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MH Psychiatric HESI RN EXAM & Case Study with Answer
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MH Psychiatric HESI RN EXAM & CaseStudy with Answer 2024-2025
The nurse completes an emergency admission of a male
client with schizophrenia who has not been taking his
antipsychotic medications. The client is pacing, is
extremely irritable, and has a blood pressure of 146/96.
What is the priority nursing action?
Encourage the client to stop pacing and sit down.
Reevaluate the client's blood pressure in an hour.
Direct the client to attend recreational therapy.
Review the client's baseline blood pressure. - correct
answer ✅✅Reevaluate the client's blood pressure in an
hour.
Rationale
The client is irritable and pacing, which can contribute to
the elevated BP. A reevaluation of the client's BP in an
hour allows time for the excitement and stress of the
admission process to abate. The other actions are not
indicated at this time.
,MH Psychiatric HESI RN EXAM & Case
Study with Answer 2024-2025
A young adult female client with panic disorder arrives in
the Emergency Center with a 4-day history of chest pain
that began when her boyfriend left her. Initial assessment
reveals normal cardiopulmonary findings. Which
information is most important for the nurse to obtain? -
correct answer ✅✅Drugs taken in last 7 days.
Rationale
Use of prescribed, over-the-counter, and illicit drugs are
the most important information to obtain when planning
care because drugs are likely to influence the client's
behavior and ability to cope with stressful situations.
A female client comes to an outpatient therapy
appointment intoxicated. The spouse tells the nurse,
"There wasn't anything I could do to stop her drinking this
morning." What intervention should the nurse take at this
time? - correct answer ✅✅Tell the client that therapy
cannot take place while she is intoxicated.
Rationale
,MH Psychiatric HESI RN EXAM & Case
Study with Answer 2024-2025
Therapy sessions are designed to confront the issues that
the client with alcohol dependence may be experiencing.
If the client presents inebriated, a therapeutic and
confrontational meeting cannot occur because the client's
judgment is altered. The other interventions are not
necessary.
The nurse is planning care for a client with major
depression who is admitted to the unit after a recent
suicide attempt. Which intervention has the highest
priority for inclusion in this client's plan of care? - correct
answer ✅✅Search the client's personal belongings.
Rationale
To safeguard that the client dose not have some means to
inflict self harm, a routine search of personal belongings,
which is a common safety policy, should be implemented
until the client stabilizes and suicidal ideations abate. The
other interventions are components of the plan of care
that ensure a therapeutic milieu but are not the priority in
ensuring safety from self-harm.
A male client is brought to the emergency department by
a police officer, who reports the client was "disturbing the
, MH Psychiatric HESI RN EXAM & Case
Study with Answer 2024-2025
peace" by running naked in the street, striking out at
others, and smashing car windows. Which behaviors
should the client demonstrate to determine if he should
be evaluated for involuntary commitment? (Choose all
that apply.)
-Threats to kill his friend.
-Disruptive behaviors in a community setting.
-Hears voices telling him to kill himself.
-Reports he has not needed a bath in 4 months.
-Created extensive private property damage.
-Says he has not eaten in 3 days. - correct answer
✅✅-Threats to kill his friend
-hears voices telling him to kill himself
-reports he has not needed a bath in 4 months
-says he has not eaten in 3 days.
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