HESI Mental Health 2 Questions and Correct Answers
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The RN leading a group session of adolescent clients gives the members
a handout about anger management. One of the male clients is fidgety,
interrupts peers when they try and talk, and talks about his pets at home.
What nursing action is best for the RN to take? A. Explore the client's
feelings about his pets and home life. B. Encourage his peers to help
involve him in the activity. C. Give the client permission to leave and
return in 10 minutes. D. Redirect him by encouraging him to read from
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the handout
Ans: D. Redirect him by encouraging him to read from the handout.
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A male adolescent was admitted to the unit two days ago for depression.
When the mental health RN tries to interview the client to establish
rapport, he becomes very irritated and sarcastic. Which action is best for
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the RN to take? A. Report the behavior to the next shift. B. Offer to play a
game of cards with the client. C. Document the behavior in the chart. D.
Plan to talk with the client the next day.
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Ans: B. Offer to play a game of cards with the client.
A male adult is admitted because of an acetaminophen (Tylenol)
overdose. After transfer to the mental health unit, the client is told he
has liver damage. Which information is most important for the nurse to
include in the client's discharge plan? A. Do not take any over the counter
meds. B. Eat a high carb, low fat, low protein diet. C. Call the crisis
hotline if feeling lonely. D. Avoid exposure to large crowds.
Ans: A. Do not take any over the counter meds.
After receiving treatment for anorexia, a student asks the school RN for
permission to work in the school cafeteria as part of the school's work
study program. What action should the RN take? A. Refer the student to a
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psychiatrist for further discussion. B. Recommend assignment to the
receptionist's office. C. Suggest that student work in the athletic
department. D. Determine the parent's opinion of the work assignment.
Ans: B. Recommend assignment to the receptionist's office.
he Rn accepts a transfer to the metal health unit and understands that
the client is distractible and is exhibiting a decreased ability to
concentrate. The RN only has 15 minutes to talk to the client. To develop
treatment plan for this client, which assessment is most important for
the RN to obtain? A. Motivation of treatment. B. History of substance use.
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C. Medication compliance. D. Mental status examination.
Ans: D. Mental status examination.
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A male client who recently lost a loved one arrives at the mental health
center and tells the RN he is no longer interested is his usual activities
and has not slept for several days. Which priority nursing problem
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should the RN include in the client's plan of care? A. Risk for suicide. B.
Sleep deprivation. C. Situational low self-esteem. D. Social isolation.
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Ans: . Sleep deprivation
A male client with long history of alcohol dependency arrives in the
emergency department describing the feelings of bugs crawling on his
body. His blood pressure is 170/102, his pulse rate is 110 bpm, and is
blood alcohol level is 0mg/dL. Which prescription should the RN
administer? A. Haloperidol (Haldol). B. Thiamine (Vitamin B1). C.
Diphenhydramine (Benadryl). D. Lorazepam (Ativan).
Ans: D. Lorazepam (Ativan).
A client who refuses antipsychotic medications disrupts group activities,
talks with nonsensical words and wanders into client's rooms. The RN
decides that the client needs constant observation based on which of
these assessment findings? A. Wanders into the clients rooms. B. Refuses
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antipsychotic medications. C. Talks with nonsensical words.D. Disrupts
group activities
Ans: . Wanders into the clients rooms.
A client with schizophrenia explains that she has 20 children and then
very seriously points to the RN and explains that she is one of them.
What is the most therapeutic response for the RN to provide/ A. "Let's go
ask another RN is this is true." B. "My name tag shows that I am a RN
here." C. "I can't possibly be one if your children." D. "I know that you
don't have 20 children."
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Ans: B. "My name tag shows that I am a RN here."
A high school girl reveals to the high school RN that she has been
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engaging in self-induced vomiting as weight-control measure. Which
initial assessment should the RN focus on with this adolescent? A.
National percentile of weight and height. B. Frequency of bingeing and
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purging behaviors. C. Perceptions of family and social relationships. D.
School grades and extracurricular activities.
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Ans: B. Frequency of bingeing and purging behaviors.
Narcan was administered to an adult client following a suicide attempt
with an overdose of hydrocodone bitartrate (Vicodin). Within 15 minutes,
the client is alert and oriented. In planning nursing care, which
intervention has the highest priority at this time? A. Encourage the client
to increase fluid intake. B. Obtain the client's serum Vicodin level. C.
Observe the client for further narcotic effects. D. Determine the client's
reason for attempting suicide.
Ans: . Observe the client for further narcotic effects.
Following surgery, a male client with antisocial personality disorder
frequently requests that a specific RN be assigned to is care and is
belligerent when another RN is assigned. What action should the charge
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RN implement? A. Reassure the client that his request will be met
whenever possible. B. Advise the client that assignments are not based on
the client's request. C. Ask the client to explain why he constantly
requests the RN.D. Encourage the client to verbalize his feelings about
the RN.
Ans: . Advise the client that assignments are not based on the client's
request.
When preparing to administer a prescribed medication to a homeless
male at a community clinic, the client tells the RN that he usually takes a
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different dosage. What action should the RN take? A. Tell him to take the
medication then verify the dosage at the next healthcare team meeting. B.
Withhold the medication until the dosage can be confirmed. C. Inform
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him that he may refuse the medication and document whether or not he
takes it. D. Explain to the client that the dosage has been changed.
Ans: B. Withhold the medication until the dosage can be confirmed.
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The nurse orients a female client with depression to the new room on the
mental health unit. The client states "It seems strange that I don't have a
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T.V in my room." Which statement would be best for the RN to provide?
A. "You can watch T.V as much as you want outside of your room." B.
"Sometimes clients feel like the T.V is sending them messages." C. "It's
important to be out of you room and talking to others." D. "Watching T.V
is a passive activity and we want you to be active."
Ans: C. "It's important to be out of you room and talking to others."
A client admitted with a closed head injury after a fall has a blood
alcohol level of 0.28 (28%) and is difficult to arouse. Which intervention
during the first 6 hours following admission should the RN identify as
the priority? A. Give lorazepam (Ativan) PRN for signs of withdrawal. B.
Administer disulfiram (Antabuse) immediately. C. Place in a side lying