lOMoARcPSD|5967629
Exam elaborations HESI RN mental health v1 v3
all together
Nursing Research (University of the District of
Columbia)
, lOMoARcPSD|5967629
HESI MENTAL HEALTH RN V1-V3 2019 TEST BANKS
(ALL TOGETHER)
A client with depression remains in bed most of
the day, and declines activities. Which nursing
problem has the greatest priority for this client?
A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
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?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).
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?
A. Pay close attention and document the nonverbal
messages.
B. Ask the client’s husband to interpret the
discrepancy.
C. Ignore the nonverbal behavior and
focus on the client’s verbal messages.
D. Integrate the verbal and nonverbal
messages and interpret them as one.
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?
A.
Denial.
B.
Projectio
n.
C. Rationalization.
D. Splitting.
, lOMoARcPSD|5967629
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?
, lOMoARcPSD|5967629
A. Report the client’s serum lithium level to the HCP.
B. Encourage the client to suck on hard candy
to relieve the symptoms.
C. No action is needed since polydipsia is a
common side effect.
D. Tell the client that drinking from the faucet is not
allowed.
The RN is teaching a client about the initiation of the
prescribed abstinence therapy using disulfiram
(Antabuse). What information should the client
acknowledge understanding?
A. Completely abstain from heroin or cocaine use.
B. Remain alcohol free for 12 hours prior to the first
dose.
C. Attend monthly meetings of alcoholics
anonymous.
D. 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?
A. Have you lost interest in the things that you used
to enjoy?
B. Is your ability to think or concentrate decreased?
C. How many continuous hours do
you sleep at night? D. Do you hear
sounds or voices that others do not
hear?
During an annual physical by the occupational RN
working in a 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 other drivers. How should the RN respond?
A. “Anger is contagious and could result
in major confrontation.”
B. “Try not to let your anger cause you to act
impulsively.”
C. “Expressing your anger to a stranger
could result in an unsafe situation.”
D. “It sounds as if there are many situations
that make you feel angry.”
A client who has agoraphobia (a fear of crowds) is
beginning desensitization with the therapist, and
Exam elaborations HESI RN mental health v1 v3
all together
Nursing Research (University of the District of
Columbia)
, lOMoARcPSD|5967629
HESI MENTAL HEALTH RN V1-V3 2019 TEST BANKS
(ALL TOGETHER)
A client with depression remains in bed most of
the day, and declines activities. Which nursing
problem has the greatest priority for this client?
A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
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?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).
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?
A. Pay close attention and document the nonverbal
messages.
B. Ask the client’s husband to interpret the
discrepancy.
C. Ignore the nonverbal behavior and
focus on the client’s verbal messages.
D. Integrate the verbal and nonverbal
messages and interpret them as one.
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?
A.
Denial.
B.
Projectio
n.
C. Rationalization.
D. Splitting.
, lOMoARcPSD|5967629
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?
, lOMoARcPSD|5967629
A. Report the client’s serum lithium level to the HCP.
B. Encourage the client to suck on hard candy
to relieve the symptoms.
C. No action is needed since polydipsia is a
common side effect.
D. Tell the client that drinking from the faucet is not
allowed.
The RN is teaching a client about the initiation of the
prescribed abstinence therapy using disulfiram
(Antabuse). What information should the client
acknowledge understanding?
A. Completely abstain from heroin or cocaine use.
B. Remain alcohol free for 12 hours prior to the first
dose.
C. Attend monthly meetings of alcoholics
anonymous.
D. 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?
A. Have you lost interest in the things that you used
to enjoy?
B. Is your ability to think or concentrate decreased?
C. How many continuous hours do
you sleep at night? D. Do you hear
sounds or voices that others do not
hear?
During an annual physical by the occupational RN
working in a 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 other drivers. How should the RN respond?
A. “Anger is contagious and could result
in major confrontation.”
B. “Try not to let your anger cause you to act
impulsively.”
C. “Expressing your anger to a stranger
could result in an unsafe situation.”
D. “It sounds as if there are many situations
that make you feel angry.”
A client who has agoraphobia (a fear of crowds) is
beginning desensitization with the therapist, and
