HESI Mental Health RN Questions and Answers from V1-V3 and Actual Exams (Latest Update 2022/2023) Rated A+

During admission to the psychiatric unit, a female client is extremely anxious and states that she is worried about the sun coming up the next day. What intervention is most important for the RN to implement during the admission process? • Assist the client in developing alternative coping skills. • Remain calm and use a matter of fact approach. • Ask the client why she is so anxious • Administer a PRN sedative to help relieve her anxiety. • A female client is brought to the emergency department after police officers found her disoriented, disorganized, and confused. The RN also determines that the client is homeless andis exhibiting suspiciousness. The client’s plan of care should include what priority problem? • Acute confusion. • Ineffective community coping • Disturbed sensory perception. • Self-care deficit. • An antidepressant medication is prescribed for a client who reports sleeping only 4 hours inthe past 2 days and weight loss of 9 lbs within the last month. Which client goal is most important to achieve within the first three days of treatment? • Meet scheduled appointment with dietitian.B. Sleep at least 6 hours a night. C. Understands the purpose of the medication regimen. D. Describes the reasons for hospitalization. • When preparing to administer to domestic violence screening tool to a female client, which statement should the RN provide? • If your partner is abusing you, I need to ask these questions. • State law mandates that I ask if you are a victim of domestic violence. • The HCP provider needs to know if you are experiencing any domestic abuse. D. All clients are screened for domestic abuse because it is common in our society. • A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits.During the physical assessment, the client tells the RN that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for the RN to provide? • Unless your sister has a medical education, ignore her comments. • I can hear that your sister comments are over-whelming you. • Do you think it’s possible that you might be a hypochondriac? • Besides your sister’s comments, what in your life is troubling you? • The RN is leading a group on the inpatient psychiatric unit. Which approach should the RNuse during the working phase of group development? • Establishing a rapport with group members. • Clarifying the nurse’s role and clients’ responsibilities. • Discussing ways to use new coping skills learned. • Helping clients identify areas of problem in their lives. • An older homeless client visits the psychiatric clinic to obtain a prescription renewal for alprazolam (Xanax). During the health assessment, the client complains of chest pain. Whichaction should the RN take first? • Refer the client to the cardiology unit. • Obtain the client Blood pressure. • Assess the client for substance abuse. D. Determine if Xanax was taken recently. • The mother of an 8-month-old infant with profound mental and physical disabilities tells the RN how depressed she is because she realized that her child will never achieve normal growth and development milestones. How should the RN respond to the mother? • Ask the mother if she has ever thought about harming herself or her child. • Reassure the mother that her child will achieve some growth and development milestones. • Determine if the mother has other children who do not have developmental disabilities. • Encourage the mother to write thoughts and feelings in journal. • Several clients with chronic mental illness and multiple substance abuse histories live in agroup residential home and attend daycare mental health facility where group and individual therapies are provided. The RN finds the common bathroom at the facility with sputum on the walls, urine in the sink and on the floors, and the toilet stopped up with tissue, paper towels, and feces. What is the priority issue that the RN should address? • Medication non-compliance. • Number of bathroom facilities.C. Infection control. D. Acting out behaviors. • A client with schizophrenia is admitted to the psychiatric care unit for aggressive behavior, auditory hallucinations, and potential for safe harm. The client has not been taking medicationsas prescribed and insists that the food has been poisoned and refuses to eat. What intervention should the RN implement? • Assure the client that all food served in the hospital is safe to eat. • Tell the client that irrational thinking is a symptom of schizophrenia. • Obtain an order for a tube feeding for the client. D. Provide the client with food in unopened containers. • A male client is admitted to the psychiatric inpatient unit with a bandaged flesh wound after attempting to shoot himself. He was divorced one year ago. Lost his job four months ago, and suffered a breakup of is current relationship last week. What is most likely source of this client’s current feelings of depression? A. Feelings of frustration.B. A sense of loss C. Poor self-esteem. D. A lack of intimate relationships.