3/11/25, 1:10
PM
HERZING UNIVERSITY (HESI MENTAL HEALTH NURSING ) FINAL
EXAM 2025 WITH 100% ACCURATE SOLUTIONS
1. If a client with a history of substance use is losing weight rapidly and
refuses treatment, what action should the nurse consider regarding
involuntary commitment?
Assess for danger to self or inability to provide for basic needs
Encourage the client to seek outpatient therapy
Suggest a diet plan to manage weight
Document the client's refusal of treatment without further action
2. Benzodiazepines exert their effect primarily by enhancing the action of______.
GABA
alcohol
acetylcholine
serotonin
3. What is the primary reason for the nurse to stay with the client while she
gets ready for sleep?
To monitor her sleep patterns.
To ensure she stays safe.
To provide medication.
To assist with dressing.
4. Haloperidol and chlorpromazine are antipsychotic drugs that block which
receptors?
Traditional, dopamine
1/50
,3/11/25, 1:10
PM
Atypical, histamine
Atypical, dopamine
5. The nurse should identify which best goal for a client experiencing
hallucinations?
Help the client understand that he can learn to ignore the
hallucination through appropriate coping mechanisms.
Support the client through the hallucination in a caring, therapeutic
manner.
Provide the client with insight as to why he is experiencing the
hallucination.
Facilitate the client's awareness that the hallucination is not
the reality of the world.
6. What medication is prescribed for the client experiencing alcohol
withdrawal?
Alprazolam 1 mg PO
Lorazepam 2 mg
PO Clonazepam 1
mg PO Diazepam 5
mg IV
7. What are some serious side effects of anticholinergic medications
like benztropine that clients should report?
Nausea, vomiting, and headache.
Fatigue, insomnia, and weight gain.
Dry mouth, constipation, and drowsiness.
Urinary retention, blurred vision, confusion, and hallucinations.
2/50
,3/11/25, 1:10
PM
8. What are the potential risks associated with tricyclic
antidepressants compared to SSRIs?
SSRIs have more side effects than tricyclics.
Tricyclics can be lethal in an overdose because they are cardiotoxic.
Tricyclics are less effective than SSRIs.
SSRIs are more expensive than tricyclics.
9. Why are most fruits considered safe for clients concerning tyramine
intake? All fruits are safe regardless of ripeness.
Most fruits are high in tyramine and should be avoided.
Fruits are safe only when cooked.
Most fruits are safe, except figs, especially if overripe, and
bananas in large amounts.
10. If a client reports feeling no improvement in their depression after 3 weeks
of taking fluoxetine, what should the nurse consider as a potential next
step in the treatment plan?
Assess the client for adherence to the medication regimen
and discuss potential adjustments with the healthcare provider.
Increase the dosage of fluoxetine without consulting the healthcare
provider.
Immediately switch the client to a different antidepressant without
further assessment.
Suggest the client stop taking fluoxetine and try herbal remedies
instead.
11. What is the mechanism of action of disulfiram in relation to
alcohol consumption?
3/50
,3/11/25, 1:10
PM
Disulfiram promotes alcohol metabolism.
Disulfiram reduces cravings for alcohol.
Disulfiram inhibits the absorption of alcohol.
Disulfiram enhances the effects of alcohol.
12. What is the primary action of disulfiram in relation to alcohol
consumption? It reduces alcohol cravings.
It promotes alcohol
absorption. It enhances alcohol
metabolism.
It inhibits aldehyde dehydrogenase.
13. What is a key characteristic of codependent behavior as demonstrated
by the client's partner?
Promoting independence in decision-making
Finding excuses for alcohol
abuse Encouraging the client to
seek help Setting clear
boundaries
14. Why is it important for the nurse to educate the client about the side
effects of olanzapine before discharge?
To inform the client about the history of the medication.
To encourage the client to continue compliance with medications.
To discuss the potential benefits of stopping medication. To
explain the mechanism of action of olanzapine.
4/50
,3/11/25, 1:10
PM
15. On the fifth hospital day, Adam reports feeling dizzy as he stands to leave
the morning group activity. Which action should the nurse implement
first?
Take Adam's blood pressure while he is sitting and standing
Hold morning dose of haloperidol (Haldol) and notify the healthcare
provider
Tell Adam that his dizziness is orthostatic hypotension that will
subside after
Offer Adam a glass of juice and ask him if he ate breakfast
16. Why is it important for the nurse to address hallucinations in a client's
care plan?
Hallucinations are not relevant to the nursing care plan.
Hallucinations indicate a need for immediate hospitalization.
Hallucinations can significantly impact a client's safety and ability
to function.
Hallucinations are always a sign of a serious mental illness.
17. Why is it important for the nurse to conduct initial client teaching rather
than allowing the UAP to do so?
The nurse has the expertise required for initial client teaching.
The client prefers to hear from the UAP.
The UAP is not trained to provide any information.
The nurse is too busy to teach the client.
18. The nurse understands that the purpose of the urine drug screen is to
assess Adam for what important information?
Documentation of medication noncompliance and reinforcement
of the need for hospitalization.
5/50
, 3/11/25, 1:10
PM
Determination of the approximate time Adam stopped taking his
medications.
Provision of information about the type of psychosis Adam is
experiencing.
Detection of substances that may have caused Adam's
delusions and/or hallucinations.
19. Why is it important for clients to report urinary retention when
taking anticholinergic medications?
Urinary retention is only a concern if accompanied by fever.
Urinary retention is a common side effect that does not need to be
reported.
Urinary retention can indicate a serious side effect that may require
medical intervention.
Urinary retention is a sign of dehydration and should be ignored.
20. What class of medications is primarily used to manage acute
anxiety symptoms in clients?
Benzodiazepines
Antidepressants
Mood stabilizers
Stimulants
21. What does the VDRL test screen for in patients upon admission?
Syphilis
Tuberculosis
HIV
6/50
PM
HERZING UNIVERSITY (HESI MENTAL HEALTH NURSING ) FINAL
EXAM 2025 WITH 100% ACCURATE SOLUTIONS
1. If a client with a history of substance use is losing weight rapidly and
refuses treatment, what action should the nurse consider regarding
involuntary commitment?
Assess for danger to self or inability to provide for basic needs
Encourage the client to seek outpatient therapy
Suggest a diet plan to manage weight
Document the client's refusal of treatment without further action
2. Benzodiazepines exert their effect primarily by enhancing the action of______.
GABA
alcohol
acetylcholine
serotonin
3. What is the primary reason for the nurse to stay with the client while she
gets ready for sleep?
To monitor her sleep patterns.
To ensure she stays safe.
To provide medication.
To assist with dressing.
4. Haloperidol and chlorpromazine are antipsychotic drugs that block which
receptors?
Traditional, dopamine
1/50
,3/11/25, 1:10
PM
Atypical, histamine
Atypical, dopamine
5. The nurse should identify which best goal for a client experiencing
hallucinations?
Help the client understand that he can learn to ignore the
hallucination through appropriate coping mechanisms.
Support the client through the hallucination in a caring, therapeutic
manner.
Provide the client with insight as to why he is experiencing the
hallucination.
Facilitate the client's awareness that the hallucination is not
the reality of the world.
6. What medication is prescribed for the client experiencing alcohol
withdrawal?
Alprazolam 1 mg PO
Lorazepam 2 mg
PO Clonazepam 1
mg PO Diazepam 5
mg IV
7. What are some serious side effects of anticholinergic medications
like benztropine that clients should report?
Nausea, vomiting, and headache.
Fatigue, insomnia, and weight gain.
Dry mouth, constipation, and drowsiness.
Urinary retention, blurred vision, confusion, and hallucinations.
2/50
,3/11/25, 1:10
PM
8. What are the potential risks associated with tricyclic
antidepressants compared to SSRIs?
SSRIs have more side effects than tricyclics.
Tricyclics can be lethal in an overdose because they are cardiotoxic.
Tricyclics are less effective than SSRIs.
SSRIs are more expensive than tricyclics.
9. Why are most fruits considered safe for clients concerning tyramine
intake? All fruits are safe regardless of ripeness.
Most fruits are high in tyramine and should be avoided.
Fruits are safe only when cooked.
Most fruits are safe, except figs, especially if overripe, and
bananas in large amounts.
10. If a client reports feeling no improvement in their depression after 3 weeks
of taking fluoxetine, what should the nurse consider as a potential next
step in the treatment plan?
Assess the client for adherence to the medication regimen
and discuss potential adjustments with the healthcare provider.
Increase the dosage of fluoxetine without consulting the healthcare
provider.
Immediately switch the client to a different antidepressant without
further assessment.
Suggest the client stop taking fluoxetine and try herbal remedies
instead.
11. What is the mechanism of action of disulfiram in relation to
alcohol consumption?
3/50
,3/11/25, 1:10
PM
Disulfiram promotes alcohol metabolism.
Disulfiram reduces cravings for alcohol.
Disulfiram inhibits the absorption of alcohol.
Disulfiram enhances the effects of alcohol.
12. What is the primary action of disulfiram in relation to alcohol
consumption? It reduces alcohol cravings.
It promotes alcohol
absorption. It enhances alcohol
metabolism.
It inhibits aldehyde dehydrogenase.
13. What is a key characteristic of codependent behavior as demonstrated
by the client's partner?
Promoting independence in decision-making
Finding excuses for alcohol
abuse Encouraging the client to
seek help Setting clear
boundaries
14. Why is it important for the nurse to educate the client about the side
effects of olanzapine before discharge?
To inform the client about the history of the medication.
To encourage the client to continue compliance with medications.
To discuss the potential benefits of stopping medication. To
explain the mechanism of action of olanzapine.
4/50
,3/11/25, 1:10
PM
15. On the fifth hospital day, Adam reports feeling dizzy as he stands to leave
the morning group activity. Which action should the nurse implement
first?
Take Adam's blood pressure while he is sitting and standing
Hold morning dose of haloperidol (Haldol) and notify the healthcare
provider
Tell Adam that his dizziness is orthostatic hypotension that will
subside after
Offer Adam a glass of juice and ask him if he ate breakfast
16. Why is it important for the nurse to address hallucinations in a client's
care plan?
Hallucinations are not relevant to the nursing care plan.
Hallucinations indicate a need for immediate hospitalization.
Hallucinations can significantly impact a client's safety and ability
to function.
Hallucinations are always a sign of a serious mental illness.
17. Why is it important for the nurse to conduct initial client teaching rather
than allowing the UAP to do so?
The nurse has the expertise required for initial client teaching.
The client prefers to hear from the UAP.
The UAP is not trained to provide any information.
The nurse is too busy to teach the client.
18. The nurse understands that the purpose of the urine drug screen is to
assess Adam for what important information?
Documentation of medication noncompliance and reinforcement
of the need for hospitalization.
5/50
, 3/11/25, 1:10
PM
Determination of the approximate time Adam stopped taking his
medications.
Provision of information about the type of psychosis Adam is
experiencing.
Detection of substances that may have caused Adam's
delusions and/or hallucinations.
19. Why is it important for clients to report urinary retention when
taking anticholinergic medications?
Urinary retention is only a concern if accompanied by fever.
Urinary retention is a common side effect that does not need to be
reported.
Urinary retention can indicate a serious side effect that may require
medical intervention.
Urinary retention is a sign of dehydration and should be ignored.
20. What class of medications is primarily used to manage acute
anxiety symptoms in clients?
Benzodiazepines
Antidepressants
Mood stabilizers
Stimulants
21. What does the VDRL test screen for in patients upon admission?
Syphilis
Tuberculosis
HIV
6/50
