HESI MENTAL HEALTH RN V1-V3 TEST BANK QUESTIONS WITH
COMPLETE SOLUTIONS VERIFIED
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.
C. Refusal to address nutritional needs.
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).
b. Benzotropine
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
B. Remain alcohol free for 12 hours prior to the first dose.
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?
D. Do you hear sounds or voices that others do not hear
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. Downloaded by Caroline Rivera ()
lOMoARcPSD|16253014 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. Pay close attention and document the nonverbal messages.
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.
B. Projection.
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. Is attempting to physically restrain the patient.
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.
C. Take other clients in the area to the client lounge.
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.
A. Report the client's serum lithium level to the HCP.
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."
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.
B. Establish trust by providing a calm, safe environment.
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
COMPLETE SOLUTIONS VERIFIED
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.
C. Refusal to address nutritional needs.
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).
b. Benzotropine
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
B. Remain alcohol free for 12 hours prior to the first dose.
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?
D. Do you hear sounds or voices that others do not hear
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. Downloaded by Caroline Rivera ()
lOMoARcPSD|16253014 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. Pay close attention and document the nonverbal messages.
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.
B. Projection.
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. Is attempting to physically restrain the patient.
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.
C. Take other clients in the area to the client lounge.
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.
A. Report the client's serum lithium level to the HCP.
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."
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.
B. Establish trust by providing a calm, safe environment.
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
