HESI MENTAL HEALTH V1 2019 55 QUESTIONS&
UPDATED CORRECT ANSWERS/A GRADE
1. A nurse is explaining a fire drill routine to a group of clients. A client
... [Show More] becomes disruptive
and continually interrupts the group. What is the nurse's best response?
• When you interrupt, I cannot explain what to do to the group.
2. When performing a MSE on a client which assessment intervention would best assist the
nurse?
• Ask the client to interpret the proverb a stitch in time saves nine.
3. A client comes in after being in a car accident and is experiencing alcohol withdrawal,
magnesium level of 1.1, cardiac dysrhythmias. What would you give first?
• Magnesium.
4. A woman is just told of her husband's dx of terminal cancer. What would the nurse offer
for the spouse (wife)?
• How would you like to be involved with your husband's care?
5. A nurse is to remove staples from an abdominal incision, the client is very anxious. What is
the most important intervention?
• Attempt to distract the client with general conversation.
6. A man who was stranded on the roof of his house for two days after a natural disaster,
months later ...
• Implement anxiety controlstrategies
7. A man dx with bipolar disorder states, "I don't understand, I believe in God and have not
done anything to deserve this". What is the nurse's best response?
• You didn't do anything wrong. You have a chemical imbalance in your brain.
8. A client becomes upset when the nurse he requests is not assigned to him, what is the
nurse's best response?
• Advise the client that nursing assignments are not based on client requests.
9. A client needs to wash her hands for two hours before able to go on with her morning.
She doesn't want to sit on the chairs in the dayroom for fear of getting dirty. What is this
mechanism?
• Compulsion.
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10. A client in group is talking about her prostitution, the nurse asks her if she was abused
by her parents. She states "my mother ran my father out when I was young". What
defense mechanism was used?
• Repression.
11. A woman calls the crisis hotline and says she has a loaded gun and is going to kill herself.
To maintain patient confidentiality what would the nurse do?
• Contact the person the client chooses to go to the home and remove the weapon.
12. A client with anger management issues uses belt making and bangs the leather heavily.
What defense mechanisms is being used?
• Sublimation.
13. A bipolar client comes into the clinic and tells the nurse that the next time she sees her
sister I'm going to kill her. What should the nurse do?
• Inform the sister.
14. What would be the nurse's highest priority for a newly admitted depressed client upon
admission?
• The nurse should go through the client's belongings.
15. Who is most prone to being abused (elder abuse)?
• Females over 75 living with their families.
16. A client in the dayroom had tipped over a table and is escalating and has picked up a
chair which he is threatening to throw at another client. What should the nurse do first?
• Go and get more staff assistance.
17. A woman who is psychotic is carrying all of her belongings around with her because she
is afraid that someone will steal it. What is the best way to establish trust?
• Make brief contact with the client throughout the day.
18. In adolescent group discussing a handout on anger management, a client is becoming
increasingly interruptive and talking about his home and pets. What is the nurse's most
appropriate response?
• Redirect the client to read the handout.
19. What is the most important intervention for a client with bulimia?
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This study source was downloaded by 100000770092086 from CourseHero.com on 04-14-2021 12:57:19 GMT -05:00
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• Plan scheduled meals.
20. A client comes into the ED with DTs. What should the nurse do first?
• Administer Ativan.
21. What are the side effects of Risperdal?
• Fever,tachycardia, and sweating.
22. A client who is refusing to take his medication is wandering on the unit and going in and
out of resident's rooms. What is the priority?
• Wandering in and out of other client's rooms.
23. A nurse observes a client in the dayroom talking to himself. What should the nurse do
first?
• Ask the client if he’s currently hearing voices?
24. A client comes to the nurses' station and told the nurse that her roommate had cut her
wrists in the bathroom. After assessing and dressing the wounds, what should the nurse
do next?
• Move the client to a private room by the nurse's station.
25. A man comes into the ER after being in a car accident with an alcohol level greater than
2, what should the nurse prepare to administer?
• Give Ati [Show Less]