HESI MENTAL HEALTH EXAM |LATEST EXAM UPDATE
COMPLETE QUESTIONS WITH CORRECT VERIFIED
ANSWERS |PRE-EVALUATED A+
A client with depression remains in bed most of the day, and
declines activities. Which nursing problem has the greatest priority for
this client?
A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
The nurse is preparing medications for a client with bipolar disorder
and notices that the client discontinued antipsychotic medication for
several days. Which medication should also be discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
,d. Magnesium (Milk of Magnesia).
A female client requests that her husband be allowed to stay in the
room during the admission assessment. When interviewing the
client, the RN notes a discrepancy between the client’s verbal and
nonverbal communication.
What action does the RN take?
A. Pay close attention and document the nonverbal messages.
B. Ask the client’s husband to interpret the discrepancy.
C. Ignore the nonverbal behavior and focus on the client’s verbal
messages.
D. Integrate the verbal and nonverbal messages and interpret them as one.
A male client approaches the nurse with an angry expression on his
face and raises his voice, saying “My roommate is the most selfish,
self-centered, angry person I have ever met. If he loses his temper
one more time with me, I am going to punch him out!” The nurse
recognizes that the client is using which defense mechanism?
A. Denial.
B.
Projection.
C. Rationalization.
D. Splitting.
A male client with bipolar disorder who began taking lithium
carbonate five days ago is complaining of excessive thirst, and the
nurse finds him attempting to drink water from the bathroom sink
,faucet. Which intervention should the nurse implement?
A. Report the client’s serum lithium level to the HCP.
B. Encourage the client to suck on hard candy to relieve the symptoms.
C. No action is needed since polydipsia is a common side effect.
D. Tell the client that drinking from the faucet is not allowed.
The nurse is teaching a client about the initiation of the prescribed
abstinence therapy using disulfiram (Antabuse). What information
should the client acknowledge understanding?
A. Completely abstain from heroin or cocaine use.
B. Remain alcohol free for 12 hours prior to the first dose.
C. Attend monthly meetings of alcoholics anonymous.
D. Admit to others that he is a substance user.
A male client with schizophrenia is admitted to the mental health
unit after abruptly stopping his prescription for ziprasidone
(Geodon) one month ago. Which question is most important for the
nurse to ask the client?
A. Have you lost interest in the things that you used to enjoy?
B. Is your ability to think or concentrate decreased?
C. How many continuous hours do you sleep at night?
D. Do
you hear sounds or voices that others do not hear?
During an annual physical by the occupational nurse working in a
corporate clinic, a male employee tells the nurse that is high-stress
job is causing trouble in his personal life. He further explains that he
, often gets so angry while driving to and from work that he has
considered “getting even” with other drivers. How should the nurse
respond?
A. “Anger is contagious and could result in major confrontation.”
B. “Try not to let your anger cause you to act impulsively.”
C. “Expressing your anger to a stranger could result in an unsafe
situation.”
D. “It sounds as if there are many situations that make you feel angry.”
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 client’s
plan of care?
A. Encourage 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.
Which nursing actions are likely to help promote the self-esteem of a male client
with modern depression?
A. Ask the client what his long term goals are.
B. Discuss the challenges of his medical condition.
C. Include the client in determining treatment protocol.
D.Encourage the client to engage in recreational therapy.
E. Provide opportunities for the client to discuss his concerns
COMPLETE QUESTIONS WITH CORRECT VERIFIED
ANSWERS |PRE-EVALUATED A+
A client with depression remains in bed most of the day, and
declines activities. Which nursing problem has the greatest priority for
this client?
A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
The nurse is preparing medications for a client with bipolar disorder
and notices that the client discontinued antipsychotic medication for
several days. Which medication should also be discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
,d. Magnesium (Milk of Magnesia).
A female client requests that her husband be allowed to stay in the
room during the admission assessment. When interviewing the
client, the RN notes a discrepancy between the client’s verbal and
nonverbal communication.
What action does the RN take?
A. Pay close attention and document the nonverbal messages.
B. Ask the client’s husband to interpret the discrepancy.
C. Ignore the nonverbal behavior and focus on the client’s verbal
messages.
D. Integrate the verbal and nonverbal messages and interpret them as one.
A male client approaches the nurse with an angry expression on his
face and raises his voice, saying “My roommate is the most selfish,
self-centered, angry person I have ever met. If he loses his temper
one more time with me, I am going to punch him out!” The nurse
recognizes that the client is using which defense mechanism?
A. Denial.
B.
Projection.
C. Rationalization.
D. Splitting.
A male client with bipolar disorder who began taking lithium
carbonate five days ago is complaining of excessive thirst, and the
nurse finds him attempting to drink water from the bathroom sink
,faucet. Which intervention should the nurse implement?
A. Report the client’s serum lithium level to the HCP.
B. Encourage the client to suck on hard candy to relieve the symptoms.
C. No action is needed since polydipsia is a common side effect.
D. Tell the client that drinking from the faucet is not allowed.
The nurse is teaching a client about the initiation of the prescribed
abstinence therapy using disulfiram (Antabuse). What information
should the client acknowledge understanding?
A. Completely abstain from heroin or cocaine use.
B. Remain alcohol free for 12 hours prior to the first dose.
C. Attend monthly meetings of alcoholics anonymous.
D. Admit to others that he is a substance user.
A male client with schizophrenia is admitted to the mental health
unit after abruptly stopping his prescription for ziprasidone
(Geodon) one month ago. Which question is most important for the
nurse to ask the client?
A. Have you lost interest in the things that you used to enjoy?
B. Is your ability to think or concentrate decreased?
C. How many continuous hours do you sleep at night?
D. Do
you hear sounds or voices that others do not hear?
During an annual physical by the occupational nurse working in a
corporate clinic, a male employee tells the nurse that is high-stress
job is causing trouble in his personal life. He further explains that he
, often gets so angry while driving to and from work that he has
considered “getting even” with other drivers. How should the nurse
respond?
A. “Anger is contagious and could result in major confrontation.”
B. “Try not to let your anger cause you to act impulsively.”
C. “Expressing your anger to a stranger could result in an unsafe
situation.”
D. “It sounds as if there are many situations that make you feel angry.”
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 client’s
plan of care?
A. Encourage 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.
Which nursing actions are likely to help promote the self-esteem of a male client
with modern depression?
A. Ask the client what his long term goals are.
B. Discuss the challenges of his medical condition.
C. Include the client in determining treatment protocol.
D.Encourage the client to engage in recreational therapy.
E. Provide opportunities for the client to discuss his concerns
