HESI MENTAL HEALTH RN V1-V3 2021 TEST BANKS (ALL

TOGETHER)

A client with depression remains in bed most of the day, anddeclines

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. Benzotropine (Cogentin).

c. Alprazolam (Xanax).

d. Magnesium (Milk of Magnesia).

A female client requests that her husband be allowed to stayin the

room during the admission assessment. When interviewing the

client, the RN notes a discrepancy betweenthe client’s verbal and

nonverbal communication.

What action does the RN take?

A. Pay close attention and document the nonverbal messages.

B. Ask the client’s husband to interpret the discrepancy.

C. Ignore the nonverbal behavior and focus on the

client’s verbal messages.

D. Integrate the verbal and nonverbal messages and

interpret them as one.

A male client approaches the RN with an angry expression onhis

face and raises his voice, saying “My 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!” 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’s 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.

A male client with schizophrenia is admitted to the mental health

unit after abruptly stopping his prescription for ziprasidone

(Geodon) one month ago. Which question is most important for the

RN to ask the client?