HESI RN Mental Health Exam Study Guide & Practice Questions | 2025 Psychiatric
Nursing PrepStudy online
at https://quizlet.com/_h583pu
1. A male client with bipolar disorder who began taking A. Report the client's serum
lithium carbonate five days ago is complaining of lithium level to the HCP.
excessive thirst, and the RN finds him attempting to
drink water from the bathroom sink faucet. Which
intervention should the RN implement?
A. Report the client's serum lithium level to the HCP.
B. Encourage the client to suck on hard candy to
relieve the symptoms.
C. No action is needed since polydipsia is a common
side effect.
D. Tell the client that drinking from the faucet is not
allowed.
2. A mental health worker is caring for a client with A. Is attempting to
escalating aggressive behavior. Which action by the physically restrain the
MHW warrant immediate intervention by the RN? patient.
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loud voice to talk to the client.
D. Remains at a distance of 4 feet from the client.
3. A client is admitted to the mental health unit and
D. "I don't want to walk.
reports taking extra antianxiety medication because, Nothing matters anymore."
"I'm so stressed out. I just want to go to sleep." The
RN should plan one-on-one observation of the client
based on which statement?
A. "What should I do? Nothing seems to help."
B. "I have been so tired lately and needed to sleep."
C. "I really think that I don't need to be here."
D. "I don't want to walk. Nothing matters anymore."
, HESI RN Mental Health Exam Study Guide & Practice Questions | 2025 Psychiatric
Nursing PrepStudy online
at https://quizlet.com/_h583pu
4. C. Methamphetamine
, HESI RN Mental Health Exam Study Guide & Practice Questions | 2025 Psychiatric
Nursing PrepStudy online
at https://quizlet.com/_h583pu
The RN is performing intake interviews at a psychi-
atric clinic. A female client with a known history of
drug abuse reports that she had a heart attack four
years ago. Useof which substance places the client
at highest risk for myocardial infarction?
A. Benzodiazepine
B. Alcohol
C. Methamphetamine
D. Marijuana
5. A male client comes to the emergency center be- B. Have you taken any med-
cause he has an erection that will not resolve. The ications for erectile dysfunc-
client reports that he is taking trazodone (Desyrel) tion?
for insomnia. Which information is most important
for the nurse ask the client?
A. When was the last time you drank alcoholic bever-
age?
B. Have you taken any medications for erectile dys-
function?
C. Are you having any other sexual dysfunctions or
problems?
D. Do you have a history of angina or high blood
pressure?
6. A female client admitted to the mental health unit A. Stay quietly with the pa-
starts to shout and scream at the RN. What is the tient
best approach for the RN to take?
A. Stay quietly with the patient
B. Tell her that she is out of control.
C. Distract her by offering her finger foods.
D. Ignore the client's acting out behavior.
, HESI RN Mental Health Exam Study Guide & Practice Questions | 2025 Psychiatric
Nursing PrepStudy online
at https://quizlet.com/_h583pu
7. When developing a plan of care for a client admit- C. Inettective breathing pat-
ted to the psychiatric unit following aspiration of a tern.
caustic material related to a suicide attempt, which
nursing problem has the highest priority?
A. Impaired comfort.
B. Risk for injury.
C. Ineffective breathing pattern.
D. Ineffective coping.
8. A female client on a psychiatric unit is sweating pro- B. Risk for other related vi-
fusely while she vigorously does push-ups and then olence related to disruptive
runs the length of the corridor several times before behavior.
crashing into furniture in the sitting room. Picking
herself up, she begins to toss chairs aside, looking
for a red one to sit in. When another client objects
to the disturbance, the client shouts, "I am the boss
here. I do what I want." Which nursing problem best
supports these observations?
A. Deficient diversional activity related to excess en-
ergy level.
B. Risk for other related violence related to disruptive
behavior.
C. Risk for activity intolerance related to hyperactivi-
ty.
D. Disturbed personal identity related to grandiosity.
9. A RN is preparing the physical environment to inter- C. Reduce the noise level in
view a new client for admission to the mental health the room by turning ott the
unit. Which environmental setting facilitates the best television and radio.
outcome of the interview?
A. Dim the lights in the room to help the patient feel
calm.
Nursing PrepStudy online
at https://quizlet.com/_h583pu
1. A male client with bipolar disorder who began taking A. Report the client's serum
lithium carbonate five days ago is complaining of lithium level to the HCP.
excessive thirst, and the RN finds him attempting to
drink water from the bathroom sink faucet. Which
intervention should the RN implement?
A. Report the client's serum lithium level to the HCP.
B. Encourage the client to suck on hard candy to
relieve the symptoms.
C. No action is needed since polydipsia is a common
side effect.
D. Tell the client that drinking from the faucet is not
allowed.
2. A mental health worker is caring for a client with A. Is attempting to
escalating aggressive behavior. Which action by the physically restrain the
MHW warrant immediate intervention by the RN? patient.
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loud voice to talk to the client.
D. Remains at a distance of 4 feet from the client.
3. A client is admitted to the mental health unit and
D. "I don't want to walk.
reports taking extra antianxiety medication because, Nothing matters anymore."
"I'm so stressed out. I just want to go to sleep." The
RN should plan one-on-one observation of the client
based on which statement?
A. "What should I do? Nothing seems to help."
B. "I have been so tired lately and needed to sleep."
C. "I really think that I don't need to be here."
D. "I don't want to walk. Nothing matters anymore."
, HESI RN Mental Health Exam Study Guide & Practice Questions | 2025 Psychiatric
Nursing PrepStudy online
at https://quizlet.com/_h583pu
4. C. Methamphetamine
, HESI RN Mental Health Exam Study Guide & Practice Questions | 2025 Psychiatric
Nursing PrepStudy online
at https://quizlet.com/_h583pu
The RN is performing intake interviews at a psychi-
atric clinic. A female client with a known history of
drug abuse reports that she had a heart attack four
years ago. Useof which substance places the client
at highest risk for myocardial infarction?
A. Benzodiazepine
B. Alcohol
C. Methamphetamine
D. Marijuana
5. A male client comes to the emergency center be- B. Have you taken any med-
cause he has an erection that will not resolve. The ications for erectile dysfunc-
client reports that he is taking trazodone (Desyrel) tion?
for insomnia. Which information is most important
for the nurse ask the client?
A. When was the last time you drank alcoholic bever-
age?
B. Have you taken any medications for erectile dys-
function?
C. Are you having any other sexual dysfunctions or
problems?
D. Do you have a history of angina or high blood
pressure?
6. A female client admitted to the mental health unit A. Stay quietly with the pa-
starts to shout and scream at the RN. What is the tient
best approach for the RN to take?
A. Stay quietly with the patient
B. Tell her that she is out of control.
C. Distract her by offering her finger foods.
D. Ignore the client's acting out behavior.
, HESI RN Mental Health Exam Study Guide & Practice Questions | 2025 Psychiatric
Nursing PrepStudy online
at https://quizlet.com/_h583pu
7. When developing a plan of care for a client admit- C. Inettective breathing pat-
ted to the psychiatric unit following aspiration of a tern.
caustic material related to a suicide attempt, which
nursing problem has the highest priority?
A. Impaired comfort.
B. Risk for injury.
C. Ineffective breathing pattern.
D. Ineffective coping.
8. A female client on a psychiatric unit is sweating pro- B. Risk for other related vi-
fusely while she vigorously does push-ups and then olence related to disruptive
runs the length of the corridor several times before behavior.
crashing into furniture in the sitting room. Picking
herself up, she begins to toss chairs aside, looking
for a red one to sit in. When another client objects
to the disturbance, the client shouts, "I am the boss
here. I do what I want." Which nursing problem best
supports these observations?
A. Deficient diversional activity related to excess en-
ergy level.
B. Risk for other related violence related to disruptive
behavior.
C. Risk for activity intolerance related to hyperactivi-
ty.
D. Disturbed personal identity related to grandiosity.
9. A RN is preparing the physical environment to inter- C. Reduce the noise level in
view a new client for admission to the mental health the room by turning ott the
unit. Which environmental setting facilitates the best television and radio.
outcome of the interview?
A. Dim the lights in the room to help the patient feel
calm.
