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2023 HESI RN Mental Health Test Bank Version 1 With Answers (143 Solved Questions) - Document preview page 1

2023 HESI RN Mental Health Test Bank Version 1 With Answers (143 Solved Questions) - Page 1

Document preview content for 2023 HESI RN Mental Health Test Bank Version 1 With Answers (143 Solved Questions)

2023 HESI RN Mental Health Test Bank Version 1 With Answers (143 Solved Questions)

2023 HESI RN Mental Health Test Bank Version 1 With Answers allows you to study smarter by identifying frequently tested concepts.

Olivia Parker
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2023 HESI RN Mental Health Test Bank Version 1 With Answers (143 Solved Questions) - Page 1 preview imageTEST BANK FOR HESIMENTALHEALTHRNV1-V3||100% VERIFIED|A+ RATED.Apatientwithdepressionremainsinbedmostoftheday,anddeclinesactivities.Whichnursingproblemhasthegreatestpriorityforthispatient?Lossofinterestindiversional activity.Socialisolation.Refusaltoaddressnutritionalneeds.Lowself-esteem.The RN is preparing medications for a patient with bipolar disorder andnoticesthatthepatientdiscontinuedantipsychoticmedicationforseveraldays.Whichmedicationshouldalsobediscontinued?Lithium.(Lithotabs)Benzotropine(Cogentin).Alprazolam(Xanax).Magnesium(MilkofMagnesia).Afemalepatientrequeststhatherhusbandbeallowedtostayintheroomduringtheadmissionassessment.Wheninterviewing thepatient,theRNnotesadiscrepancybetweenthepatient’sverbalandnonverbalcommunication.WhatactiondoestheRNtake?Pay closeattentionanddocumentthenonverbalmessages.Askthepatient’shusbandtointerpretthediscrepancy.Ignorethenonverbalbehaviorandfocusonthepatient’sverbalmessages.Integratetheverbalandnonverbalmessagesandinterpretthemasone.A male patient approaches the RN with an angry expression on hisface andraises his voice, saying “My roommate is the most selfish,self-centered, angryperson I have ever met. If he loses his temperone more time with me, I amgoing to punch him out!” The RNrecognizes thatthepatientisusingwhichdefensemechanism?A.Denial.B.
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2023 HESI RN Mental Health Test Bank Version 1 With Answers (143 Solved Questions) - Page 2 preview image
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2023 HESI RN Mental Health Test Bank Version 1 With Answers (143 Solved Questions) - Page 3 preview imageProjection.C.Rationalization.D.Splitting.A male patient with bipolar disorder who began taking lithiumcarbonatefivedaysagoiscomplaining ofexcessivethirst,andtheRN finds him attempting todrink water from the bathroom sinkfaucet.WhichinterventionshouldtheRNimplement?Reportthepatient’sserumlithiumleveltotheHCP.Encouragethepatienttosuckonhardcandytorelievethesymptoms.Noactionisneededsincepolydipsiaisacommonsideeffect.Tellthepatientthatdrinkingfromthefaucetisnotallowed.TheRNisteachingapatientabouttheinitiationoftheprescribedabstinencetherapyusingdisulfiram(Antabuse).Whatinformationshouldthepatientacknowledgeunderstanding?Completelyabstainfromheroinorcocaineuse.Remainalcoholfreefor12hourspriortothefirstdose.Attendmonthlymeetingsofalcoholicsanonymous.Admittoothersthatheisasubstanceuser.A male patient with schizophrenia is admitted to the mental healthunitafterabruptlystoppinghisprescriptionforziprasidone(Geodon) one month ago.Which question is most important for theRNtoaskthepatient?Haveyoulostinterestinthethingsthatyouusedtoenjoy?Isyourabilitytothinkorconcentratedecreased?Howmanycontinuoushoursdoyousleepatnight?D.Doyouhearsoundsor voicesthatothersdonothear?DuringanannualphysicalbytheoccupationalRNworkinginacorporateclinic,amaleemployeetellstheRNthatishigh-stressjobiscausingtroubleinhispersonallife.Hefurtherexplainsthatheoftengetssoangrywhiledrivingtoandfromworkthathehasconsidered“gettingeven”withotherdrivers.HowshouldtheRNrespond?“Angeriscontagiousandcouldresultinmajorconfrontation.”“Trynottoletyour angercauseyou toactimpulsively.”“Expressingyourangertoastrangercouldresultinanunsafesituation.”“Itsoundsasiftherearemanysituationsthatmakeyoufeelangry.”
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2023 HESI RN Mental Health Test Bank Version 1 With Answers (143 Solved Questions) - Page 4 preview imageApatientwhohasagoraphobia(afearofcrowds)isbeginningdesensitizationwiththetherapist,andtheRNisreinforcingtheprocess. Which intervention hasthe highest priority for this patient’splanofcare?Encouragesubstitutionofpositivethoughtsandnegativeones.Establishtrustbyprovidingacalm,safeenvironment.Progressivelyexposethepatienttolargercrowds.Encouragedeepbreathingwhenanxietyescalates inacrowd.Whichnursingactionsarelikelytohelppromotetheself-esteemofamalepatientwithmoderndepression?Askthepatientwhathislongtermgoalsare.Discussthechallengesofhismedicalcondition.Includethepatientindeterminingtreatmentprotocol.D.Encouragethepatienttoengageinrecreationaltherapy.E.Provideopportunitiesforthepatienttodiscusshisconcerns.A male patient is admitted to the psychiatric unit for recurrentnegativesymptoms of chronic schizophrenia and medicationadjustmentofRisperidone(Risperdal).Whenthepatientwalkstothenurse’s station in a laterally contractedposition, he states thatsomething has made his body contort into a monster.What actionshouldtheRNtake?Medicatethepatientwiththeprescribedantipsychoticthioridazine(Mellaril).Offerthepatientaprescribedphysicaltherapyhotpackformusclespasms.Directpatienttooccupationaltherapytodistracthimfromsomatic complaints.Administertheprescribedanticholinergicbenztropine(Cogentin)fordystonia.Amentalhealthworkeriscaringfora patientwithescalatingaggressivebehavior.WhichactionbytheMHWwarrantimmediateinterventionbytheRN?Isattemptingtophysicallyrestrainthepatient.Tellsthepatienttogotothequietareaoftheunit.Isusinga loidvoicetotalk tothepatient.Remainsatadistanceof4feetfromthepatient.
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2023 HESI RN Mental Health Test Bank Version 1 With Answers (143 Solved Questions) - Page 5 preview imageApatientonthementalhealthunitisbecomingmoreagitated,shoutingatthestaff,andpacinginthehallway.WhenthePRNmedicationisoffered,thepatientrefusesthemedicationanddefiantlysits onthe floorinthe middleoftheunithallway.WhatnursinginterventionshouldtheRNimplementfirst?Transport of thepatient totheseclusionroom.Quietly approach the patient with additional staffmembers.C.Takeotherpatientsintheareatothepatientlounge.D.Administermedicationtochemicallyrestrainthepatient.Apatientisadmittedtothementalhealthunitandreportstakingextraantianxietymedication because, “I’m so stressed out. I just want togotosleep.”TheRNshouldplanone-on-oneobservationofthepatientbasedonwhichstatement?“WhatshouldIdo?Nothingseemstohelp.”“Ihavebeensotiredlatelyandneededtosleep.”“IreallythinkthatIdon’tneedtobehere.”“Idon’twant to walk.Nothingmattersanymore.”Amalehospitalemployeeispushedoutthewaybyafemaleemployeebecauseofanoncominggurney.Thepushedemployeebecomesveryangryandswingsatthefemaleemployee.BothemployeesarereferredforcounselingwiththestaffpsychiatricRN.Whichfactorinthepushedemployee’shistoryismostrelatedtothereactionthatoccurred?Isworriedaboutlosinghisjobtoawoman.Torturedanimalsasachild.Wasphysicallyabusedbyhismother.Hates tobetouchedbyanyone.TheRN documentsthe mentalstatus of afemale patient who hasbeenhospitalizedforseveraldaysbycourtorder.Thepatientstates,“Idon’tneedtobehere”andtellstheRNthatshebelievesthetelevision talks to her. The RNshould documenttheseassessmentfindingsinwhichsectionofthe mentalstatusexam/A.Levelofconcentration.B.Insightandjudgement.C.Remotememory.D.Moodandaffect.Apatientisadmittedtothementalhealthunitreportsshortnessofbreath anddizziness. The patient tells the RN, “I feel like I’m going todie”.WhichnursingproblemshouldtheRNincludeinthispatient’splanofcare?
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2023 HESI RN Mental Health Test Bank Version 1 With Answers (143 Solved Questions) - Page 6 preview imageA.Mooddisturbance.B.Moderateanxiety.C.Alteredthoughts.D.Socialisolation.Afemalepatientwhoiswearingdirtyclothesandhasfoulbodyodor,comestotheclinicreportingfeelingscaredbecausesheisbeingstalked.Whatactionismostimportantforthe RNtotake?Offerthepatientasafeplacetorelaxbeforeinterviewingher.Askthepatienttodescribewhysheisbeingstalked.Recommendthatthe patient talkwithasocialworker.Assure thepatientthattheHCPwill seeher today.The RN leading a group session of adolescent patients gives themembers a handoutabout anger management. One of the malepatientsisfidgety,interruptspeerswhentheytryandtalk,andtalksabouthispetsathome.WhatnursingactionisbestfortheRNtotake?Explorethepatient’sfeelingsabouthispetsandhomelife.Encouragehispeerstohelpinvolvehimintheactivity.Givethepatientpermissiontoleaveandreturnin10minutes.D. Redirect him by encouraging him to readfromthehandout.A male adolescent was admitted to the unit two days ago fordepression.WhenthementalhealthRNtriestointerviewthepatienttoestablish rapport, he becomesvery irritated and sarcastic. WhichactionisbestfortheRNtotake?Report thebehaviortothenextshift.Offertoplay a gameofcardswiththepatient.Documentthebehaviorinthechart.Plantotalkwiththepatientthenextday.A male adult is admitted because of an acetaminophen (Tylenol)overdose.After transfer to the mental health unit, the patient is toldhehasliverdamage.Whichinformationismostimportantforthenursetoincludeinthepatient'sdischargeplan?Donottakeanyoverthecountermeds.Eatahighcarb,lowfat,lowproteindiet.Callthecrisishotlineiffeelinglonely.Avoidexposuretolargecrowds.
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2023 HESI RN Mental Health Test Bank Version 1 With Answers (143 Solved Questions) - Page 7 preview imageAfterreceivingtreatmentforanorexia,astudentaskstheschoolRN forpermission to work in the school cafeteria as part of theschool’sworkstudyprogram.WhatactionshouldtheRNtake?A.Referthestudentto a psychiatristforfurtherdiscussion.B.Recommendassignmenttothereceptionist’soffice.C.Suggestthatstudentworkintheathleticdepartment.D.Determinetheparent’sopinionoftheworkassignment.TheRnacceptsatransfertothemetalhealthunitandunderstandsthatthepatientisdistractibleand isexhibitingadecreasedabilitytoconcentrate.TheRNonlyhas15 minutestotalktothepatient. Todeveloptreatmentplanforthispatient,whichassessmentismostimportantfortheRNtoobtain?Motivationoftreatment.Historyofsubstanceuse.Medicationcompliance.D.Mentalstatusexamination.AmalepatientwhorecentlylostalovedonearrivesatthementalhealthcenterandtellstheRNheisnolongerinterestedishisusualactivitiesandhasnotsleptforseveraldays.WhichprioritynursingproblemshouldtheRNincludeinthe patient’splanofcare?A.Risk for suicide.B.Sleepdeprivation.C.Situationallowself-esteem.D.Socialisolation.Amalepatientwithlonghistoryofalcoholdependencyarrivesintheemergencydepartmentdescribingthefeelingsofbugscrawlingonhisbody.Hisbloodpressureis170/102,hispulserateis110bpm,andisbloodalcohollevelis0mg/dL.WhichprescriptionshouldtheRNadminister?Haloperidol(Haldol).Thiamine(VitaminB1).Diphenhydramine(Benadryl).Lorazepam(Ativan).
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2023 HESI RN Mental Health Test Bank Version 1 With Answers (143 Solved Questions) - Page 8 preview imageApatientwhorefusesantipsychoticmedicationsdisruptsgroupactivities,talkswithnonsensicalwordsandwandersintopatient’srooms.TheRNdecidesthatthepatientneedsconstantobservationbasedonwhichoftheseassessmentfindings?Wandersintothepatientsrooms.Refusesantipsychoticmedications.Talkswithnonsensicalwords.Disruptsgroupactivities.A patient with schizophrenia explains that she has 20 children andthen veryseriously points to the RN and explains that she is oneof them. What is themost therapeutic response for the RN toprovide/A.“Let’s go ask another RN is this istrue.”B.“My name tag shows that I amaRN here.”C.“Ican’tpossiblybeoneifyourchildren.”D.“Iknowthatyoudon’thave20children.”Ahigh school girlrevealsto thehighschoolRNthat she hasbeenengaginginself-inducedvomitingasweight-controlmeasure.WhichinitialassessmentshouldtheRNfocusonwiththisadolescent?Nationalpercentileofweightandheight.Frequencyofbingeingandpurgingbehaviors.Perceptionsoffamilyandsocialrelationships.Schoolgradesandextracurricularactivities.Narcan was administered to an adult patient following a suicideattemptwithanoverdoseofhydrocodonebitartrate(Vicodin).Within15minutes,thepatientisalertandoriented.Inplanningnursingcare,whichinterventionhasthe highestpriorityatthis time?Encouragethepatienttoincreasefluidintake.Obtainthepatient’sserumVicodinlevel.Observethepatientforfurthernarcoticeffects.Determinethepatient’sreasonforattemptingsuicide.
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2023 HESI RN Mental Health Test Bank Version 1 With Answers (143 Solved Questions) - Page 9 preview imageFollowingsurgery,amalepatientwithantisocialpersonalitydisorderfrequentlyrequeststhataspecificRNbeassignedtoiscareandisbelligerentwhen another RN is assigned. What action should thechargeRNimplement?Reassurethepatientthathisrequestwillbemetwheneverpossible.Advisethepatientthatassignmentsarenotbasedonthepatient’srequest.AskthepatienttoexplainwhyheconstantlyrequeststheRN.EncouragethepatienttoverbalizehisfeelingsabouttheRN.Whenpreparing toadministeraprescribedmedicationtoahomelessmale at acommunity clinic, the patient tells the RN that he usuallytakesadifferentdosage.WhatactionshouldtheRNtake?Tellhimtotakethemedicationthenverifythedosageatthenexthealthcareteammeeting.Withholdthemedicationuntilthedosagecanbeconfirmed.Informhimthat he may refuse the medication anddocumentwhetherornothetakesit.Explaintothepatientthatthedosagehasbeenchanged.Thenurseorientsafemalepatientwithdepressiontothenewroomonthementalhealthunit.Thepatientstates“ItseemsstrangethatIdon’thaveaT.Vinmyroom.”WhichstatementwouldbebestfortheRNtoprovide?“YoucanwatchT.Vasmuchasyouwantoutsideofyourroom.”“SometimespatientsfeelliketheT.Vissendingthemmessages.”C.“It’simportanttobeoutofyouroomandtalkingtoothers.”D. “WatchingT.Visapassiveactivityandwewantyoutobeactive.”A patientadmittedwithaclosedhead injury afterafallhasabloodalcohollevelof0.28(28%)andisdifficulttoarouse.Whichinterventionduringthefirst6hoursfollowingadmissionshouldtheRNidentifyasthepriority?
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2023 HESI RN Mental Health Test Bank Version 1 With Answers (143 Solved Questions) - Page 10 preview imageGivelorazepam(Ativan)PRNforsignsofwithdrawal.Administerdisulfiram(Antabuse)immediately.Placeinasidelyingpositionwithheadofbedelevated.Providethiamineandfolatesupplementsasprescribed.TheRNiscompletingtheadmissionassessmentofanunderweightadolescentwhoisadmittedtoapsychiatricunitwithadiagnosisofdepression.WhichfindingrequiresnotificationtotheHCP?Potassiumlevelof2.9mEq/dl.Bloodpressureof110/70mmHg.WBCof10,000mm^3.Bodymassindexof21.The Rn isplanningpatientteachingfora35-year-old patientwithalcoholiccirrhosis.Whichself-caremeasureshouldtheRNemphasizeforthe patient’srecovery?Supportgroupmeetings.VitaminBandmultivitaminsupplements.Dietwithadequatecaloriesandprotein.Alcoholabstinence.Ateenagerhaslost20poundsinthelastthreemonthsisadmittedtothehospitalwithhypotensionandtachycardia.Thepatientreportsirregularmensesand hair loss. Which intervention ismostimportantfortheRNtoincludeinthepatientsplanofcare?Implementbehavioralmodificationtherapy.Initiatecaloricandnutritionaltherapy.Evaluatethepatientforlowself-esteem.Recorddailyweightsandgrafttrend.
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2023 HESI RN Mental Health Test Bank Version 1 With Answers (143 Solved Questions) - Page 11 preview imageWhileinterviewingapatient,thenursetakesnotestoassistwithaccuratedocumentationlater.Whichstatementismostaccurateregardingnote-takingduringaninterview?Thepatient’scomfortlevelisincreasedwhentheRNbreakseyecontacttotakenotes.Theinterviewprocessisenhancedwithnotetakingandallowsthepatient tospeakatanormalpace.TakingnotesduringaninterviewisalegalobligationofexaminingRN.TheRN’sabilitytodirectlyobservethepatient’snon-verbalcommunicationislimitedwithnotetaking.Apatientisreceivingsubstitutiontherapyduringwithdrawalfrombenzodiazepines. Which expected outcome statement has thehighestprioritywhenplanningnursingcare?patientwillnotdemonstratecrossaddiction.Co-dependentbehaviorswillbedecreased.CNSstimulationwillbereduced.patient'slevelofconsciousnesswillincrease.A patient who is being treated with lithium carbonate for manicdepressionbeginstodevelopdiarrhea,vomiting,anddrowsiness.Whatactionshouldthenursetake?Notifythephysicianimmediatelyandforcefluids.Priortogivingthenextdose,notifythephysicianofthesymptoms.Recordthesymptomsandcontinuemedicationasprescribed.Holdthemedicationandrefusetoadministeradditionalamountsofthedrug.
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