2023-2024 HESI MENTAL HEALTH RN EXAM
NEW VERSION|ACCURATE ANSWERS|VERIFIED
ANSWERS|GUARANTEED PASS| LATEST UPDATE
A client is receiving substitution therapy during withdrawal from
benzodiazepines. Which expected outcome statement has the highest priority
when planning nursing care?
CNS stimulation will be reduced
A client who is being treated with lithium carbonate for manic depression begins
to develop diarrhea, vomiting, and drowsiness. What action should the nurse
take?
Prior to giving the next dose, notify the physician of the symptoms.
While caring for an older client, the RN observes multiple bruises in Over the
client's legs, arms, back, and gluteal areas. When the client Contact, the RN
suspects elder abuse. What action should the RN take?
Measure and document size, shape and color of the bruised areas.
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.
Use of which substance places the client at highest risk for myocardial
infarction?
Methamphetamine
After receiving treatment for anorexia, a student asks the school RN for
permission to work in the school cafeteria as part of the school's work study
program. What action should the RN take?
A. Suggest that the student work in the athletic department. B. Determine
theparent'sopinion of the work assignments. C. Refer the student to a psychiatrist for
further discussion. D. Recommend assignment to thereceptionist'soffice.
A client who is homeless is diagnosed with schizophrenia and admitted on an
involuntary basis to a mental health hospital 4 days ago. The client stopped
taking prescribed antipsychotic drugs approximately one month ago. Since
hospitalization the client continues to have poor judgment and refuses all
medications. What action should the RN take?
Provide the client with medication if the client presents an imminent risk to self and
others.
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?
Have you taken any medications for erectile dysfunction?
On admission to the mental health unit, a client diagnosed with schizophrenia
tells the RN that he is the son of God. Based on this statement, which
intervention should the RN include in this client's plan of care?
Confront his delusion as not consistent with reality
,The RN on the day shift receive report about a client with depression who was in
bed most of the weekend. The RN walks into the client's room in the morning and
finds the client in bed. What intervention is best for the RN to implement?
Assist the client to get out of bed and involved in an activity.
Which client information indicates the need for the RN to use CAGE
questionnaire during the admission interview?
Describe self as a social drinker who drinks alcoholic beverages daily.
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?
Stay quietly with the patient
A woman is brought to the psychiatric clinic by her husband. He reports that his
wife is reluctant to leave home because of what she describes as a fear of open
places and crowds. Which nursing problem applies to this client's behavior?
Anxiety related to real or perceived threat to physical integrity
A client is receiving benztropine mesylate (Cogentin) for drug-induced
extrapyramidal syndrome (EPS). Which finding indicates that the RN should
further evaluate the client?
Presence of a dry mouth.
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?
Delusions of persecution.
A female client with obsessive compulsive personality disorder is admitted to the
hospital for a cardiac catheterization. The afternoon before the procedure, 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?
Encourage the client to express her feelings regarding the upcoming procedure.
During admission to the psychiatric unit, a female client is extremely anxious 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?
Assist the client in developing alternative coping skills
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?
Acute confusion.
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 shouldI do?"Which response is best
for the RN to provide in this crisis?
Call for transportation to the hospital
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?
neffective sexual patterns
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?
Perform the dressing change in a non-judgmental manner
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 verbally 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 theclient'sfeelings when he responds
An antidepressant medication is prescribed for a client who reports sleeping only
4 hours in the past 2 days and weight loss of 9 lbs within the last month. Which
client goal is most important to achieve within the first three days of treatment?
Sleep at least 6 hours a night.
When preparing to administer to domestic violence screening tool to a female
client, which statement should the RN provide?
All clients are screened for domestic abuse because it is common in our society.
A young adult female visits the mental health clinic complaining of diarrhea,
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?
Besides your sister's comments, what in your life is troubling you?
The RN is leading a group on the inpatient psychiatric unit. Which approach
should the RN use during the working phase of group development?
Helping clients identify areas of problem in their lives.
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?
Escort the client to his room.
A client is admitted for bipolar disorder and alcohol withdrawal, depressive
phase. Based on which assessment finding will the RN withhold the clonidine
(Catapres) prescription?
Blood pressure readings of 90/62 mmHg to 92/58 mmHg.
The RN on the evening shift receives report that a client is scheduled for
electroconvulsive treatment (ECT) in the morning. Which intervention should the
Rn implement the evening before the scheduled ECT?
Keep the client NPO after mid-night.
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?
Peperoni pizza
NEW VERSION|ACCURATE ANSWERS|VERIFIED
ANSWERS|GUARANTEED PASS| LATEST UPDATE
A client is receiving substitution therapy during withdrawal from
benzodiazepines. Which expected outcome statement has the highest priority
when planning nursing care?
CNS stimulation will be reduced
A client who is being treated with lithium carbonate for manic depression begins
to develop diarrhea, vomiting, and drowsiness. What action should the nurse
take?
Prior to giving the next dose, notify the physician of the symptoms.
While caring for an older client, the RN observes multiple bruises in Over the
client's legs, arms, back, and gluteal areas. When the client Contact, the RN
suspects elder abuse. What action should the RN take?
Measure and document size, shape and color of the bruised areas.
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.
Use of which substance places the client at highest risk for myocardial
infarction?
Methamphetamine
After receiving treatment for anorexia, a student asks the school RN for
permission to work in the school cafeteria as part of the school's work study
program. What action should the RN take?
A. Suggest that the student work in the athletic department. B. Determine
theparent'sopinion of the work assignments. C. Refer the student to a psychiatrist for
further discussion. D. Recommend assignment to thereceptionist'soffice.
A client who is homeless is diagnosed with schizophrenia and admitted on an
involuntary basis to a mental health hospital 4 days ago. The client stopped
taking prescribed antipsychotic drugs approximately one month ago. Since
hospitalization the client continues to have poor judgment and refuses all
medications. What action should the RN take?
Provide the client with medication if the client presents an imminent risk to self and
others.
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?
Have you taken any medications for erectile dysfunction?
On admission to the mental health unit, a client diagnosed with schizophrenia
tells the RN that he is the son of God. Based on this statement, which
intervention should the RN include in this client's plan of care?
Confront his delusion as not consistent with reality
,The RN on the day shift receive report about a client with depression who was in
bed most of the weekend. The RN walks into the client's room in the morning and
finds the client in bed. What intervention is best for the RN to implement?
Assist the client to get out of bed and involved in an activity.
Which client information indicates the need for the RN to use CAGE
questionnaire during the admission interview?
Describe self as a social drinker who drinks alcoholic beverages daily.
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?
Stay quietly with the patient
A woman is brought to the psychiatric clinic by her husband. He reports that his
wife is reluctant to leave home because of what she describes as a fear of open
places and crowds. Which nursing problem applies to this client's behavior?
Anxiety related to real or perceived threat to physical integrity
A client is receiving benztropine mesylate (Cogentin) for drug-induced
extrapyramidal syndrome (EPS). Which finding indicates that the RN should
further evaluate the client?
Presence of a dry mouth.
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?
Delusions of persecution.
A female client with obsessive compulsive personality disorder is admitted to the
hospital for a cardiac catheterization. The afternoon before the procedure, 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?
Encourage the client to express her feelings regarding the upcoming procedure.
During admission to the psychiatric unit, a female client is extremely anxious 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?
Assist the client in developing alternative coping skills
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?
Acute confusion.
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 shouldI do?"Which response is best
for the RN to provide in this crisis?
Call for transportation to the hospital
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?
neffective sexual patterns
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?
Perform the dressing change in a non-judgmental manner
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 verbally 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 theclient'sfeelings when he responds
An antidepressant medication is prescribed for a client who reports sleeping only
4 hours in the past 2 days and weight loss of 9 lbs within the last month. Which
client goal is most important to achieve within the first three days of treatment?
Sleep at least 6 hours a night.
When preparing to administer to domestic violence screening tool to a female
client, which statement should the RN provide?
All clients are screened for domestic abuse because it is common in our society.
A young adult female visits the mental health clinic complaining of diarrhea,
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?
Besides your sister's comments, what in your life is troubling you?
The RN is leading a group on the inpatient psychiatric unit. Which approach
should the RN use during the working phase of group development?
Helping clients identify areas of problem in their lives.
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?
Escort the client to his room.
A client is admitted for bipolar disorder and alcohol withdrawal, depressive
phase. Based on which assessment finding will the RN withhold the clonidine
(Catapres) prescription?
Blood pressure readings of 90/62 mmHg to 92/58 mmHg.
The RN on the evening shift receives report that a client is scheduled for
electroconvulsive treatment (ECT) in the morning. Which intervention should the
Rn implement the evening before the scheduled ECT?
Keep the client NPO after mid-night.
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?
Peperoni pizza
