Skip to content
Past Exams

2024 HESI Mental Health Actual Exam With Answers (151 Solved Questions)

Review past exam questions with 2024 HESI Mental Health Actual Exam With Answers, offering solutions and explanations to ensure you understand every concept.

Preview 7 of 23 pages

See the first 7 pages exactly as they appear in the document.

  1. Page 1
    Read page 1 as text

    Mental Health HESI Test Bank 2024 Graded A+ Actual Questions and Answers With Complete Solutions 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 nurse to ask the client? - Do you hear voices A female client with a history of drinking who was admitted 8 hours ago after receiving treatmetn for minor abrasions occurred from a fall at home. The nurse determines the client's blood alcohol level (BAL) was not analyzed on administration action should the nurse take - Ask client about alcohol quantity, frequency, and time of last drink *Which client statement suggests to the nurse that the client is using the defense mechanism of projection to deal with anxiety related to admission to a psychiatric unit - "I am here because the police thought I was doing something wrong" Projection- transferring one's internal feelings, thoughts, and unacceptable ideas and traits to someone else (Saunders 991.) A female client on a psychiatric unit is sweating profusely while she vigorously does push ups and then runs the length of the corrider several times before crashing inot 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 male client is admitted to the psychiatric inpatient unit with a bandaged flesh wound after attempting to shoot himself. he is recently divorced one year ago, lost his job four months ago, and suffered a break up of his current relationship last week. What

  2. Page 2
  3. Page 3
    Read page 3 as text

    is the most likely source of this client's current feelings of depression - a sense of loss What is the most important goal for a client diagnosed with major depression who has been receiving an antidepressant medication for two weeks - [...] Rational: The nurse also looks for indications that the patient is communicating thoughts and feelings more readily and that the patient's social network is widening. If the person is able to talk about feelings and engage in problem solving with you, this is a positive sign (Varcarolis 485.) What nursing assessment is the priority focus for a client with major depression? - suicidal ideation: suicidal ideation is a major risk factor in a client with major depression A male adult comes to the mental health clinic and walks back and fourth in front of the offic door, but does not enter the office. He then walks arond a chair that is in the hallway several times before sitting down in the chair. What action should the nurse take first - observe the client in the chair 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... Bipolar patients who manifest behavior that interferes with ability to function do better when given a schedule to adhere to with a list of planned daily activities *A male client in the mental health unit is guarded and vaguely answers the nurse's questions. He isolates to his room and sometimes opens the door to peek into the hall. Which problem can the nurse anticipate - delusions of persecution A male client who is seen in the mental health clinic monthly reports feeling very stressed and nervous and further describes becoming angry increasingly more often

  4. Page 4
    Read page 4 as text

    during the last month. What action should the nurse take first - ask the client to identify problems that have occured during the last month A 26 year old femal client has been particulary resteless and the nures finds her trying to leave the psychiatric unit. She tellsher the nurse," please let me leave because the secret police are after me." Which response is best for the nurse - "come with me to your room and i will sit with you" The nurse is preparing medications for a client with bipolar disorder and notices that the antipsychotic medication was discontinued several days ago. Which medication should also be discontinued - Benztropine (Cogentin) A young woman is preparing to be discharged from the psychiatric unit. Which nursing intervention is most important for the nurse to include in this phase of the nurse client relationship - explore the client's feelings related to discharge A female high school teacher who was a child of alcholic parents seeks counseling at the community health clinic because of depression over a student who was killed by a drunk driver. After several weeks of counseling, which behavior is the best indicator that the client is coping well with the anxiety related to the student's death - becomes the faculty sponsor for students against druin driving (SADD) *A male client arrives at the mental health clinc and asks the nurse for more lithium and the antidepressant (Elavil) that he uses to help him sleep. After reviewing his assesment findings with the healthcare provider, a serum creatinine is obtained. What information supports the reason for this laboratory test - Lithium is excreted by the kidneys and creatinine is related to kidney functioning A homeless person who is in the manic phase of bipolar disorder is admitted to the mental health unit.. Which lab finding obtained on admission is most important for the nurse to report to the HCP? - decreased thyroid stimulating hormone level

  5. Page 5
    Read page 5 as text

    Rational: hyperthyroidism causes an increased level of serum thyroid hormones (T3 and T4), which inhibit the release of TSH, so the clients manic behavior may be related to an endocrine disorder.. elevated liver function profile, increased WBC count, and decreased hematocrit and hemoglobin levels are abnormal findings that are commonly found in the homeless population because of poor sanitation, poor nutrition, and the prevalence of substance abuse *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 How do you take antabuse - must have patient consent When preparing to administer a domestic violence screening tool to a female client, which statement should the nurse provide - all clients are screened for domestic abuse because it is common in our society A client with schizophrenia who is taking Haldol begins exhibiting tremors of the extremities. Which intervention should the nurse implement - consult with the healthcare provider about reducing the dosage schizoprenia return to clinic 2 weeks after recieving dose of haldol; important info for the nurse to obtain during this visit - current vital signs *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 one on one session and nurse begins to get angry at patient - terminate session *patient with schizophrenia, drug and alcohol abuse in hospital for hepatitis, contant healthcare provider before giving - acetaminophen

  6. Page 6
    Read page 6 as text

    teenaged girl self induced vomiting - frequency of binging and purging behaviors antidepressant side effects - dry mouth, blurred vision, constipation no TV in room tell patient - it is important to be out of your room and talking to others An woman who started chemotherapy three days ago for cancer of the breast calls the clinic reporting that she is so upset she cannot sleep. The client has several PRN medications available. Which drug should the nurse instruct her to take? - Lorazepam (Ativan) 8 mg PO HS 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 patient being discharged - discuss feelings of discharge 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 tp her. The nurse should document these assessment findings in which section of the mental status exam? - insight and judgement Rational: May present with a range of insight into their disorder related beliefs including absent insight/delusion symptoms depressed mother and daughter speaks in group - i hear you say you worry about your mother's distress 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 Rational: Assist clients to recognize the factors. Teach and practice

  7. Page 7
    Read page 7 as text

    alternate coping strategies and relaxation techniques. Expose progressively to feared stimuli, offering support with the nurses presence. Provide positive reinforcement whenever a decrease in phobic reaction occurs. When a male client is asked about his reason for coming to the mental health clinic he replies, "It all started because I work in a hostile work environment. My boss would not let me go to a religious service, so I went to human resources, and they didn't want to do anything. It has been a really difficult time for me." Which response should the nurse provide? - "Have the feelings associated with these events brought you to the clinic?" ECT therapy non responsive - "have you taken erectile dysfunction meds?" patients should take blood pressure medication prior to ECT treatment as ordered with as little water as possible. *adolescent teen interupts group about pets at home during group therapy. Best Nurse action? - redirect him with handout client in bed all weekend, depression - get client out of bed and active postpartum depression Sign & Symptoms (3) - distrubed sleep, sadness, poor concentration *Pt scheduled for ECT. appropriate nurse action? - NPO after midnight Pt believes that other group members are stealing his clothes. - encourage client to actively participate in activity heatlh assessment of history of alcohol dependency WHAT ELSE WOULD BE A CONCERN - pancreatitis knee surgery post op and diaphoretic and visual hallucinations - obtain vital signs

16 more pages in the full document

Unlock it once and it stays in your library, ready to chat with or turn into flashcards.

Unlock the full document

More Health Education Systems, Inc. study materials

See all

Study this document with CramX

Once it is in your library, every tool can work from it.