HESI PSYCH MENTAL HEALTH TEST BANK 2024-
2025 ACTUAL EXAM 300 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
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Terms in this set (302)
A female client with a history of drinking who was
admitted 8 hours ago after receiving treatment for minor
abrasions occurred from a fall at home. The nurse
... determines the client's blood alcohol level (BAL) was not
analyzed on administration action should the nurse take
Ask client about alcohol quantity, frequency, and time of
last drink
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 nurse to ask the
client Do you hear voices.
, What is the most important goal for a client diagnosed
with major depression who has been receiving an
...
antidepressant medication for two weeks not attempt to
commit suicide
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
the 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 disturbances, the
client shouts," I am the boss here. I do what I want."
Which nursing problem best supports these
observations Risk for other related violence related to
disruptive
A female client engages in repeated checks of door and
window locks. Behavior that prevents her from arriving
... on time and interferes with her ability to function
e2ectively. What action should the nurse take plan a list
of activities to be carried out daily.
A male adult comes to the mental health clinic and walks
back and forth in front of the office door, but does not
enter the office. He then walks around a chair that is in
...
the hallway several times before sitting down in the chair.
What action should the nurse take first observe the client
in the chair
2 days after admission from Monitor HR and BP
alcohol withdrawal what
should the nurse do?
,A 26-year-old female client come with me to your room and I will sit with you
has been particularly
restless and the nurse finds
her trying to leave the
psychiatric unit. She tells
her the nurse," please let
me leave because the
secret police are after me."
Which response is best for
the nurse
A 35-year-old male client C
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.
, A 35-year-old male client A
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 65-year-old female client B
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?
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