HESI MENTAL HEALTH RN V1-V3 2019 TEST BANKS
Q & A DOWNLOAD TO SCORE A
1. A client with depression remains in bed most of the day, anddeclines
activities. Which nursing problem has the greatest priority for this client?
• Loss of interest in diversional activity.
• Social isolation.
• Refusal to address nutritional needs.
• Low self-esteem.
1. 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?
• Lithium. (Lithotabs)
• Benzotropine (Cogentin).
• Alprazolam (Xanax).
• Magnesium (Milk of Magnesia).
1. A female client requests that her husband be allowed to stayin the room
during the admission assessment. When interviewing the client, the RN
notes a discrepancy betweenthe client’s verbal and nonverbal
communication.
What action does the RN take?
• Pay close attention and document the nonverbal messages.
• Ask the client’s husband to interpret the discrepancy.
• Ignore the nonverbal behavior and focus on theclient’s
verbal messages.
• Integrate the verbal and nonverbal messages andinterpret
them as one.
,4. A male client approaches the RN with an angry expression onhis 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.
Projecti
on.
C. Rationalization.
D. Splitting.
A male client with bipolar disorder who began taking lithiumcarbonate 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.
• Encourage the client to suck on hard candy to relieve thesymptoms.
• No action is needed since polydipsia is a common sideeffect.
• Tell the client that drinking from the faucet is not allowed.
The RN is teaching a client about the initiation of the prescribedabstinence therapy
using disulfiram (Antabuse). What information should the client acknowledge
understanding?
• Completely abstain from heroin or cocaine use.
• Remain alcohol free for 12 hours prior to the first dose.
• Attend monthly meetings of alcoholics anonymous.
• Admit to others that he is a substance user.
,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?
• Have you lost interest in the things that you used to enjoy?
• Is your ability to think or concentrate decreased?
• How many continuous hours do you sleepat night?
D. Do you hear sounds or voices that others do not hear?
During an annual physical by the occupational RN working ina 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 otherdrivers. How
should the RN respond?
• “Anger is contagious and could result in major
confrontation.”
• “Try not to let your anger cause you to act impulsively.”
• “Expressing your anger to a stranger could resultin an unsafe
situation.”
• “It sounds as if there are many situations that make youfeel 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 acrowd.
Which nursing actions are likely to help promote the self-esteem of a male client
with modern depression?
, • Ask the client what his long term goals are.
• Discuss the challenges of his medical condition.
• Include the client in determining treatment protocol.
D. Encourage the client to engage in recreational therapy.
E. Provide opportunities for the client to discuss his concerns.
A male client is admitted to the psychiatric unit for recurrentnegative symptoms
of chronic schizophrenia and medicationadjustment of Risperidone (Risperdal).
When the client walksto the nurse’s station in a laterally contracted position,
he states that something has made his body contort into a monster. What
action should the RN take?
• Medicate the client with the prescribed
antipsychotic thioridazine (Mellaril).
• Offer the client a prescribed physical therapy hotpack for
muscle spasms.
• Direct client to occupational therapy to distract himfrom
somatic complaints.
• Administer the prescribed anticholinergic benztropine(Cogentin)
for dystonia.
A mental health worker is caring for a client with escalatingaggressive behavior.
Which action by the MHW warrant immediate intervention by the RN?
• Is attempting to physically restrain the patient.
• Tells the client to go to the quiet area of the unit.
• Is using a loid voice to talk to the client.
• Remains at a distance of 4 feet from the client.
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
Q & A DOWNLOAD TO SCORE A
1. A client with depression remains in bed most of the day, anddeclines
activities. Which nursing problem has the greatest priority for this client?
• Loss of interest in diversional activity.
• Social isolation.
• Refusal to address nutritional needs.
• Low self-esteem.
1. 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?
• Lithium. (Lithotabs)
• Benzotropine (Cogentin).
• Alprazolam (Xanax).
• Magnesium (Milk of Magnesia).
1. A female client requests that her husband be allowed to stayin the room
during the admission assessment. When interviewing the client, the RN
notes a discrepancy betweenthe client’s verbal and nonverbal
communication.
What action does the RN take?
• Pay close attention and document the nonverbal messages.
• Ask the client’s husband to interpret the discrepancy.
• Ignore the nonverbal behavior and focus on theclient’s
verbal messages.
• Integrate the verbal and nonverbal messages andinterpret
them as one.
,4. A male client approaches the RN with an angry expression onhis 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.
Projecti
on.
C. Rationalization.
D. Splitting.
A male client with bipolar disorder who began taking lithiumcarbonate 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.
• Encourage the client to suck on hard candy to relieve thesymptoms.
• No action is needed since polydipsia is a common sideeffect.
• Tell the client that drinking from the faucet is not allowed.
The RN is teaching a client about the initiation of the prescribedabstinence therapy
using disulfiram (Antabuse). What information should the client acknowledge
understanding?
• Completely abstain from heroin or cocaine use.
• Remain alcohol free for 12 hours prior to the first dose.
• Attend monthly meetings of alcoholics anonymous.
• Admit to others that he is a substance user.
,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?
• Have you lost interest in the things that you used to enjoy?
• Is your ability to think or concentrate decreased?
• How many continuous hours do you sleepat night?
D. Do you hear sounds or voices that others do not hear?
During an annual physical by the occupational RN working ina 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 otherdrivers. How
should the RN respond?
• “Anger is contagious and could result in major
confrontation.”
• “Try not to let your anger cause you to act impulsively.”
• “Expressing your anger to a stranger could resultin an unsafe
situation.”
• “It sounds as if there are many situations that make youfeel 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 acrowd.
Which nursing actions are likely to help promote the self-esteem of a male client
with modern depression?
, • Ask the client what his long term goals are.
• Discuss the challenges of his medical condition.
• Include the client in determining treatment protocol.
D. Encourage the client to engage in recreational therapy.
E. Provide opportunities for the client to discuss his concerns.
A male client is admitted to the psychiatric unit for recurrentnegative symptoms
of chronic schizophrenia and medicationadjustment of Risperidone (Risperdal).
When the client walksto the nurse’s station in a laterally contracted position,
he states that something has made his body contort into a monster. What
action should the RN take?
• Medicate the client with the prescribed
antipsychotic thioridazine (Mellaril).
• Offer the client a prescribed physical therapy hotpack for
muscle spasms.
• Direct client to occupational therapy to distract himfrom
somatic complaints.
• Administer the prescribed anticholinergic benztropine(Cogentin)
for dystonia.
A mental health worker is caring for a client with escalatingaggressive behavior.
Which action by the MHW warrant immediate intervention by the RN?
• Is attempting to physically restrain the patient.
• Tells the client to go to the quiet area of the unit.
• Is using a loid voice to talk to the client.
• Remains at a distance of 4 feet from the client.
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
