HESI Mental Health Test Bank
A 35-year-old male customer on the psychiatric ward of a widespread health facility believes
that someone is
trying to poison him. The nurse is aware that a patron's delusions are most likely associated
with his
A) early early life stories involving authority problems.
B) anger about being hospitalized.
C) low shallowness.
D) phobic fear of meals. - ANS-C
A 35-yr-old male client who has been hospitalized for two weeks for chronic paranoia
continues to kingdom that someone is trying to scouse borrow his clothing. Which action should
the nurse
put into effect?
A) Encourage the purchaser to actively take part in assigned activities on the unit.
B) Place a lock on the purchaser's closet.
C) Ignore the client's paranoid ideation to extinguish these behaviors.
D) Explain to the customer that his suspicions are false. - ANS-A
A sixty five-year-old lady customer complains to the nurse that currently she has been hearing
voices.
What query ought to the nurse ask this customer first?
A) Do you've got problems with hallucinations?
B) Are you ever on my own while you hear the voices?
C) Has everybody on your circle of relatives had listening to troubles?
D) Do you notice matters that others cannot see? - ANS-B
A toddler is introduced to the emergency room with a broken arm. Because of different
accidents, the nurse
suspects the child can be a victim of abuse. When the nurse attempts to give the kid an
injection,
the child's mom turns into very loud and shouts, "I might not go away my son! Don't you touch
him!
You'll hurt my toddler!" What is the exceptional interpretation of the mother's statements? The
mother is
A) regressing to an earlier behavior pattern.
B) sublimating her anger.
C) projecting her feelings onto the nurse.
D) suppressing her worry. - ANS-C
,A purchaser admitted with a closed head damage after a fall has a blood alcohol degree of 0.28
(28%)
and is hard to arouse. Which intervention for the duration of the primary 6 hours following
admission need to
the RN perceive as the concern?
A. Give lorazepam (Ativan) PRN for signs and symptoms of withdrawal.
B. Administer disulfiram (Antabuse) straight away.
C. Place in a side mendacity role with head of bed accelerated.
D. Provide thiamine and folate dietary supplements as prescribed. - ANS-C
A customer is admitted for bipolar sickness and alcohol withdrawal, depressive section. Based
on
which evaluation finding will the RN withhold the clonidine (Catapres) prescription?
A. Blood pressure readings of 90/62 mmHg to ninety two/fifty eight mmHg.
B. Pulse charge of 68-78 BPM.
C. Temperature of 99.5-99.7 F.
D. Respiration rate of 24 breaths in keeping with minute - ANS-A
A client is admitted to the mental fitness unit and reviews taking greater antianxiety medication
because, "I'm so harassed out. I simply want to go to sleep." The RN should plan one-on-one
commentary of the client based on which statement?
A. "What need to I do? Nothing seems to help."
B. "I were so worn-out recently and had to sleep."
C. "I without a doubt think that I do not need to be right here."
D. "I do not want to stroll. Nothing topics anymore. - ANS-D
A consumer is admitted to the intellectual health unit reports shortness of breath and dizziness.
The purchaser
tells the RN, "I sense like I'm going to die". Which nursing hassle need to the RN include in 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 diagnosis of despair. The nurse knows that which characteristic is
maximum indicative of depression?
A) Grandiose ideation.
B) Self-negative thoughts.
C) Suspiciousness of others.
D) A negative view of self and the future. - ANS-D
A consumer is receiving benztropine mesylate (Cogentin) for drug-brought on extrapyramidal
syndrome
, (EPS). Which finding indicates that the RN have to in addition examine the patron?
A. Decreased bowel actions.
B. Presence of a dry mouth.
C. Decreasing hand tremors.
D. Increased mouth moves. - ANS-B
A consumer is receiving substitution remedy in the course of withdrawal from benzodiazepines.
Which
anticipated outcome assertion has the best precedence whilst planning nursing care?
A. Client will not exhibit move addiction.
B. Co-dependent behaviors might be decreased.
C. CNS stimulation will be decreased.
D. Client's stage of consciousness will growth. - ANS-C
A purchaser at the mental fitness unit is becoming greater agitated, shouting at the body of
workers, and pacing in
the hallway. When the PRN medicine is offered, the consumer refuses the drugs and defiantly
sits at the ground inside the center of the unit hallway. What nursing intervention ought to the
RN
put in force first?
A. Transport of the consumer to the seclusion room.
B. Quietly technique the purchaser with additional team of workers members.
C. Take different clients within the region to the purchaser lounge.
D. Administer remedy to chemically restrain the affected person. - ANS-C
A consumer tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also
reports
that he is married to a girl movie big name and thinks that his brother wishes a sexual
relationship
with her. What is the concern nursing problem for admission to the psychiatric unit?
A. Ineffective sexual styles.
B. Impaired environmental interpretation.
C. Disturbed sensory belief.
D. Compromised own family coping. - ANS-A
A patron who has agoraphobia (a fear of crowds) is beginning desensitization with the therapist,
and the RN is reinforcing the system. Which intervention has the highest precedence for this
consumer's
plan of care?
A. Encourage substitution of superb thoughts and poor ones.
B. Establish trust by way of supplying a calm, safe surroundings.
C. Progressively divulge the customer to large crowds.
D. Encourage deep respiration while tension escalates in a crowd. - ANS-B
A 35-year-old male customer on the psychiatric ward of a widespread health facility believes
that someone is
trying to poison him. The nurse is aware that a patron's delusions are most likely associated
with his
A) early early life stories involving authority problems.
B) anger about being hospitalized.
C) low shallowness.
D) phobic fear of meals. - ANS-C
A 35-yr-old male client who has been hospitalized for two weeks for chronic paranoia
continues to kingdom that someone is trying to scouse borrow his clothing. Which action should
the nurse
put into effect?
A) Encourage the purchaser to actively take part in assigned activities on the unit.
B) Place a lock on the purchaser's closet.
C) Ignore the client's paranoid ideation to extinguish these behaviors.
D) Explain to the customer that his suspicions are false. - ANS-A
A sixty five-year-old lady customer complains to the nurse that currently she has been hearing
voices.
What query ought to the nurse ask this customer first?
A) Do you've got problems with hallucinations?
B) Are you ever on my own while you hear the voices?
C) Has everybody on your circle of relatives had listening to troubles?
D) Do you notice matters that others cannot see? - ANS-B
A toddler is introduced to the emergency room with a broken arm. Because of different
accidents, the nurse
suspects the child can be a victim of abuse. When the nurse attempts to give the kid an
injection,
the child's mom turns into very loud and shouts, "I might not go away my son! Don't you touch
him!
You'll hurt my toddler!" What is the exceptional interpretation of the mother's statements? The
mother is
A) regressing to an earlier behavior pattern.
B) sublimating her anger.
C) projecting her feelings onto the nurse.
D) suppressing her worry. - ANS-C
,A purchaser admitted with a closed head damage after a fall has a blood alcohol degree of 0.28
(28%)
and is hard to arouse. Which intervention for the duration of the primary 6 hours following
admission need to
the RN perceive as the concern?
A. Give lorazepam (Ativan) PRN for signs and symptoms of withdrawal.
B. Administer disulfiram (Antabuse) straight away.
C. Place in a side mendacity role with head of bed accelerated.
D. Provide thiamine and folate dietary supplements as prescribed. - ANS-C
A customer is admitted for bipolar sickness and alcohol withdrawal, depressive section. Based
on
which evaluation finding will the RN withhold the clonidine (Catapres) prescription?
A. Blood pressure readings of 90/62 mmHg to ninety two/fifty eight mmHg.
B. Pulse charge of 68-78 BPM.
C. Temperature of 99.5-99.7 F.
D. Respiration rate of 24 breaths in keeping with minute - ANS-A
A client is admitted to the mental fitness unit and reviews taking greater antianxiety medication
because, "I'm so harassed out. I simply want to go to sleep." The RN should plan one-on-one
commentary of the client based on which statement?
A. "What need to I do? Nothing seems to help."
B. "I were so worn-out recently and had to sleep."
C. "I without a doubt think that I do not need to be right here."
D. "I do not want to stroll. Nothing topics anymore. - ANS-D
A consumer is admitted to the intellectual health unit reports shortness of breath and dizziness.
The purchaser
tells the RN, "I sense like I'm going to die". Which nursing hassle need to the RN include in 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 diagnosis of despair. The nurse knows that which characteristic is
maximum indicative of depression?
A) Grandiose ideation.
B) Self-negative thoughts.
C) Suspiciousness of others.
D) A negative view of self and the future. - ANS-D
A consumer is receiving benztropine mesylate (Cogentin) for drug-brought on extrapyramidal
syndrome
, (EPS). Which finding indicates that the RN have to in addition examine the patron?
A. Decreased bowel actions.
B. Presence of a dry mouth.
C. Decreasing hand tremors.
D. Increased mouth moves. - ANS-B
A consumer is receiving substitution remedy in the course of withdrawal from benzodiazepines.
Which
anticipated outcome assertion has the best precedence whilst planning nursing care?
A. Client will not exhibit move addiction.
B. Co-dependent behaviors might be decreased.
C. CNS stimulation will be decreased.
D. Client's stage of consciousness will growth. - ANS-C
A purchaser at the mental fitness unit is becoming greater agitated, shouting at the body of
workers, and pacing in
the hallway. When the PRN medicine is offered, the consumer refuses the drugs and defiantly
sits at the ground inside the center of the unit hallway. What nursing intervention ought to the
RN
put in force first?
A. Transport of the consumer to the seclusion room.
B. Quietly technique the purchaser with additional team of workers members.
C. Take different clients within the region to the purchaser lounge.
D. Administer remedy to chemically restrain the affected person. - ANS-C
A consumer tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also
reports
that he is married to a girl movie big name and thinks that his brother wishes a sexual
relationship
with her. What is the concern nursing problem for admission to the psychiatric unit?
A. Ineffective sexual styles.
B. Impaired environmental interpretation.
C. Disturbed sensory belief.
D. Compromised own family coping. - ANS-A
A patron who has agoraphobia (a fear of crowds) is beginning desensitization with the therapist,
and the RN is reinforcing the system. Which intervention has the highest precedence for this
consumer's
plan of care?
A. Encourage substitution of superb thoughts and poor ones.
B. Establish trust by way of supplying a calm, safe surroundings.
C. Progressively divulge the customer to large crowds.
D. Encourage deep respiration while tension escalates in a crowd. - ANS-B
