HESI Mental Health Comprehensive Exam Questions& Answers, 100% Rated
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Course
HESI Mental Health 2024
Institution
HESI Mental Health 2024
HESI Mental Health Comprehensive Exam Questions& Answers, 100% Rated-A 35-year-old male client on the psychiatric ward of a general hospital believes that someone is trying to poison him. The nurse understands that a client's delusions are most likely related to his
A) early childhood experiences ...
HESI Mental Health Comprehensive Exam
Questions& Answers, 100% Rated
A 35-year-old male client on the psychiatric ward of a general hospital believes that
someone is trying to poison him. The nurse understands that a client's delusions are most
likely related to his
A) early childhood experiences involving authority issues.
B) anger about being hospitalized.
C) low self-esteem.
D) phobic fear of food. - C
A 35-year-old male client who has been hospitalized for two weeks for chronic paranoia
continues to state that someone is trying to steal his clothing. Which action should the
nurse implement?
A) Encourage the client to actively participate in assigned activities on the unit.
B) Place a lock on the client's closet.
C) Ignore the client's paranoid ideation to extinguish these behaviors.
D) Explain to the client that his suspicions are false. - A
A 65-year-old female client complains to the nurse that recently she has been hearing
voices. What question should the nurse ask this client first?
A) Do you have problems with hallucinations?
B) Are you ever alone when you hear the voices?
C) Has anyone in your family had hearing problems?
D) Do you see things that others cannot see? - B
A child is brought to the emergency room with a broken arm. Because of other injuries,
the nurse suspects the child may be a victim of abuse. When the nurse tries to give the
child an injection, the child's mother becomes very loud and shouts, "I won't leave my
son! Don't you touch him! You'll hurt my child!" What is the best interpretation of the
mother's statements? The mother is
A) regressing to an earlier behavior pattern.
B) sublimating her anger.
C) projecting her feelings onto the nurse.
,D) suppressing her fear. - C
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 position with head of bed elevated.
D. Provide thiamine and folate supplements as prescribed. - C
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. Blood pressure readings of 90/62 mmHg to 92/58 mmHg.
B. Pulse rate of 68-78 BPM.
C. Temperature of 99.5-99.7 F.
D. Respiration rate of 24 breaths per minute. - A
A client is admitted to the mental health unit and reports taking extra antianxiety
medication because, "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." - D
A client is admitted to the mental health unit reports shortness of breath and dizziness.
The client tells the RN, "I feel like I'm going to die". Which nursing problem should the
RN include in this client's plan of care?
A. Mood disturbance.
B. Moderate anxiety.
C. Alteredthoughts.
D. Social isolation. - B
A client is admitted with a diagnosis of depression. The nurse knows that which
characteristic is most indicative of depression?
,A) Grandiose ideation.
B) Self-destructive thoughts.
C) Suspiciousness of others.
D) A negative view of self and the future. - D
A client is receiving benztropine mesylate (Cogentin) for drug-induced extrapyramidal
syndrome (EPS). Which finding indicates that the RN should further evaluate the client?
A. Decreased bowel movements.
B. Presence of a dry mouth.
C. Decreasinghandtremors.
D. Increased mouth movements. - B
A client is receiving substitution therapy during withdrawal from benzodiazepines.
Which expected outcome statement has the highest priority when planning nursing care?
a. Client will not demonstrate cross addiction.
b. Co-dependent behaviors will be decreased.
c. CNS stimulation will be reduced.
d. Client's level of consciousness will increase. - C
A client on the mental health unit is becoming more agitated, shouting at the staff, and
pacing in the hallway. When the PRN medication is offered, the client refuses the
medication and defiantly sits on the floor in the middle of the unit hallway. What nursing
intervention should the RN implement first?
A. Transport of the client to the seclusion room.
B. Quietly approach the client with additional staff members.
C. Take other clients in the area to the client lounge.
D. Administer medication to chemically restrain the patient. - C
A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also
reports that he is married to a female movie star and thinks that his brother wants a sexual
relationship with her. What is the priority nursing problem for admission to the
psychiatric unit?
A. Ineffective sexual patterns.
B. Impaired environmental interpretation.
C. Disturbed sensory perception.
, D. Compromised family coping. - A
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. - B
A client who is admitted with a closed head injury after a gall has a blood alcohol level
(BAL) of 0.28 (28%) and is difficult to arouse. Which intervention during the first 6
hours following admission should the nurse identify as the priority?
A. Place in a side-lying position with head of bed elevated.
B. Administer disulfram (Atabuse ) immediately
C. Give lorezapam (Ativan)PRN for signs of withdrawal.
D. Provide thiamine and folate supplements as prescribed. - A
A client who is being treated with lithium carbonate for manic depression begins to
develop diarrhea, vomiting, and drowsiness. What action should the nurse take?
a. Notify the physician immediately and force fluids.
b. Prior to giving the next dose, notify the physician of the symptoms.
c. Record the symptoms and continue medication as prescribed.
d. Hold the medication and refuse to administer additional amounts of the
drug. - B
A client who is homeless is diagnosed with schizophrenia and admitted on an involuntary
basis to a mental health hospital 4 days ago. The client stopped taking prescribed
antipsychotic drugs approximately one month ago. Since hospitalization the client
continues to have poor judgment and refuses all medications. What action should the RN
take?
A. Encourage the client to stay in the hospital so the client does not have to be homeless.
B. Provide the client with medication if the client presents an imminent risk to self and
others.
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