2023 HESI MENTAL HEALTH EXAM\/MENTAL HEALTH HESI EXIT
EXAM TEST BANK LATEST JUNE 2023 QUESTIONS AND
CORRECT DETAILED ANSWERS|AGRADE
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?
A. Haloperidol (Haldol).
B. Thiamine (Vitamin B1).
C. Diphenhydramine (Benadryl).
D. Lorazepam (Ativan).
A client who refuses antipsychotic medications disrupts group activities, talks with nonsensical words
and wanders into client\u2019s rooms. The RN decides that the client needs constant observation based on
which of these assessment findings?
A. Wanders into the clients rooms.
B. Refuses antipsychotic medications.
C. Talks with nonsensical words.
D. Disrupts group activities.
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. \u201cLet\u2019s go ask another RN is this is true.\u201d
B. \u201cMy name tag shows that I am a RN here.\u201d
C. \u201cI can\u2019t possibly be one if your children.\u201d
D. \u201cI know that you don\u2019t have 20 children.\u201d
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?
A. National percentile of weight and height.
B. Frequency of bingeing and purging behaviors.
C. Perceptions of family and social relationships.
D. School grades and extracurricular activities.
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?
A. Encourage the client to increase fluid intake.
B. Obtain the client\u2019s serum Vicodin level.
C. Observe the client for further narcotic effects.
D. Determine the client\u2019s reason for attempting suicide.
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?
A. Reassure the client that his request will be met whenever possible.
B. Advise the client that assignments are not based on the client\u2019s request.
C. Ask the client to explain why he constantly requests the RN.
D. Encourage the client to verbalize his feelings about the RN.<\/p>\n\n\n\n
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?
A. Tell him to take the medication then verify the dosage at the next healthcare team meeting.
B. Withhold the medication until the dosage can be confirmed.
C. Inform him that he may refuse the medication and document whether or not he takes it.
D. Explain to the client that the dosage has been changed.<\/p>\n\n\n\n
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. (Lithotabs)
b. Benztropine (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\u2019s verbal
and nonverbal communication. What action does the RN take?
A. Pay close attention and document the nonverbal messages.
B. Ask the client\u2019s husband to interpret the discrepancy.
C. Ignore the nonverbal behavior and focus on the client\u2019s 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
\u201cMy 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!\u201d 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\u2019s 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.<\/p>\n","protected":false},"excerpt":{"rendered":"
2023 HESI MENTAL HEALTH EXAM\/MENTAL HEALTH HESI EXITEXAM TEST BANK LATEST JUNE 2023 QUESTIONS ANDCORRECT DETAILED ANSWERS|AGRADEA male client with long history of alcohol dependency arrives in the emergency department describingthe 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. […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-112538","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112538","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=112538"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112538\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=112538"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=112538"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=112538"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}