HESI MENTAL HEALTH RN V1 –V3 TESTBANK
ACTUAL EXAMS WITH VERIFIED
SOLUTIONS/A+ GRADE
VERSION 1
A client who has agoraphobia (a fear of crowds) is
... [Show More] 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 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
HESI MENTAL HEALTH RN V1 –V3 TESTBANK
ACTUAL EXAMS WITH VERIFIED
SOLUTIONS/A+ GRADE
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?
A. Explore the client’s feelings about his pets and home life.
B. Encourage his peers to help involve him in the activity.
C. Give the client permission to leave and return in 10 minutes.
D. Redirect him by encoura [Show Less]