HESI MENTAL HEALTH RN V1-V3 EXAM
QUESTIONS WITH COMPLETE SOLUTIONS
A client with depression remains in bed most of the day, and declines activities.
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Which nursing problem has the greatest priority for this client?
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A. Loss of interest in diversional activity.
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B. Social isolation.
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C. Refusal to address nutritional needs.
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D. Low self-esteem.
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C. Refusal to address nutritional needs.
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The RN is preparing medications for a client with bipolar disorder and notices
| | | | | | | | | | | | |
that the client discontinued antipsychotic medication for several days. Which
| | | | | | | | | |
medication should also be discontinued? | | | |
a. Lithium. (Lithotabs)
| |
b. Benzotropine (Cogentin).
| |
c. Alprazolam (Xanax).
| |
d. Magnesium (Milk of Magnesia).
| | | |
b. Benzotropine
|
The RN is teaching a client about the initiation of the prescribed abstinence
| | | | | | | | | | | | |
therapy using disulfiram (Antabuse). What information should the client
| | | | | | | | |
acknowledge understanding? |
A. Completely abstain from heroin or cocaine use.
| | | | | | |
B. Remain alcohol free for 12 hours prior to the first dose. C. Attend monthly
| | | | | | | | | | | | | | |
meetings of alcoholics anonymous. D. Admit to others that he is a substance user
| | | | | | | | | | | | |
B. Remain alcohol free for 12 hours prior to the first dose.
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A male client with schizophrenia is admitted to the mental health unit after
| | | | | | | | | | | | |
abruptly stopping his prescription for ziprasidone (Geodon) one month ago.
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Which question is most important for the RN to ask the client? A. Have you lost
| | | | | | | | | | | | | | | |
,interest in the things that you used to enjoy? B. Is your ability to think or
| | | | | | | | | | | | | | | |
concentrate decreased? C. How many continuous hours do you sleep at night? D.
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Do you hear sounds or voices that others do not hear?
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D. Do you hear sounds or voices that others do not hear
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A female client requests that her husband be allowed to stay in the room during
| | | | | | | | | | | | | | |
the admission assessment. When interviewing the client, the RN notes a
| | | | | | | | | | |
discrepancy between the client's verbal and nonverbal communication. What
| | | | | | | | |
action does the RN take? A. Pay close attention and document the nonverbal
| | | | | | | | | | | | |
messages. Downloaded by Caroline Rivera ()
| | | | | |
lOMoARcPSD|16253014 B. Ask the client's husband to interpret the discrepancy. | | | | | | | | | |
C. Ignore the nonverbal behavior and focus on the client's verbal messages. D.
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Integrate the verbal and nonverbal messages and interpret them as one.
| | | | | | | | | |
A. Pay close attention and document the nonverbal messages.
| | | | | | | |
A male client approaches the RN with an angry expression on his face and raises
| | | | | | | | | | | | | | |
his voice, saying "My roommate is the most selfish, self-centered, angry person I
| | | | | | | | | | | | |
have ever met. If he loses his temper one more time with me, I am going to
| | | | | | | | | | | | | | | | |
punch him out!" The RN recognizes that the client is using which defense
| | | | | | | | | | | | |
mechanism? A. Denial. B. Projection. C. Rationalization. D. Splitting.
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B. Projection.
|
A mental health worker is caring for a client with escalating aggressive behavior.
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Which action by the MHW warrant immediate intervention by the RN? A. Is
| | | | | | | | | | | | |
attempting to physically restrain the patient. B. Tells the client to go to the quiet
| | | | | | | | | | | | | | |
area of the unit. C. Is using a loid voice to talk to the client. D. Remains at a
| | | | | | | | | | | | | | | | | | |
distance of 4 feet from the client. | | | | | |
A. Is attempting to physically restrain the patient.
| | | | | | |
A client on the mental health unit is becoming more agitated, shouting at the
| | | | | | | | | | | | | |
staff, and pacing in the hallway. When the PRN medication is offered, the client
| | | | | | | | | | | | | |
refuses the medication and defiantly sits on the floor in the middle of the unit
| | | | | | | | | | | | | | |
hallway. What nursing intervention should the RN implement first? A. Transport
| | | | | | | | | | |
, of the client to the seclusion room. B. Quietly approach the client with additional
| | | | | | | | | | | | | |
staff members. C. Take other clients in the area to the client lounge. D. Administer
| | | | | | | | | | | | | |
medication to chemically restrain the patient.
| | | | | |
C. Take other clients in the area to the client lounge.
| | | | | | | | | |
A male client with bipolar disorder who began taking lithium carbonate five days
| | | | | | | | | | | | |
ago is complaining of excessive thirst, and the RN finds him attempting to drink
| | | | | | | | | | | | | |
water from the bathroom sink faucet. Which intervention should the RN
| | | | | | | | | | |
implement? A. Report the client's serum lithium level to the HCP. B. Encourage
| | | | | | | | | | | | |
the client to suck on hard candy to relieve the symptoms. C. No action is needed
| | | | | | | | | | | | | | | |
since polydipsia is a common side effect. D. Tell the client that drinking from the
| | | | | | | | | | | | | | |
faucet is not allowed. | | |
A. Report the client's serum lithium level to the HCP.
| | | | | | | | |
During an annual physical by the occupational RN working in a corporate clinic, a
| | | | | | | | | | | | | |
male employee tells the RN that is high-stress job is causing trouble in his
| | | | | | | | | | | | | |
personal life. He further explains that he often gets so angry while driving to and
| | | | | | | | | | | | | | |
from work that he has considered "getting even" with other drivers. How should
| | | | | | | | | | | | |
the RN respond? A. "Anger is contagious and could result in major confrontation."
| | | | | | | | | | | |
|B. "Try not to let your anger cause you to act impulsively." C. "Expressing your
| | | | | | | | | | | | | | |
anger to a stranger could result in an unsafe situation." D. "It sounds as if there
| | | | | | | | | | | | | | | |
are many situations that make you feel angry."
| | | | | | |
D. "It sounds as if there are many situations that make you feel angry."
| | | | | | | | | | | | |
A client who has agoraphobia (a fear of crowds) is beginning desensitization with
| | | | | | | | | | | | |
the therapist, and the RN is reinforcing the process. Which intervention has the
| | | | | | | | | | | | |
highest priority for this client's plan of care? A. Encourage substitution of positive
| | | | | | | | | | | | |
thoughts and negative ones. B. Establish trust by providing a calm, safe
| | | | | | | | | | | |
environment. C. Progressively expose the client to larger crowds. D. Encourage | | | | | | | | | | |
deep breathing when anxiety escalates in a crowd.
| | | | | | |
B. Establish trust by providing a calm, safe environment.
| | | | | | | |
QUESTIONS WITH COMPLETE SOLUTIONS
A client with depression remains in bed most of the day, and declines activities.
| | | | | | | | | | | | | |
Which nursing problem has the greatest priority for this client?
| | | | | | | | |
A. Loss of interest in diversional activity.
| | | | | |
B. Social isolation.
| |
C. Refusal to address nutritional needs.
| | | | |
D. Low self-esteem.
| |
C. Refusal to address nutritional needs.
| | | | |
The RN is preparing medications for a client with bipolar disorder and notices
| | | | | | | | | | | | |
that the client discontinued antipsychotic medication for several days. Which
| | | | | | | | | |
medication should also be discontinued? | | | |
a. Lithium. (Lithotabs)
| |
b. Benzotropine (Cogentin).
| |
c. Alprazolam (Xanax).
| |
d. Magnesium (Milk of Magnesia).
| | | |
b. Benzotropine
|
The RN is teaching a client about the initiation of the prescribed abstinence
| | | | | | | | | | | | |
therapy using disulfiram (Antabuse). What information should the client
| | | | | | | | |
acknowledge understanding? |
A. Completely abstain from heroin or cocaine use.
| | | | | | |
B. Remain alcohol free for 12 hours prior to the first dose. C. Attend monthly
| | | | | | | | | | | | | | |
meetings of alcoholics anonymous. D. Admit to others that he is a substance user
| | | | | | | | | | | | |
B. Remain alcohol free for 12 hours prior to the first dose.
| | | | | | | | | | |
A male client with schizophrenia is admitted to the mental health unit after
| | | | | | | | | | | | |
abruptly stopping his prescription for ziprasidone (Geodon) one month ago.
| | | | | | | | | |
Which question is most important for the RN to ask the client? A. Have you lost
| | | | | | | | | | | | | | | |
,interest in the things that you used to enjoy? B. Is your ability to think or
| | | | | | | | | | | | | | | |
concentrate decreased? C. How many continuous hours do you sleep at night? D.
| | | | | | | | | | | | |
Do you hear sounds or voices that others do not hear?
| | | | | | | | | |
D. Do you hear sounds or voices that others do not hear
| | | | | | | | | | |
A female client requests that her husband be allowed to stay in the room during
| | | | | | | | | | | | | | |
the admission assessment. When interviewing the client, the RN notes a
| | | | | | | | | | |
discrepancy between the client's verbal and nonverbal communication. What
| | | | | | | | |
action does the RN take? A. Pay close attention and document the nonverbal
| | | | | | | | | | | | |
messages. Downloaded by Caroline Rivera ()
| | | | | |
lOMoARcPSD|16253014 B. Ask the client's husband to interpret the discrepancy. | | | | | | | | | |
C. Ignore the nonverbal behavior and focus on the client's verbal messages. D.
| | | | | | | | | | | | |
Integrate the verbal and nonverbal messages and interpret them as one.
| | | | | | | | | |
A. Pay close attention and document the nonverbal messages.
| | | | | | | |
A male client approaches the RN with an angry expression on his face and raises
| | | | | | | | | | | | | | |
his voice, saying "My roommate is the most selfish, self-centered, angry person I
| | | | | | | | | | | | |
have ever met. If he loses his temper one more time with me, I am going to
| | | | | | | | | | | | | | | | |
punch him out!" The RN recognizes that the client is using which defense
| | | | | | | | | | | | |
mechanism? A. Denial. B. Projection. C. Rationalization. D. Splitting.
| | | | | | | |
B. Projection.
|
A mental health worker is caring for a client with escalating aggressive behavior.
| | | | | | | | | | | | |
Which action by the MHW warrant immediate intervention by the RN? A. Is
| | | | | | | | | | | | |
attempting to physically restrain the patient. B. Tells the client to go to the quiet
| | | | | | | | | | | | | | |
area of the unit. C. Is using a loid voice to talk to the client. D. Remains at a
| | | | | | | | | | | | | | | | | | |
distance of 4 feet from the client. | | | | | |
A. Is attempting to physically restrain the patient.
| | | | | | |
A client on the mental health unit is becoming more agitated, shouting at the
| | | | | | | | | | | | | |
staff, and pacing in the hallway. When the PRN medication is offered, the client
| | | | | | | | | | | | | |
refuses the medication and defiantly sits on the floor in the middle of the unit
| | | | | | | | | | | | | | |
hallway. What nursing intervention should the RN implement first? A. Transport
| | | | | | | | | | |
, of the client to the seclusion room. B. Quietly approach the client with additional
| | | | | | | | | | | | | |
staff members. C. Take other clients in the area to the client lounge. D. Administer
| | | | | | | | | | | | | |
medication to chemically restrain the patient.
| | | | | |
C. Take other clients in the area to the client lounge.
| | | | | | | | | |
A male client with bipolar disorder who began taking lithium carbonate five days
| | | | | | | | | | | | |
ago is complaining of excessive thirst, and the RN finds him attempting to drink
| | | | | | | | | | | | | |
water from the bathroom sink faucet. Which intervention should the RN
| | | | | | | | | | |
implement? A. Report the client's serum lithium level to the HCP. B. Encourage
| | | | | | | | | | | | |
the client to suck on hard candy to relieve the symptoms. C. No action is needed
| | | | | | | | | | | | | | | |
since polydipsia is a common side effect. D. Tell the client that drinking from the
| | | | | | | | | | | | | | |
faucet is not allowed. | | |
A. Report the client's serum lithium level to the HCP.
| | | | | | | | |
During an annual physical by the occupational RN working in a corporate clinic, a
| | | | | | | | | | | | | |
male employee tells the RN that is high-stress job is causing trouble in his
| | | | | | | | | | | | | |
personal life. He further explains that he often gets so angry while driving to and
| | | | | | | | | | | | | | |
from work that he has considered "getting even" with other drivers. How should
| | | | | | | | | | | | |
the RN respond? A. "Anger is contagious and could result in major confrontation."
| | | | | | | | | | | |
|B. "Try not to let your anger cause you to act impulsively." C. "Expressing your
| | | | | | | | | | | | | | |
anger to a stranger could result in an unsafe situation." D. "It sounds as if there
| | | | | | | | | | | | | | | |
are many situations that make you feel angry."
| | | | | | |
D. "It sounds as if there are many situations that make you feel angry."
| | | | | | | | | | | | |
A client who has agoraphobia (a fear of crowds) is beginning desensitization with
| | | | | | | | | | | | |
the therapist, and the RN is reinforcing the process. Which intervention has the
| | | | | | | | | | | | |
highest priority for this client's plan of care? A. Encourage substitution of positive
| | | | | | | | | | | | |
thoughts and negative ones. B. Establish trust by providing a calm, safe
| | | | | | | | | | | |
environment. C. Progressively expose the client to larger crowds. D. Encourage | | | | | | | | | | |
deep breathing when anxiety escalates in a crowd.
| | | | | | |
B. Establish trust by providing a calm, safe environment.
| | | | | | | |
