HESI Mental Health RN

HESI Mental Health RN Questions and Answers from V1-V3 Test Banks and Actual Exams (Latest Update 2022) Complete Guide Rated A+ 1. During admission to thepsychiatric unit, a female client is extremely anxious and states that she is worried about thesun coming up thenext day. What intervention is most important for theRN to implement during theadmission process? A. Assist theclient in B. Remain calm and use a matter of fact approach. C. Ask theclient why she is so anxious skills. D. Administer a PRN sedative to help relieve her anxiety. 2. A female client is brought to theemergency department after police officers found her disoriented, disorganized, and confused. theRN also determines that theclient is homeless and is exhibiting suspiciousness. theclient’s plan of care should include what priority problem? A. Acute confusion. B. Ineffective community coping C. Disturbed sensory perception. D. Self-care deficit. 3. The occupational health nurse is working with a female employee who was just notified that her child was involved in a MVA and taken to thehospital. theemployee states, “I can’t believe this. What should I do?” Which response is best for theRN to provide in this crisis? A. Tell me what you think should happen. B. How serious was thecollision? C. What do you think you should do? D. Call for transportation to thehospital. 4. A client tells theRN that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual relationship with her. What is thepriority nursing problem for admission to thepsychiatric unit? developing alternative coping Allow Sleep at least Perform A. Ineffective sexual patterns. B. Impaired environmental interpretation. C. Disturbed sensory perception. D. Compromised family coping. 5. The RN is providing care for a client diagnosed with borderline personality disorder who has self-inflicted lacerations on theabdomen. Which approach should theRN use when changing this client’s dressing? A. Provide detailed thorough explanations when cleansing wound. B. thedressing change in a non-judgmental manner. C. Ask in a non-threatening manner why theclient cut own abdomen. D. Request another staff member assist with thedressing change. 6. While sitting in theday room of themental health unit, a male adolescent avoids eye contact, looks at thefloor, and talks softly when interacting verbally with theRN. thetwo trade places, and theRN demonstrates theclient’s behaviors. What is themain goal of this therapeutic technique? A. Initiate a non-threatening conversation with theclient. B. Dialog about theineffectiveness of his interactions. C. theclient to identify theway he interacts. D. Discusstheclient’s feelings when he responds. 7. An antidepressant medication is prescribed for a client who reports sleeping only 4 hours inthepast 2 days and weight loss of 9 lbs within thelast month. Which client goal is most important to achieve within thefirst three days of treatment? A. Meet scheduled appointment with dietitian. B. 6 hours a night. C. Understands thepurpose of themedication regimen. D. Describes thereasons for hospitalization. 8. When preparing to administer to domestic violence screening tool to a female client, which statement should theRN provide? A. If your partner is abusing you, I need to ask these questions. B. State law mandates that I ask if you are a victim of domestic violence. C. The HCP provider needs to know if you are experiencing any domestic abuse. D. All clients are screened for domestic abuse because it is common in our society. 9. A young adult female visits themental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During thephysical assessment, theclient tells theRN that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for theRN to provide? A. Unless your sister has a medical education, ignore her comments. B. I can hear that your sister comments are over-whelming you. C. Do you think it’s possible that you might be a hypochondriac? D. Besides your sister’s comments, what in your life is troubling you? 10. The RN is leading a group on theinpatient psychiatric unit. Which approach should theRN use during theworking phase of group development? A. Establishing a rapport with group members. B. Clarifying thenurse’srole and clients’ responsibilities. C. Discussing ways to use new coping skills learned. D. Helping clients identify areas of problem in their lives. 11. A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on theunit. What intervention is best for theRN to implement? A. Isolate theclient from theother clients. B. Administer PRN sedative. C. Avoid recognizing thebehavior. D. Escort theclient to his room. 12. A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase. Based on which assessment finding will theRN withhold theclonidine (Catapres) prescription? after A. Blood B. Pulse rate of 68-78 BPM. C. Temperature of 99.5-99.7 F. D. Respiration rate of 24 breaths per minute. mmHg. 13. The RN on theevening shift receives report that a client is scheduled for electroconvulsive treatment (ECT) in themorning. Which intervention should theRn implement theevening before thescheduled ECT? A. Hold all bedtime medications. B. Keep theclient NPO mid-night. C. Implement elopement precautions. D. Give theclient an enema at bedtime. 14. A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. What dietary choices should theRN instruct theclient to avoid? A. Pan-seared catfish. B. Peperoni pizza. C. Deep fried shrimp. D. Beef trips with gravy. 15. A mental health worker is caring for a client with escalating aggressive behavior. Which action by themental health worker warrants immediate intervention by theRN? A. Is attempting thephysically thepatient. restrain B. Remains at a distance of 4 feet from theclient. C. Tells theclient to go to thequiet area of theunit. D. Is using a load voice to talk to theclient. pressure readings of 90/62 mmHg to 92/58 16. A client who recently experienced thedeath of a significant other arrives at themental health center. theclient reports loss of interest in usual activities, expresses a wish to be with thedecreased significant other, has been eating very little, and has not slept in several days. Which client statement is most important for theRN to explore at this time? A. Not sleeping for several days. B. Wishing to be with spouse. C. Lack of interest in usual activities. D. Eating very little. 17. A middle aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and motivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning? A. Provide education on methods to enhance sleep. B. Teach theclient to activities. C. Suggest that theclient develop a list of pleasurable activities. D. Encourage theclient to exercise. 18. When developing a plan of care for a client admitted to thepsychiatric unit following aspiration of a caustic material related to a suicide attempt, which nursing problem has thehighest priority? A. Impaired comfort. B. Risk for injury. C. Ineffective D. Ineffective coping. pattern. 19. A female client on a psychiatric unit is sweating profusely while she vigorously does pushups and then runs thelength of thecorridor several times before crashing into furniture in thesitting room. Picking herself up, she begins to toss chairs aside, looking for a red one to sit in. When another client objects to thedisturbance, theclient shouts, “I am theboss here. I do what I want.” Which nursing problem best supports these observations? develop a plan for daily structured breathing A. Deficient diversional activity related to excess energy level. B. Risk for behavior. C. Risk for activity intolerance related to hyperactivity. D. Disturbed personal identity related to grandiosity. 20. A RN is preparing thephysical environment to interview a new client for admission to themental health unit. Which environmental setting facilitates thebest outcome of theinterview? A. Dim thelights in theroom to help thepatient feel calm. B. S Redu fee enhance level of safety and security. C. urning off thetelevision and radio. D. Position table between theclient and theRN for extra personal space. 21. An older homeless client visits thepsychiatric clinic to obtain a prescription renewal for alprazolam (Xanax). During thehealth assessment, theclient complains of chest pain. Which action should theRN take first? A. Refer theclient to thecardiology unit. B. Obtain theclient Blood pressure. C. Assess theclient for substance abuse. D. recently. 22. The mother of an 8-month-old infant with profound mental and physical disabilities tells he RN how depressed she is because she realized that her child will never achieve normal growth and development milestones. How should theRN respond to themother? A. Ask themother if she has her child. B. Reassure themother that her child will achieve some growth and development milestones. C. Determine if themother has other children who do not have developmental disabilities. ever thought about harming herself or other related violence related to disruptive Determine if Xanax was taken it with ce the in two noise levelt of in the the client to room by t D. Encourage themother to write thoughts and feelings in journal.