HESI MENTAL HEALTH RN V1-
V3 2021/2022TEST BANKS QS
& ANS
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.
Projection.
C. Rationalization.
D. Splitting.
,HESI MENTAL HEALTH RN V1-
V3 2021/2022TEST BANKS QS
& ANS
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?
,HESI MENTAL HEALTH RN V1-
V3 2021/2022TEST BANKS QS
& ANS
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
, HESI MENTAL HEALTH RN V1-
V3 2021/2022TEST BANKS QS
& ANS
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 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 a
crowd.
V3 2021/2022TEST BANKS QS
& ANS
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.
Projection.
C. Rationalization.
D. Splitting.
,HESI MENTAL HEALTH RN V1-
V3 2021/2022TEST BANKS QS
& ANS
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?
,HESI MENTAL HEALTH RN V1-
V3 2021/2022TEST BANKS QS
& ANS
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
, HESI MENTAL HEALTH RN V1-
V3 2021/2022TEST BANKS QS
& ANS
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 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 a
crowd.
