2021 HESI MENTAL HEALTH
1. A Imale Iclient Iwith Ibipolar Idisorder Iwho Ibegan Itaking Ilithium Icarbonate Ifive Idays
Iago Iis Icomplaining Iof Iexcessive Ithirst, Iand Ithe IRN Ifinds Ihim Iattempting Ito Idrink Iwater
IfromIthe Ibathroom Isink Ifaucet. IWhich Iintervention Ishould Ithe IRN Iimplement?
A. Report Ithe Iclient’s Iserum Ilithium Ilevel Ito Ithe IHCP.
B. Encourage Ithe Iclient Ito Isuck Ion Ihard Icandy Ito Irelieve Ithe Isymptoms.
C. No Iaction Iis Ineeded Isince Ipolydipsia Iis Ia Icommon Iside Ieffect.
D. Tell Ithe Iclient Ithat Idrinking Ifrom Ithe Ifaucet Iis Inot Iallowed.
2. A Imental Ihealth Iworker Iis Icaring Ifor Ia Iclient Iwith Iescalating Iaggressive
Ibehavior.IWhich Iaction Iby Ithe IMHW Iwarrant Iimmediate Iintervention Iby Ithe IRN?
A. Is Iattempting Ito Iphysically Irestrain Ithe Ipatient.
B. Tells Ithe Iclient Ito Igo Ito Ithe Iquiet Iarea Iof Ithe Iunit.
C. Is Iusing Ia Iloud Ivoice Ito Italk Ito Ithe Iclient.
D. Remains Iat Ia Idistance Iof I4 Ifeet Ifrom Ithe Iclient.
3. A Iclient Iis Iadmitted Ito Ithe Imental Ihealth Iunit Iand Ireports Itaking Iextra Iantianxiety
Imedication Ibecause, I“I’m Iso Istressed Iout. II Ijust Iwant Ito Igo Ito Isleep.” IThe IRN
IshouldIplan Ione-on-one Iobservation Iof Ithe Iclient Ibased Ion Iwhich Istatement?
A. “What Ishould II Ido? INothing Iseems Ito Ihelp.”
B. “I Ihave Ibeen Iso Itired Ilately Iand Ineeded Ito Isleep.”
C. “I Ireally Ithink Ithat II Idon’t Ineed Ito Ibe Ihere.”
D. “I Idon’t Iwant Ito Iwalk. INothing Imatters Ianymore.”
4. The IRN Iis Iperforming Iintake Iinterviews Iat Ia Ipsychiatric Iclinic. IA Ifemale Iclient Iwith
IaIknown Ihistory Iof Idrug Iabuse Ireports Ithat Ishe Ihad Ia Iheart Iattack Ifour Iyears Iago. IUse Iof
Iwhich Isubstance Iplaces Ithe Iclient Iat Ihighest Irisk Ifor Imyocardial Iinfarction?
A. Benzodiazepine
B. Alcohol
C. Methamphetamine
D. Marijuana
5. A Imale Iclient Icomes Ito Ithe Iemergency Icenter Ibecause Ihe Ihas Ian Ierection Ithat Iwill
InotIresolve. IThe Iclient Ireports Ithat Ihe Iis Itaking Itrazodone I(Desyrel) Ifor Iinsomnia.
IWhich Iinformation Iis Imost Iimportant Ifor Ithe Inurse Iask Ithe Iclient?
A. When Iwas Ithe Ilast Itime Iyou Idrank Ialcoholic Ibeverage?
B. Have Iyou Itaken Iany Imedications Ifor Ierectile Idysfunction?
C. Are Iyou Ihaving Iany Iother Isexual Idysfunctions Ior Iproblems?
D. Do Iyou Ihave Ia Ihistory Iof Iangina Ior Ihigh Iblood Ipressure?
6. The IRN Ion Ithe Iday Ishift Ireceive Ireport Iabout Ia Iclient Iwith Idepression Iwho Iwas Iin
IbedImost Iof Ithe Iweekend. IThe IRN Iwalks Iinto Ithe Iclient’s Iroom Iin Ithe Imorning Iand Ifinds
ItheIclient Iin Ibed. IWhat Iintervention Iis Ibest Ifor Ithe IRN Ito Iimplement?
A. Monitor Ithe Iclient’s Iappetite Iand Ipattern Iof Isleep.
B. Assess Ithe Iclient’s Ifeelings Iabout Ithe Ihospital Istay.
C. Assist Ithe Iclient Ito Iget Iout Iof Ibed Iand Iinvolved Iin Ian Iactivity.
D. Explain Ithat Istaff Iwill Icheck Ion Ithe Iclient Ievery I30 Iminutes.
7. A Ifemale Iclient Iadmitted Ito Ithe Imental Ihealth Iunit Istarts Ito Ishout Iand Iscream Iat Ithe
, RN. IWhat Iis Ithe Ibest Iapproach Ifor Ithe IRN Ito Itake?
A. Stay Iquietly Iwith Ithe Ipatient
B. Tell Iher Ithat Ishe Iis Iout Iof Icontrol.
C. Distract Iher Iby Ioffering Iher Ifinger Ifoods.
D. Ignore Ithe Iclient’s Iacting Iout Ibehavior.
8. A Iyoung Iadult Ifemale Ivisits Ithe Imental Ihealth Iclinic Icomplaining Iof Idiarrhea,
Iheadache, Iand Imuscle Iaches. IShe Iis Iafebrile, Idenies Ichills, Iand Iall Ilaboratory Ifindings
Iare Iwithin Inormal Ilimits. IDuring Ithe Iphysical Iassessment, Ithe Iclient Itells Ithe IRN Ithat
IherIsister Ithinks Ishe Iis Ineurotic Iand Icalls Iher Ia Ihypochondriac. IWhich Iresponse Iis Ibest
Ifor Ithe IRN Ito Iprovide?
A. Unless Iyour Isister Ihas Ia Imedical Ieducation, Iignore Iher Icomments.
B. I Ican Ihear Ithat Iyour Isister’s Icomments Iare Ioverwhelming Iyou.
C. Do Iyou Ithink Iit’s Ipossible Ithat Iyou Imight Ibe Ia Ihypochondriac?
D. Besides Iyour Isister’s Icomments, Iwhat Iin Iyour Ilife Iis Itroubling Iyou?
9. A Imental Ihealth Iworker Iis Icaring Ifor Ia Iclient Iwith Iescalating Iaggressive Ibehavior.
IWhich Iaction Iby Ithe Imental Ihealth Iworker Iwarrants Iimmediate Iintervention Iby Ithe IRN?
A. Is Iattempting Ithe Iphysically Irestrain Ithe Ipatient.
B. Remains Iat Ia Idistance Iof I4 Ifeet Ifrom Ithe Iclient.
C. Tells Ithe Iclient Ito Igo Ito Ithe Iquiet Iarea Iof Ithe Iunit.
D. Is Iusing Ia Iload Ivoice Ito Italk Ito Ithe Iclient.
10. When Ideveloping Ia Iplan Iof Icare Ifor Ia Iclient Iadmitted Ito Ithe Ipsychiatric Iunit
IfollowingIaspiration Iof Ia Icaustic Imaterial Irelated Ito Ia Isuicide Iattempt, Iwhich Inursing
Iproblem Ihas Ithe Ihighest Ipriority?
A. Impaired Icomfort.
B. Risk Ifor Iinjury.
C. Ineffective Ibreathing Ipattern.
D. Ineffective Icoping.
11. A Ifemale Iclient Ion Ia Ipsychiatric Iunit Iis Isweating Iprofusely Iwhile Ishe Ivigorously
IdoesIpush-ups Iand Ithen Iruns Ithe Ilength Iof Ithe Icorridor Iseveral Itimes Ibefore Icrashing Iinto
Ifurniture Iin Ithe Isitting Iroom. IPicking Iherself Iup, Ishe Ibegins Ito Itoss Ichairs Iaside, Ilooking
Ifor Ia Ired Ione Ito Isit Iin. IWhen Ianother Iclient Iobjects Ito Ithe Idisturbance, Ithe Iclient Ishouts,
I“I Iam Ithe Iboss Ihere. II Ido Iwhat II Iwant.” IWhich Inursing Iproblem Ibest Isupports Ithese
Iobservations?
A. Deficient Idiversional Iactivity Irelated Ito Iexcess Ienergy Ilevel.
B. Risk Ifor Iother Irelated Iviolence Irelated Ito Idisruptive Ibehavior.
C. Risk Ifor Iactivity Iintolerance Irelated Ito Ihyperactivity.
D. Disturbed Ipersonal Iidentity Irelated Ito Igrandiosity.
12. A IRN Iis Ipreparing Ithe Iphysical Ienvironment Ito Iinterview Ia Inew Iclient Ifor Iadmission
Ito Ithe Imental Ihealth Iunit. IWhich Ienvironmental Isetting Ifacilitates Ithe Ibest Ioutcome Iof
ItheIinterview?
A. Dim Ithe Ilights Iin Ithe Iroom Ito Ihelp Ithe Ipatient Ifeel Icalm.
B. Sit Iwithin Itwo Ifeet Iof Ithe Iclient Ito Ienhance Ilevel Iof Isafety Iand Isecurity.
C. Reduce Ithe Inoise Ilevel Iin Ithe Iroom Iby Iturning Ioff Ithe Itelevision Iand Iradio.
D. Position Itable Ibetween Ithe Iclient Iand Ithe IRN Ifor Iextra Ipersonal Ispace.
1. A Imale Iclient Iwith Ibipolar Idisorder Iwho Ibegan Itaking Ilithium Icarbonate Ifive Idays
Iago Iis Icomplaining Iof Iexcessive Ithirst, Iand Ithe IRN Ifinds Ihim Iattempting Ito Idrink Iwater
IfromIthe Ibathroom Isink Ifaucet. IWhich Iintervention Ishould Ithe IRN Iimplement?
A. Report Ithe Iclient’s Iserum Ilithium Ilevel Ito Ithe IHCP.
B. Encourage Ithe Iclient Ito Isuck Ion Ihard Icandy Ito Irelieve Ithe Isymptoms.
C. No Iaction Iis Ineeded Isince Ipolydipsia Iis Ia Icommon Iside Ieffect.
D. Tell Ithe Iclient Ithat Idrinking Ifrom Ithe Ifaucet Iis Inot Iallowed.
2. A Imental Ihealth Iworker Iis Icaring Ifor Ia Iclient Iwith Iescalating Iaggressive
Ibehavior.IWhich Iaction Iby Ithe IMHW Iwarrant Iimmediate Iintervention Iby Ithe IRN?
A. Is Iattempting Ito Iphysically Irestrain Ithe Ipatient.
B. Tells Ithe Iclient Ito Igo Ito Ithe Iquiet Iarea Iof Ithe Iunit.
C. Is Iusing Ia Iloud Ivoice Ito Italk Ito Ithe Iclient.
D. Remains Iat Ia Idistance Iof I4 Ifeet Ifrom Ithe Iclient.
3. A Iclient Iis Iadmitted Ito Ithe Imental Ihealth Iunit Iand Ireports Itaking Iextra Iantianxiety
Imedication Ibecause, I“I’m Iso Istressed Iout. II Ijust Iwant Ito Igo Ito Isleep.” IThe IRN
IshouldIplan Ione-on-one Iobservation Iof Ithe Iclient Ibased Ion Iwhich Istatement?
A. “What Ishould II Ido? INothing Iseems Ito Ihelp.”
B. “I Ihave Ibeen Iso Itired Ilately Iand Ineeded Ito Isleep.”
C. “I Ireally Ithink Ithat II Idon’t Ineed Ito Ibe Ihere.”
D. “I Idon’t Iwant Ito Iwalk. INothing Imatters Ianymore.”
4. The IRN Iis Iperforming Iintake Iinterviews Iat Ia Ipsychiatric Iclinic. IA Ifemale Iclient Iwith
IaIknown Ihistory Iof Idrug Iabuse Ireports Ithat Ishe Ihad Ia Iheart Iattack Ifour Iyears Iago. IUse Iof
Iwhich Isubstance Iplaces Ithe Iclient Iat Ihighest Irisk Ifor Imyocardial Iinfarction?
A. Benzodiazepine
B. Alcohol
C. Methamphetamine
D. Marijuana
5. A Imale Iclient Icomes Ito Ithe Iemergency Icenter Ibecause Ihe Ihas Ian Ierection Ithat Iwill
InotIresolve. IThe Iclient Ireports Ithat Ihe Iis Itaking Itrazodone I(Desyrel) Ifor Iinsomnia.
IWhich Iinformation Iis Imost Iimportant Ifor Ithe Inurse Iask Ithe Iclient?
A. When Iwas Ithe Ilast Itime Iyou Idrank Ialcoholic Ibeverage?
B. Have Iyou Itaken Iany Imedications Ifor Ierectile Idysfunction?
C. Are Iyou Ihaving Iany Iother Isexual Idysfunctions Ior Iproblems?
D. Do Iyou Ihave Ia Ihistory Iof Iangina Ior Ihigh Iblood Ipressure?
6. The IRN Ion Ithe Iday Ishift Ireceive Ireport Iabout Ia Iclient Iwith Idepression Iwho Iwas Iin
IbedImost Iof Ithe Iweekend. IThe IRN Iwalks Iinto Ithe Iclient’s Iroom Iin Ithe Imorning Iand Ifinds
ItheIclient Iin Ibed. IWhat Iintervention Iis Ibest Ifor Ithe IRN Ito Iimplement?
A. Monitor Ithe Iclient’s Iappetite Iand Ipattern Iof Isleep.
B. Assess Ithe Iclient’s Ifeelings Iabout Ithe Ihospital Istay.
C. Assist Ithe Iclient Ito Iget Iout Iof Ibed Iand Iinvolved Iin Ian Iactivity.
D. Explain Ithat Istaff Iwill Icheck Ion Ithe Iclient Ievery I30 Iminutes.
7. A Ifemale Iclient Iadmitted Ito Ithe Imental Ihealth Iunit Istarts Ito Ishout Iand Iscream Iat Ithe
, RN. IWhat Iis Ithe Ibest Iapproach Ifor Ithe IRN Ito Itake?
A. Stay Iquietly Iwith Ithe Ipatient
B. Tell Iher Ithat Ishe Iis Iout Iof Icontrol.
C. Distract Iher Iby Ioffering Iher Ifinger Ifoods.
D. Ignore Ithe Iclient’s Iacting Iout Ibehavior.
8. A Iyoung Iadult Ifemale Ivisits Ithe Imental Ihealth Iclinic Icomplaining Iof Idiarrhea,
Iheadache, Iand Imuscle Iaches. IShe Iis Iafebrile, Idenies Ichills, Iand Iall Ilaboratory Ifindings
Iare Iwithin Inormal Ilimits. IDuring Ithe Iphysical Iassessment, Ithe Iclient Itells Ithe IRN Ithat
IherIsister Ithinks Ishe Iis Ineurotic Iand Icalls Iher Ia Ihypochondriac. IWhich Iresponse Iis Ibest
Ifor Ithe IRN Ito Iprovide?
A. Unless Iyour Isister Ihas Ia Imedical Ieducation, Iignore Iher Icomments.
B. I Ican Ihear Ithat Iyour Isister’s Icomments Iare Ioverwhelming Iyou.
C. Do Iyou Ithink Iit’s Ipossible Ithat Iyou Imight Ibe Ia Ihypochondriac?
D. Besides Iyour Isister’s Icomments, Iwhat Iin Iyour Ilife Iis Itroubling Iyou?
9. A Imental Ihealth Iworker Iis Icaring Ifor Ia Iclient Iwith Iescalating Iaggressive Ibehavior.
IWhich Iaction Iby Ithe Imental Ihealth Iworker Iwarrants Iimmediate Iintervention Iby Ithe IRN?
A. Is Iattempting Ithe Iphysically Irestrain Ithe Ipatient.
B. Remains Iat Ia Idistance Iof I4 Ifeet Ifrom Ithe Iclient.
C. Tells Ithe Iclient Ito Igo Ito Ithe Iquiet Iarea Iof Ithe Iunit.
D. Is Iusing Ia Iload Ivoice Ito Italk Ito Ithe Iclient.
10. When Ideveloping Ia Iplan Iof Icare Ifor Ia Iclient Iadmitted Ito Ithe Ipsychiatric Iunit
IfollowingIaspiration Iof Ia Icaustic Imaterial Irelated Ito Ia Isuicide Iattempt, Iwhich Inursing
Iproblem Ihas Ithe Ihighest Ipriority?
A. Impaired Icomfort.
B. Risk Ifor Iinjury.
C. Ineffective Ibreathing Ipattern.
D. Ineffective Icoping.
11. A Ifemale Iclient Ion Ia Ipsychiatric Iunit Iis Isweating Iprofusely Iwhile Ishe Ivigorously
IdoesIpush-ups Iand Ithen Iruns Ithe Ilength Iof Ithe Icorridor Iseveral Itimes Ibefore Icrashing Iinto
Ifurniture Iin Ithe Isitting Iroom. IPicking Iherself Iup, Ishe Ibegins Ito Itoss Ichairs Iaside, Ilooking
Ifor Ia Ired Ione Ito Isit Iin. IWhen Ianother Iclient Iobjects Ito Ithe Idisturbance, Ithe Iclient Ishouts,
I“I Iam Ithe Iboss Ihere. II Ido Iwhat II Iwant.” IWhich Inursing Iproblem Ibest Isupports Ithese
Iobservations?
A. Deficient Idiversional Iactivity Irelated Ito Iexcess Ienergy Ilevel.
B. Risk Ifor Iother Irelated Iviolence Irelated Ito Idisruptive Ibehavior.
C. Risk Ifor Iactivity Iintolerance Irelated Ito Ihyperactivity.
D. Disturbed Ipersonal Iidentity Irelated Ito Igrandiosity.
12. A IRN Iis Ipreparing Ithe Iphysical Ienvironment Ito Iinterview Ia Inew Iclient Ifor Iadmission
Ito Ithe Imental Ihealth Iunit. IWhich Ienvironmental Isetting Ifacilitates Ithe Ibest Ioutcome Iof
ItheIinterview?
A. Dim Ithe Ilights Iin Ithe Iroom Ito Ihelp Ithe Ipatient Ifeel Icalm.
B. Sit Iwithin Itwo Ifeet Iof Ithe Iclient Ito Ienhance Ilevel Iof Isafety Iand Isecurity.
C. Reduce Ithe Inoise Ilevel Iin Ithe Iroom Iby Iturning Ioff Ithe Itelevision Iand Iradio.
D. Position Itable Ibetween Ithe Iclient Iand Ithe IRN Ifor Iextra Ipersonal Ispace.
