HESI MENTAL HEALTH
QUESTIONS AND ANSWERS
WITH VERIFIED SOLUTIONS
100% CORRECT
A 15-year-old male with mild mental retardation is admitted to
the adolescent unit because he repeatedly refuses to complete
personal hygiene. The healthcare provider prescribes that the
client brush his teeth three times a day. In the psychiatric team
conference, a behavior modification program is recommended
to engage the client's participation. When implementing this
technique, what reinforcement is best for the nurse to provide?
A. Privilege restriction or fines for refusals to complete a hygiene
task
B. Preferred activities or tokens for each compliance
C. Unit tasks for each omission of teeth brushing
D. Candy for each successful hygiene task, like brushing his
teeth. - correct answer- A. Privilege restriction or fines
for refusals to complete a hygiene task
A 16-year-old female client is admitted to the psychiatric unit
and states that she is depressed and anxious. The client appears
frail and is wearing baggy clothes. When it is time for lunch, the
,client states, "I can't eat, I'm already overweight." What is the
best response by the nurse?
A. "You may think you are fat, but you look thin to me."
B. "There are consequences for not eating."
C. "Explain how you feel when it is time to eat."
D. "You must eat or you will become very sick." - correct
answer- C. "Explain how you feel when it is time to eat."
A 20yo female client with schizophrenia is scheduled to
receive risperidone (Risperdal) 2 mg at bedtime. When the
nurse attempts to administer the medication, the client
states, "I am not going to take that medicine and you
can't make me." What action should the nurse take?
A. Administer the medication via a nasogastric tube.
B. Substitute an injectable form of the medication.
C. Encourage the client to take the medicine because it will help
her sleep.
D. Document in the client's record that the medication was
refused. - correct answer- C. Encourage the client to
take the medicine because it will help her sleep.
,A chronically depressed older male resident of a long-term care
facility has become more reclusive & today refuses to leave his
room. His family moved away from the area and they are unable
to visit as much as they had in the past.Which comment by the
nurse is likely to be most helpful to this client?
A. "May I sit with you for a while?"
B. "I know you are sad about not seeing your family as often, but
they are visiting as much as they can."
C. "Come into the recreation area. We have your favorite card
game and I will play it with you."
D. "Why do you want to stay in your room today?" - correct
answer- A. "May I sit with you for a while?"
A client admitted to the mental health unit starts to shout and
scream at the nurse. Which approach is best for the nurse to
take?
A. Tell the client they are out of control.
B. Stay quietly with the client.
C. Distract the client by offering finger foods.
D. Ignore the client's acting out behavior. - correct
answer- B. Stay quietly with the client.
, A client at the mental health center reports difficulty
concentrating at work, feeling very tired during the day, and
sleeping 4 to 5 hours at night. To further assess for depression,
which question is most important for the nurse to ask?
A. Have you experienced recent stresses?
B. What foods do you like to eat?
C. Do you often feel sad?
D. Have you experienced sleep changes? - correct
answer- C. Do you often feel sad?
A client diagnosed with schizophrenia has been receiving
haloperidol for the past year, and the treatment plan includes
moving the client to a lower maintenance dosage.Which
intervention should the nurse include in this client's plan of
care? (Select all that apply)
A. Shielding the client from direct sunlight when outdoors.
B. Gradually withdrawing the medication over several days.
C. Enforcing a fluid restriction during dosage adjustment.
D. Increasing the dosage if the white blood cell count drops. -
correct answer- A. Shielding the client from direct
sunlight when outdoors.
B. Gradually withdrawing the medication over several days.
QUESTIONS AND ANSWERS
WITH VERIFIED SOLUTIONS
100% CORRECT
A 15-year-old male with mild mental retardation is admitted to
the adolescent unit because he repeatedly refuses to complete
personal hygiene. The healthcare provider prescribes that the
client brush his teeth three times a day. In the psychiatric team
conference, a behavior modification program is recommended
to engage the client's participation. When implementing this
technique, what reinforcement is best for the nurse to provide?
A. Privilege restriction or fines for refusals to complete a hygiene
task
B. Preferred activities or tokens for each compliance
C. Unit tasks for each omission of teeth brushing
D. Candy for each successful hygiene task, like brushing his
teeth. - correct answer- A. Privilege restriction or fines
for refusals to complete a hygiene task
A 16-year-old female client is admitted to the psychiatric unit
and states that she is depressed and anxious. The client appears
frail and is wearing baggy clothes. When it is time for lunch, the
,client states, "I can't eat, I'm already overweight." What is the
best response by the nurse?
A. "You may think you are fat, but you look thin to me."
B. "There are consequences for not eating."
C. "Explain how you feel when it is time to eat."
D. "You must eat or you will become very sick." - correct
answer- C. "Explain how you feel when it is time to eat."
A 20yo female client with schizophrenia is scheduled to
receive risperidone (Risperdal) 2 mg at bedtime. When the
nurse attempts to administer the medication, the client
states, "I am not going to take that medicine and you
can't make me." What action should the nurse take?
A. Administer the medication via a nasogastric tube.
B. Substitute an injectable form of the medication.
C. Encourage the client to take the medicine because it will help
her sleep.
D. Document in the client's record that the medication was
refused. - correct answer- C. Encourage the client to
take the medicine because it will help her sleep.
,A chronically depressed older male resident of a long-term care
facility has become more reclusive & today refuses to leave his
room. His family moved away from the area and they are unable
to visit as much as they had in the past.Which comment by the
nurse is likely to be most helpful to this client?
A. "May I sit with you for a while?"
B. "I know you are sad about not seeing your family as often, but
they are visiting as much as they can."
C. "Come into the recreation area. We have your favorite card
game and I will play it with you."
D. "Why do you want to stay in your room today?" - correct
answer- A. "May I sit with you for a while?"
A client admitted to the mental health unit starts to shout and
scream at the nurse. Which approach is best for the nurse to
take?
A. Tell the client they are out of control.
B. Stay quietly with the client.
C. Distract the client by offering finger foods.
D. Ignore the client's acting out behavior. - correct
answer- B. Stay quietly with the client.
, A client at the mental health center reports difficulty
concentrating at work, feeling very tired during the day, and
sleeping 4 to 5 hours at night. To further assess for depression,
which question is most important for the nurse to ask?
A. Have you experienced recent stresses?
B. What foods do you like to eat?
C. Do you often feel sad?
D. Have you experienced sleep changes? - correct
answer- C. Do you often feel sad?
A client diagnosed with schizophrenia has been receiving
haloperidol for the past year, and the treatment plan includes
moving the client to a lower maintenance dosage.Which
intervention should the nurse include in this client's plan of
care? (Select all that apply)
A. Shielding the client from direct sunlight when outdoors.
B. Gradually withdrawing the medication over several days.
C. Enforcing a fluid restriction during dosage adjustment.
D. Increasing the dosage if the white blood cell count drops. -
correct answer- A. Shielding the client from direct
sunlight when outdoors.
B. Gradually withdrawing the medication over several days.
