HESI RN Mental Health Exam

HESI RN Mental Health Exam

VERSION 3

A female client on a psychiatric unit is sweating profusely while she vigorously does pushups and then runs the length of the corridor several times before crashing in to the furniture in the sitting room. Picking herself up, she begins to toss chairs aside, looking for a red one to sit in.When another client objects to the disturbances, the client shouts," I am the boss here. I do what I want." Which nursing problem best supports these observations -Risk for other related violence related to disruptive behavior

• A female client engages in repeated checks of door and window

locks. Behavior that prevents her form arriving on time and interferes with her ability to function effectively. What action should the nures take?-plan a list of activities to be carried out daily

• The nurse is preparing medications for a client with disorder and

notices that the antipsychotic medication was discontinued several days ago. Which medication should also be discontinued?-Benztropine (Cogentin)

• The nurse is teaching a client about the initiation of a prescribed

abstinence therapy using disulfiram (Antabuse). What information should the client acknowledge understanding -remain alcohol free for 12 hours prior to the first dose

• A male client with bipolar disorder tells the nurse that he needs to

"make some deals so that he can improve his retirement savings." Based on this information, which client outcome should the nurse include in the plan of care -delay business decisions until his mania subsides

• teenaged girl self induced vomiting

-frequency of binging and purging behaviors

• Pt is getting oreiented to the unit and replies “there are no TVs in the

room” What is the nurse’s best respond?-it is important to be out of your room and talking to others 1 / 2

• A male adult is admitted because of an acetaminophen (Tylenol)

overdose. After transfer to the mental health unit, the client is told he has liver damage. Which information is most important for the nurse to include in the client's discharge plan?-do not take any over the counter meds

• The nurse documents the mental status of a female client who has

been hospitalized for several days by court order, The client states, "I don't need to be here" and tells the nurse that she believes that the television talks to her. The nurse should document these assessment findings in which section of the mental status exam?-insight and judgement

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

desensitization with the therapist, and the nurse is reinforcing the process. Which intervention has the highest priority for this client's plan of care?-establish trust by providing a calm, safe environment 17.ECT therapy is not working, pt is non responsive to treatment what question should the nurse ask?-have you taken erectile dysfunction meds

• adolescent teen interrupts group about pets at home

-redirect him to read from materials

• depressed pt in bed all weekend, nuse finds pt still in bed on her shift,

what is the best action to take?-get client out of bed and active

• postpartum depression Sign & Symptoms (3)

-distrubed sleep, sadness, poor concentration

• ECT pre treatment teaching

-NPO after midnight

• client who refuses antipsychotic medication disrupt group activities

nurse decides client needs constant observation based on?-wanders into client's room

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