with the client.
B. Dialog about the ineffectiveness of his interactions.
C. Allow the client to identify the way he interacts.
D. Discuss the client's feelings when he responds.: C. Allow the client to identify
the way he interacts.
9. An antidepressant medication is prescribed for a client who reports sleep-
ing only 4 hours in the past 2 days and weight loss of 9 lbs within the last
, Mental Health HESI test bank 2022-2023
Study online at https://quizlet.com/_cgizfd
month. Which client goal is most important to achieve within the first three
days of treatment?
A. Meet scheduled appointment with dietitian.
B. Sleep at least 6 hours a night.
C. Understands the purpose of the medication regimen.
D. Describes the reasons for hospitalization.: B. Sleep at least 6 hours a night.
10. When preparing to administer to domestic violence screening tool to a
female client, which statement should the RN provide?
A. If your partner is abusing you, I need to ask these questions.
B. State law mandates that I ask if you are a victim of domestic violence.
C. The HCP provider needs to know if you are experiencing any domestic
abuse.
D. All clients are screened for domestic abuse because it is common in our
society.: D. All clients are screened for domestic abuse because it is common in our
society.
11. A young adult female visits the mental health clinic complaining of di-
arrhea, headache, and muscle aches. She is afebrile, denies chills, and all
laboratory findings are within normal limits.During the physical assessment,
the client tells the RN that her sister thinks she is neurotic and calls her a
hypochondriac. Which response is best for the RN to provide?
A. Unless your sister has a medical education, ignore her comments.
B. I can hear that your sister comments are over-whelming you.
C. Do you think it's possible that you might be a hypochondriac?
D. Besides your sister's comments, what in your life is troubling you?: D.
Besides your sister's comments, what in your life is troubling you?
12. The RN is leading a group on the inpatient psychiatric unit. Which approach
should the RN use during the working phase of group development?
A. Establishing a rapport with group members.
B. Clarifying the nurse's role and clients' responsibilities.
C. Discussing ways to use new coping skills learned.
D. Helping clients identify areas of problem in their lives.: D. Helping clients
identify areas of problem in their lives.
13. A male client with schizophrenia is demonstrating echolalia, which is
becoming annoying to other clients on the unit. What intervention is best for
the RN to implement?
Study online at https://quizlet.com/_cgizfd
1. A male client in the mental health unit is guarded and vaguely answers the
nurse's questions. He isolates in his room and sometimes opens the door to
peek into the hall. Which problem can the RN anticipate?
A. Visual hallucinations.
B. Auditory hallucinations.
C. Excessive motor activity.
D. Delusions of persecution.: D. Delusions of persecution.
2. A female client with obsessive compulsive personality disorder is admitted
to the hospital for a cardiac catheterization. The afternoon before the pro-
cedure, the client begins to keep detailed notes of the nursing care she is
receiving, and reports her findings to the RN at bedtime. What action should
the nurse implement?
A. Explain to the client that her behavior invades the rights of the nursing staff.
B. Ask the client to explain why she is keeping a detailed record of her nursing
care.
C. Teach the client strategies to control her obsessive compulsive behavior.
D. Encourage the client to express her feelings regarding the upcoming pro-
cedure.: D. Encourage the client to express her feelings regarding the upcoming
procedure.
3. During admission to the psychiatric unit, a female client is extremely anx-
ious and states that she is worried about the sun coming up the next day. What
intervention is most important for the RN to implement during the admission
process?
A. Assist the client in developing alternative coping skills.
B. Remain calm and use a matter of fact approach.
C. Ask the client why she is so anxious
D. Administer a PRN sedative to help relieve her anxiety.: A. Assist the client in
developing alternative coping skills.
4. A female client is brought to the emergency department after police officers
found her disoriented, disorganized, and confused. The RN also determines
that the client is homeless and is exhibiting suspiciousness. The client's plan
of care should include what priority problem?
A. Acute confusion.
B. Ineffective community coping
C. Disturbed sensory perception.
D. Self-care deficit.: A. Acute confusion.
, Mental Health HESI test bank 2022-2023
Study online at https://quizlet.com/_cgizfd
5. The occupational health nurse is working with a female employee who was
just notified that her child was involved in a MVA and taken to the hospital.
The employee states, "I can't believe this. What should I do?" Which response
is best for the RN to provide in this crisis?
A. Tell me what you think should happen.
B. How serious was the collision?
C. What do you think you should do?
D. Call for transportation to the hospital.: D. Call for transportation to the hospital.
6. A client tells the RN that he has an IQ of 400+ and is a genius and an inventor.
He also reports that he is married to a female movie star and thinks that
his brother wants a sexual relationship with her. What is the priority nursing
problem for admission to the psychiatric unit?
A. Ineffective sexual patterns.
B. Impaired environmental interpretation.
C. Disturbed sensory perception.
D. Compromised family coping.: A. Ineffective sexual patterns.
7. The RN is providing care for a client diagnosed with borderline personality
disorder who has self-inflicted lacerations on the abdomen. Which approach
should the RN use when changing this client's dressing?
A. Provide detailed thorough explanations when cleansing wound.
B. Perform the dressing change in a non-judgmental manner.
C. Ask in a non-threatening manner why the client cut own abdomen.
D. Request another staff member assist with the dressing change.: B. Perform
the dressing change in a non-judgmental manner.
8. While sitting in the day room of the mental health unit, a male adolescent
avoids eye contact,looks at the floor, and talks softly when interacting ver-
bally with the RN. The two trade places,and the RN demonstrates the client's
behaviors. What is the main goal of this therapeutic technique?
A. Initiate a non-threatening conversation with the client.
B. Dialog about the ineffectiveness of his interactions.
C. Allow the client to identify the way he interacts.
D. Discuss the client's feelings when he responds.: C. Allow the client to identify
the way he interacts.
9. An antidepressant medication is prescribed for a client who reports sleep-
ing only 4 hours in the past 2 days and weight loss of 9 lbs within the last
, Mental Health HESI test bank 2022-2023
Study online at https://quizlet.com/_cgizfd
month. Which client goal is most important to achieve within the first three
days of treatment?
A. Meet scheduled appointment with dietitian.
B. Sleep at least 6 hours a night.
C. Understands the purpose of the medication regimen.
D. Describes the reasons for hospitalization.: B. Sleep at least 6 hours a night.
10. When preparing to administer to domestic violence screening tool to a
female client, which statement should the RN provide?
A. If your partner is abusing you, I need to ask these questions.
B. State law mandates that I ask if you are a victim of domestic violence.
C. The HCP provider needs to know if you are experiencing any domestic
abuse.
D. All clients are screened for domestic abuse because it is common in our
society.: D. All clients are screened for domestic abuse because it is common in our
society.
11. A young adult female visits the mental health clinic complaining of di-
arrhea, headache, and muscle aches. She is afebrile, denies chills, and all
laboratory findings are within normal limits.During the physical assessment,
the client tells the RN that her sister thinks she is neurotic and calls her a
hypochondriac. Which response is best for the RN to provide?
A. Unless your sister has a medical education, ignore her comments.
B. I can hear that your sister comments are over-whelming you.
C. Do you think it's possible that you might be a hypochondriac?
D. Besides your sister's comments, what in your life is troubling you?: D.
Besides your sister's comments, what in your life is troubling you?
12. The RN is leading a group on the inpatient psychiatric unit. Which approach
should the RN use during the working phase of group development?
A. Establishing a rapport with group members.
B. Clarifying the nurse's role and clients' responsibilities.
C. Discussing ways to use new coping skills learned.
D. Helping clients identify areas of problem in their lives.: D. Helping clients
identify areas of problem in their lives.
13. A male client with schizophrenia is demonstrating echolalia, which is
becoming annoying to other clients on the unit. What intervention is best for
the RN to implement?
