HESI MENTAL
HESI MENTAL HEALTH RN
RANDOM FROM ALL V1-V3 2018
TEST BANKS (ALL TOGETHER-
VARIOUS TEST QUESTIONS –
38 PAGES OF STUDY NOTE
TEST QUESTIONS FROM EXAM)
42. During admission to the psychiatric unit, a female client is
extremely anxious and states that she is worried about the sun
coming up the next day. What intervention is most important for
the RN to implement during the admission process?
A. Assist the client in developing alternative coping skills.
B. Remain calm and use a matter of fact approach.
C. Ask the client why she is so anxious
D. Administer a PRN sedative to help relieve her anxiety.
41. A female client is brought to the emergency department after
police officers found her disoriented, disorganized, and confused.
The RN also determines that the client is homeless and is
exhibiting suspiciousness. The client’s plan of care should include
what priority problem?
A. Acute confusion.
1
,HESI MENTAL
B. Ineffective community coping
C. Disturbed sensory perception.
D. Self-care deficit.
39. The occupational health nurse is working with a female
employee who was just notified that her child was involved in a
MVA and taken to the hospital. The employee states, “I can’t
believe this. What should I do?” Which response is best for the RN
to provide in this crisis?
A. Tell me what you think should happen.
B. How serious was the collision?
C. What do you think you should do?
D. Call for transportation to the hospital.
40. A client tells the RN that he has an IQ of 400+ and is a genius
and an inventor. He also reports that he is married to a female
movie star and thinks that his brother wants a sexual relationship
with her. What is the priority nursing problem for admission to the
psychiatric unit?
A. Ineffective sexual patterns.
B. Impaired environmental interpretation.
C. Disturbed sensory perception.
D. Compromised family coping.
46. The RN is providing care for a client diagnosed with borderline
personality disorder who has self-inflicted lacerations on the
abdomen. Which approach should the RN use when changing this
client’s dressing?
2
,HESI MENTAL
A. Provide detailed thorough explanations when cleansing
wound.
B. Perform the dressing change in a non-judgmental manner.
C. Ask in a non-threatening manner why the client cut own
abdomen.
D. Request another staff member assist with the dressing
change.
36. While sitting in the day room of the mental health unit, a male
adolescent avoids eye contact, looks at the floor, and talks softly
when interacting verbally with the RN. The two trade places, and
the RN demonstrates the client’s behaviors. What is the main goal
of this therapeutic technique?
A. Initiate a non-threatening conversation with the client.
B. Dialog about the ineffectiveness of his interactions.
C. Allow the client to identify the way he interacts.
D. Discuss the client’s feelings when he responds.
35. An antidepressant medication is prescribed for a client who
reports sleeping only 4 hours in the past 2 days and weight loss of
9 lbs within the last month. Which client goal is most important to
achieve within the first three days of treatment?
A. Meet scheduled appointment with
dietitian. B. Sleep at least 6 hours a night.
C. Understands the purpose of the medication regimen.
D. Describes the reasons for hospitalization.
34. When preparing to administer to domestic violence screening
tool to a female client, which statement should the RN provide?
3
, HESI MENTAL
A. If your partner is abusing you, I need to ask these questions.
B. State law mandates that I ask if you are a victim of domestic
violence.
C. The HCP provider needs to know if you are experiencing any
domestic abuse.
D. All clients are screened for domestic abuse because it is
common in our society.
33. A young adult female visits the mental health clinic
complaining of diarrhea, headache, and muscle aches. She is
afebrile, denies chills, and all laboratory findings are within
normal limits. During the physical assessment, the client tells the
RN that her sister thinks she is neurotic and calls her a
hypochondriac. Which response is best for the RN to provide?
A. Unless your sister has a medical education, ignore her
comments.
B. I can hear that your sister comments are over-whelming you.
C. Do you think it’s possible that you might be
a hypochondriac?
D. Besides your sister’s comments, what in your life is troubling
you?
32. The RN is leading a group on the inpatient psychiatric unit.
Which approach should the RN use during the working phase
of group development?
A. Establishing a rapport with group members.
B. Clarifying the nurse’s role and clients’ responsibilities.
C. Discussing ways to use new coping skills learned.
D. Helping clients identify areas of problem in their lives.
4
HESI MENTAL HEALTH RN
RANDOM FROM ALL V1-V3 2018
TEST BANKS (ALL TOGETHER-
VARIOUS TEST QUESTIONS –
38 PAGES OF STUDY NOTE
TEST QUESTIONS FROM EXAM)
42. During admission to the psychiatric unit, a female client is
extremely anxious and states that she is worried about the sun
coming up the next day. What intervention is most important for
the RN to implement during the admission process?
A. Assist the client in developing alternative coping skills.
B. Remain calm and use a matter of fact approach.
C. Ask the client why she is so anxious
D. Administer a PRN sedative to help relieve her anxiety.
41. A female client is brought to the emergency department after
police officers found her disoriented, disorganized, and confused.
The RN also determines that the client is homeless and is
exhibiting suspiciousness. The client’s plan of care should include
what priority problem?
A. Acute confusion.
1
,HESI MENTAL
B. Ineffective community coping
C. Disturbed sensory perception.
D. Self-care deficit.
39. The occupational health nurse is working with a female
employee who was just notified that her child was involved in a
MVA and taken to the hospital. The employee states, “I can’t
believe this. What should I do?” Which response is best for the RN
to provide in this crisis?
A. Tell me what you think should happen.
B. How serious was the collision?
C. What do you think you should do?
D. Call for transportation to the hospital.
40. A client tells the RN that he has an IQ of 400+ and is a genius
and an inventor. He also reports that he is married to a female
movie star and thinks that his brother wants a sexual relationship
with her. What is the priority nursing problem for admission to the
psychiatric unit?
A. Ineffective sexual patterns.
B. Impaired environmental interpretation.
C. Disturbed sensory perception.
D. Compromised family coping.
46. The RN is providing care for a client diagnosed with borderline
personality disorder who has self-inflicted lacerations on the
abdomen. Which approach should the RN use when changing this
client’s dressing?
2
,HESI MENTAL
A. Provide detailed thorough explanations when cleansing
wound.
B. Perform the dressing change in a non-judgmental manner.
C. Ask in a non-threatening manner why the client cut own
abdomen.
D. Request another staff member assist with the dressing
change.
36. While sitting in the day room of the mental health unit, a male
adolescent avoids eye contact, looks at the floor, and talks softly
when interacting verbally with the RN. The two trade places, and
the RN demonstrates the client’s behaviors. What is the main goal
of this therapeutic technique?
A. Initiate a non-threatening conversation with the client.
B. Dialog about the ineffectiveness of his interactions.
C. Allow the client to identify the way he interacts.
D. Discuss the client’s feelings when he responds.
35. An antidepressant medication is prescribed for a client who
reports sleeping only 4 hours in the past 2 days and weight loss of
9 lbs within the last month. Which client goal is most important to
achieve within the first three days of treatment?
A. Meet scheduled appointment with
dietitian. B. Sleep at least 6 hours a night.
C. Understands the purpose of the medication regimen.
D. Describes the reasons for hospitalization.
34. When preparing to administer to domestic violence screening
tool to a female client, which statement should the RN provide?
3
, HESI MENTAL
A. If your partner is abusing you, I need to ask these questions.
B. State law mandates that I ask if you are a victim of domestic
violence.
C. The HCP provider needs to know if you are experiencing any
domestic abuse.
D. All clients are screened for domestic abuse because it is
common in our society.
33. A young adult female visits the mental health clinic
complaining of diarrhea, headache, and muscle aches. She is
afebrile, denies chills, and all laboratory findings are within
normal limits. During the physical assessment, the client tells the
RN that her sister thinks she is neurotic and calls her a
hypochondriac. Which response is best for the RN to provide?
A. Unless your sister has a medical education, ignore her
comments.
B. I can hear that your sister comments are over-whelming you.
C. Do you think it’s possible that you might be
a hypochondriac?
D. Besides your sister’s comments, what in your life is troubling
you?
32. The RN is leading a group on the inpatient psychiatric unit.
Which approach should the RN use during the working phase
of group development?
A. Establishing a rapport with group members.
B. Clarifying the nurse’s role and clients’ responsibilities.
C. Discussing ways to use new coping skills learned.
D. Helping clients identify areas of problem in their lives.
4
