MENTAL HEALTH HESI EXAM QUESTIONS WITH COMPLETE SOLUTIONS
ANSWERED AND VERIFIED GRADED A+
A male employee who is assessed weekly in the employee clinic for blood
pressure because of history of hypertension tells the nurse that he is so upset
with one of his co-workers that he would like to shoot him. What action should
the nurse take first?
Determine if the client has a weapon available for use
A male client who is participating in an anger management assignment asks if he
can make a leather belt in occupational therapy. The client begins pounding the
leather vigorously with a mallet to imprint designs on the belt. What defense
mechanism is the client using?
Sublimation
a 20-year old female client with schizophrenia is scheduled to receive risperidone
(Risperdal) 2mg at bedtime. When the nurse attempts to administer the
medication, the client states. " i am not going to take that medicine and you cant
make me." What action should the nurse take?
Encourage the client to take the medicine because it will help her sleep
An female client tells the nurse that though she is afraid her abusive boyfriend
might one day kill her, she keeps hoping that he will change. What action should
the nurse first take?
explore clients readiness to discuss the situation
A male client with bipolar disorder has not slept or eaten in four days. he paces &
becomes increasingly agitated & loud while the nurse talks to his spouse. What
intervention is the best for the nurse to implement at this time?
Move to a quiet area & provide peanut butter with crackers
The nurse asks a female client with a borderline personality disorder, "How do
you feel about your children not coming to visit this weekend?" The client looks
out the window and replies, "I really dont care." which response is best for the
nurse to provide?
, "I noticed you were looking out the window when discussing your feelings"
What is the most important goal of care for a client diagnosed with generalized
anxiety disorder (GAD) who has been taking the benzodiazepine alprazolam
(Xanax) long-term? the client will
Describe a decrease in anxiety using 1-10 anxiety scale
The nurse is performing intake interviews at a psychiatric clinic. Afemale client
with a known history of drug abuse reports that she has a heart attack four years
ago. use of which substance abuse places the client at highest risk for
myocardial infarction
Methamphetamine
During a 1-1 session with the nurse, a female client who has been admitted for
chronic depression & attempted suicide discloses her experience of sexual
promiscuity & prostitution. When the nurse asks the client if she was ever
sexually abused as a child, the client says, "I dont remember, but my mother ran
my father off when i was five." the nurse should recognize that the client may be
using which defense mechanism?
Repression
A client who refuses anti psychotic medications disrupts group activities, talks
with nonsensical words & wanders into clients room. the nurse decides that the
client needs constant observation based on which of these assessment findings?
Wanders into the clients rooms
a women is brought to the psychiatric clinic by her husband who reports that his
wife is reluctant to leave home because of what she describes as fear of open
places & crowds. What is the best nursing diagnosis for this client?
Ineffective individual coping
the atypical anti-psychotic ziprasidone (Geodon) is prescribed for a client with a
medical diagnosis of schizophrenia. after the client has been taking the
medication for two weeks, the nurse assesses the drug's effectiveness. Which
client report suggests that the medication is helpful?
the voices are quieter
ANSWERED AND VERIFIED GRADED A+
A male employee who is assessed weekly in the employee clinic for blood
pressure because of history of hypertension tells the nurse that he is so upset
with one of his co-workers that he would like to shoot him. What action should
the nurse take first?
Determine if the client has a weapon available for use
A male client who is participating in an anger management assignment asks if he
can make a leather belt in occupational therapy. The client begins pounding the
leather vigorously with a mallet to imprint designs on the belt. What defense
mechanism is the client using?
Sublimation
a 20-year old female client with schizophrenia is scheduled to receive risperidone
(Risperdal) 2mg at bedtime. When the nurse attempts to administer the
medication, the client states. " i am not going to take that medicine and you cant
make me." What action should the nurse take?
Encourage the client to take the medicine because it will help her sleep
An female client tells the nurse that though she is afraid her abusive boyfriend
might one day kill her, she keeps hoping that he will change. What action should
the nurse first take?
explore clients readiness to discuss the situation
A male client with bipolar disorder has not slept or eaten in four days. he paces &
becomes increasingly agitated & loud while the nurse talks to his spouse. What
intervention is the best for the nurse to implement at this time?
Move to a quiet area & provide peanut butter with crackers
The nurse asks a female client with a borderline personality disorder, "How do
you feel about your children not coming to visit this weekend?" The client looks
out the window and replies, "I really dont care." which response is best for the
nurse to provide?
, "I noticed you were looking out the window when discussing your feelings"
What is the most important goal of care for a client diagnosed with generalized
anxiety disorder (GAD) who has been taking the benzodiazepine alprazolam
(Xanax) long-term? the client will
Describe a decrease in anxiety using 1-10 anxiety scale
The nurse is performing intake interviews at a psychiatric clinic. Afemale client
with a known history of drug abuse reports that she has a heart attack four years
ago. use of which substance abuse places the client at highest risk for
myocardial infarction
Methamphetamine
During a 1-1 session with the nurse, a female client who has been admitted for
chronic depression & attempted suicide discloses her experience of sexual
promiscuity & prostitution. When the nurse asks the client if she was ever
sexually abused as a child, the client says, "I dont remember, but my mother ran
my father off when i was five." the nurse should recognize that the client may be
using which defense mechanism?
Repression
A client who refuses anti psychotic medications disrupts group activities, talks
with nonsensical words & wanders into clients room. the nurse decides that the
client needs constant observation based on which of these assessment findings?
Wanders into the clients rooms
a women is brought to the psychiatric clinic by her husband who reports that his
wife is reluctant to leave home because of what she describes as fear of open
places & crowds. What is the best nursing diagnosis for this client?
Ineffective individual coping
the atypical anti-psychotic ziprasidone (Geodon) is prescribed for a client with a
medical diagnosis of schizophrenia. after the client has been taking the
medication for two weeks, the nurse assesses the drug's effectiveness. Which
client report suggests that the medication is helpful?
the voices are quieter
