Mental Health RN HESI test bank Questions & Answers

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 - ANSWERSc A mental health worker is caring for a client with escalating aggressive behavior. Which action by the metal health worker warrants immediate intervention by the RN? A. is attempting to physically restrain the patient B. Remains at a distance of 4 feet from the client C. Tells the client to go to quiet area of the unit D. Is using a loud voice to talk to the the client - ANSWERSA 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 - ANSWERSa A middle aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and motivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning? A. Provide education on methods to enhance sleep. B. Teach the client to develop a plan for daily structured activities. C. Suggest that the client develop a list of pleasurable activities. D. Encourage the client to exercise. - ANSWERSb When developing a plan of care for a client admitted to the psychiatric unit following aspiration of a caustic material related to a suicide attempt, which nursing problem has the highest priority? A. impaired comfort b. risk for injury c ineffective breathing pattern d ineffective copping - ANSWERSc A female client on a psychiatric unit is sweating profusely while she vigorously does push ups and then runs the length of the corridor several times before crashing into furniture in the sitting room. Picking herself up, she begins to toss chairs aside, looking for a red one to sit in. When another client objects to the disturbance, the client shouts "I am the boss here. I do what i want" Which nursing problem best supports these observations? a. Deficient diversional activity related to excessive energy b. risk for other related violence related to disruptive behavior c. risk for activity intolerance related to disruptive behavior. d. disturbance personal identity related to grandiosity - ANSWERSb A RN is preparing the physical environment to interview a new client for admission to the unite. Which environmental setting facilitates the best outcome of the interview? a. dim the lights in the room to help the patient feel calm b. sit within 2 feet of the client to enhance level of safety & security c. reduce the noise level in the room by turning off the television and radio d. position table between the client and the RN for extra personal space - ANSWERSc An older homeless client visits the psychiatric clinic to obtain a prescription renewal for alprazolam (Xanax). During the health assessment, the client complains of chest pain. Which action should the RN take first? A. Refer the client to the cardiology unit. B. Obtain the client Blood pressure. C. Assess the client for substance abuse. D. Determine if Xanax was taken recently. - ANSWERSd The mother of an 8-month-old infant with profound mental and physical disabilities tells he RN how depressed she is because she realized that her child will never achieve normal growth and development milestones. How should the RN respond to the mother? A. Ask the mother if she has ever thought about harming herself or her child. B. Reassure the mother that her child will achieve some growth and development milestones. C. Determine if the mother has other children who do not have developmental disabilities. D. Encourage the mother to write thoughts and feelings in journal. - ANSWERSa several client with chronic mental illness and multiple substance abuse histories live in a group residential home and attend daycare mental health facility where group and individual therapies are provided. The RN find the common bathroom at the facility with sputum on the walls, urine in the sink and on the floors, and the toilet stopped ip with tissues, paper towels, and feces. What is the priority issues that the RN should address? a. Medication non-compliance b. Number of bathroom facilities c. infection control d. acting out behavior - ANSWERSc A client with schizophrenia is admitted to the psychiatric unit for aggressive behavior, auditory hallucinations, and potential for safe harm. The client has not been taking medications as prescribed and insists the food has been poisoned and refuses to eat. What intervention should the RN implement? a. assure the client that all food served in the hospital is safe to eat b. tell the client that irrational thinking is a symptom of schizophrenia c. obtain an order for a tube feeding for the client d. provide the client with food in unopened containers - ANSWERSd The RN is providing education about strategies for a safety plan for a female client who is a victim of intimate partner violence. Which strategies should be included in the safety plan. Select all that apply a. purchase a gun to use for protection b. establish a code with family and friends to signify violence c. take a self defense course that retaliates the abuser with injury d. have a bag ready that has extra clothes for self and children e. plan an escape route to use if the abuser blocks the main exit - ANSWERSb d e The RN is admitting a male client who is taking lithium carbonate (Eskalith) twice a day. Which information should the RN report to the HCP immediately? a. short term memory loss b. Five pound weight gain c. decreased affect d. nausea and vomiting - ANSWERSd A male client who is admitted with delirium tremens is dehydrated and experiencing auditory hallucinations. He has a bruised swollen tongue and is confused. In developing a plan of care, which action should the RN include to ensure the client is physiologically stable? a. encourage oral fluids b. monitor VS c. keep the room dark d. apply ice to the tongue - ANSWERSb