HESI RN MENTAL HEALTH ACTUAL EXAM 2023\/2024 | ACCCURATE EESTIONS AND ANSWERS WITH DETAILED SOLUTIONS | VERIFIED FOR GUARANTEED PASS | ALREADY GRADED A | LATEST UPDATE<\/p>\n\n\n\n
HESI RN MENTAL HEALTH ACTUAL EXAM 2023\/2024 |
ACCCURATE EESTIONS AND ANSWERS WITH DETAILED
SOLUTIONS | VERIFIED FOR GUARANTEED PASS |
ALREADY GRADED A | LATEST UPDATE
The RN is admitting a male client who takes lithium carbonate (Eskalith) twice a day. Which
information should the RN report to the HCP immediately?
A. Short term memory loss.
B. Five pound weight gain
C. Decreased affect.
D. Nausea and vomiting.
D. Nausea and vomiting.
A homeless client who reports feeling sad and depressed tells the mental health nurse that in the
past 2 days she has only had 4 hours of sleep. Which action is most important for the RN to
implement within the first 24 hours after treatment is initiated?
A. Allow the client to rest and sleep.
B. Ensure client attend groups addressing coping skills for dealing with depression.
C. Begin planning for the clients discharge.
D. Encourage verbalization of feelings.
A. Allow the client to rest and sleep.
A RN is teaching a client about initiation of a prescribed abstinence therapy using Disulfiram
(Antabuse). What information should the client acknowledge understanding?
A. Admit to others that he is a substance abuser.
B. Remain alcohol free for 12 hours prior to first dose.
C. Attend monthly meetings of alcoholics anonymous.
D. Completely sustain from heroin or cocaine use.
B. Remain alcohol free for 12 hours prior to first dose.
Which client statement suggests the RN that the client is using a defense mechanism of
projection to deal with anxiety related to admission to a psychiatricunit?
A. At least I hit the wall instead of hitting the psychiatric aide.
B. I am here because the police thought I was doing something wrong.
C. I want to be here because I know it is the best psychiatric facility.
D. Don’t believe everything my family tells you, I am not crazy.
B. I am here because the police thought I was doing something wrong.
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<\/p>\n\n\n\n
that the T.V. talks to her. The RN should document these assessment statements in which section
of the mental status exam?
A. Insight and judgement.
B. Mood and affect.
C. Remote memory.
D. Level of concentration.
A. Insight and judgement.
An older ale client with schizophrenia is found smearing feces on the bathroom walls of the
chronic mental health unit where he resides. What action should the RN implement?
A. Explain that the feces belong in the toilet.
B. Show the client how to clean the walls.
C. Escort the client out of the bathroom.
D. Assist the client to clean the walls
C. Escort the client out of the bathroom.
A male client tells the RN that he does not want to take the atypical antipsychotic drug,
olanzapine (Zypexa), because of the side effects he experienced when he took the drug for a
year. Which experience is most likely related to takingolanzapine?
A. Weight gain of 75 lbs.
B. Thoughts of wanting to hurt himself.
C. Frequent days with diarrhea.
D. Alerted liver function test.
A. Weight gain of 75 lbs.
Following involvement in a MVC, a middle aged adult client is admitted to the hospital with
multiple facial fractures. The client’s blood alcohol level is high on admission. Which PRN
prescription should be administered if the client begins toexhibit signs and symptoms of delirium
tremens (DTs)?
A. Prochlorperazine (Compazine) 5 mg IM.
B. Hydromorphone (Dialuadid) 2 mg IM.
C. Chlorpromazine (Thorazine) 50 mg IM.
D. Lorazepam (Ativan) 2 mg IM.
D. Lorazepam (Ativan) 2 mg IM.
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. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).<\/p>\n\n\n\n
b. Benzotropine (Cogentin).
The RN on the day shift receive report about a client with depression who was in bed most of the
weekend. The RN walks into the client’s room in the morning and finds the client in bed. What
intervention is best for the RN to implement?
A. Monitor the client’s appetite and pattern of sleep.
B. Assess the client’s feelings about the hospital stay.
C. Assist the client to get out of bed and involved in an activity.
D. Explain that staff will check on the client every 30 minutes.
C. Assist the client to get out of bed and involved in an activity.
Male who was found sitting in the middle of a busy street is brought to the emergency
department. Confused and has difficulty answering questions. After ruling out a physiological
etiology for the client’s behavior. When admitting the client to the unit, which action is most
important for the nurse to take?
A. Ask the client about his recent substance use
B. Perform a mental status exam
C. Determine the number of previous
hospitalizations
D. Assess the client from head-to-toe
B. Perform a mental status exam
An adolescent male client is hospitalized after he threatened a teacher at school. He admits
feeling angry because his mother tricked him and brought him to the hospital. The client states
that when his mother visits, he plans to get his belongings from her, but he is not going to talk to
her. Which activity is most important for the nurse to complete before the mother arrives?
A. Assess the client’s self-esteem needs.
B. Determine the client’s expectations fortreatment.
C. Discuss methods for clearly communicating.
D. Identify ways to develop support systems.
C. Discuss methods for clearly communicating.
During admission to the psychiatric unit, a female client is extremely anxious and states that she
is worried about the sun coming up the next day. What intervention is most important for the RN
to implement during the admission process?
A. Assist the client in developing alternative coping skills.
B. Remain calm and use a matter of fact approach.
C. Ask the client why she is so anxious
D. Administer a PRN sedative to help relieve her anxiety.
A. Assist the client in developing alternative coping skills.
A client with borderline personality disorder tells the nurse, “You are the best nurse on the unit!
The other nurses don’t care about me the way you do.” Which response is best for the nurse to
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