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HESI MENTAL HEALTH RN EXAM QUESTIONS WITH COMPLETE VERIFIED SOLUTIONS
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HESI MENTAL HEALTH RN EXAM QUESTIONS WITH COMPLETE VERIFIED SOLUTIONS 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...

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  • May 5, 2024
  • 36
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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2023-2024 HESI MENTAL HEALTH RN EXAM QUESTIONS WITH

COMPLETE VERIFIED SOLUTIONS

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?

Take other clients in the area to the client lounge.

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?

"I don't want to walk. Nothing matters anymore."

A male hospital employee is pushed out the way by a female employee because

of an oncoming gurney. The pushed employee becomes very angry and swings at

the female employee. Both employees are referred for counseling with the staff

psychiatric RN. Which factor in the pushed employee'shistory is most related to

the reaction that occurred?

Was physically abused by his mother.

The RN documents the mental status of a female client who has been hospitalized

for several days by court order. The client states, "I don't need to be here" and

tells the RN that she believes the television talks to her. The RN should document

these assessment findings in which section of the mental status exam

Insight and judgement

,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?

Moderate anxiety

A female client who is wearing dirty clothes and has foul body odor, comes to the

clinic reporting feeling scared because she is being stalked. What action is most

important for the RN to take?

Offer the client a safe place to relax before interviewing her.

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?

Redirect him by encouraging him to read from the handout

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 the RN to take? A. Report the

behavior to the next shift.

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?

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?

Recommend assignment to the receptionist's office.

The 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?

Mental status examination.

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 should the RN include in the client's

plan of care?

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?

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?

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'sgo ask another RN is this

istrue."

"My name tag shows that I am a RN here."

A high school girl reveals to the high school RN that she has been engaging in

self-induced vomiting as weight-control measure. Which initial assessment

should the RN focus on with this adolescent?

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?

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 RN implement?

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 different dosage.

What action should the RN take?

Withhold the medication until the dosage can be confirmed.

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