HESI RN MENTAL HEALTH HESI REVIEW - MULTIPLE
CHOICE
Which of the following liquids should the nurse administer to a client who is intoxicated
on PCP to hasten excretion of the chemical?
A) Water
B) Milk
C) Cranberry juice
D) Grape juice - Answers :C) Cranberry juice
A client diagnosed with paranoid schizophrenia is still withdrawn, unkept, and
unmotivated to get out of bed. A mental health aide asks the nurse why the client is this
way after being on fluphenazine (Prolix) 10 mg for 7 days. The nurse should tell the
health aide:
A) "Prolixin is the most effective with positive symptoms of schizophrenia."
B) "The client will be less withdrawn and unmotivated when the Prolixin takes effect."
C) "The client's Prolix dose probably needs to be increased again."
D) "Lack of motivation is a common side effect of the Prolixin." - Answers :A) "Prolixin is
the most effective with positive symptoms of schizophrenia."
A client with depression is not attentive to personal hygiene, uses television watching as
a means of escape from...inability to enjoy the things that once gave them pleasure.
Which coping strategy should the nurse include in the plan of care?
A. Relax and reduce the amount of effort to solve the
problem
B. Recall methods that were most successful in the past
C. reach out to family and friends about feelings of abandonment
D. turn to other activities to take one's mind off of the issues - Answers :B. Recall
methods that were most successful in the past
A young male who was recently diagnosed with bipolar disorder takes lithium carbonate
daily. He is graduating...he tells the school nurse that wants to live away from home for
college. What information is most important for...family?
A. Despite his illness, the client should be able to live away from home
B. his serum lithium levels should be routinely evaluated
C. he should plan to participate in group or individual therapy while at college D. he
should be aware of the symptoms of his illness - Answers :B. his serum lithium levels
should be routinely evaluated
A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase.
Based on which assessment finding will the RN withhold the clonidine (Catapres)
prescription?
A. Pulse rate 68-78 bpm
B. BP readings of 90/62 mmHg to 92/58
C. Temperature of 99.5-99.7 F
,D. Respiration rate of 24 bpm - Answers :B. BP readings of 90/62 mmHg to 92/58
The RN on the evening shift receives report that a client is scheduled for
Electroconvulsive Therapy in the morning. Which intervention should the RN implement
the evening before the scheduled ECT?
A. Keep client NPO after midnight
B. Hold all bedtime meds
C. Implement elopement precautions
D. Give the client an enema at bedtime - Answers :A. Keep client NPO after midnight
The LPN/LVN calls security and has physical restraints applied when a client who was
admitted voluntarily becomes both physically and verbally abusive while demanding to
be discharged from the hospital. Which represents the possible legal ramifications for
the nurse associated with these interventions? (Select all that apply)
A. Libel
B. Battery
C. Assault
D. Slander
E. False Imprisonment - Answers :B. Battery
C. Assault
E. False Imprisonment
A nurse is working with a client who has sought counseling after trying to rescue a
neighbor involved in a house fire. Despite the client's efforts, the neighbor died. Which
action does the nurse engage in with the client during the working phase of the nurse-
client relationship?
A. Exploring the client's ability to function
B. Exploring the client's potential for self-harm
C. Inquiring about the client's perception of appraisal of the neighbor's death
D. Inquiring about and examine the client's feelings that may block adaptive coping -
Answers :D. Inquiring about and examine the client's feelings that may block adaptive
coping
A client who has just been sexually assaulted is calm and quiet. The nurse analyzes this
behavior as indicating which defense mechanism?
A. Denial
B. Projection
C. Rationalization
D. Intellectualization - Answers :A. Denial
Unresolved feelings related to loss most likely may be recognized during which phase of
the therapeutic nurse-client relationship?
A. Working
B. Trusting
C. Orientation
D. Termination - Answers :D. Termination
, Which statement demonstrates the best understanding of the nurse's role regarding
ensuring that each client's rights are respected?
A. "Autonomy is the fundamental right of each and every client"
B. "A client's rights are guaranteed by both state and federal laws"
C. "Being respectful and concerned will ensure that I'm attentive to my client's rights"
D. "Regardless of the client's condition, all nurses have the duty to respect client rights"
- Answers :C. "Being respectful and concerned will ensure that I'm attentive to my
client's rights"
A LPN/LVN employed in a mental health unit of a hospital is the leader of a group
psychotherapy session. The nurse's role in the termination stage of group development
is to:
A. Encourage problem solving
B. Encourage accomplishment of the group's work
C. Acknowledge the contributions of each group member
D. Encourage members to become acquainted with one another - Answers :C.
Acknowledge the contributions of each group member
A male client with delirium becomes disoriented and confused in his room at night. The
best initial nursing intervention is to:
A. Move the client next to the nurse's station
B. Use an indirect light source and turn off the television
C. Keep the television and a soft light on during the night
D. Play soft music during the night and maintain a well-lit room - Answers :B. Use an
indirect light source and turn off the television
A client is admitted to a medical nursing unit with a diagnosis of acute blindness, many
tests are performed, and there seems to be no organic reason why this client cannot
see. The client became blind after witnessing a hit-and-run car accident, when a family
of three was killed. A LPN/LVN suspects that the client may be experiencing:
A. Psychosis
B. Repression
C. Conversion Disorder
D. Dissociative Disorder - Answers :C. Conversion Disorder
A manic client announces to everyone in the day room that a stripper is coming to
perform this evening. When a nurse firmly state that this is inappropriate and will not
happen, the client becomes verbally abusive and threatens physical violence to the
nurse. Based on the analysis of the situation, the LPN/LVN determines that the
appropriate action would be to:
A. Orient the client to time, person, and place
B. Tell the client that behavior is inappropriate.
C. Escort the manic client to her room with assistance
D. Tell the client that smoking privileges are revoked for 24 hours - Answers :C. Escort
the manic client to her room with assistance
CHOICE
Which of the following liquids should the nurse administer to a client who is intoxicated
on PCP to hasten excretion of the chemical?
A) Water
B) Milk
C) Cranberry juice
D) Grape juice - Answers :C) Cranberry juice
A client diagnosed with paranoid schizophrenia is still withdrawn, unkept, and
unmotivated to get out of bed. A mental health aide asks the nurse why the client is this
way after being on fluphenazine (Prolix) 10 mg for 7 days. The nurse should tell the
health aide:
A) "Prolixin is the most effective with positive symptoms of schizophrenia."
B) "The client will be less withdrawn and unmotivated when the Prolixin takes effect."
C) "The client's Prolix dose probably needs to be increased again."
D) "Lack of motivation is a common side effect of the Prolixin." - Answers :A) "Prolixin is
the most effective with positive symptoms of schizophrenia."
A client with depression is not attentive to personal hygiene, uses television watching as
a means of escape from...inability to enjoy the things that once gave them pleasure.
Which coping strategy should the nurse include in the plan of care?
A. Relax and reduce the amount of effort to solve the
problem
B. Recall methods that were most successful in the past
C. reach out to family and friends about feelings of abandonment
D. turn to other activities to take one's mind off of the issues - Answers :B. Recall
methods that were most successful in the past
A young male who was recently diagnosed with bipolar disorder takes lithium carbonate
daily. He is graduating...he tells the school nurse that wants to live away from home for
college. What information is most important for...family?
A. Despite his illness, the client should be able to live away from home
B. his serum lithium levels should be routinely evaluated
C. he should plan to participate in group or individual therapy while at college D. he
should be aware of the symptoms of his illness - Answers :B. his serum lithium levels
should be routinely evaluated
A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase.
Based on which assessment finding will the RN withhold the clonidine (Catapres)
prescription?
A. Pulse rate 68-78 bpm
B. BP readings of 90/62 mmHg to 92/58
C. Temperature of 99.5-99.7 F
,D. Respiration rate of 24 bpm - Answers :B. BP readings of 90/62 mmHg to 92/58
The RN on the evening shift receives report that a client is scheduled for
Electroconvulsive Therapy in the morning. Which intervention should the RN implement
the evening before the scheduled ECT?
A. Keep client NPO after midnight
B. Hold all bedtime meds
C. Implement elopement precautions
D. Give the client an enema at bedtime - Answers :A. Keep client NPO after midnight
The LPN/LVN calls security and has physical restraints applied when a client who was
admitted voluntarily becomes both physically and verbally abusive while demanding to
be discharged from the hospital. Which represents the possible legal ramifications for
the nurse associated with these interventions? (Select all that apply)
A. Libel
B. Battery
C. Assault
D. Slander
E. False Imprisonment - Answers :B. Battery
C. Assault
E. False Imprisonment
A nurse is working with a client who has sought counseling after trying to rescue a
neighbor involved in a house fire. Despite the client's efforts, the neighbor died. Which
action does the nurse engage in with the client during the working phase of the nurse-
client relationship?
A. Exploring the client's ability to function
B. Exploring the client's potential for self-harm
C. Inquiring about the client's perception of appraisal of the neighbor's death
D. Inquiring about and examine the client's feelings that may block adaptive coping -
Answers :D. Inquiring about and examine the client's feelings that may block adaptive
coping
A client who has just been sexually assaulted is calm and quiet. The nurse analyzes this
behavior as indicating which defense mechanism?
A. Denial
B. Projection
C. Rationalization
D. Intellectualization - Answers :A. Denial
Unresolved feelings related to loss most likely may be recognized during which phase of
the therapeutic nurse-client relationship?
A. Working
B. Trusting
C. Orientation
D. Termination - Answers :D. Termination
, Which statement demonstrates the best understanding of the nurse's role regarding
ensuring that each client's rights are respected?
A. "Autonomy is the fundamental right of each and every client"
B. "A client's rights are guaranteed by both state and federal laws"
C. "Being respectful and concerned will ensure that I'm attentive to my client's rights"
D. "Regardless of the client's condition, all nurses have the duty to respect client rights"
- Answers :C. "Being respectful and concerned will ensure that I'm attentive to my
client's rights"
A LPN/LVN employed in a mental health unit of a hospital is the leader of a group
psychotherapy session. The nurse's role in the termination stage of group development
is to:
A. Encourage problem solving
B. Encourage accomplishment of the group's work
C. Acknowledge the contributions of each group member
D. Encourage members to become acquainted with one another - Answers :C.
Acknowledge the contributions of each group member
A male client with delirium becomes disoriented and confused in his room at night. The
best initial nursing intervention is to:
A. Move the client next to the nurse's station
B. Use an indirect light source and turn off the television
C. Keep the television and a soft light on during the night
D. Play soft music during the night and maintain a well-lit room - Answers :B. Use an
indirect light source and turn off the television
A client is admitted to a medical nursing unit with a diagnosis of acute blindness, many
tests are performed, and there seems to be no organic reason why this client cannot
see. The client became blind after witnessing a hit-and-run car accident, when a family
of three was killed. A LPN/LVN suspects that the client may be experiencing:
A. Psychosis
B. Repression
C. Conversion Disorder
D. Dissociative Disorder - Answers :C. Conversion Disorder
A manic client announces to everyone in the day room that a stripper is coming to
perform this evening. When a nurse firmly state that this is inappropriate and will not
happen, the client becomes verbally abusive and threatens physical violence to the
nurse. Based on the analysis of the situation, the LPN/LVN determines that the
appropriate action would be to:
A. Orient the client to time, person, and place
B. Tell the client that behavior is inappropriate.
C. Escort the manic client to her room with assistance
D. Tell the client that smoking privileges are revoked for 24 hours - Answers :C. Escort
the manic client to her room with assistance
