HESI MENTAL HEALTH RN V1-V3 2019 TEST BANKS (ALL
TOGETHER) COMPLETE SOLUTIONS
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.
Projection.
C. Rationalization.
D. Splitting.
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?
, 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 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.
,Which nursing actions are likely to help promote the self-
esteem of a male client with modern depression?
, A. Ask the client what his long term goals are.
B. Discuss the challenges of his medical condition.
C. 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
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 contort
into a monster. What action should the RN take?
A. Medicate the client with the prescribed
antipsychotic thioridazine (Mellaril).
B. Offer the client a prescribed physical therapy
hot pack for muscle spasms.
C. Direct client to occupational therapy to distract him
from somatic complaints.
D. Administer the prescribed anticholinergic benztropine
(Cogentin) for dystonia.
A mental health worker is caring for a client with escalating
aggressive behavior. Which action by the MHW warrant
immediate intervention by the RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loid voice to talk to the client.
D. 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 client refuses the medication
and defiantly sits on the floor in the middle of the unit
hallway. What nursing intervention should the RN implement
first?
A. Transport of the client to the seclusion room.
B. Quietly approach the client with additional
staff members. C. Take other clients in the area
to the client lounge.
D. Administer medication to chemically restrain the patient.
A client is admitted to the mental health unit and reports
taking extra antianxiety medication because, “I’m so
stressed out. I just want to go to sleep.” The RN should
plan one-on-one observation of the client based on which
statement?
TOGETHER) COMPLETE SOLUTIONS
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.
Projection.
C. Rationalization.
D. Splitting.
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?
, 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 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.
,Which nursing actions are likely to help promote the self-
esteem of a male client with modern depression?
, A. Ask the client what his long term goals are.
B. Discuss the challenges of his medical condition.
C. 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
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 contort
into a monster. What action should the RN take?
A. Medicate the client with the prescribed
antipsychotic thioridazine (Mellaril).
B. Offer the client a prescribed physical therapy
hot pack for muscle spasms.
C. Direct client to occupational therapy to distract him
from somatic complaints.
D. Administer the prescribed anticholinergic benztropine
(Cogentin) for dystonia.
A mental health worker is caring for a client with escalating
aggressive behavior. Which action by the MHW warrant
immediate intervention by the RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loid voice to talk to the client.
D. 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 client refuses the medication
and defiantly sits on the floor in the middle of the unit
hallway. What nursing intervention should the RN implement
first?
A. Transport of the client to the seclusion room.
B. Quietly approach the client with additional
staff members. C. Take other clients in the area
to the client lounge.
D. Administer medication to chemically restrain the patient.
A client is admitted to the mental health unit and reports
taking extra antianxiety medication because, “I’m so
stressed out. I just want to go to sleep.” The RN should
plan one-on-one observation of the client based on which
statement?
