HESI MENTAL HEALTH EXIT EXAM V4 2024
QUESTIONS WITH 100% CORRECT ANSWERS
GRADED A+
B 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?
A. His appetite.
B. The emotional quality of his attitude
C. His level of activity.
D. The interactions he has with others.
B C D 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.
A. Purchase a gun to use for protection
B. Establish a code with family and friends to signify violence.
C. Plan an escape route to use if the abuser blocks the main exit.
D. Have a bag ready that has extra clothes for self and children
B 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?
A. Discuss the client's feeling when he responds.
B. Allow the client to identify the way he interacts.
C. Initiate a non-threatening conversation with the client.
D. Dialog about the ineffectiveness of his interactions.)
C A client with depression remains in bed most of the day, and declines activities. Which nursing
problem has the greatest priority for this client?
,A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
B 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?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).
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?
A. The nurse' ability to directly observe the client's nonverbal communication is limited
with note taking.
B. Taking notes during an interview is a legal obligation of the examining nurse.
C. The client's comfort level is increased when the nurse breaks eye contact to take note to take note.
D. The interview process is enhanced with note taking and allows the client speak at normal pace.
A A female client requests that her husband be allowed to stay in the room during the admission
assessment. When interviewing the client, the RN notes a discrepancy between the client's verbal and
nonverbal communication. What action does the RN take?
A. Pay close attention and document the nonverbal messages.
B. Ask the client's husband to interpret the discrepancy.
C. Ignore the nonverbal behavior and focus on the client's verbal messages.
D. Integrate the verbal and nonverbal messages and interpret them as one.
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?
A. Denial.
B. Projection.
C. Rationalization.
D. Splitting.
A 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?
A. Report the client's serum lithium level to the HCP.
B. Encourage the client to suck on hard candy to relieve the symptoms.
C. No action is needed since polydipsia is a common side effect.
D. Tell the client that drinking from the faucet is not allowed.
B The RN is teaching a client about the initiation of the prescribed abstinence therapy using
disulfiram (Antabuse). What information should the client acknowledge understanding?
A. Completely abstain from heroin or cocaine use.
B. Remain alcohol free for 12 hours prior to the first dose.
C. Attend monthly meetings of alcoholics anonymous.
D. Admit to others that he is a substance user.
D 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?
A. Have you lost interest in the things that you used to enjoy?
B. Is your ability to think or concentrate decreased?
C. How many continuous hours do you sleep at night?
D. Do you hear sounds or voices that others do not hear?
, 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?
A. "Anger is contagious and could result in major confrontation."
B. "Try not to let your anger cause you to act impulsively."
C. "Expressing your anger to a stranger could result in an unsafe situation."
D. "It sounds as if there are many situations that make you feel angry."
B 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?
A. Encourage substitution of positive thoughts and negative ones.
B. Establish trust by providing a calm, safe environment.
C. Progressively expose the client to larger crowds.
D. Encourage deep breathing when anxiety escalates in a crowd.
A D E Which nursing actions are likely to help promote the self-esteem of a male client with modern
depression?
A. Ask the client what his long term goals are.
B. Discuss the challenges of his medical condition.
C. Include the client in determining treatment protocol.
D. Encourage the client to engage in recreational therapy.
E. Provide opportunities for the client to discuss his concerns.
D A male client is admitted to the psychiatric unit for recurrent negative symptoms of chronic
schizophrenia and medication adjustment of Risperidone (Risperdal). When the client walks to the
nurse's station in a laterally contracted position, he states that something has made his body contort
into a monster. What action should the RN take?
A. Medicate the client with the prescribed antipsychotic thioridazine (Mellaril).
B. Offer the client a prescribed physical therapy hot pack for muscle spasms.
C. Direct client to occupational therapy to distract him from somatic complaints.
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