HESI RN Mental Health QUESTIONS AND
ANSWERS
1. A client identified with paranoid schizophrenia remains withdrawn, unkept, and
unmotivated to get off the bed. A mental fitness aide asks the nurse why the consumer is
this way after being on fluphenazine (Prolix) 10 mg for 7 days. The nurse must tell the
fitness aide:
A) "Prolixin is the most effective with advantageous signs of schizophrenia."
B) "The purchaser may be less withdrawn and unmotivated while the Prolixin takes
impact."
C) "The consumer's Prolix dose probable desires to be elevated again."
D) "Lack of motivation is a common side impact of the Prolixin." - ANSWER-A) "Prolixin
is the handiest with effective symptoms of schizophrenia."
2. A client recognized with put up-traumatic strain disorder is admitted to an inpatient
psychiatric unit for assessment and medication stabilization. Which therapeutic verbal
exchange approach utilized by the nurse is an instance of a huge beginning?
A. "What passed off previous to the rape, and while did you go to the emergency
branch?"
B. "What might you want to speak approximately?"
C. "I observe you seem uncomfortable discussing this."
D. "How can we assist you sense secure in the course of your stay right here?" -
ANSWER-B. "What would you like to talk about?"
3. A patron identified with undifferentiated schizophrenia is being discharged on
aripiprazole (Ability) 5 mg each night time. When growing the coaching plan
approximately the maximum commonplace negative effects, which of the following need
to the nurse consist of? Select all that practice.
A) Headaches to be able to subside in some weeks
B) Transient slight anxiety
C) Insomnia
D) Torticollis
E) Pill rolling movements - ANSWER-A) Headaches with a purpose to subside in a
few weeks
B) Transient slight tension
C) Insomnia
4. A patron in a protracted-time period care facility who has more than one sclerosis is
embarrassed about the want to apply a wheelchair and the muscle spasms which are
effectively seen in her legs. Which approach is therapeutic in assisting the customer to
manage?
A) Keep the patron in her room as lots as possible
B) Assist the patron with all sports of day by day residing
, C) Tell the client that the various humans inside the facility have those equal forms of
issues
D) Encourage and praise perseverance in appearing ADLs, and assist the purchaser to
dress and groom each day - ANSWER-D) Encourage and praise perseverance in
acting ADLs, and assist the purchaser to get dressed and groom each day
5. A consumer in the intellectual health unit believes that the food is being poisoned. What
intervention(s) might be beneficial while attempting to encourage the consumer to
consume? Select all that follow.
A) Use open-ended inquiries to inspire client dialogue
B) Offer evaluations about the need for adequate nutrients
C) Focus on the purchaser's self-disclosure about meals preferences
D) Identify the motives the patron has for no longer looking to devour
E) Offer the purchaser meals in closed packing containers, inclusive of in cans that need
to be opened - ANSWER-A) Use open-ended questions to inspire patron
communicate
E) Offer the purchaser meals in closed boxes, together with in cans that have to
be opened
6. A patron is admitted for bipolar disease and alcohol withdrawal, depressive section.
Based on which assessment finding will the RN withhold the clonidine (Catapres)
prescription?
A. Pulse charge 68-78 bpm
B. BP readings of 90/sixty two mmHg to ninety two/58
C. Temperature of 99.Five-99.7 F
D. Respiration price of 24 bpm - ANSWER-B. BP readings of 90/62 mmHg to ninety
two/58
7. A client is admitted to a scientific nursing unit with a analysis of acute blindness, many
exams are accomplished, and there appears to be no natural reason why this consumer
cannot see. The consumer became blind after witnessing a hit-and-run vehicle accident,
when a family of three become killed. A LPN/LVN suspects that the patron may be
experiencing:
A. Psychosis
B. Repression
C. Conversion Disorder
D. Dissociative Disorder - ANSWER-C. Conversion Disorder
8. A client is admitted to the mental fitness unit and reviews taking extra antianxiety
medication due to the fact, "I'm so pressured out. I just want to go to sleep." The RN
must plan one-on-one statement of the consumer based on which statement?
A. "What should I do? Nothing seems to assist."
B. "I had been so tired recently and needed to sleep."
C. "I truely think that I do not need to be here."
D. "I don't want to stroll. Nothing matters anymore." - ANSWER-D. "I do not need to
stroll. Nothing matters anymore."
, 9. A client is being correctly treated with clozapine (Clozaril). Which of the subsequent
statements via the consumer reflects a want for in addition teaching approximately
handling the drug's unfavorable consequences?
A) "If I eat too many fruits, I'll get constipated."
B) I need to take the medicine with meals to keep away from nausea."
C) "I have to stand up slowly so I don't get dizzy."
D) "Sometimes I must push myself due to the fact I'm sleepy." - ANSWER-A) "If I
devour too many culmination, I'll get constipated."
10.A purchaser is getting ready to attend at Gamblers Anonymous assembly for the primary
time. The prototype used by this group is the 12-step program evolved through
Alcoholics Anonymous. Number in order of precedence how the stairs would be
addressed.
1) Admitting to oneself and to every other individual the precise nature of 1's wrongs
2) Acknowledging that one is completely ready to have his or her defects of individual
removed
three) Admitting that oneself is powerless over gambling and that one's life has turn out
to be unmanageable
4) Making an attempt to exercise the 12-step standards in all affairs, and to perform this
message to different compulsive gamblers
five) Making direct amends wherever feasible to every person which have been hurt,
expect while to do so would similarly harm them or others - ANSWER-3, 1, 2, 5, 4
11.A customer at the intellectual fitness unit is turning into more agitated, shouting on the
staff, and pacing inside the hallway. When a PRN medication is offered, the purchaser
refuses the medicine and defiantly sits on the ground in the center of the unit hallway.
What nursing intervention ought to the nurse enforce first?
A. Transport the client to the seclusion room
B. Quietly technique the patron with additional personnel contributors
C. Take different patron inside the vicinity to the client living room
D. Administer remedy to chemically restrain patron - ANSWER-C. Take different
purchaser in the region to the customer lounge
12.A customer states that she hears God's voice telling her that she has sinned and needs
to punish herself. Which response by using the nurse is maximum important?
A) "How do you suspect you will be punished?"
B) "Please inform personnel whilst you assume you want to punish your self."
C) "What precisely do you believe you studied you have achieved to be punished?"
D) "Let's talk approximately your strengths" - ANSWER-B) "Please inform staff whilst
you think you want to punish yourself."
13.A customer tells the RN that he has an IQ of four hundred+ and is a genius and an
inventor. He also reports that he's married to a female movie star and thinks that his
brother needs a sexual courting with her. What is the concern nursing problem
admission to the psychiatric unit?
A. Ineffective sexual patterns
B. Impaired environmental interpretation
C. Disturbed sensory notion
ANSWERS
1. A client identified with paranoid schizophrenia remains withdrawn, unkept, and
unmotivated to get off the bed. A mental fitness aide asks the nurse why the consumer is
this way after being on fluphenazine (Prolix) 10 mg for 7 days. The nurse must tell the
fitness aide:
A) "Prolixin is the most effective with advantageous signs of schizophrenia."
B) "The purchaser may be less withdrawn and unmotivated while the Prolixin takes
impact."
C) "The consumer's Prolix dose probable desires to be elevated again."
D) "Lack of motivation is a common side impact of the Prolixin." - ANSWER-A) "Prolixin
is the handiest with effective symptoms of schizophrenia."
2. A client recognized with put up-traumatic strain disorder is admitted to an inpatient
psychiatric unit for assessment and medication stabilization. Which therapeutic verbal
exchange approach utilized by the nurse is an instance of a huge beginning?
A. "What passed off previous to the rape, and while did you go to the emergency
branch?"
B. "What might you want to speak approximately?"
C. "I observe you seem uncomfortable discussing this."
D. "How can we assist you sense secure in the course of your stay right here?" -
ANSWER-B. "What would you like to talk about?"
3. A patron identified with undifferentiated schizophrenia is being discharged on
aripiprazole (Ability) 5 mg each night time. When growing the coaching plan
approximately the maximum commonplace negative effects, which of the following need
to the nurse consist of? Select all that practice.
A) Headaches to be able to subside in some weeks
B) Transient slight anxiety
C) Insomnia
D) Torticollis
E) Pill rolling movements - ANSWER-A) Headaches with a purpose to subside in a
few weeks
B) Transient slight tension
C) Insomnia
4. A patron in a protracted-time period care facility who has more than one sclerosis is
embarrassed about the want to apply a wheelchair and the muscle spasms which are
effectively seen in her legs. Which approach is therapeutic in assisting the customer to
manage?
A) Keep the patron in her room as lots as possible
B) Assist the patron with all sports of day by day residing
, C) Tell the client that the various humans inside the facility have those equal forms of
issues
D) Encourage and praise perseverance in appearing ADLs, and assist the purchaser to
dress and groom each day - ANSWER-D) Encourage and praise perseverance in
acting ADLs, and assist the purchaser to get dressed and groom each day
5. A consumer in the intellectual health unit believes that the food is being poisoned. What
intervention(s) might be beneficial while attempting to encourage the consumer to
consume? Select all that follow.
A) Use open-ended inquiries to inspire client dialogue
B) Offer evaluations about the need for adequate nutrients
C) Focus on the purchaser's self-disclosure about meals preferences
D) Identify the motives the patron has for no longer looking to devour
E) Offer the purchaser meals in closed packing containers, inclusive of in cans that need
to be opened - ANSWER-A) Use open-ended questions to inspire patron
communicate
E) Offer the purchaser meals in closed boxes, together with in cans that have to
be opened
6. A patron is admitted for bipolar disease and alcohol withdrawal, depressive section.
Based on which assessment finding will the RN withhold the clonidine (Catapres)
prescription?
A. Pulse charge 68-78 bpm
B. BP readings of 90/sixty two mmHg to ninety two/58
C. Temperature of 99.Five-99.7 F
D. Respiration price of 24 bpm - ANSWER-B. BP readings of 90/62 mmHg to ninety
two/58
7. A client is admitted to a scientific nursing unit with a analysis of acute blindness, many
exams are accomplished, and there appears to be no natural reason why this consumer
cannot see. The consumer became blind after witnessing a hit-and-run vehicle accident,
when a family of three become killed. A LPN/LVN suspects that the patron may be
experiencing:
A. Psychosis
B. Repression
C. Conversion Disorder
D. Dissociative Disorder - ANSWER-C. Conversion Disorder
8. A client is admitted to the mental fitness unit and reviews taking extra antianxiety
medication due to the fact, "I'm so pressured out. I just want to go to sleep." The RN
must plan one-on-one statement of the consumer based on which statement?
A. "What should I do? Nothing seems to assist."
B. "I had been so tired recently and needed to sleep."
C. "I truely think that I do not need to be here."
D. "I don't want to stroll. Nothing matters anymore." - ANSWER-D. "I do not need to
stroll. Nothing matters anymore."
, 9. A client is being correctly treated with clozapine (Clozaril). Which of the subsequent
statements via the consumer reflects a want for in addition teaching approximately
handling the drug's unfavorable consequences?
A) "If I eat too many fruits, I'll get constipated."
B) I need to take the medicine with meals to keep away from nausea."
C) "I have to stand up slowly so I don't get dizzy."
D) "Sometimes I must push myself due to the fact I'm sleepy." - ANSWER-A) "If I
devour too many culmination, I'll get constipated."
10.A purchaser is getting ready to attend at Gamblers Anonymous assembly for the primary
time. The prototype used by this group is the 12-step program evolved through
Alcoholics Anonymous. Number in order of precedence how the stairs would be
addressed.
1) Admitting to oneself and to every other individual the precise nature of 1's wrongs
2) Acknowledging that one is completely ready to have his or her defects of individual
removed
three) Admitting that oneself is powerless over gambling and that one's life has turn out
to be unmanageable
4) Making an attempt to exercise the 12-step standards in all affairs, and to perform this
message to different compulsive gamblers
five) Making direct amends wherever feasible to every person which have been hurt,
expect while to do so would similarly harm them or others - ANSWER-3, 1, 2, 5, 4
11.A customer at the intellectual fitness unit is turning into more agitated, shouting on the
staff, and pacing inside the hallway. When a PRN medication is offered, the purchaser
refuses the medicine and defiantly sits on the ground in the center of the unit hallway.
What nursing intervention ought to the nurse enforce first?
A. Transport the client to the seclusion room
B. Quietly technique the patron with additional personnel contributors
C. Take different patron inside the vicinity to the client living room
D. Administer remedy to chemically restrain patron - ANSWER-C. Take different
purchaser in the region to the customer lounge
12.A customer states that she hears God's voice telling her that she has sinned and needs
to punish herself. Which response by using the nurse is maximum important?
A) "How do you suspect you will be punished?"
B) "Please inform personnel whilst you assume you want to punish your self."
C) "What precisely do you believe you studied you have achieved to be punished?"
D) "Let's talk approximately your strengths" - ANSWER-B) "Please inform staff whilst
you think you want to punish yourself."
13.A customer tells the RN that he has an IQ of four hundred+ and is a genius and an
inventor. He also reports that he's married to a female movie star and thinks that his
brother needs a sexual courting with her. What is the concern nursing problem
admission to the psychiatric unit?
A. Ineffective sexual patterns
B. Impaired environmental interpretation
C. Disturbed sensory notion
