HESI MENTAL HEALTH RN RANDOM FROM ALL V1-V3
TEST BANKS Q & A
1. The nurse is using the CAGE questionnaires as a screening tool for a client who is
seeking help because his wife said he had a drinking problem. What information
should the nurse explore in-depth with the client based on this screening tool?
A. Consumption, liver enzyme, gastrointestinal complains and bleeding.
B. Minimizes drinking frequently misses family events, guilt about drinking, and
amount of daily intake.
C. Cancer screening results, anger, gastritis, daily alcohol intake.
D. Efforts to cut down, annoyance with questions, guilt, drinking as an “Eye-opener”.
(Cutting down, annoyance, guilt and eye-opener drinking are represented with the
acronym of CAGE)
2. A client who is admitted with a closed head injury after a gall has a blood alcohol
level (BAL) of 0.28 (28%) and is difficult to arouse. Which intervention during the
first 6 hours following admission should the nurse identify as the priority?
A. Place in a side-lying position with head of bed elevated.
, HESI MENTAL HEALTH RN RANDOM FROM ALL V1-V3
TEST BANKS Q & A
B. Administer disulfram (Atabuse ) immediately
11/6/2019 HESI RN MENTAL HEALTH 2018 V1 V2 V3 38 PAGES OF QUESTIONS AND ANSWERS FROM
TEST.docx C. Give lorezapam (Ativan)PRN for signs of withdrawal.
D. Provide thiamine and folate supplements as prescribed.
(Maintain patient’s airwat is the priority for a client who is intoxicated and obtunded)
3. The nurse leading a group session of adolescent clients give the members handout
about anger management. One of the male clients is fidgety, interrupts peers when
they try to talk, and talks about his pets at home. What nursing action is best for the
nurse to take?
A. Give the client permission to leave and return in 10 minutes.
B. Explore the client’s feeling about his pets and home life.
C. Encourage his peers to help involve him in the activity.
D. Redirect him by encouraging him to read from the
handout. (Best nursing action is to ask the client to read
from the handout)
4. The nurse is preparing medications for a client with bipolar disorder and notices that
the antipsychotic medication was discontinued several day ago. Which medication
should also be discontinued?
A. Alprazolam (Xanax)
B. Benztropine (Cogentin)
C. Magnesium (Milk of Magneisa)
D. Lithium (Lathotbabs)
(Cogentin is given with traditional antipsychotic medications to reduce extrapyramidal
side effects and should be discontinued when the antipsychotic medication is
discontinued)
5. A male client is admitted to the psychiatric unit for recurrent negative symptoms of
chronic schizophrenia and medication adjustment of risperidone (Risperdal). When the
client walks to the nurse’s station in a laterally contracted position, he states that
something has made his body confort into a monster. What action should the nurse
take?
A. Medicate the client with the prescribed antipsychotic thioridazine (Mellaril)
,HESI MENTAL HEALTH RN RANDOM FROM ALL V1-V3
TEST BANKS Q & A
B. Offer the client a prescribed physical therapy hot pack for muscle spasms.
C. Administer the prescribed anticholinergic benztropine (Cogentin) for dystonia.
D. Direct client to occupational therapy to distract him from somactic complaints.
(The client is experiencing a dystonic reaction due to dopamine depletion, one of
the
physiologic actions of Risperidone. This side effect requires immediate management
with Cogentin )
6. A middle-aged adult with major depressive disorder suffer from psychomotor
redardation, hypersomnia, and amotivation. Which intervention is like to be most
effective in returning this client to a normal level of functioning?
A. Encourage the client to exercise.
B. Suggest that the client develop a list of pleasurable activities.
C. Provide education on methods to enhance sleep.
D. Teach the client to develop a plan for daily structured activities.
(Development of structure life-style is vital when a client is having difficulty
with
psychomotor retardation, amotivation and hypersomnia)
7. A male client with a long history of alcohol dependency arrives in the
Emergency department describing the feeling of bugs crawling on his body. His
blood pressure is 170/102, pulse rate is 110 beats/ min, and his blood alcohol
, HESI MENTAL HEALTH RN RANDOM FROM ALL V1-V3
TEST BANKS Q & A
level is 0 mg/dl. Which
TEST BANKS Q & A
1. The nurse is using the CAGE questionnaires as a screening tool for a client who is
seeking help because his wife said he had a drinking problem. What information
should the nurse explore in-depth with the client based on this screening tool?
A. Consumption, liver enzyme, gastrointestinal complains and bleeding.
B. Minimizes drinking frequently misses family events, guilt about drinking, and
amount of daily intake.
C. Cancer screening results, anger, gastritis, daily alcohol intake.
D. Efforts to cut down, annoyance with questions, guilt, drinking as an “Eye-opener”.
(Cutting down, annoyance, guilt and eye-opener drinking are represented with the
acronym of CAGE)
2. A client who is admitted with a closed head injury after a gall has a blood alcohol
level (BAL) of 0.28 (28%) and is difficult to arouse. Which intervention during the
first 6 hours following admission should the nurse identify as the priority?
A. Place in a side-lying position with head of bed elevated.
, HESI MENTAL HEALTH RN RANDOM FROM ALL V1-V3
TEST BANKS Q & A
B. Administer disulfram (Atabuse ) immediately
11/6/2019 HESI RN MENTAL HEALTH 2018 V1 V2 V3 38 PAGES OF QUESTIONS AND ANSWERS FROM
TEST.docx C. Give lorezapam (Ativan)PRN for signs of withdrawal.
D. Provide thiamine and folate supplements as prescribed.
(Maintain patient’s airwat is the priority for a client who is intoxicated and obtunded)
3. The nurse leading a group session of adolescent clients give the members handout
about anger management. One of the male clients is fidgety, interrupts peers when
they try to talk, and talks about his pets at home. What nursing action is best for the
nurse to take?
A. Give the client permission to leave and return in 10 minutes.
B. Explore the client’s feeling about his pets and home life.
C. Encourage his peers to help involve him in the activity.
D. Redirect him by encouraging him to read from the
handout. (Best nursing action is to ask the client to read
from the handout)
4. The nurse is preparing medications for a client with bipolar disorder and notices that
the antipsychotic medication was discontinued several day ago. Which medication
should also be discontinued?
A. Alprazolam (Xanax)
B. Benztropine (Cogentin)
C. Magnesium (Milk of Magneisa)
D. Lithium (Lathotbabs)
(Cogentin is given with traditional antipsychotic medications to reduce extrapyramidal
side effects and should be discontinued when the antipsychotic medication is
discontinued)
5. A male client is admitted to the psychiatric unit for recurrent negative symptoms of
chronic schizophrenia and medication adjustment of risperidone (Risperdal). When the
client walks to the nurse’s station in a laterally contracted position, he states that
something has made his body confort into a monster. What action should the nurse
take?
A. Medicate the client with the prescribed antipsychotic thioridazine (Mellaril)
,HESI MENTAL HEALTH RN RANDOM FROM ALL V1-V3
TEST BANKS Q & A
B. Offer the client a prescribed physical therapy hot pack for muscle spasms.
C. Administer the prescribed anticholinergic benztropine (Cogentin) for dystonia.
D. Direct client to occupational therapy to distract him from somactic complaints.
(The client is experiencing a dystonic reaction due to dopamine depletion, one of
the
physiologic actions of Risperidone. This side effect requires immediate management
with Cogentin )
6. A middle-aged adult with major depressive disorder suffer from psychomotor
redardation, hypersomnia, and amotivation. Which intervention is like to be most
effective in returning this client to a normal level of functioning?
A. Encourage the client to exercise.
B. Suggest that the client develop a list of pleasurable activities.
C. Provide education on methods to enhance sleep.
D. Teach the client to develop a plan for daily structured activities.
(Development of structure life-style is vital when a client is having difficulty
with
psychomotor retardation, amotivation and hypersomnia)
7. A male client with a long history of alcohol dependency arrives in the
Emergency department describing the feeling of bugs crawling on his body. His
blood pressure is 170/102, pulse rate is 110 beats/ min, and his blood alcohol
, HESI MENTAL HEALTH RN RANDOM FROM ALL V1-V3
TEST BANKS Q & A
level is 0 mg/dl. Which
