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NGN RN HESI MENTAL HEALTH EXAM/ 2024 NGN HESI
MENTAL HEALTH RN (V1 V2 AND V3) NEWEST EXAM TEST
BANK WITH ACTUAL EXAM QUESTIONS AND WELL
ELABORATED ANSWERS (100% VE RIFIED ANSWERS)
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(REVISED EXAM)
A RN is teaching a client about initiation of a prescribed abstinence therapy using Disulfiram (Antabuse). What information should the client acknowledge understanding?
- Admit to others that he is a substance abuser.
- Remain alcohol free for 12 hours prior to first dose.
- Attend monthly meetings of alcoholics anonymous.
- Completely sustain from heroin or cocaine use.
- Remain alcohol free for 12 hours prior to first dose.
- At least I hit the wall instead of hitting the psychiatric aide.
- I am here because the police thought I was doing something wrong.
- I want to be here because I know it is the best psychiatric facility.
- Don't believe everything my family tells you, I am not crazy.
- I am here because the police thought I was doing something wrong.
- Insight and judgement. 1 / 4
Which client statement suggests the RN that the client is using a defense mechanism of projection to deal with anxiety related to admission to a psychiatricunit?
The RN 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 RN that she believes that the T.V. talks to her. The RN should document these assessment statements in which section of the mental status exam?
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- Mood and affect.
- Remote memory.
- Level of concentration.
- Insight and judgement.
- Explain that the feces belong in the toilet.
- Show the client how to clean the walls.
- Escort the client out of the bathroom.
- Assist the client to clean the walls
- Escort the client out of the bathroom.
- Weight gain of 75 lbs.
- Thoughts of wanting to hurt himself.
- Frequent days with diarrhea.
- Alerted liver function test.
- Weight gain of 75 lbs.
- Prochlorperazine (Compazine) 5 mg IM.
- Hydromorphone (Dialuadid) 2 mg IM. 2 / 4
An older ale client with schizophrenia is found smearing feces on the bathroom walls of the chronic mental health unit where he resides. What action should the RN implement?
A male client tells the RN that he does not want to take the atypical antipsychotic drug, olanzapine (Zypexa), because of the side effects he experienced when he took the drug for a year. Which experience is most likely related to takingolanzapine?
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 toexhibit signs and symptoms of delirium tremens (DTs)?
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- Chlorpromazine (Thorazine) 50 mg IM.
- Lorazepam (Ativan) 2 mg IM.
- Lorazepam (Ativan) 2 mg IM.
- Lithium. (Lithotabs)
- Benzotropine (Cogentin).
- Alprazolam (Xanax).
- Magnesium (Milk of Magnesia).
- Benzotropine (Cogentin).
- Monitor the client's appetite and pattern of sleep.
- Assess the client's feelings about the hospital stay.
- Assist the client to get out of bed and involved in an activity.
- Explain that staff will check on the client every 30 minutes.
- Assist the client to get out of bed and involved in an activity.
- Ask the client about his recent substance use
- Perform a mental status exam
- Determine the number of previous
- Assess the client from head-to-toe 3 / 4
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?
The RN on the day shift receive report about a client with depression who was in bed most of the weekend. The RN walks into the client's room in the morning and finds the client in bed. What intervention is best for the RN to implement?
Male who was found sitting in the middle of a busy street is brought to the emergency department. Confused and has difficulty answering questions. After ruling out a physiological etiology for the client's behavior. When admitting the client to the unit, which action is most important for the nurse to take?
hospitalizations
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- Perform a mental status exam
- Assess the client's self-esteem needs.
- Determine the client's expectations fortreatment.
- Discuss methods for c
- Discuss methods for clearly communicating.
- Assist the client in developing alternative coping skills.
- Remain calm and use a matter of fact approach.
- Ask the client why she is so anxious
- Administer a PRN sedative to help relieve her anxiety.
- Assist the client in developing alternative coping skills.
- / 4
An adolescent male client is hospitalized after he threatened a teacher at school.He admits feeling angry because his mother tricked him and brought him to the hospital. The client states that when his mother visits, he plans to get his belongings from her, but he is not going to talk to her. Which activity is most important for the nurse to complete before the mother arrives?
During admission to the psychiatric unit, a female client is extremely anxious and states that she is worried about the sun coming up the next day. What intervention is most important for the RN to implement during the admission process?
A client with borderline personality disorder tells the nurse, "You are the best nurse on the unit! The other nurses don't care about me the way you do." Which response is best for the nurse to provide this client?a.) "I am not the best nurse. All the nurses are good." b.) "The other nurses and I are here to help you get better" c.) "You don't think the other nurses care about you?" d.) "I do care about you as a person but nothing more." b.) "The other nurses and I are here to help you get better"