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HESI MENTAL
HEALTH RN V1-V3
TEST BANK
Med C
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HESI MENTAL HEALTH RN V1-V3 TEST BANK
A client with depression remains in bed most of the day, and
declines activities. Which nursing problem has the greatest
priority for this client?
A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
The RN is preparing medications for a client with bipolar
disorder and notices that the client discontinued
antipsychotic medication for several days. Which medication
should also be discontinued?
A. Lithium. (Lithotabs)
B. Benzotropine (Cogentin).
C. Alprazolam (Xanax).
D. Magnesium (Milk of Magnesia).
A female client requests that her husband be allowed to stay
in the room during the admission assessment. When
interviewing the client, the RN notes a discrepancy between
the client’s verbal and nonverbal communication.
What action does the RN take?
A. Pay close attention and document the nonverbal messages.
B. Ask the client’s husband to interpret the discrepancy.
C. Ignore the nonverbal behavior and focus on the
client’s verbal messages.
D. Integrate the verbal and nonverbal messages and
interpret them as one.
A male client approaches the RN with an angry expression on
his face and raises his voice, saying “My roommate is the
most selfish, self-centered, angry person I have ever met. If
he loses his temper one more time with me, I am going to
punch him out!” The RN recognizes that the client is using
which defense mechanism?
A. Denial.
B. Projection.
C. Rationalization.
D. Splitting.
A male client with bipolar disorder who began taking lithium
carbonate five days ago is complaining of 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.
Med C
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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.
The RN is teaching a client about the initiation of the prescribed
abstinence therapy using disulfiram (Antabuse). What
information should the client acknowledge understanding?
A. Completely abstain from heroin or cocaine use.
B. Remain alcohol free for 12 hours prior to the first dose.
C. Attend monthly meetings of alcoholics anonymous.
D. Admit to others that he is a substance user.
A male client with schizophrenia is admitted to the mental
health unit after abruptly stopping his prescription for
ziprasidone (Geodon) one month ago. Which question is
most important for the RN to ask the client?
A. Have you lost interest in the things that you used to enjoy?
B. Is your ability to think or concentrate decreased?
C. How many continuous hours do you sleep
at night? D. Do you hear sounds or voices
that others do not hear?
During an annual physical by the occupational RN working in
a corporate clinic, a male employee tells the RN that is high-
stress job is causing trouble in his personal life. He further
explains that he often gets so angry while driving to and
from work that he has considered “getting even” with other
drivers. How should the RN respond?
A. “Anger is contagious and could result in major
confrontation.”
B. “Try not to let your anger cause you to act impulsively.”
C. “Expressing your anger to a stranger could result
in an unsafe situation.”
D. “It sounds as if there are many situations that make you
feel angry.”
A client who has agoraphobia (a fear of crowds) is beginning
desensitization with the therapist, and the RN is reinforcing
the process. Which intervention has the highest priority for
this client’s plan of care?
A. Encourage substitution of positive thoughts and
negative ones. B. Establish trust by providing a calm,
safe environment.
C. Progressively expose the client to larger crowds.
D. Encourage deep breathing when anxiety escalates in a
crowd.
Which nursing actions are likely to help promote the self-
Med C
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esteem nof na nmale nclient nwith nmodern ndepression?
A. Ask nthe nclient nwhat nhis nlong nterm ngoals nare.
B. Discuss nthe nchallenges nof nhis nmedical ncondition.
C. Include nthe nclient nin ndetermining
ntreatment nprotocol. nD. nEncourage nthe
nclient nto nengage nin nrecreational ntherapy.
E. nProvide nopportunities nfor nthe nclient nto ndiscuss nhis
nconcerns.
A nmale nclient nis nadmitted nto nthe npsychiatric nunit nfor
nrecurrent nnegative nsymptoms nof nchronic nschizophrenia
nand nmedication nadjustment nof nRisperidone n(Risperdal).
nWhen nthe nclient nwalks nto nthe nnurse’s nstation nin na
nlaterally ncontracted nposition, nhe nstates nthat nsomething
nhas nmade nhis nbody ncontort ninto na nmonster. nWhat naction
nshould nthe nRN ntake?
A. Medicate nthe nclient nwith nthe
nprescribed nantipsychotic nthioridazine
n(Mellaril).
B. Offer nthe nclient na nprescribed nphysical ntherapy
nhot npack nfor nmuscle nspasms.
C. Direct nclient nto noccupational ntherapy nto ndistract
nhim nfrom nsomatic ncomplaints.
D. Administer nthe nprescribed nanticholinergic
n benztropine n(Cogentin) nfor ndystonia.
A nmental nhealth nworker nis ncaring nfor na nclient nwith nescalating
naggressive nbehavior. nWhich naction nby nthe nMHW nwarrant
nimmediate nintervention nby nthe nRN?
A. Is nattempting nto nphysically nrestrain nthe npatient.
B. Tells nthe nclient nto ngo nto nthe nquiet narea nof nthe nunit.
C. Is nusing na nloid n voice nto ntalk nto nthe nclient.
D. Remains nat na ndistance nof n4 nfeet nfrom nthe nclient.
A nclient non nthe nmental nhealth nunit nis nbecoming nmore
nagitated, nshouting n at n the n staff, n and n pacing n in nthe
nhallway. n When n the nPRN nmedication nis noffered, nthe nclient
nrefuses nthe nmedication nand ndefiantly nsits non nthe nfloor nin
nthe nmiddle nof nthe nunit nhallway. nWhat nnursing
nintervention nshould nthe nRN nimplement nfirst?
A. Transport nof nthe nclient nto nthe nseclusion nroom.
B. Quietly napproach nthe nclient nwith
nadditional nstaff nmembers. nC. nTake nother
nclients nin nthe narea nto nthe nclient nlounge.
D. n Administer n medication n to nchemically n restrain n the
npatient.
A nclient nis nadmitted nto nthe nmental nhealth nunit nand
nreports ntaking nextra nantianxiety nmedication nbecause,
Med C
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HESI MENTAL
HEALTH RN V1-V3
TEST BANK
Med C
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Distribution of this document is illegal extra per year?
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
HESI MENTAL HEALTH RN V1-V3 TEST BANK
A client with depression remains in bed most of the day, and
declines activities. Which nursing problem has the greatest
priority for this client?
A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
The RN is preparing medications for a client with bipolar
disorder and notices that the client discontinued
antipsychotic medication for several days. Which medication
should also be discontinued?
A. Lithium. (Lithotabs)
B. Benzotropine (Cogentin).
C. Alprazolam (Xanax).
D. Magnesium (Milk of Magnesia).
A female client requests that her husband be allowed to stay
in the room during the admission assessment. When
interviewing the client, the RN notes a discrepancy between
the client’s verbal and nonverbal communication.
What action does the RN take?
A. Pay close attention and document the nonverbal messages.
B. Ask the client’s husband to interpret the discrepancy.
C. Ignore the nonverbal behavior and focus on the
client’s verbal messages.
D. Integrate the verbal and nonverbal messages and
interpret them as one.
A male client approaches the RN with an angry expression on
his face and raises his voice, saying “My roommate is the
most selfish, self-centered, angry person I have ever met. If
he loses his temper one more time with me, I am going to
punch him out!” The RN recognizes that the client is using
which defense mechanism?
A. Denial.
B. Projection.
C. Rationalization.
D. Splitting.
A male client with bipolar disorder who began taking lithium
carbonate five days ago is complaining of 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.
Med C
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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.
The RN is teaching a client about the initiation of the prescribed
abstinence therapy using disulfiram (Antabuse). What
information should the client acknowledge understanding?
A. Completely abstain from heroin or cocaine use.
B. Remain alcohol free for 12 hours prior to the first dose.
C. Attend monthly meetings of alcoholics anonymous.
D. Admit to others that he is a substance user.
A male client with schizophrenia is admitted to the mental
health unit after abruptly stopping his prescription for
ziprasidone (Geodon) one month ago. Which question is
most important for the RN to ask the client?
A. Have you lost interest in the things that you used to enjoy?
B. Is your ability to think or concentrate decreased?
C. How many continuous hours do you sleep
at night? D. Do you hear sounds or voices
that others do not hear?
During an annual physical by the occupational RN working in
a corporate clinic, a male employee tells the RN that is high-
stress job is causing trouble in his personal life. He further
explains that he often gets so angry while driving to and
from work that he has considered “getting even” with other
drivers. How should the RN respond?
A. “Anger is contagious and could result in major
confrontation.”
B. “Try not to let your anger cause you to act impulsively.”
C. “Expressing your anger to a stranger could result
in an unsafe situation.”
D. “It sounds as if there are many situations that make you
feel angry.”
A client who has agoraphobia (a fear of crowds) is beginning
desensitization with the therapist, and the RN is reinforcing
the process. Which intervention has the highest priority for
this client’s plan of care?
A. Encourage substitution of positive thoughts and
negative ones. B. Establish trust by providing a calm,
safe environment.
C. Progressively expose the client to larger crowds.
D. Encourage deep breathing when anxiety escalates in a
crowd.
Which nursing actions are likely to help promote the self-
Med C
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Distribution of this document is illegal extra per year?
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esteem nof na nmale nclient nwith nmodern ndepression?
A. Ask nthe nclient nwhat nhis nlong nterm ngoals nare.
B. Discuss nthe nchallenges nof nhis nmedical ncondition.
C. Include nthe nclient nin ndetermining
ntreatment nprotocol. nD. nEncourage nthe
nclient nto nengage nin nrecreational ntherapy.
E. nProvide nopportunities nfor nthe nclient nto ndiscuss nhis
nconcerns.
A nmale nclient nis nadmitted nto nthe npsychiatric nunit nfor
nrecurrent nnegative nsymptoms nof nchronic nschizophrenia
nand nmedication nadjustment nof nRisperidone n(Risperdal).
nWhen nthe nclient nwalks nto nthe nnurse’s nstation nin na
nlaterally ncontracted nposition, nhe nstates nthat nsomething
nhas nmade nhis nbody ncontort ninto na nmonster. nWhat naction
nshould nthe nRN ntake?
A. Medicate nthe nclient nwith nthe
nprescribed nantipsychotic nthioridazine
n(Mellaril).
B. Offer nthe nclient na nprescribed nphysical ntherapy
nhot npack nfor nmuscle nspasms.
C. Direct nclient nto noccupational ntherapy nto ndistract
nhim nfrom nsomatic ncomplaints.
D. Administer nthe nprescribed nanticholinergic
n benztropine n(Cogentin) nfor ndystonia.
A nmental nhealth nworker nis ncaring nfor na nclient nwith nescalating
naggressive nbehavior. nWhich naction nby nthe nMHW nwarrant
nimmediate nintervention nby nthe nRN?
A. Is nattempting nto nphysically nrestrain nthe npatient.
B. Tells nthe nclient nto ngo nto nthe nquiet narea nof nthe nunit.
C. Is nusing na nloid n voice nto ntalk nto nthe nclient.
D. Remains nat na ndistance nof n4 nfeet nfrom nthe nclient.
A nclient non nthe nmental nhealth nunit nis nbecoming nmore
nagitated, nshouting n at n the n staff, n and n pacing n in nthe
nhallway. n When n the nPRN nmedication nis noffered, nthe nclient
nrefuses nthe nmedication nand ndefiantly nsits non nthe nfloor nin
nthe nmiddle nof nthe nunit nhallway. nWhat nnursing
nintervention nshould nthe nRN nimplement nfirst?
A. Transport nof nthe nclient nto nthe nseclusion nroom.
B. Quietly napproach nthe nclient nwith
nadditional nstaff nmembers. nC. nTake nother
nclients nin nthe narea nto nthe nclient nlounge.
D. n Administer n medication n to nchemically n restrain n the
npatient.
A nclient nis nadmitted nto nthe nmental nhealth nunit nand
nreports ntaking nextra nantianxiety nmedication nbecause,
Med C
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