Rasmussen: Mental Health Exam 2 Latest Version(2023)
HESI Mental Health Exam
(CHECK THE LAST PAGE FOR MULTIPLE VERSIONS OF THE EXAM
AND OTHER HESI EXAMS)
1. While caring for an older client, the nurse observes multiple bruises over the client’s legs, arms,
back, and gluteal areas. When the client contact, the nurse suspects elder abuse. What action
should the nurse indicate?
➢ Measure and document size, shape and color of the bruised areas.
2. A client who is homeless is diagnosed with schizophrenia and admitted on an involuntary basis to e
mental health hospital 4 days ago. The client stopped taking prescribed antipsychotic drugs
approximately one month ago. Since hospitalization the client continues to have poor judgment
and refuses all medications. What action should the nurse take?
➢ Administer a long acting antipsychotic medication so that the client can be discharged to
a shelter. ?
3. After receiving treatment for anorexia, a student asks the school nurse for permission to work in
the school cafeteria as part of the school’s wok study program. What action should the nurse take?
➢ Recommend assignment to the receptionist’s office.
4. A male client comes to the emergency center because he has an erection that will not resolve.
The client reports that he is taking trazodone (desyrel) for insomnia. Which information is most
important for the nurse to ask this client?
➢ Have you taken any medication for erectile dysfunction?
5. On admission to the mental health unit, a client diagnosed with schizophrenia tells the nurse that
he is the son of God. Based on this statement, which intervention should the nurse include in this
client’s plan of care?
➢ Confront his delusion as not consistent with reality.
6. The nurse on the day shift receives report about a client with depression who was in bed most of
the weekend. The nurse walks into the client’s room in the morning and finds the client in bed.
What intervention I best for the nurse to implement?
➢ Assist the client to get out of bed and involved in an activity.
7. Which client information indicates the need for the nurse to use the CAGE questionnaire during
the admission interview?
➢ Describes self as a social drinker who drinks alcoholic beverages daily.
8. A female client admitted to the mental health unit stats to shout and scream at the nurse. What is
he best approach for the nurse to take?
➢ Stay quietly with the client.
9. A woman is brought to the psychiatric clinic by her husband. He reports that his wife is reluctant
to leave home because of what she describes as a fear of open places and crows. Which nursing
problems applies to the client’s behavior?
➢ Anxiety related to real or perceived threat to physical integrity.
10. A client is receiving benztropine mesylate (Cogentin) for drug-induced extrapyramidal
syndrome (EPS). Which finding indicates that the RN should further evaluate the client?
➢ Presence of a dry mouth.
11. A male client in the mental health unit is guarded and vaguely answers the nurse’s questions. He
This study source was downloaded by 100000865629352 from CourseHero.com on 05-27-2023 02:15:07 GMT -05:00
https://www.coursehero.com/file/95389252/HESI-Mental-Health-Exam-2021-Mental-Health-HESI-Exam-2021docx/
, Rasmussen: Mental Health Exam 2 Latest Version(2023)
isolates in his room and sometimes opens the door to peek into the hall. Which problem can the
RN anticipate?
➢ Delusions of persecution.
This study source was downloaded by 100000865629352 from CourseHero.com on 05-27-2023 02:15:07 GMT -05:00
https://www.coursehero.com/file/95389252/HESI-Mental-Health-Exam-2021-Mental-Health-HESI-Exam-2021docx/
HESI Mental Health Exam
(CHECK THE LAST PAGE FOR MULTIPLE VERSIONS OF THE EXAM
AND OTHER HESI EXAMS)
1. While caring for an older client, the nurse observes multiple bruises over the client’s legs, arms,
back, and gluteal areas. When the client contact, the nurse suspects elder abuse. What action
should the nurse indicate?
➢ Measure and document size, shape and color of the bruised areas.
2. A client who is homeless is diagnosed with schizophrenia and admitted on an involuntary basis to e
mental health hospital 4 days ago. The client stopped taking prescribed antipsychotic drugs
approximately one month ago. Since hospitalization the client continues to have poor judgment
and refuses all medications. What action should the nurse take?
➢ Administer a long acting antipsychotic medication so that the client can be discharged to
a shelter. ?
3. After receiving treatment for anorexia, a student asks the school nurse for permission to work in
the school cafeteria as part of the school’s wok study program. What action should the nurse take?
➢ Recommend assignment to the receptionist’s office.
4. A male client comes to the emergency center because he has an erection that will not resolve.
The client reports that he is taking trazodone (desyrel) for insomnia. Which information is most
important for the nurse to ask this client?
➢ Have you taken any medication for erectile dysfunction?
5. On admission to the mental health unit, a client diagnosed with schizophrenia tells the nurse that
he is the son of God. Based on this statement, which intervention should the nurse include in this
client’s plan of care?
➢ Confront his delusion as not consistent with reality.
6. The nurse on the day shift receives report about a client with depression who was in bed most of
the weekend. The nurse walks into the client’s room in the morning and finds the client in bed.
What intervention I best for the nurse to implement?
➢ Assist the client to get out of bed and involved in an activity.
7. Which client information indicates the need for the nurse to use the CAGE questionnaire during
the admission interview?
➢ Describes self as a social drinker who drinks alcoholic beverages daily.
8. A female client admitted to the mental health unit stats to shout and scream at the nurse. What is
he best approach for the nurse to take?
➢ Stay quietly with the client.
9. A woman is brought to the psychiatric clinic by her husband. He reports that his wife is reluctant
to leave home because of what she describes as a fear of open places and crows. Which nursing
problems applies to the client’s behavior?
➢ Anxiety related to real or perceived threat to physical integrity.
10. A client is receiving benztropine mesylate (Cogentin) for drug-induced extrapyramidal
syndrome (EPS). Which finding indicates that the RN should further evaluate the client?
➢ Presence of a dry mouth.
11. A male client in the mental health unit is guarded and vaguely answers the nurse’s questions. He
This study source was downloaded by 100000865629352 from CourseHero.com on 05-27-2023 02:15:07 GMT -05:00
https://www.coursehero.com/file/95389252/HESI-Mental-Health-Exam-2021-Mental-Health-HESI-Exam-2021docx/
, Rasmussen: Mental Health Exam 2 Latest Version(2023)
isolates in his room and sometimes opens the door to peek into the hall. Which problem can the
RN anticipate?
➢ Delusions of persecution.
This study source was downloaded by 100000865629352 from CourseHero.com on 05-27-2023 02:15:07 GMT -05:00
https://www.coursehero.com/file/95389252/HESI-Mental-Health-Exam-2021-Mental-Health-HESI-Exam-2021docx/
