HESI EXIT MENTAL HEALTH TEST BANK 2
n n n n n n
023-
2024 /MENTAL HEALTH HESI EXIT TEST B
n n n n n n
ANK REAL EXAM QUESTIONS AND CORREC
n n n n n
T ANSWERS|AGRADE
n
A nclientn withndepressionnremains n inn bedn mostn o fn then day,n andn declines nactiviti
es.nWhichnnursingn pro blem nhas n thengreatestn prio rityn forn this nclient?
A. Loss nofninterestninndiversionalnactivity.
B. Socialnisolation.
C. Refusalnto naddress nnutritionalnneeds.
D. Lown self-esteem.
Then RN nis n preparingnm edications n fo rna n clientn withnbipo larn disordern andn notices n th
atn then clientndiscontinuednantipsychoticnm edicationn fo rnseveraln days.n Whichn me
dicationnshouldnalso nben discontinued?
a. Lithium.n (Lithotabs)
b. Benzotropine n(Cogentin).
c. Alprazolam n(Xanax).
d. Magnesium n (Milkn o fn Magnesia).
A nfemalen clientn requests n thatnhernhusbandnbenallowedn to nstayninn then room nduring
nthe nadmission nassessm ent. n When ninterviewing n the nclient, n the n R Nnno tes na n discre
pancynbetweenn thenclient’s n verbalnandn nonverbaln comm unication.
Whatnaction n does n then RNn take?
A. Paynclosenattentionn and ndo cumentn then nonverbaln m essages.
B. Asknthenclient’s nhusbandnto ninterpret nthendiscrepancy.
C. Ignorenthen nonverbaln behavio rnandn focus nonn then client’s nverbaln
messages.
D. Integraten thenverbalnandnnonverbal nm essages nandninterpretn them nas non
e.
A nmalenclientnapproaches n then RNn withnannangryn expression nonn his n facenandnraises
nhis n voice, nsayingn “M ynroomm ate nis n the nmostnselfish, nself-
centered,n angryn personn In haven evern met.n Ifnhen loses n his n tem pernonen morentim en
withnme,nIn am n goingn to npunchnhim nout!” n Then RNn recognizes n thatn thenclientnis nusin
gn whichndefensen m echanism?
A. Denial.
B. Projection.
C. Rationalization.
D. Splitting.
,A nmalenclientn withn bipolar ndisordern who nbegan ntaking nlithium ncarbonaten five
,days nago nis ncom plainingno fnexcessive n thirst,nandn then RNn finds n him n attem ptingn to n
drinkn watern from n then bathroom nsinkn faucet.n Whichnintervention nshouldn then RN ni
mplement?
, A. Reportnthenclient’s nserum nlithium nlevelnto nthenHCP.
B. Encouragenthenclientn to nsuck nonn hard ncandyn to nrelieven thensym ptoms.
C. No nactionnis nneedednsincenpo lydipsia nis na n com monnsiden effect.
D. Telln then clientn thatn drinkingn from n then faucetn is n notn allowed.
ThenRNnis nteachingna n clientnaboutn theninitiatio nnofn then prescribednabstinence n the
rapynusingn disulfiram n(Antabuse).n Whatninfo rm ationnshouldn thenclientnackno wle
dgenunderstanding?
A. Completelynabstainn from n heroinnornco cainenuse.
B. Remainnalcoho lnfreen forn 12nhours n priornto nthe nfirstndose.
C. Attendnmonthlyn meetings no fnalcoho lics n anonymous.
D. Admitnto nothers n thatn henis na nsubstancenuser.
A nmalenclientn withnschizophrenia nis nadmittednto n thenm entaln healthn unitnafterna
bruptlynstoppingnhis n prescription n fo rnziprasidone n(Geodon)nonen monthn ago.n Wh
ichnquestionnis nmostnim po rtantn forn then R Nn to naskn thenclient?
A. Havenyounlostninterestninn then things n thatnyou nusedn to nenjoy?
B. Is nyournabilityn to nthinknornconcentrate n decreased?
C. Hownmanyncontinuous nhours ndo nyounsleepnatnnight?
D. Do nyounhearnsounds nornvoices nthatnothers ndo nnotnhear?
Duringnannannualn physicaln byn thenoccupationaln RN n workingninna n corporaten clinic,n
a nmalenemployeen tells n then R Nn thatnis nhigh-
stress njobnis ncausingntroubleninnhis n personaln life.nHen furthern explains n thatn heno fte
nngets nso nangryn whilen drivingn to nandn from n workn thatnhen has n consideredn “gettingne
ven”nwithnothern drivers.nHo wnshouldn then RNn respond?
A. “Angernis ncontagious nandncould nresultninnmajornconfrontation.”
B. “Trynnot nto nletnyournangerncausenyounto nactnim pulsively.”
C. “Expressingn yourn angern to na nstrangernco uldn resultninnann unsafensituation.”
D. “Itnsounds nas nifn there nare nmanynsituations nthat nm aken youn feeln angry.”
A nclientn who nhas nagoraphobia n (a n fearno fn crowds)n is nbeginningndesensitization n wi
thnthen therapist,n andn then RN nis n reinfo rcingn then process.n Whichnintervention n has n
thenhighestn priorityn forn this n client’s n planno fncare?
A. Encouragensubstitution no fn positive n thoughts nandnnegative nones.
B. Establishntrust nbyn providingna ncalm,nsafe nenvironment.
C. Progressivelynexposenthe nclientnto nlargerncrowds.
D. Encouragendeepn breathingn whennanxietynescalates ninna ncrowd.
Whichnnursingnactions naren likelyn to nhelpn promoten thenself-
esteem nofna nmalen clientn withnmo dernndepressio n?
A. Asknthenclientn whatn his n longnterm n goals nare.
n n n n n n
023-
2024 /MENTAL HEALTH HESI EXIT TEST B
n n n n n n
ANK REAL EXAM QUESTIONS AND CORREC
n n n n n
T ANSWERS|AGRADE
n
A nclientn withndepressionnremains n inn bedn mostn o fn then day,n andn declines nactiviti
es.nWhichnnursingn pro blem nhas n thengreatestn prio rityn forn this nclient?
A. Loss nofninterestninndiversionalnactivity.
B. Socialnisolation.
C. Refusalnto naddress nnutritionalnneeds.
D. Lown self-esteem.
Then RN nis n preparingnm edications n fo rna n clientn withnbipo larn disordern andn notices n th
atn then clientndiscontinuednantipsychoticnm edicationn fo rnseveraln days.n Whichn me
dicationnshouldnalso nben discontinued?
a. Lithium.n (Lithotabs)
b. Benzotropine n(Cogentin).
c. Alprazolam n(Xanax).
d. Magnesium n (Milkn o fn Magnesia).
A nfemalen clientn requests n thatnhernhusbandnbenallowedn to nstayninn then room nduring
nthe nadmission nassessm ent. n When ninterviewing n the nclient, n the n R Nnno tes na n discre
pancynbetweenn thenclient’s n verbalnandn nonverbaln comm unication.
Whatnaction n does n then RNn take?
A. Paynclosenattentionn and ndo cumentn then nonverbaln m essages.
B. Asknthenclient’s nhusbandnto ninterpret nthendiscrepancy.
C. Ignorenthen nonverbaln behavio rnandn focus nonn then client’s nverbaln
messages.
D. Integraten thenverbalnandnnonverbal nm essages nandninterpretn them nas non
e.
A nmalenclientnapproaches n then RNn withnannangryn expression nonn his n facenandnraises
nhis n voice, nsayingn “M ynroomm ate nis n the nmostnselfish, nself-
centered,n angryn personn In haven evern met.n Ifnhen loses n his n tem pernonen morentim en
withnme,nIn am n goingn to npunchnhim nout!” n Then RNn recognizes n thatn thenclientnis nusin
gn whichndefensen m echanism?
A. Denial.
B. Projection.
C. Rationalization.
D. Splitting.
,A nmalenclientn withn bipolar ndisordern who nbegan ntaking nlithium ncarbonaten five
,days nago nis ncom plainingno fnexcessive n thirst,nandn then RNn finds n him n attem ptingn to n
drinkn watern from n then bathroom nsinkn faucet.n Whichnintervention nshouldn then RN ni
mplement?
, A. Reportnthenclient’s nserum nlithium nlevelnto nthenHCP.
B. Encouragenthenclientn to nsuck nonn hard ncandyn to nrelieven thensym ptoms.
C. No nactionnis nneedednsincenpo lydipsia nis na n com monnsiden effect.
D. Telln then clientn thatn drinkingn from n then faucetn is n notn allowed.
ThenRNnis nteachingna n clientnaboutn theninitiatio nnofn then prescribednabstinence n the
rapynusingn disulfiram n(Antabuse).n Whatninfo rm ationnshouldn thenclientnackno wle
dgenunderstanding?
A. Completelynabstainn from n heroinnornco cainenuse.
B. Remainnalcoho lnfreen forn 12nhours n priornto nthe nfirstndose.
C. Attendnmonthlyn meetings no fnalcoho lics n anonymous.
D. Admitnto nothers n thatn henis na nsubstancenuser.
A nmalenclientn withnschizophrenia nis nadmittednto n thenm entaln healthn unitnafterna
bruptlynstoppingnhis n prescription n fo rnziprasidone n(Geodon)nonen monthn ago.n Wh
ichnquestionnis nmostnim po rtantn forn then R Nn to naskn thenclient?
A. Havenyounlostninterestninn then things n thatnyou nusedn to nenjoy?
B. Is nyournabilityn to nthinknornconcentrate n decreased?
C. Hownmanyncontinuous nhours ndo nyounsleepnatnnight?
D. Do nyounhearnsounds nornvoices nthatnothers ndo nnotnhear?
Duringnannannualn physicaln byn thenoccupationaln RN n workingninna n corporaten clinic,n
a nmalenemployeen tells n then R Nn thatnis nhigh-
stress njobnis ncausingntroubleninnhis n personaln life.nHen furthern explains n thatn heno fte
nngets nso nangryn whilen drivingn to nandn from n workn thatnhen has n consideredn “gettingne
ven”nwithnothern drivers.nHo wnshouldn then RNn respond?
A. “Angernis ncontagious nandncould nresultninnmajornconfrontation.”
B. “Trynnot nto nletnyournangerncausenyounto nactnim pulsively.”
C. “Expressingn yourn angern to na nstrangernco uldn resultninnann unsafensituation.”
D. “Itnsounds nas nifn there nare nmanynsituations nthat nm aken youn feeln angry.”
A nclientn who nhas nagoraphobia n (a n fearno fn crowds)n is nbeginningndesensitization n wi
thnthen therapist,n andn then RN nis n reinfo rcingn then process.n Whichnintervention n has n
thenhighestn priorityn forn this n client’s n planno fncare?
A. Encouragensubstitution no fn positive n thoughts nandnnegative nones.
B. Establishntrust nbyn providingna ncalm,nsafe nenvironment.
C. Progressivelynexposenthe nclientnto nlargerncrowds.
D. Encouragendeepn breathingn whennanxietynescalates ninna ncrowd.
Whichnnursingnactions naren likelyn to nhelpn promoten thenself-
esteem nofna nmalen clientn withnmo dernndepressio n?
A. Asknthenclientn whatn his n longnterm n goals nare.
