Mental Health HESI test bank 2024-
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2025/With complete solution | Latest
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Atmaletclienttintthetmentalthealthtunittistguardedtandtvaguelytanswerstthetnurse's
questions.tHetisolatestinthistroomtandtsometimestopenstthetdoorttotpeektintotthethall.tWhichtpro
blemtcantthetRNtanticipate?
A. Visualthallucinations.
B. Auditorythallucinations.
C. Excessivetmotortactivity.
D. Delusionstoftpersecution.t- D.tDelusionstoftpersecution.
Atfemaletclienttwithtobsessivetcompulsivetpersonalitytdisordertistadmittedttotthethospitaltfortatc
ardiactcatheterization.tThetafternoontbeforetthetprocedure,tthetclienttbeginsttotkeeptdetailedt
notestoftthetnursingtcaretshetistreceiving,tandtreportsthertfindingsttotthetRNtattbedtime.tW hatta
ctiontshouldtthetnursetimplement?
A. Explainttotthetclienttthatthertbehaviortinvadestthetrightstoftthetnursingtstaff.
B. Asktthetclientttotexplaintwhytshetistkeepingtatdetailedtrecordtofthertnursingtcare.
C. Teachtthetclienttstrategiesttotcontrolthertobsessivetcompulsivetbehavior.
D. Encouragetthetclientttotexpressthertfeelingstregardingtthetupcomingtprocedure.t-
D.tEncouragetthetclientttotexpressthertfeelingstregardingtthetupcomingtprocedure.
Duringtadmissionttotthetpsychiatrictunit,tatfemaletclienttistextremelytanxioustandtstatestthattsh
etistworriedtabouttthetsuntcomingtuptthetnexttday.tWhattinterventiontistmosttimportanttfortthet
RNttotimplementtduringtthetadmissiontprocess?
A. Assisttthetclienttintdevelopingtalternativetcopingtskills.
B. Remaintcalmtandtusetatmattertoftfacttapproach.
C. Asktthetclienttwhytshetistsotanxious
D. AdministertatPRNtsedativettothelptrelievethertanxiety.t-
A.tAssisttthetclienttintdevelopingtalternativetcopingtskills.
Atfemaletclienttistbroughtttotthetemergencytdepartmenttaftertpolicetofficerstfoundthertdisorie
nted,tdisorganized,tandtconfused.tThetRNtalsotdeterminestthattthetclienttisthomelesstandtist
exhibitingtsuspiciousness.tThetclient'stplantoftcaretshouldtincludetwhattprioritytproblem?
A. Acutetconfusion.
B. Ineffectivetcommunitytcoping
C. Disturbedtsensorytperception.
D. Self-caretdeficit.t- A.tAcutetconfusion.
Thetoccupationalthealthtnursetistworkingtwithtatfemaletemployeetwhotwastjusttnotifiedtthatther
tchildtwastinvolvedtintatMVAtandttakenttotthethospital.tThetemployeetstates,t"I
,can'ttbelievetthis.tWhattshouldtItdo?"tWhichtresponsetistbesttfortthetRNttotprovidetintthistcrisis?
A. Telltmetwhattyoutthinktshouldthappen.
B. Howtserioustwastthetcollision?
C. Whattdotyoutthinktyoutshouldtdo?
D. Calltforttransportationttotthethospital.t- D.tCalltforttransportationttotthethospital.
AtclientttellstthetRNtthatthethastantIQtoft400+tandtistatgeniustandtantinventor.tHetalsotreportstthatt
hetistmarriedttotatfemaletmovietstartandtthinkstthatthistbrothertwantstatsexualtrelationshiptwitht
her.tWhattistthetprioritytnursingtproblemtfortadmissionttotthetpsychiatrictunit?
A. Ineffectivetsexualtpatterns.
B. Impairedtenvironmentaltinterpretation.
C. Disturbedtsensorytperception.
D. Compromisedtfamilytcoping.t- A.tIneffectivetsexualtpatterns.
ThetRNtistprovidingtcaretfortatclienttdiagnosedtwithtborderlinetpersonalitytdisordertwhothasts
elf-
inflictedtlacerationstontthetabdomen.tW hichtapproachtshouldtthetRNtusetwhentchangingtthi
stclient'stdressing?
A. Providetdetailedtthoroughtexplanationstwhentcleansingtwound.
B. Performtthetdressingtchangetintatnon-judgmentaltmanner.
C. Asktintatnon-threateningtmannertwhytthetclienttcuttowntabdomen.
D. Requesttanothertstafftmembertassisttwithtthetdressingtchange.t-
B.tPerformtthetdressingtchangetintatnon-judgmentaltmanner.
Whiletsittingtintthetdaytroomtoftthetmentalthealthtunit,tatmaletadolescenttavoidsteyetcontact,l
ookstattthetfloor,tandttalkstsoftlytwhentinteractingtverballytwithtthetRN.tThettwottradetplaces,a
ndtthetRNtdemonstratestthetclient'stbehaviors.tWhattistthetmaintgoaltoftthisttherapeuticttech
nique?
A. Initiatetatnon-threateningtconversationtwithtthetclient.
B. Dialogtabouttthetineffectivenesstofthistinteractions.
C. Allowtthetclientttotidentifytthetwaythetinteracts.
D. Discusstthetclient'stfeelingstwhenthetresponds.t-
C.tAllowtthetclientttotidentifytthetwaythetinteracts.
Antantidepressanttmedicationtistprescribedtfortatclienttwhotreportstsleepingtonlyt4thourstintthet
pastt2tdaystandtweighttlosstoft9tlbstwithintthetlasttmonth.tWhichtclienttgoaltistmosttimportantttot
achievetwithintthetfirsttthreetdaystofttreatment?
A. Meettscheduledtappointmenttwithtdietitian.
B. Sleeptattleastt6thourstatnight.
C. Understandstthetpurposetoftthetmedicationtregimen.
, D. Describestthetreasonstforthospitalization.t- B.tSleeptattleastt6thourstatnight.
Whentpreparingttotadministerttotdomestictviolencetscreeningttoolttotatfemaletclient,twhichtstat
ementtshouldtthetRNtprovide?
A. Iftyourtpartnertistabusingtyou,tItneedttotasktthesetquestions.
B. StatetlawtmandatestthattItasktiftyoutaretatvictimtoftdomestictviolence.
C. ThetHCPtprovidertneedsttotknowtiftyoutaretexperiencingtanytdomestictabuse.
D. Alltclientstaretscreenedtfortdomestictabusetbecausetittistcommontintourtsociety.t-
D.tAlltclientstaretscreenedtfortdomestictabusetbecausetittistcommontintourtsociety.
Atyoungtadulttfemaletvisitstthetmentalthealthtclinictcomplainingtoftdiarrhea,theadache,tandtm
uscletaches.tShetistafebrile,tdeniestchills,tandtalltlaboratorytfindingstaretwithintnormaltlimits.D
uringtthetphysicaltassessment,tthetclientttellstthetRNtthatthertsistertthinkstshetistneurotictandtcal
lsthertathypochondriac.tWhichtresponsetistbesttfortthetRNttotprovide?
A. Unlesstyourtsisterthastatmedicalteducation,tignorethertcomments.
B. Itcantheartthattyourtsistertcommentstaretover-whelmingtyou.
C. Dotyoutthinktit'stpossibletthattyoutmighttbetathypochondriac?
D. Besidestyourtsister'stcomments,twhattintyourtlifetisttroublingtyou?t-
D.tBesidestyourtsister'stcomments,twhattintyourtlifetisttroublingtyou?
ThetRNtistleadingtatgrouptontthetinpatienttpsychiatrictunit.tW hichtapproachtshouldtthetRNtuset
duringtthetworkingtphasetoftgrouptdevelopment?
A. Establishingtatrapporttwithtgrouptmembers.
B. Clarifyingtthetnurse'stroletandtclients'tresponsibilities.
C. Discussingtwaysttotusetnewtcopingtskillstlearned.
D. Helpingtclientstidentifytareastoftproblemtinttheirtlives.t-
D.tHelpingtclientstidentifytareastoftproblemtinttheirtlives.
Atmaletclienttwithtschizophreniatistdemonstratingtecholalia,twhichtistbecomingtannoyingttotot
hertclientstontthetunit.tWhattinterventiontistbesttfortthetRNttotimplement?
A. Isolatetthetclienttfromtthetothertclients.
B. AdministertPRNtsedative.
C. Avoidtrecognizingtthetbehavior.
D. Escorttthetclientttothistroom.t- D.tEscorttthetclientttothistroom.
Atclienttistadmittedtfortbipolartdisordertandtalcoholtwithdrawal,tdepressivetphase.tBasedtontw
hichtassessmenttfindingtwilltthetRNtwithholdtthetclonidinet(Catapres)tprescription?
A. Bloodtpressuretreadingstoft90/62tmmHgttot92/58tmmHg.
B. Pulsetratetoft68-78tBPM.
C. Temperaturetoft99.5-99.7tF.
t t t t t
2025/With complete solution | Latest
t t t t t
Atmaletclienttintthetmentalthealthtunittistguardedtandtvaguelytanswerstthetnurse's
questions.tHetisolatestinthistroomtandtsometimestopenstthetdoorttotpeektintotthethall.tWhichtpro
blemtcantthetRNtanticipate?
A. Visualthallucinations.
B. Auditorythallucinations.
C. Excessivetmotortactivity.
D. Delusionstoftpersecution.t- D.tDelusionstoftpersecution.
Atfemaletclienttwithtobsessivetcompulsivetpersonalitytdisordertistadmittedttotthethospitaltfortatc
ardiactcatheterization.tThetafternoontbeforetthetprocedure,tthetclienttbeginsttotkeeptdetailedt
notestoftthetnursingtcaretshetistreceiving,tandtreportsthertfindingsttotthetRNtattbedtime.tW hatta
ctiontshouldtthetnursetimplement?
A. Explainttotthetclienttthatthertbehaviortinvadestthetrightstoftthetnursingtstaff.
B. Asktthetclientttotexplaintwhytshetistkeepingtatdetailedtrecordtofthertnursingtcare.
C. Teachtthetclienttstrategiesttotcontrolthertobsessivetcompulsivetbehavior.
D. Encouragetthetclientttotexpressthertfeelingstregardingtthetupcomingtprocedure.t-
D.tEncouragetthetclientttotexpressthertfeelingstregardingtthetupcomingtprocedure.
Duringtadmissionttotthetpsychiatrictunit,tatfemaletclienttistextremelytanxioustandtstatestthattsh
etistworriedtabouttthetsuntcomingtuptthetnexttday.tWhattinterventiontistmosttimportanttfortthet
RNttotimplementtduringtthetadmissiontprocess?
A. Assisttthetclienttintdevelopingtalternativetcopingtskills.
B. Remaintcalmtandtusetatmattertoftfacttapproach.
C. Asktthetclienttwhytshetistsotanxious
D. AdministertatPRNtsedativettothelptrelievethertanxiety.t-
A.tAssisttthetclienttintdevelopingtalternativetcopingtskills.
Atfemaletclienttistbroughtttotthetemergencytdepartmenttaftertpolicetofficerstfoundthertdisorie
nted,tdisorganized,tandtconfused.tThetRNtalsotdeterminestthattthetclienttisthomelesstandtist
exhibitingtsuspiciousness.tThetclient'stplantoftcaretshouldtincludetwhattprioritytproblem?
A. Acutetconfusion.
B. Ineffectivetcommunitytcoping
C. Disturbedtsensorytperception.
D. Self-caretdeficit.t- A.tAcutetconfusion.
Thetoccupationalthealthtnursetistworkingtwithtatfemaletemployeetwhotwastjusttnotifiedtthatther
tchildtwastinvolvedtintatMVAtandttakenttotthethospital.tThetemployeetstates,t"I
,can'ttbelievetthis.tWhattshouldtItdo?"tWhichtresponsetistbesttfortthetRNttotprovidetintthistcrisis?
A. Telltmetwhattyoutthinktshouldthappen.
B. Howtserioustwastthetcollision?
C. Whattdotyoutthinktyoutshouldtdo?
D. Calltforttransportationttotthethospital.t- D.tCalltforttransportationttotthethospital.
AtclientttellstthetRNtthatthethastantIQtoft400+tandtistatgeniustandtantinventor.tHetalsotreportstthatt
hetistmarriedttotatfemaletmovietstartandtthinkstthatthistbrothertwantstatsexualtrelationshiptwitht
her.tWhattistthetprioritytnursingtproblemtfortadmissionttotthetpsychiatrictunit?
A. Ineffectivetsexualtpatterns.
B. Impairedtenvironmentaltinterpretation.
C. Disturbedtsensorytperception.
D. Compromisedtfamilytcoping.t- A.tIneffectivetsexualtpatterns.
ThetRNtistprovidingtcaretfortatclienttdiagnosedtwithtborderlinetpersonalitytdisordertwhothasts
elf-
inflictedtlacerationstontthetabdomen.tW hichtapproachtshouldtthetRNtusetwhentchangingtthi
stclient'stdressing?
A. Providetdetailedtthoroughtexplanationstwhentcleansingtwound.
B. Performtthetdressingtchangetintatnon-judgmentaltmanner.
C. Asktintatnon-threateningtmannertwhytthetclienttcuttowntabdomen.
D. Requesttanothertstafftmembertassisttwithtthetdressingtchange.t-
B.tPerformtthetdressingtchangetintatnon-judgmentaltmanner.
Whiletsittingtintthetdaytroomtoftthetmentalthealthtunit,tatmaletadolescenttavoidsteyetcontact,l
ookstattthetfloor,tandttalkstsoftlytwhentinteractingtverballytwithtthetRN.tThettwottradetplaces,a
ndtthetRNtdemonstratestthetclient'stbehaviors.tWhattistthetmaintgoaltoftthisttherapeuticttech
nique?
A. Initiatetatnon-threateningtconversationtwithtthetclient.
B. Dialogtabouttthetineffectivenesstofthistinteractions.
C. Allowtthetclientttotidentifytthetwaythetinteracts.
D. Discusstthetclient'stfeelingstwhenthetresponds.t-
C.tAllowtthetclientttotidentifytthetwaythetinteracts.
Antantidepressanttmedicationtistprescribedtfortatclienttwhotreportstsleepingtonlyt4thourstintthet
pastt2tdaystandtweighttlosstoft9tlbstwithintthetlasttmonth.tWhichtclienttgoaltistmosttimportantttot
achievetwithintthetfirsttthreetdaystofttreatment?
A. Meettscheduledtappointmenttwithtdietitian.
B. Sleeptattleastt6thourstatnight.
C. Understandstthetpurposetoftthetmedicationtregimen.
, D. Describestthetreasonstforthospitalization.t- B.tSleeptattleastt6thourstatnight.
Whentpreparingttotadministerttotdomestictviolencetscreeningttoolttotatfemaletclient,twhichtstat
ementtshouldtthetRNtprovide?
A. Iftyourtpartnertistabusingtyou,tItneedttotasktthesetquestions.
B. StatetlawtmandatestthattItasktiftyoutaretatvictimtoftdomestictviolence.
C. ThetHCPtprovidertneedsttotknowtiftyoutaretexperiencingtanytdomestictabuse.
D. Alltclientstaretscreenedtfortdomestictabusetbecausetittistcommontintourtsociety.t-
D.tAlltclientstaretscreenedtfortdomestictabusetbecausetittistcommontintourtsociety.
Atyoungtadulttfemaletvisitstthetmentalthealthtclinictcomplainingtoftdiarrhea,theadache,tandtm
uscletaches.tShetistafebrile,tdeniestchills,tandtalltlaboratorytfindingstaretwithintnormaltlimits.D
uringtthetphysicaltassessment,tthetclientttellstthetRNtthatthertsistertthinkstshetistneurotictandtcal
lsthertathypochondriac.tWhichtresponsetistbesttfortthetRNttotprovide?
A. Unlesstyourtsisterthastatmedicalteducation,tignorethertcomments.
B. Itcantheartthattyourtsistertcommentstaretover-whelmingtyou.
C. Dotyoutthinktit'stpossibletthattyoutmighttbetathypochondriac?
D. Besidestyourtsister'stcomments,twhattintyourtlifetisttroublingtyou?t-
D.tBesidestyourtsister'stcomments,twhattintyourtlifetisttroublingtyou?
ThetRNtistleadingtatgrouptontthetinpatienttpsychiatrictunit.tW hichtapproachtshouldtthetRNtuset
duringtthetworkingtphasetoftgrouptdevelopment?
A. Establishingtatrapporttwithtgrouptmembers.
B. Clarifyingtthetnurse'stroletandtclients'tresponsibilities.
C. Discussingtwaysttotusetnewtcopingtskillstlearned.
D. Helpingtclientstidentifytareastoftproblemtinttheirtlives.t-
D.tHelpingtclientstidentifytareastoftproblemtinttheirtlives.
Atmaletclienttwithtschizophreniatistdemonstratingtecholalia,twhichtistbecomingtannoyingttotot
hertclientstontthetunit.tWhattinterventiontistbesttfortthetRNttotimplement?
A. Isolatetthetclienttfromtthetothertclients.
B. AdministertPRNtsedative.
C. Avoidtrecognizingtthetbehavior.
D. Escorttthetclientttothistroom.t- D.tEscorttthetclientttothistroom.
Atclienttistadmittedtfortbipolartdisordertandtalcoholtwithdrawal,tdepressivetphase.tBasedtontw
hichtassessmenttfindingtwilltthetRNtwithholdtthetclonidinet(Catapres)tprescription?
A. Bloodtpressuretreadingstoft90/62tmmHgttot92/58tmmHg.
B. Pulsetratetoft68-78tBPM.
C. Temperaturetoft99.5-99.7tF.