MENTAL HEALTH HESI RN TESTBANK EXAM WITH n n n n n n
QUESTIONS AND ANSWERS (VERIFIED ANSWERS GRADED A n n n n n n
+) LATEST UPDATE 2024/2025
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A male client with bipolar disorder who began taking lithium carbonate five days ago
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is complaining of excessive thirst, and the RN finds him attempting to drink water fro
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m the bathroom sink faucet. Which intervention should the RN implement?
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A. Report the client's serum lithium level to the HCP.
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B. Encourage the client to suck on hard candy to relieve the symptoms.
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C. No action is needed since polydipsia is a common side effect.
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D. Tell the client that drinking from the faucet is not allowed. -
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CORRECT ANSWER A. Report the client's serum lithium level to the HCP.
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A mental health worker is caring for a client with escalating aggressive behavior. Whi
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ch action by the MHW warrant immediate intervention by the RN?
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A. Is attempting to physically restrain the patient.
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B. Tells the client to go to the quiet area of the unit.
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C. Is using a loud voice to talk to the client.
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D. Remains at a distance of 4 feet from the client. -
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CORRECT ANSWER A. Is attempting to physically restrain the patient.
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A client is admitted to the mental health unit and reports taking extra antianxiety me
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dication because, "I'm so stressed out. I just want to go to sleep." The RN should pla
n n n n n n n n n n n n n n n n
n one-on-one observation of the client based on which statement?
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A. "What should I do? Nothing seems to help."
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,B. "I have been so tired lately and needed to sleep."
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C. "I really think that I don't need to be here."
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D. "I don't want to walk. Nothing matters anymore." -
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CORRECT ANSWER D. "I don't want to walk. Nothing matters anymore."
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The RN is performing intake interviews at a psychiatric clinic. A female client with a
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known history of drug abuse reports that she had a heart attack four years ago.
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Useof which substance places the client at highest risk for myocardial infarction?
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A. Benzodiazepine
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B. Alcohol
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C. Methamphetamine
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D. Marijuana - CORRECT ANSWER C. Methamphetamine
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A male client comes to the emergency center because he has an erection that will n
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ot resolve. The client reports that he is taking trazodone (Desyrel) for insomnia. W
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hich information is most important for the nurse ask the client?
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A. When was the last time you drank alcoholic beverage?
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B. Have you taken any medications for erectile dysfunction?
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C. Are you having any other sexual dysfunctions or problems?
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D. Do you have a history of angina or high blood pressure? - CORRECT ANSWER
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B. Have you taken any medications for erectile dysfunction?
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A female client admitted to the mental health unit starts to shout and scream at the R
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N. What is the best approach for the RN to take?
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A. Stay quietly with the patient
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B. Tell her that she is out of control.
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C. Distract her by offering her finger foods.
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,D. Ignore the client's acting out behavior. -
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CORRECT ANSWER A. Stay quietly with the patient
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When developing a plan of care for a client admitted to the psychiatric unit followin
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g aspiration of a caustic material related to a suicide attempt, which nursing problem
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has the highest priority?
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A. Impaired comfort.
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B. Risk for injury.
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C. Ineffective breathing pattern.
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D. Ineffective coping. - CORRECT ANSWER C. Ineffective breathing pattern.
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A female client on a psychiatric unit is sweating profusely while she vigorously does
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npush-
ups and then runs the length of the corridor several times before crashing into furnit
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ure in the sitting room. Picking herself up, she begins to toss chairs aside, looking for
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na red one to sit in. When another client objects to the disturbance, the client shouts, "
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I am the boss here. I do what I want." Which nursing problem best supports these ob
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servations?
A. Deficient diversional activity related to excess energy level.
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B. Risk for other related violence related to disruptive behavior.
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C. Risk for activity intolerance related to hyperactivity.
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D. Disturbed personal identity related to grandiosity. -
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nCORRECT ANSWER B. Risk for other related violence related to disruptive behavio
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r.
A RN is preparing the physical environment to interview a new client for admission
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to the mental health unit. Which environmental setting facilitates the best outcome o
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f the interview?
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A. Dim the lights in the room to help the patient feel calm.
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B. Sit within two feet of the client to enhance level of safety and security.
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C. Reduce the noise level in the room by turning off the television and radio.
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, D. Position table between the client and the RN for extra personal space. -
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nCORRECT ANSWER C. Reduce the noise level in the room by turning off the t
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elevision and radio. n n
The RN is providing education about strategies for a safety plan for a female client w
n n n n n n n n n n n n n n n
ho is a victim of intimate partner violence. Which strategies should be included in th
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e safety plan? (Select all that apply)
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A. Purchase a gun to use for protection. n n n n n n
B. Establish a code with family and friends to signify violence.
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C. Take a self-defense course that retaliates the abuser with injury.
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D. Have a bag ready that has extra clothes for self and children.
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E. Plan an escape route to use if the abuser blocks the main exit. -
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nCORRECT ANSWER B. Establish a code with family and friends to signify vio
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lence.
D. Have a bag ready that has extra clothes for self and children.
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E. Plan an escape route to use if the abuser blocks the main exit.
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The RN is admitting a male client who takes lithium carbonate (Eskalith) twice a day.
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Which information should the RN report to the HCP immediately?
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A. Short term memory loss.
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B. Five pound weight gain
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C. Decreased affect.
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D. Nausea and vomiting. - CORRECT ANSWER D. Nausea and vomiting.
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A homeless client who reports feeling sad and depressed tells the mental health nurs
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e that in the past 2 days she has only had 4 hours of sleep. Which action is most impor
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tant for the RN to implement within the first 24 hours after treatment is initiated?
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A. Allow the client to rest and sleep.
n n n n n n n
QUESTIONS AND ANSWERS (VERIFIED ANSWERS GRADED A n n n n n n
+) LATEST UPDATE 2024/2025
n n n
A male client with bipolar disorder who began taking lithium carbonate five days ago
n n n n n n n n n n n n n n
is complaining of excessive thirst, and the RN finds him attempting to drink water fro
n n n n n n n n n n n n n n
m the bathroom sink faucet. Which intervention should the RN implement?
n n n n n n n n n n
A. Report the client's serum lithium level to the HCP.
n n n n n n n n n
B. Encourage the client to suck on hard candy to relieve the symptoms.
n n n n n n n n n n n n
C. No action is needed since polydipsia is a common side effect.
n n n n n n n n n n n
D. Tell the client that drinking from the faucet is not allowed. -
n n n n n n n n n n n n
CORRECT ANSWER A. Report the client's serum lithium level to the HCP.
n n n n n n n n n n n n
A mental health worker is caring for a client with escalating aggressive behavior. Whi
n n n n n n n n n n n n n
ch action by the MHW warrant immediate intervention by the RN?
n n n n n n n n n n
A. Is attempting to physically restrain the patient.
n n n n n n n
B. Tells the client to go to the quiet area of the unit.
n n n n n n n n n n n n
C. Is using a loud voice to talk to the client.
n n n n n n n n n n
D. Remains at a distance of 4 feet from the client. -
n n n n n n n n n n n
CORRECT ANSWER A. Is attempting to physically restrain the patient.
n n n n n n n n n n
A client is admitted to the mental health unit and reports taking extra antianxiety me
n n n n n n n n n n n n n n
dication because, "I'm so stressed out. I just want to go to sleep." The RN should pla
n n n n n n n n n n n n n n n n
n one-on-one observation of the client based on which statement?
n n n n n n n n n
A. "What should I do? Nothing seems to help."
n n n n n n n n
,B. "I have been so tired lately and needed to sleep."
n n n n n n n n n n
C. "I really think that I don't need to be here."
n n n n n n n n n n
D. "I don't want to walk. Nothing matters anymore." -
n n n n n n n n n
CORRECT ANSWER D. "I don't want to walk. Nothing matters anymore."
n n n n n n n n n n n
The RN is performing intake interviews at a psychiatric clinic. A female client with a
n n n n n n n n n n n n n n n
known history of drug abuse reports that she had a heart attack four years ago.
n n n n n n n n n n n n n n
Useof which substance places the client at highest risk for myocardial infarction?
n n n n n n n n n n n
A. Benzodiazepine
n
B. Alcohol
n
C. Methamphetamine
n
D. Marijuana - CORRECT ANSWER C. Methamphetamine
n n n n n n
A male client comes to the emergency center because he has an erection that will n
n n n n n n n n n n n n n n n
ot resolve. The client reports that he is taking trazodone (Desyrel) for insomnia. W
n n n n n n n n n n n n n
hich information is most important for the nurse ask the client?
n n n n n n n n n n
A. When was the last time you drank alcoholic beverage?
n n n n n n n n n
B. Have you taken any medications for erectile dysfunction?
n n n n n n n n
C. Are you having any other sexual dysfunctions or problems?
n n n n n n n n n
D. Do you have a history of angina or high blood pressure? - CORRECT ANSWER
n n n n n n n n n n n n n n
B. Have you taken any medications for erectile dysfunction?
n n n n n n n n
A female client admitted to the mental health unit starts to shout and scream at the R
n n n n n n n n n n n n n n n n
N. What is the best approach for the RN to take?
n n n n n n n n n n
A. Stay quietly with the patient
n n n n n
B. Tell her that she is out of control.
n n n n n n n n
C. Distract her by offering her finger foods.
n n n n n n n
,D. Ignore the client's acting out behavior. -
n n n n n n n
CORRECT ANSWER A. Stay quietly with the patient
n n n n n n n n
When developing a plan of care for a client admitted to the psychiatric unit followin
n n n n n n n n n n n n n n
g aspiration of a caustic material related to a suicide attempt, which nursing problem
n n n n n n n n n n n n n n
has the highest priority?
n n n
A. Impaired comfort.
n n
B. Risk for injury.
n n n
C. Ineffective breathing pattern.
n n n
D. Ineffective coping. - CORRECT ANSWER C. Ineffective breathing pattern.
n n n n n n n n n
A female client on a psychiatric unit is sweating profusely while she vigorously does
n n n n n n n n n n n n n
npush-
ups and then runs the length of the corridor several times before crashing into furnit
n n n n n n n n n n n n n n
ure in the sitting room. Picking herself up, she begins to toss chairs aside, looking for
n n n n n n n n n n n n n n n
na red one to sit in. When another client objects to the disturbance, the client shouts, "
n n n n n n n n n n n n n n n n
I am the boss here. I do what I want." Which nursing problem best supports these ob
n n n n n n n n n n n n n n n n
servations?
A. Deficient diversional activity related to excess energy level.
n n n n n n n n
B. Risk for other related violence related to disruptive behavior.
n n n n n n n n n
C. Risk for activity intolerance related to hyperactivity.
n n n n n n n
D. Disturbed personal identity related to grandiosity. -
n n n n n n n
nCORRECT ANSWER B. Risk for other related violence related to disruptive behavio
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r.
A RN is preparing the physical environment to interview a new client for admission
n n n n n n n n n n n n n n
to the mental health unit. Which environmental setting facilitates the best outcome o
n n n n n n n n n n n n
f the interview?
n n
A. Dim the lights in the room to help the patient feel calm.
n n n n n n n n n n n
B. Sit within two feet of the client to enhance level of safety and security.
n n n n n n n n n n n n n
C. Reduce the noise level in the room by turning off the television and radio.
n n n n n n n n n n n n n
, D. Position table between the client and the RN for extra personal space. -
n n n n n n n n n n n n
nCORRECT ANSWER C. Reduce the noise level in the room by turning off the t
n n n n n n n n n n n n n n
elevision and radio. n n
The RN is providing education about strategies for a safety plan for a female client w
n n n n n n n n n n n n n n n
ho is a victim of intimate partner violence. Which strategies should be included in th
n n n n n n n n n n n n n n
e safety plan? (Select all that apply)
n n n n n n
A. Purchase a gun to use for protection. n n n n n n
B. Establish a code with family and friends to signify violence.
n n n n n n n n n
C. Take a self-defense course that retaliates the abuser with injury.
n n n n n n n n n
D. Have a bag ready that has extra clothes for self and children.
n n n n n n n n n n n
E. Plan an escape route to use if the abuser blocks the main exit. -
n n n n n n n n n n n n n
nCORRECT ANSWER B. Establish a code with family and friends to signify vio
n n n n n n n n n n n n
lence.
D. Have a bag ready that has extra clothes for self and children.
n n n n n n n n n n n n
E. Plan an escape route to use if the abuser blocks the main exit.
n n n n n n n n n n n n n
The RN is admitting a male client who takes lithium carbonate (Eskalith) twice a day.
n n n n n n n n n n n n n n n
Which information should the RN report to the HCP immediately?
n n n n n n n n n
A. Short term memory loss.
n n n n
B. Five pound weight gain
n n n n
C. Decreased affect.
n n
D. Nausea and vomiting. - CORRECT ANSWER D. Nausea and vomiting.
n n n n n n n n n n
A homeless client who reports feeling sad and depressed tells the mental health nurs
n n n n n n n n n n n n n
e that in the past 2 days she has only had 4 hours of sleep. Which action is most impor
n n n n n n n n n n n n n n n n n n n
tant for the RN to implement within the first 24 hours after treatment is initiated?
n n n n n n n n n n n n n n
A. Allow the client to rest and sleep.
n n n n n n n
