HESI MENTAL HEALTH RN AUGUST 2023 EXAM WITH CORRECT ANSWERS PROVIDED
731 views 0 purchase
Course
HESI RN
Institution
HESI RN
HESI MENTAL HEALTH RN EXAM WITH CORRECT ANSWERS PROVIDED
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...
HESI MENTAL HEALTH RN EXAM WITH
CORRECT ANSWERS PROVIDED
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. (Litho tabs)
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.
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-esteem of a male client with
modern depression?
A. Ask the client what his long term goals are.
, B. Discuss the challenges of his medical condition.
C. Include the client in determining treatment protocol. D.
Encourage the client to engage in recreational therapy.
E. Provide opportunities for the client to discuss his concerns.
A male client is admitted to the psychiatric unit for recurrent negative symptoms of
chronic schizophrenia and medication adjustment of Risperidone (Risperdal). When
the client walks to the nurse’s station in a laterally contracted position, he states that
something has made his body contort into a monster. What action should the RN
take?
A. Medicate the client with the prescribed antipsychotic thioridazine
(Mellaril).
B. Offer the client a prescribed physical therapy hot pack for muscle spasms.
C. Direct client to occupational therapy to distract him from somatic
complaints.
D. Administer the prescribed anticholinergic benztropine (Cogentin) for
dystonia.
A mental health worker is caring for a client with escalating aggressive behavior.
Which action by the MHW warrant immediate intervention by the RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loid voice to talk to the client.
D. Remains at a distance of 4 feet from the client.
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.
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.”
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’s history is most related to the
reaction that occurred?
A. Is worried about losing his job to a woman.
B. Tortured animals as a child.
C. Was physically abused by his mother.
D. Hates to be touched by anyone.
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/
A. Level of concentration. B.
Insight and judgement.
C. Remote memory.
D. Mood and affect.
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. Altered thoughts.
D. Social isolation.
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?
A. Offer the client a safe place to relax before interviewing her.
B. Ask the client to describe why she is being stalked.
C. Recommend that the client talk with a social worker.
D. Assure the client that the HCP will see her today.
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?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Cowell. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $30.99. You're not tied to anything after your purchase.
