2023/2024 TEST BANKS (ALL TOGETHER) assured
success Q & A
The RN documents the mental status of a female client who has been
hospitalized for several days by court order. The client states, “I don’t
need to be here” and tells the RN that she believes the television talks
to her. The RN should document these assessment findings in which
section of the mental status exam/
A. Level of
concentration. B.
Insight and judgement.
C. Remote memory.
D. Mood and affect.
A client is admitted to the mental health unit reports shortness of
breath and dizziness. The client tells the RN, “I feel like I’m going to
die”. Which nursing problem should the RN include in this client’s
plan of care?
A. Mood
disturbance. B.
Moderate anxiety.
C. Altered thoughts.
D. Social isolation.
A female client who is wearing dirty clothes and has foul body odor,
comes to the clinic reporting feeling scared because she is being
NURSING 301 HESI MENTAL HEALTH RN V1-V3
2023/2024 TEST BANKS (ALL TOGETHER) assured
success Q & A
,NURSING 301 HESI MENTAL HEALTH RN V1-V3
2023/2024 TEST BANKS (ALL TOGETHER) assured
success Q & A
stalked. What action is most important for the RN to take?
A. Offer the client a safe place to relax before interviewing her.
B. Ask the client to describe why she is being stalked.
C. Recommend that the client talk with a social worker.
D. Assure the client that the HCP will see her today.
A client who is homeless is diagnosed with schizophrenia and
admitted on an involuntary basis to a 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 RN take?
A. Encourage the client to stay in the hospital so the client does
not have to be homeless.
B. Provide the client with medication if the client presents an
imminent risk to self and others.
C. Administer a long acting antipsychotic medication so that the
client can be discharged to a shelter.
D. Describe to the client treatment options provided at the
community mental health clinics.
A male client comes to the emergency center because he has an
NURSING 301 HESI MENTAL HEALTH RN V1-V3
2023/2024 TEST BANKS (ALL TOGETHER) assured
success Q & A
,NURSING 301 HESI MENTAL HEALTH RN V1-V3
2023/2024 TEST BANKS (ALL TOGETHER) assured
success Q & A
erection that will not resolve. The client reports that he is taking
trazodone (Desyrel) for insomnia. Which information is most
important for the nurse ask the client?
A. When was the last time you drank alcoholic
beverage? B. Have you taken any medications for
erectile dysfunction?
C. Are you having any other sexual dysfunctions or problems?
D. Do you have a history of angina or high blood pressure?
The RN leading a group session of adolescent clients gives the
members a handout about anger management. One of the male clients
is fidgety, interrupts peers when they try and talk, and talks about his
pets at home. What nursing action is best for the RN to take?
A. Explore the client’s feelings about his pets and home life.
B. Encourage his peers to help involve him in the activity.
C. Give the client permission to leave and return in 10
minutes. D. Redirect him by encouraging him to read
from the handout.
A male adolescent was admitted to the unit two days ago for
NURSING 301 HESI MENTAL HEALTH RN V1-V3
2023/2024 TEST BANKS (ALL TOGETHER) assured
success Q & A
, NURSING 301 HESI MENTAL HEALTH RN V1-V3
2023/2024 TEST BANKS (ALL TOGETHER) assured
success Q & A
depression. When the mental health RN tries to interview the client
to establish rapport, he becomes very irritated and sarcastic. Which
action is best for the RN to take?
A. Report the behavior to the next shift.
B. Offer to play a game of cards with the client.
C. Document the behavior in the chart.
D. Plan to talk with the client the next day.
A male adult is admitted because of an acetaminophen (Tylenol)
overdose. After transfer to the mental health unit, the client is told he
has liver damage. Which information is most important for the nurse
to include in the client's discharge plan?
A. Do not take any over the counter meds.
B. Eat a high carb, low fat, low protein diet.
C. Call the crisis hotline if feeling lonely.
D. Avoid exposure to large crowds.
After receiving treatment for anorexia, a student asks the school RN
for permission to work in the school cafeteria as part of the school’s
work study program. What action should the RN take?
A. Refer the student to a psychiatrist for further
discussion. B. Recommend assignment to the
receptionist’s office.
NURSING 301 HESI MENTAL HEALTH RN V1-V3
2023/2024 TEST BANKS (ALL TOGETHER) assured
success Q & A