HESI
MENTAL
HEALTH
EXAM
UPDATED
, 1. A nurse is caring for an adult client who has visible injuries as a result of
intimate partner violence. Which of the following actions should the nurse
take?
Answer: Encourage the client to develop a safety plan
2. A nurse in an urgent care clinic is collecting data from a client whose friend reports
a suspicion of cocaine use. The nurse should identify that which of the following
manifestations is an indicator of the client’s use of this substance?
Answer: Hypertension
3. A nurse in a mental health facility is caring for a client who has dementia. The
client’s agitation is increasing. Which of the following actions should the
nurse take first?
Answer: Offer diversionary activities
4. A nurse is caring for a client who has bipolar disorder. The client suddenly
appears agitated and begins pacing at the end of the hallway with clenched fists.
Which of the following actions should the nurse take first?
Answer: Determine the client’s intentions
5. A nurse is reinforcing discharge teaching with a client who has a new prescription
for alprazolam. Which of the following instructions is the priority for the nurse to
include?
Answer: Do not drive until your reaction to the medication is
determined
MENTAL
HEALTH
EXAM
UPDATED
, 1. A nurse is caring for an adult client who has visible injuries as a result of
intimate partner violence. Which of the following actions should the nurse
take?
Answer: Encourage the client to develop a safety plan
2. A nurse in an urgent care clinic is collecting data from a client whose friend reports
a suspicion of cocaine use. The nurse should identify that which of the following
manifestations is an indicator of the client’s use of this substance?
Answer: Hypertension
3. A nurse in a mental health facility is caring for a client who has dementia. The
client’s agitation is increasing. Which of the following actions should the
nurse take first?
Answer: Offer diversionary activities
4. A nurse is caring for a client who has bipolar disorder. The client suddenly
appears agitated and begins pacing at the end of the hallway with clenched fists.
Which of the following actions should the nurse take first?
Answer: Determine the client’s intentions
5. A nurse is reinforcing discharge teaching with a client who has a new prescription
for alprazolam. Which of the following instructions is the priority for the nurse to
include?
Answer: Do not drive until your reaction to the medication is
determined
