HESI MENTAL HEALTH RN V1-V3 2020 TEST BANK.\\
HESI Mental Health RN Test Bank V1-V3 2020 –
Complete Practice Questions & Answers
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.
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).
b. Benzotropine
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 from 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
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 the 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?
D. Do you hear sounds or voices that others do not hear
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 client's verbal and
nonverbal communication. What action does the RN take? A. Pay close attention and document the
nonverbal messages. Downloaded by Caroline Rivera ()
lOMoARcPSD|16253014 B. Ask the client's husband to interpret the discrepancy. C. Ignore the
nonverbal behavior and focus on the client's verbal messages. D. Integrate the verbal and nonverbal
messages and interpret them as one.
, 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 am going to punch him out!" The RN recognizes that the client is using which
defense mechanism? A. Denial. B. Projection. C. Rationalization. D. Splitting.
B. Projection.
A mental health worker is caring for a client with escalating aggressive behavior. Which action by the
MHW warrant immediate intervention by the RN? A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit. C. Is using a loid voice to talk to the client. D.
Remains at a distance of 4 feet from the client.
A. Is attempting to physically restrain the patient.
A client on the mental health unit is becoming more agitated, shouting at the staff, and pacing in the
hallway. When the PRN medication is offered, the client refuses the medication and defiantly sits on
the floor in the middle of the unit hallway. What nursing intervention should the RN implement first?
A. Transport of the client to the seclusion room. B. Quietly approach the client with additional staff
members. C. Take other clients in the area to the client lounge. D. Administer medication to
chemically restrain the patient.
C. Take other clients in the area to the client lounge.
A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of
excessive thirst, and the RN finds him attempting to drink water from the bathroom sink faucet.
Which intervention should the RN implement? A. Report the client's 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. D. Tell the client that drinking from the faucet is not allowed.
A. Report the client's serum lithium level to the HCP.
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."
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 client's 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.
B. Establish trust by providing a calm, safe environment.
HESI Mental Health RN Test Bank V1-V3 2020 –
Complete Practice Questions & Answers
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.
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).
b. Benzotropine
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 from 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
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 the 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?
D. Do you hear sounds or voices that others do not hear
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 client's verbal and
nonverbal communication. What action does the RN take? A. Pay close attention and document the
nonverbal messages. Downloaded by Caroline Rivera ()
lOMoARcPSD|16253014 B. Ask the client's husband to interpret the discrepancy. C. Ignore the
nonverbal behavior and focus on the client's verbal messages. D. Integrate the verbal and nonverbal
messages and interpret them as one.
, 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 am going to punch him out!" The RN recognizes that the client is using which
defense mechanism? A. Denial. B. Projection. C. Rationalization. D. Splitting.
B. Projection.
A mental health worker is caring for a client with escalating aggressive behavior. Which action by the
MHW warrant immediate intervention by the RN? A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit. C. Is using a loid voice to talk to the client. D.
Remains at a distance of 4 feet from the client.
A. Is attempting to physically restrain the patient.
A client on the mental health unit is becoming more agitated, shouting at the staff, and pacing in the
hallway. When the PRN medication is offered, the client refuses the medication and defiantly sits on
the floor in the middle of the unit hallway. What nursing intervention should the RN implement first?
A. Transport of the client to the seclusion room. B. Quietly approach the client with additional staff
members. C. Take other clients in the area to the client lounge. D. Administer medication to
chemically restrain the patient.
C. Take other clients in the area to the client lounge.
A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of
excessive thirst, and the RN finds him attempting to drink water from the bathroom sink faucet.
Which intervention should the RN implement? A. Report the client's 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. D. Tell the client that drinking from the faucet is not allowed.
A. Report the client's serum lithium level to the HCP.
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."
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 client's 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.
B. Establish trust by providing a calm, safe environment.
