HESI MENTAL HEALTH 2024 -2025 ACTUAL EXAM

HESI MENTAL HEALTH 2024 -2025 ACTUAL EXAM

TEST BANK WITH 300 REAL EXAM QUESTIONS AND

CORRECT ANSWERS GRADED A+/ HESI RN MENTAL

HEALTH ACTUAL EXAM 2024 (NEW!!)

A client who is known to abuse drugs is admitted to the psychiatric unit. Which medication should the nurse anticipate administering to a client who is exhibiting benzodiazepine withdrawal symptoms?

• Perphenazine (Trilafon).
• Diphenylhydramine (Benadryl).
• Chlordiazepoxide (Librium).
• Isocarboxazid (Marplan). - ANSWER-C

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?

• Lithium. (Lithotabs)
• Benzotropine (Cogentin).
• Alprazolam (Xanax).
• Magnesium (Milk of Magnesia). - ANSWER-B

A male client approaches the RN with an angry expression on his 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?

• Denial.
• Projection.
• Rationalization. 1 / 4

• Splitting. - ANSWER-B

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?

• Report the client's serum lithium level to the HCP.
• Encourage the client to suck on hard candy to relieve the symptoms.
• No action is needed since polydipsia is a common side effect.
• Tell the client that drinking from the faucet is not allowed. - ANSWER-A

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?

• Have you lost interest in the things that you used to enjoy?
• Is your ability to think or concentrate decreased?
• How many continuous hours do you sleep at night?
• Do you hear sounds or voices that others do not hear? - ANSWER-D

During an annual physical by the occupational RN working in a 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?

• "Anger is contagious and could result in major confrontation."
• "Try not to let your anger cause you to act impulsively."
• "Expressing your anger to a stranger could result in an unsafe situation."
• "It sounds as if there are many situations that make you feel angry." -

ANSWER-D 2 / 4

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?

• Encourage substitution of positive thoughts and negative ones.
• Establish trust by providing a calm, safe environment.
• Progressively expose the client to larger crowds.
• Encourage deep breathing when anxiety escalates in a crowd. - ANSWER-B

Following involvement in a MVC, a middle aged adult client is admitted to the hospital with multiple facial fractures. The client's blood alcohol level is high on admission. Which PRN prescription should be administered if the client begins to exhibit signs and symptoms of delirium tremens (DTs)?

• Prochlorperazine (Compazine) 5 mg IM.
• Hydromorphone (Dialuadid) 2 mg IM.
• Chlorpromazine (Thorazine) 50 mg IM.
• Lorazepam (Ativan) 2 mg IM. - ANSWER-D

A woman brings her 48-year-old husband to the outpatient psychiatric unit and describes his behavior to the admitting nurse. She states that he has been sleepwalking, cannot remember who he is, and exhibits multiple personalities. The nurse knows that these behaviors are often associated with which condition?

• Dissociative disorder.
• Obsessive-compulsive disorder.
• Panic disorder.
• Post-traumatic stress syndrome. - ANSWER-A

While interviewing a client, the nurse takes notes to assist with accurate documentation later. Which statement is most accurate regarding note-taking during an interview? 3 / 4

• The nurse' ability to directly observe the client's nonverbal communication is

limited with note taking.

• Taking notes during an interview is a legal obligation of the examining nurse.
• The client's comfort level is increased when the nurse breaks eye contact to take

note to take note.

• The interview process is enhanced with note taking and allows the client speak

at normal pace. - ANSWER-A

An adolescent male receives a prescription for an antidepressant drug because he is exhibiting a depressed affect. While the client is taking the antidepressant, which comparison of the client's behavior before and after taking the drug is most important for the nurse to obtain?

• His appetite.
• The emotional quality of his attitude
• His level of activity.
• The interactions he has with others. - ANSWER-B

A nurse is providing education about strategies for a safety plan for a female client who is a victim of intimate partner violence. Which strategies should be included in the safety plan? Select all that apply.

• Purchase a gun to use for protection
• Establish a code with family and friends to signify violence.
• Plan an escape route to use if the abuser blocks the main exit.
• Have a bag ready that has extra clothes for self and children - ANSWER-B C D

While sitting in the dayroom of the mental health unit, a male adolescent avoids eye contact, looks at the floor, and talks softly when interacting verbally with the nurse. The two trade places, and the nurse demonstrate the client's behavior. What is the main goal of this therapeutic techniques?

• / 4