Mental Health H ESI Exam N ew 2024 Recent Vers ion Best Study Guide with Question from Actual Past Exam and Correct Answ ers A woman is brought to the psychiatric clinic by her husband. He reports that his wife is reluctant to leave home because of what she describes as a fear of open places and crowds. Which nursing problem applies to this client's behavior? A. Ineffective protection to guard self from internal or external threats. B. Risk for injury related to inability to communicate. C. Risk prone health behavior related to self -esteem assault. D. Anxiety related to real or perceived threat to physical integrity. ---------- Correct Answer ---------- D *A client with Schizophrenia using echolalia is becoming annoying. What is the best intervention? --------- Correct Answer ----------- Escort them to their room A client with tremors and auditory hallucination is dehydrated, confused. To ensure physiological needs --------- Correct Answer ----------- Monitor vital signs *A schizophrenia client refuses to eat because he says the food was poisoned. What intervention should the nurse implement? --------- Correct Answer ----------- Give the client food in an unopened container *A client is anxious because the sun is coming up the next day. What intervention is most important? --------- Correct Answer ----------- Remain calm... Rational: The nurse should acknowledge the feeling and refrain from exposing the client to the identified fear. After trust is established, a desensitization process may be prescribed. Desensitization is the nursing intervention for phobia d isorders. A client is receiving benztropine mesylate (Cogentin) for drug -induced extrapyramidal syndrome (EPS). Which finding indicates that the RN should further evaluate the client? A. Decreased bowel movements. B. Presence of a dry mouth. C. Decreasinghandtremors. D. Increased mouth movements. ---------- Correct Answer ---------- B 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? a. Perphenazine (Trilafon). b. Diphenylhydramine (Benadryl). c. Chlordiazepoxide (Librium). d. Isocarboxazid (Marplan). ---------- Correct Answer ---------- C 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 thes e behaviors are often associated with which condition? a. Dissociative disorder. b. Obsessive -compulsive disorder. c. Panic disorder. d. Post -traumatic stress syndrome. ---------- Correct Answer ---------- A Which diet selection by a depressed client taking tranylcypromine sulfate (Parnate), an MAO inhibitor, indicates to the nurse that the client understands the dietary restrictions imposed by this medication regimen? a. Hamburger, french fries, and chocolate milkshake. b. Liver and onions, broccoli, and decaffeinated coffee. c. Pepperoni and cheese pizza, tossed salad, and soda. d. Roast beef, baked potato with butter, and iced tea. ---------- Correct Answer ---------- C A male client in the mental health unit is guarded and vaguely answers the nurse's questions. He isolates in his room and sometimes opens the door to peek into the hall. Which problem can the RN anticipate? A. Visual hallucinations. B. Auditory hallucinations. C. Excessive motor activity. D. Delusions of persecution. ---------- Correct Answer ---------- D A female client with obsessive compulsive personality disorder is admitted to the hospital for a cardiac catheterization. The afternoon before the procedure, the client begins to keep detailed notes of the nursing care she is receiving, and reports her findings to the RN at bedtime. What action should the nurse implement? A. Explain to the client that her behavior invades the rights of the nursing staff. B. Ask the client to explain why she is keeping a detailed record of her nursing care. C. Teach the client strategies to control her obsessive compulsive behavior. D. Encourage the client to express her feelings regarding the upcoming procedure. ------
---- Correct Answer ---------- D 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. Assist the client in developing alternative coping skills. B. Remain calm and use a matter of fact approach. C. Ask the client why she is so anxious D. Administer a PRN sedative to help relieve her anxiety. ---------- Correct Answer --------
-- A A female client is brought to the emergency department after police officers found her disoriented, disorganized, and confused. The RN also determines that the client is homeless and is exhibiting suspiciousness. The client's plan of care should include what priority problem? A. Acute confusion. B. Ineffective community coping C. Disturbed sensory perception. D. Self -care deficit. ---------- Correct Answer ---------- A The occupational health nurse is working with a female employee who was just notified that her child was involved in a MVA and taken to the hospital. The employee states, "I can't believe this. What should I do?" Which response is best for the RN to provid e in this crisis? A. Tell me what you think should happen. B. How serious was the collision? C. Whatdoyouthinkyoushoulddo? D. Call for transportation to the hospital. ---------- Correct Answer ---------- D A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual relationship with her. What is the priority nursing problem for admission to the psychiatric unit? A. Ineffective sexual patterns. B. Impaired environmental interpretation. C. Disturbed sensory perception. D. Compromised family coping. ---------- Correct Answer ---------- A The RN is providing care for a client diagnosed with borderline personality disorder who has self -inflicted lacerations on the abdomen. Which approach should the RN use when changing this client's dressing? A. Provide detailed thorough explanations when cleansing wound. B. Perform the dressing change in a non -judgmental manner. C. Ask in a non -threatening manner why the client cut own abdomen. D. Request another staff member assist with the dressing change. ---------- Correct Answer ---------- B While sitting in the day room of the mental health unit, a male adolescent avoids eye contact, looks at the floor, and talks softly when interacting verbally with the RN. The two trade places, and the RN demonstrates the client's behaviors. What is the mai n goal of this therapeutic technique? A. Initiate a non -threatening conversation with the client. B. Dialog about the ineffectiveness of his interactions. C. Allow the client to identify the way he interacts. D. Discuss the client's feelings when he responds. ---------- Correct Answer ---------- C An antidepressant medication is prescribed for a client who reports sleeping only 4 hours in the past 2 days and weight loss of 9 lbs within the last month. Which client goal is most important to achieve within the first three days of treatment? A. Meet scheduled appointment with dietitian. B. Sleep at least 6 hours a night. C. Understands the purpose of the medication regimen. D. Describes the reasons for hospitalization. ---------- Correct Answer ---------- B When preparing to administer to domestic violence screening tool to a female client, which statement should the RN provide? A. If your partner is abusing you, I need to ask these questions. B. State law mandates that I ask if you are a victim of domestic violence. C. The HCP provider needs to know if you are experiencing any domestic abuse. D. All clients are screened for domestic abuse because it is common in our society. -----
----- Correct Answer ---------- D A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells the RN that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for the RN to provide? A. Unless your sister has a medical education, ignore her comments. B. I can hear that your sister comments are over -whelming you. C. Do you think it's possible that you might be a hypochondriac? D. Besides your sister's comments, what in your life is troubling you? ---------- Correct Answer ---------- D The RN is leading a group on the inpatient psychiatric unit. Which approach should the RN use during the working phase of group development? A. Establishing a rapport with group members. B. Clarifying the nurse's role and clients' responsibilities. C. Discussing ways to use new coping skills learned. D. Helping clients identify areas of problem in their lives. ---------- Correct Answer ---------
- D A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. What intervention is best for the RN to implement? A. Isolate the client from the other clients. B. AdministerPRNsedative. C. Avoidrecognizingthebehavior. D. Escort the client to his room. ---------- Correct Answer ---------- D A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase. Based on which assessment finding will the RN withhold the clonidine (Catapres) prescription? A. Blood pressure readings of 90/62 mmHg to 92/58 mmHg. B. Pulse rate of 68 -78 BPM. C. Temperature of 99.5 -99.7 F. D. Respiration rate of 24 breaths per minute. ---------- Correct Answer ---------- A
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