HESI Mental Health RN
HESI Mental Health RN Questions and
Answers from V1-V3 Test Banks
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 -Correct Answer ✔C. Refusal to address nutritional needs
The RN 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) -Correct Answer ✔B. Benzotropine
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 clients 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 clients verbal messages
D. Integrate the verbal and nonverbal messages and interpret them as one. -Correct
Answer ✔A. Pay close attention and document the nonverbal messages
A male client approaches the RN 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'm going to punch him out!" The RN
recognizes that the client is using which defense mechanism?
A. Denial
B. Projection
C. Rationalization
D. Splitting -Correct Answer ✔B. Projection
A male client with bipolar disorder wo began taking lithium carbonate five days ago is
complaining of excessive thirst, and the RN find him attempting to drink water from the
bathroom sink faucet. Which intervention should the RN implement?
A. Report the clients 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
HESI Mental Health RN
, HESI Mental Health RN
D. Tell the client that drinking from the faucet is not allowed. -Correct Answer ✔A.
Report the clients serum lithium level to the HCP
The Rn 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 form 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 -Correct Answer ✔B. Remain alcohol free
for 12 hours prior to the first dose.
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 RN to ask the client?
A. Have you lost interest in 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? -Correct Answer ✔D. Do you
hear sounds or voices that others do not hear?
During an annual physical by the occupational RN working in a corporate clinic, a male
employee tells the RN 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 RN 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" -Correct Answer
✔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 clients 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 -Correct Answer ✔B.
Establish trust by providing a calm, safe environment
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 care goals
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.
HESI Mental Health RN
HESI Mental Health RN Questions and
Answers from V1-V3 Test Banks
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 -Correct Answer ✔C. Refusal to address nutritional needs
The RN 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) -Correct Answer ✔B. Benzotropine
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 clients 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 clients verbal messages
D. Integrate the verbal and nonverbal messages and interpret them as one. -Correct
Answer ✔A. Pay close attention and document the nonverbal messages
A male client approaches the RN 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'm going to punch him out!" The RN
recognizes that the client is using which defense mechanism?
A. Denial
B. Projection
C. Rationalization
D. Splitting -Correct Answer ✔B. Projection
A male client with bipolar disorder wo began taking lithium carbonate five days ago is
complaining of excessive thirst, and the RN find him attempting to drink water from the
bathroom sink faucet. Which intervention should the RN implement?
A. Report the clients 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
HESI Mental Health RN
, HESI Mental Health RN
D. Tell the client that drinking from the faucet is not allowed. -Correct Answer ✔A.
Report the clients serum lithium level to the HCP
The Rn 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 form 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 -Correct Answer ✔B. Remain alcohol free
for 12 hours prior to the first dose.
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 RN to ask the client?
A. Have you lost interest in 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? -Correct Answer ✔D. Do you
hear sounds or voices that others do not hear?
During an annual physical by the occupational RN working in a corporate clinic, a male
employee tells the RN 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 RN 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" -Correct Answer
✔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 clients 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 -Correct Answer ✔B.
Establish trust by providing a calm, safe environment
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 care goals
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.
HESI Mental Health RN
