HESI Mental Health Test Bank
A 35-year-vintage male customer at the psychiatric ward of a fashionable sanatorium believes
that a person is
looking to poison him. The nurse understands that a patron's delusions are maximum likely
associated with his
A) early youth reviews related to authority troubles.
B) anger approximately being hospitalized.
C) low shallowness.
D) phobic worry of food. - ANS-C
A 35-12 months-vintage male customer who has been hospitalized for two weeks for persistent
paranoia
keeps to state that someone is making an attempt to thieve his clothing. Which action ought to
the nurse
put into effect?
A) Encourage the consumer to actively participate in assigned activities at the unit.
B) Place a lock at the patron's closet.
C) Ignore the consumer's paranoid ideation to extinguish these behaviors.
D) Explain to the consumer that his suspicions are fake. - ANS-A
A 65-yr-vintage female patron complains to the nurse that currently she has been listening to
voices.
What query have to the nurse ask this consumer first?
A) Do you have got problems with hallucinations?
B) Are you ever alone whilst you hear the voices?
C) Has absolutely everyone on your own family had hearing problems?
D) Do you see matters that others can not see? - ANS-B
A child is introduced to the emergency room with a broken arm. Because of different accidents,
the nurse
suspects the child can be a sufferer of abuse. When the nurse tries to present the child an
injection,
the kid's mother becomes very loud and shouts, "I might not depart my son! Don't you touch
him!
You'll harm my baby!" What is the exceptional interpretation of the mother's statements? The
mother is
A) regressing to an in advance behavior sample.
B) sublimating her anger.
C) projecting her emotions onto the nurse.
D) suppressing her fear. - ANS-C
,A client admitted with a closed head harm after a fall has a blood alcohol degree of 0.28 (28%)
and is tough to arouse. Which intervention at some point of the primary 6 hours following
admission need to
the RN identify as the concern?
A. Give lorazepam (Ativan) PRN for signs of withdrawal.
B. Administer disulfiram (Antabuse) without delay.
C. Place in a aspect lying function with head of mattress accelerated.
D. Provide thiamine and folate supplements as prescribed. - ANS-C
A consumer is admitted for bipolar disorder and alcohol withdrawal, depressive segment. Based
on
which evaluation locating will the RN withhold the clonidine (Catapres) prescription?
A. Blood strain readings of 90/sixty two mmHg to 92/fifty eight mmHg.
B. Pulse price of sixty eight-78 BPM.
C. Temperature of 99.Five-99.7 F.
D. Respiration rate of 24 breaths in step with minute - ANS-A
A consumer is admitted to the intellectual health unit and reviews taking greater antianxiety
medication
due to the fact, "I'm so careworn out. I simply need to doze off." The RN need to plan
one-on-one
observation of the client based totally on which assertion?
A. "What need to I do? Nothing seems to assist."
B. "I were so worn-out recently and needed to sleep."
C. "I without a doubt think that I don't need to be here."
D. "I do not want to walk. Nothing subjects anymore. - ANS-D
A purchaser is admitted to the mental health unit reviews shortness of breath and dizziness.
The patron
tells the RN, "I experience like I'm going to die". Which nursing problem must the RN consist of
on this
client's plan of care?
A. Mood disturbance.
B. Moderate tension.
C. Altered mind.
D. Social isolation. - ANS-B
A customer is admitted with a prognosis of depression. The nurse knows that which feature is
most indicative of depression?
A) Grandiose ideation.
B) Self-detrimental thoughts.
C) Suspiciousness of others.
D) A bad view of self and the future. - ANS-D
, A customer is receiving benztropine mesylate (Cogentin) for drug-brought on extrapyramidal
syndrome
(EPS). Which finding suggests that the RN ought to further examine the patron?
A. Decreased bowel actions.
B. Presence of a dry mouth.
C. Decreasing hand tremors.
D. Increased mouth actions. - ANS-B
A patron is receiving substitution remedy at some point of withdrawal from benzodiazepines.
Which
predicted outcome assertion has the very best priority whilst making plans nursing care?
A. Client will no longer show cross addiction.
B. Co-dependent behaviors could be reduced.
C. CNS stimulation will be decreased.
D. Client's degree of consciousness will increase. - ANS-C
A patron on the mental fitness unit is turning into greater agitated, shouting on the team of
workers, and pacing in
the hallway. When the PRN medicine is offered, the customer refuses the drugs and defiantly
sits at the ground inside the middle of the unit hallway. What nursing intervention need to the RN
put into effect first?
A. Transport of the purchaser to the seclusion room.
B. Quietly approach the client with additional team of workers individuals.
C. Take other clients inside the location to the consumer living room.
D. Administer medication to chemically restrain the patient. - ANS-C
A client tells the RN that he has an IQ of four hundred+ and is a genius and an inventor. He
additionally reports
that he's married to a female movie superstar and thinks that his brother desires a sexual dating
together with her. What is the concern nursing hassle for admission to the psychiatric unit?
A. Ineffective sexual styles.
B. Impaired environmental interpretation.
C. Disturbed sensory notion.
D. Compromised own family coping. - ANS-A
A consumer who has agoraphobia (a worry of crowds) is starting desensitization with the
therapist,
and the RN is reinforcing the manner. Which intervention has the highest precedence for this
consumer's
plan of care?
A. Encourage substitution of positive mind and terrible ones.
B. Establish agree with by way of offering a calm, safe surroundings.
C. Progressively divulge the consumer to large crowds.
A 35-year-vintage male customer at the psychiatric ward of a fashionable sanatorium believes
that a person is
looking to poison him. The nurse understands that a patron's delusions are maximum likely
associated with his
A) early youth reviews related to authority troubles.
B) anger approximately being hospitalized.
C) low shallowness.
D) phobic worry of food. - ANS-C
A 35-12 months-vintage male customer who has been hospitalized for two weeks for persistent
paranoia
keeps to state that someone is making an attempt to thieve his clothing. Which action ought to
the nurse
put into effect?
A) Encourage the consumer to actively participate in assigned activities at the unit.
B) Place a lock at the patron's closet.
C) Ignore the consumer's paranoid ideation to extinguish these behaviors.
D) Explain to the consumer that his suspicions are fake. - ANS-A
A 65-yr-vintage female patron complains to the nurse that currently she has been listening to
voices.
What query have to the nurse ask this consumer first?
A) Do you have got problems with hallucinations?
B) Are you ever alone whilst you hear the voices?
C) Has absolutely everyone on your own family had hearing problems?
D) Do you see matters that others can not see? - ANS-B
A child is introduced to the emergency room with a broken arm. Because of different accidents,
the nurse
suspects the child can be a sufferer of abuse. When the nurse tries to present the child an
injection,
the kid's mother becomes very loud and shouts, "I might not depart my son! Don't you touch
him!
You'll harm my baby!" What is the exceptional interpretation of the mother's statements? The
mother is
A) regressing to an in advance behavior sample.
B) sublimating her anger.
C) projecting her emotions onto the nurse.
D) suppressing her fear. - ANS-C
,A client admitted with a closed head harm after a fall has a blood alcohol degree of 0.28 (28%)
and is tough to arouse. Which intervention at some point of the primary 6 hours following
admission need to
the RN identify as the concern?
A. Give lorazepam (Ativan) PRN for signs of withdrawal.
B. Administer disulfiram (Antabuse) without delay.
C. Place in a aspect lying function with head of mattress accelerated.
D. Provide thiamine and folate supplements as prescribed. - ANS-C
A consumer is admitted for bipolar disorder and alcohol withdrawal, depressive segment. Based
on
which evaluation locating will the RN withhold the clonidine (Catapres) prescription?
A. Blood strain readings of 90/sixty two mmHg to 92/fifty eight mmHg.
B. Pulse price of sixty eight-78 BPM.
C. Temperature of 99.Five-99.7 F.
D. Respiration rate of 24 breaths in step with minute - ANS-A
A consumer is admitted to the intellectual health unit and reviews taking greater antianxiety
medication
due to the fact, "I'm so careworn out. I simply need to doze off." The RN need to plan
one-on-one
observation of the client based totally on which assertion?
A. "What need to I do? Nothing seems to assist."
B. "I were so worn-out recently and needed to sleep."
C. "I without a doubt think that I don't need to be here."
D. "I do not want to walk. Nothing subjects anymore. - ANS-D
A purchaser is admitted to the mental health unit reviews shortness of breath and dizziness.
The patron
tells the RN, "I experience like I'm going to die". Which nursing problem must the RN consist of
on this
client's plan of care?
A. Mood disturbance.
B. Moderate tension.
C. Altered mind.
D. Social isolation. - ANS-B
A customer is admitted with a prognosis of depression. The nurse knows that which feature is
most indicative of depression?
A) Grandiose ideation.
B) Self-detrimental thoughts.
C) Suspiciousness of others.
D) A bad view of self and the future. - ANS-D
, A customer is receiving benztropine mesylate (Cogentin) for drug-brought on extrapyramidal
syndrome
(EPS). Which finding suggests that the RN ought to further examine the patron?
A. Decreased bowel actions.
B. Presence of a dry mouth.
C. Decreasing hand tremors.
D. Increased mouth actions. - ANS-B
A patron is receiving substitution remedy at some point of withdrawal from benzodiazepines.
Which
predicted outcome assertion has the very best priority whilst making plans nursing care?
A. Client will no longer show cross addiction.
B. Co-dependent behaviors could be reduced.
C. CNS stimulation will be decreased.
D. Client's degree of consciousness will increase. - ANS-C
A patron on the mental fitness unit is turning into greater agitated, shouting on the team of
workers, and pacing in
the hallway. When the PRN medicine is offered, the customer refuses the drugs and defiantly
sits at the ground inside the middle of the unit hallway. What nursing intervention need to the RN
put into effect first?
A. Transport of the purchaser to the seclusion room.
B. Quietly approach the client with additional team of workers individuals.
C. Take other clients inside the location to the consumer living room.
D. Administer medication to chemically restrain the patient. - ANS-C
A client tells the RN that he has an IQ of four hundred+ and is a genius and an inventor. He
additionally reports
that he's married to a female movie superstar and thinks that his brother desires a sexual dating
together with her. What is the concern nursing hassle for admission to the psychiatric unit?
A. Ineffective sexual styles.
B. Impaired environmental interpretation.
C. Disturbed sensory notion.
D. Compromised own family coping. - ANS-A
A consumer who has agoraphobia (a worry of crowds) is starting desensitization with the
therapist,
and the RN is reinforcing the manner. Which intervention has the highest precedence for this
consumer's
plan of care?
A. Encourage substitution of positive mind and terrible ones.
B. Establish agree with by way of offering a calm, safe surroundings.
C. Progressively divulge the consumer to large crowds.
