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 theclient’s verbal messages.

D. Integrate the verbal and nonverbal

messages andinterpret 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

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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.

Projectio

n.

C. Rationalization.

D. Splitting.

A male client with bipolar disorder who began

taking lithiumcarbonate 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?

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A. Report the client’s serum lithium level to the HCP.

B. Encourage the client to suck on hard candy to

relieve thesymptoms.

C. No action is needed since polydipsia is a

common sideeffect.

D. Tell the client that drinking from the faucet is not

allowed.

The RN is teaching a client about the initiation of the

prescribedabstinence 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?

A. Have you lost interest in the things that you used to

enjoy?

B. Is your ability to think or concentrate decreased?

C. How many continuous hours do

you sleepat night? D. Do you hear

sounds or voices that others do not

hear?

During an annual physical by the occupational RN

working ina corporate clinic, a male employee tells

the RN that is high-stress job is causing trouble in

his personal life. He further explains that he often

gets so angry while driving to and from work that

he has considered “getting even” with other

drivers. How should the RN respond?

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A. “Anger is contagious and could result

in majorconfrontation.”

B. “Try not to let your anger cause you to act

impulsively.”

C. “Expressing your anger to a stranger

could resultin an unsafe situation.”

D. “It sounds as if there are many situations that

make youfeel angry.”

A client who has agoraphobia (a fear of crowds) is

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 acrowd.

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