2023 HESI RN Mental Health Test Bank Version 3 With Answers (29 Solved Questions)

Name: 2023 HESI RN Mental Health Test Bank Version 3 With Answers (29 Solved Questions)
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Get valuable insights into exam trends with 2023 HESI RN Mental Health Test Bank Version 3 With Answers, featuring past questions.

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HESI MENTAL HEALTH V3 2017 55
QUESTIONS
25. Disturbed thought process.
26. A nurse is explaining a fire drill routine to a group of clients. A client becomes disruptive
and continually interrupts thegroup. What is thenurse's best response?
27. When you interrupt, I cannot explain what to do to thegroup.
28. When performing a MSE on a client which assessment intervention would best assist
thenurse?
29. Ask theclient to interpret theproverb a stitch in time saves nine.
30. A client comes in after being in a car accident and is experiencing alcohol withdrawal,
magnesium level of 1.1, cardiac dysthrythmias. What would you give first?
31. Magnesium.
32. A woman is just told of her husband's dx of terminal cancer. What would thenurse offer for
thespouse (wife)?
33. How would you like to be involved with your husband's care?

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34. A nurse is to remove staples from an abdominal incision, theclient is very anxious. What is
themost important intervention?
35. Attempt to distract theclient with general conversation.
36. A man who was stranded on theroof of his house for two days after a natural disaster,
months later ...
37. Implement anxiety control strategies
38. 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 thenurse's best response?
39. You didn't do anything wrong. You have a chemical imbalance in your brain.
40. A client becomes upset when thenurse he requests is not assigned to him, what is thenurse's
best response?
41. Advise theclient that nursing assignments are not based on client requests.

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42. 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 thechairs in thedayroom for fear of getting dirty. What is this
mechanism?
43. Compulsion.
44. A client in group is talking about her prostitution, thenurse 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?
45. Repression.
46. A woman calls thecrisis hotline and says she has a loaded gun and is going to kill herself. To
maintain patient confidentiality what would thenurse do?
47. Contact theperson theclient chooses to go to thehome and remove theweapon.
48. A client with anger management issues uses belt making and bangs theleather heavily. What
defense mechanisms is being used?
49. Sublimation.
50. A bipolar client comes into theclinic and tells thenurse that thenext time she sees her sister
I'm going to kill her. What should thenurse do?
51. Inform thesister.
52. What would be thenurse's highest priority for a newly admitted depressed client upon
admission?
53. The nurse should go through theclient's belongings.
54. Who is most prone to being abused (elder abuse)?
55. Females over 75 living with their families.
56. A client in thedayroom 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 thenurse do first?
57. Go and get more staff assistance.
58. 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 thebest way to establish trust?
59. Make brief contact with theclient throughout theday.
60. In adolescent group discussing a handout on anger management, a client is becoming
increasingly interruptive and talking about his home and pets. What is thenurse's most
appropriate response?
61. Redirect theclient to read thehandout.
62. What is themost important intervention for a client with bulimia?

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63. Plan scheduled meals.
64. A client comes into theED with DTs. What should thenurse do first?
65. Administer Ativan.
66. What are theside effects of Resperdal?
67. Fever, tachycardia, and sweating.
68. A client who is refusing to take his medication is wandering on theunit and going in and out
of resident's rooms. What is thepriority?
69. Wandering in and out of other client's rooms.
70. A nurse observes a client in thedayroom talking to himself. What should thenurse do first?
71. Ask theclient if he’s currently hearing voices?

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72. A client comes to thenurses' station and told thenurse that her roommate had cut her wrists
in thebathroom. After assessing and dressing thewounds, what should thenurse do next?
73. Move theclient to a private room by thenurse's station.
74. A man comes into theER after being in a car accident with an alcohol level greater than 2,
what should thenurse prepare to administer?
75. Give Ativan (I DONT THINK THIS ONE IS CORRECT)
76. What would be proper teaching for a client who is to start taking Antabuse?
77. Has not had anything alcoholic to drink for thelast 48 hours.
78. Alzheimer's patient-nurse goes to do dressing change and theclient refuses. What should
thenurse do?
79. Leave and come back 30 minutes later.
80. A client is confused in an acute care hospital setting. What would support thedx of delirium
instead of dementia?
81. Delirium: Started in hospital.
82. An elderly woman is brought to theER with multiple stages of healing bruises. What should
thenurse do?
83. Take thewoman aside and ask her about abuse.
84. A business man is stressed about his finances, has anxiety and sleeplessness.
85. Limit intake of sugar and caffeine.
86. A mother comes into theclinic with her son who is being accused of a crime. She is worried
her son will go to jail. What should thenurse say to themother?
87. Consequences of enabling behaviors.
88. What is a common side effect of cocaine use.
89. Heart attack.
90. A client on LSD comes into theER. How do you approach theclient?
91. Talk calmly and soothing to theclient.
92. A client taking Meth and Benzo's, what would thenurse prepare to do for overdose?
93. Give Narcan.
94. An alcoholic father tells his wife and children to stay away from him. What is themost
important nursing dx?
95. Risk for injury.
96. onWhat should you advise a patient a MAOI not to eat?
97. Cheese, beer, and avocado.

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98. The parents of a teenager who has overdosed what is thefirst question to ask?
99. What drug did theclient ingest?
100. A client becomes agitated when thenurse is talking to his wife. He has not eaten in 3
days. What should thenurse do?
101. Take to quiet room and give PB crackers.
102. When opening a mental health clinic...
103. American Nursing Association.
104. A client with a hx of depression and abusing alcohol with their depression getting worse.
What is themost important nursing dx?
105. Ineffective coping.

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106. A woman is being abused by her husband, theabuse is escalating. What would thenurse
ask first?
107. Do you have a plan in place when you are not safe? (SAFETY!!!)
108. A patient has stopped taking Depakote six months ago, what would thenurse assess?
109. Mood.
110. A nurse visits a community half way house with one bathroom. thenurse notices urine
all over thewalls of thebathroom. thetoilet is clogged with feces and paper towels.
111. Infection control.
112. A client with Alzheimer's keeps asking for his mother. What is thenurses appropriate
response?
113. Your mothers not here but you are safe.
114. A client is told to come in by friends, clients complaints include losing his job, just got a
divorce, single dad with two kids, what would be thebest question for nurse to ask?
115. What is troubling you themost?
116. What are theside effects of Lithium?
117. Dehydration, diarrhea, and thirstiness.
118. A client with an anxiety disorder is demonstrating signs of panic. Which intervention
would be themost appropriate for thenurse to implement
119. Decrease environmental stimuli and interactions with other people.
120. A client tells thenurse that he is an accomplished writer and that directors of television
shows contact him for suggestions on actors and locations. thenurse realizes this client is
experiencing thedelusion of
121. Grandiosity
122. A client tells thenurse that his father died after theclient thought abut it for a few days.
thenurse suspects theclient is delusional and is demonstrating:
123. A magical thinking
124. The nurse overhears a client diagnosed with terminal cancer tell a family member that he
will be discharged soon, will return to work, and plans to attend a company event scheduled
in a year. thenurse realizes this client is demonstrating thedefense mechanism of

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125. Denial
126. A female client diagnosed with depression tells thenurse that her husband wants her to
“fix herself up” and put on nice clothes. theclient continues by saying that she believes her
husband is interested in another woman. What should thenurse respond to theclient?
127. I can help you shower and get dressed before he comes to visit
128. A client diagnosed with schizophrenia has been refusing prescribed oral medication for
several days. theclient has broken chair and is coming after another client with thebroken
chair leg, threatening to do physical harm. What should thenurse do first?
129. Remove theother client from theroom.

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130. The nurse has identified thediagnosis imbalance Nutrition: More than body requirements
for a client diagnosed with bulimia. Which intervention would be appropriate for this
diagnosis?
131. Help client assess situations that precedes binging
132. A client tells thenurse that he has a fear of flying on an airplane but needs to attend a
work-related meeting in another part of thecountry and will have to fly to get there. What
can thenurse do to assist this client?
133. Instruct theclient to visualize flying to themeeting destination
134. During an assessment, a client from theHispanic culture refuses to maintain eye contact
with thenurse. After thenurse overhears theclient say “evil eye” to a family member, thenurse
realizes theclient is demonstrating characteristics of which cultural-specific syndrome?
135. Induced by witchcraft
1. A male client with schizophrenia is admitted to themental health unit after abruptly stopping
his prescription for ziprasidone (Geodon) one month ago. Which question is most important
for thenurse to ask theclient
2. Do you hear voices
3. A female client with a history of drinking who was admitted 8 hours ago after receiving
treatment for minor abrasions occurred from a fall at home. thenurse determines
theclient's blood alcohol level (BAL) was not analyzed on administration action should
thenurse take
4. Ask client about alcohol quantity, frequency, and time of last drink
5. A male client is admitted to thepsychiatric inpatient unit with a bandaged flesh wound
after attempting to shoot himself. he is recently divorced one year ago, lost his job four
months ago, and suffered a break up of his current relationship last week. What is
themost likely source of this client's current feelings of depression
6. a sense of loss
7. What is themost important goal for a client diagnosed with major depression who has
been receiving an antidepressant medication for two weeks
8. No attempt to committee suicide
9. A male adult comes to themental health clinic and walks back and forth in front of
theoffice door, but does not enter theoffice. He then walks around a chair that is in
thehallway several times before sitting down in thechair. What action should thenurse

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2023 HESI RN Mental Health Test Bank Version 3 With Answers (29 Solved Questions)

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