HESI MENTAL HEALTH RN COMPREHENSIVE TEST BANK FINAL
EXAM 2026 -2027 \LATEST UPDATE WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS\VERIFIED 100% ALREADY
GRADED A+
After receiving treatment for anorexia, a student asks the school RN for
permission to work in the school cafeteria as part of the school's work
study program. What action should the RN take?
Recommend assignment to the receptionist's office.
The Rn accepts a transfer to the metal health unit and understands that the
client is distractible and is exhibiting a decreased ability to concentrate.
The RN only has 15 minutes to talk to the client. To develop treatment
plan for this client, which
assessment is most important for the RN to obtain?
Mental status examination.
A male client who recently lost a loved one arrives at the mental health
center and tells the RN he is no longer interested is his usual activities and
has not slept for several days. Which priority nursing problem should the
RN include in the client's plan of care?
Sleep deprivation.
,A male client with long history of alcohol dependency arrives in the
emergency
department describing the feelings of bugs crawling on his body. His blood
pressure is 170/102, his pulse rate is 110 bpm, and is blood alcohol level is
0mg/dL. Which
prescription should the RN administer?
Lorazepam (Ativan)
A client who refuses antipsychotic medications disrupts group activities,
talks with nonsensical words and wanders into client's rooms. The RN
decides that the client needs constant observation based on which of
these assessment findings?
Wanders into the clients rooms.
A client with schizophrenia explains that she has 20 children and then
very seriously points to the RN and explains that she is one of them.
What is the most therapeutic response for the RN to provide/ A."Let'sgo
ask another RN is this istrue."
"My name tag shows that I am a RN here."
A high school girl reveals to the high school RN that she has been
engaging in self-induced vomiting as weight-control measure. Which
initial assessment should the RN focus on with this adolescent?
Frequency of bingeing and purging behaviors.
,Narcan was administered to an adult client following a suicide attempt
with an overdose of hydrocodone bitartrate (Vicodin). Within 15 minutes,
the client is alert
and oriented. In planning nursing care, which intervention has the highest
priority at this time?
Observe the client for further narcotic effects
Following surgery, a male client with antisocial personality disorder
frequently requests that a specific RN be assigned to is care and is
belligerent when another RN is assigned. What action should the charge RN
implement?
Advise the client that assignments are not based on the client's request
When preparing to administer a prescribed medication to a homeless male at
a community clinic, the client tells the RN that he usually takes a different
dosage. What action should the RN take?
Withhold the medication until the dosage can be confirmed.
A client with depression remains in bed most of the day, and declines
activities. Which nursing problem has the greatest priority for this client?
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?
Benztropine (Cogentin).
, 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?
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?
Projection
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?
Report the client's serum lithium level to the HCP.
The RN is teaching a client about the initiation of the prescribed abstinence
therapy using disulfiram (Antabuse). What information should the client
acknowledge
understanding?
Remain alcohol free for 12 hours prior to the first dose
EXAM 2026 -2027 \LATEST UPDATE WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS\VERIFIED 100% ALREADY
GRADED A+
After receiving treatment for anorexia, a student asks the school RN for
permission to work in the school cafeteria as part of the school's work
study program. What action should the RN take?
Recommend assignment to the receptionist's office.
The Rn accepts a transfer to the metal health unit and understands that the
client is distractible and is exhibiting a decreased ability to concentrate.
The RN only has 15 minutes to talk to the client. To develop treatment
plan for this client, which
assessment is most important for the RN to obtain?
Mental status examination.
A male client who recently lost a loved one arrives at the mental health
center and tells the RN he is no longer interested is his usual activities and
has not slept for several days. Which priority nursing problem should the
RN include in the client's plan of care?
Sleep deprivation.
,A male client with long history of alcohol dependency arrives in the
emergency
department describing the feelings of bugs crawling on his body. His blood
pressure is 170/102, his pulse rate is 110 bpm, and is blood alcohol level is
0mg/dL. Which
prescription should the RN administer?
Lorazepam (Ativan)
A client who refuses antipsychotic medications disrupts group activities,
talks with nonsensical words and wanders into client's rooms. The RN
decides that the client needs constant observation based on which of
these assessment findings?
Wanders into the clients rooms.
A client with schizophrenia explains that she has 20 children and then
very seriously points to the RN and explains that she is one of them.
What is the most therapeutic response for the RN to provide/ A."Let'sgo
ask another RN is this istrue."
"My name tag shows that I am a RN here."
A high school girl reveals to the high school RN that she has been
engaging in self-induced vomiting as weight-control measure. Which
initial assessment should the RN focus on with this adolescent?
Frequency of bingeing and purging behaviors.
,Narcan was administered to an adult client following a suicide attempt
with an overdose of hydrocodone bitartrate (Vicodin). Within 15 minutes,
the client is alert
and oriented. In planning nursing care, which intervention has the highest
priority at this time?
Observe the client for further narcotic effects
Following surgery, a male client with antisocial personality disorder
frequently requests that a specific RN be assigned to is care and is
belligerent when another RN is assigned. What action should the charge RN
implement?
Advise the client that assignments are not based on the client's request
When preparing to administer a prescribed medication to a homeless male at
a community clinic, the client tells the RN that he usually takes a different
dosage. What action should the RN take?
Withhold the medication until the dosage can be confirmed.
A client with depression remains in bed most of the day, and declines
activities. Which nursing problem has the greatest priority for this client?
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?
Benztropine (Cogentin).
, 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?
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?
Projection
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?
Report the client's serum lithium level to the HCP.
The RN is teaching a client about the initiation of the prescribed abstinence
therapy using disulfiram (Antabuse). What information should the client
acknowledge
understanding?
Remain alcohol free for 12 hours prior to the first dose
