Exam (elaborations)
HESI MENTAL HEALTH RN PEDIATRICS - 3 Versions (140+ questions & ANSWERS)
- Course
- HESI (HESIRN)
- Institution
- Centre For Nursing Studies (CNS )
Version 1,2,3 of HESI Mental health RN final exam
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HESI MENTAL HEALTH RNRANDOM FROM ALL V1-V3 2018
TEST BANKS (ALL TOGETHER VARIOUS
TEST QUESTIONS – 38
PAGES OF STUDY NOTE TEST QUESTIONS
FROM EXAM)
VERSION 1
1.. A mental health worker is caring for a client with escalating aggressive
behavior. Which action by the mental health worker warrants immediate
intervention by the RN?
A. Is attempting the physically restrain the patient.
B. Remains at a distance of 4 feet from the client.
C. Tells the client to go to the quiet area of the unit.
D.Is using a load voice to talk to the client.
2. A female client on a psychiatric unit is sweating profusely while she vigorously
does push-ups and then runs the length of the corridor several times before
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 energy level.
B. Risk for other related violence related to disruptive behavior.
C. Risk for activity intolerance related to hyperactivity.
D.Disturbed personal identity related to grandiosity.
3. When developing a plan of care for a client admitted to the psychiatric unit
following aspiration of a 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.
4. A RN is preparing the physical environment to interview a new client for
admission to the mental health unit. Which environmental setting facilitates the
best outcome of the interview?
A. Dim the lights in the room to help the patient feel calm.
B. Sit within two feet of the client to enhance level of safety and security.
C. Reduce the noise level in the room by turning off the
television and radio.
D. Position table between the client and the RN for extra personal space.
5. The RN is providing education about strategies for a safety plan for a female
client who is a victim of intimate partner violence. Which strategies should be
included in the safety plan? (SOA)
A. Purchase a gun to use for protection.
, B. Establish a code with family and friends to signify violence.
C. Take a self-defense course that retaliates the abuser with injury.
D.Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main
exit.
6. An older homeless client visits the psychiatric clinic to obtain a prescription
renewal for alprazolam (Xanax). During the health assessment, the client
complains of chest pain. Which action should the RN take first?
A. Refer the client to the cardiology unit.
B. Obtain the client Blood pressure.
C. Assess the client for substance abuse.
D.Determine if Xanax was taken recently.
7. The mother of an 8-month-old infant with profound mental and physical
disabilities tells he RN how depressed she is because she realized that her child
will never achieve normal growth and development milestones. How should the
RN respond to the mother?
A. Ask the mother if she has ever thought about harming
herself or her child.
B. Reassure the mother that her child will achieve some growth and
development milestones.
C. Determine if the mother has other children who do not have
developmental disabilities.
D.Encourage the mother to write thoughts and feelings in journal.
8. Several clients with chronic mental illness and multiple substance abuse
histories live in a group residential home and attend daycare mental health
, facility where group and individual therapies are provided. The RN finds the
common bathroom at the facility with sputum on the walls, urine in the sink and
on the floors, and the toilet stopped up with tissue, paper towels, and feces.
What is the priority issue that the RN should address?
A. Medication non-compliance.
B. Number of bathroom facilities.
C. Infection control.
D.Acting out behaviors.
12. A client with schizophrenia is admitted to the psychiatric care unit for
aggressive behavior, auditory hallucinations, and potential for safe harm. The
client has not been taking medications as prescribed and insists that the food has
been poisoned and refuses to eat. What intervention should the RN implement?
A. Assure the client that all food served in the hospital is safe to eat.
B. Tell the client that irrational thinking is a symptom of schizophrenia.
C. Obtain an order for a tube feeding for the client.
D.Provide the client with food in unopened containers.
13. A male client is admitted to the psychiatric inpatient unit with a bandaged
flesh wound after attempting to shoot himself. He was divorced one year ago.
Lost his job four months ago, and suffered a breakup of is current relationship last
week. What is most likely source of this client’s current feelings of depression?
A. Feelings of frustration.
B. A sense of loss
C. Poor self-esteem.
D.A lack of intimate relationships.
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