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

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Mental Health HESI Test Bank 2024 Graded A+ ActualQuestions and Answers With Complete SolutionsA male client with schizophrenia is admitted to the mental health unit after abruptlystopping his prescription for ziprasidone (Geodon) one month ago. Which question ismost important for the nurse to ask the client? - Do you hear voicesA female client with a history of drinking who was admitted 8 hours ago afterreceiving treatmetn for minor abrasions occurred from a fall at home. The nursedetermines the client's blood alcohol level (BAL) was not analyzed on administrationaction should the nurse take - Ask client about alcohol quantity, frequency, and timeof last drink*Which client statement suggests to the nurse that the client is using the defensemechanism of projection to deal with anxiety related to admission to a psychiatricunit - "I am here because the police thought I was doing something wrong"Projection- transferring one's internal feelings, thoughts, and unacceptable ideas andtraits to someone else (Saunders 991.)A female client on a psychiatric unit is sweating profusely while she vigorously doespush ups and then runs the length of the corrider several times before crashing inotthe 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, theclient shouts," I am the boss here. I do what I want." Which nursing problem bestsupports these observations - Risk for other related violence related to disruptivebehaviorA male client is admitted to the psychiatric inpatient unit with a bandaged flesh woundafter attempting to shoot himself. he is recently divorced one year ago, lost his jobfour months ago, and suffered a break up of his current relationship last week. What

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is the most likely source of this client's current feelings of depression - a sense oflossWhat is the most important goal for a client diagnosed with major depression who hasbeen receiving an antidepressant medication for two weeks - [...]Rational: The nurse also looks for indications that the patient is communicatingthoughts 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, thisis 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 majordepressionA male adult comes to the mental health clinic and walks back and fourth in front ofthe offic door, but does not enter the office. He then walks arond a chair that is in thehallway several times before sitting down in the chair. What action should the nursetake first - observe the client in the chairA female client engages in repeated checks of door and window locks. Behavior thatprevents her form arriving on time and interferes with her ability to functioneffectively. What action should the nures take - plan a list of activities to be carriedout daily... Bipolar patients who manifest behavior that interferes with ability tofunction do better when given a schedule to adhere to with a list of planned dailyactivities*A male client in the mental health unit is guarded and vaguely answers the nurse'squestions. He isolates to his room and sometimes opens the door to peek into the hall.Which problem can the nurse anticipate - delusions of persecutionA male client who is seen in the mental health clinic monthly reports feeling verystressed and nervous and further describes becoming angry increasingly more often

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during the last month. What action should the nurse take first - ask the client toidentify problems that have occured during the last monthA 26 year old femal client has been particulary resteless and the nures finds hertrying to leave the psychiatric unit. She tellsher the nurse," please let me leavebecause 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 thatthe antipsychotic medication was discontinued several days ago. Which medicationshould also be discontinued - Benztropine (Cogentin)A young woman is preparing to be discharged from the psychiatric unit. Whichnursing intervention is most important for the nurse to include in this phase of thenurse client relationship - explore the client's feelings related to dischargeA female high school teacher who was a child of alcholic parents seeks counseling atthe community health clinic because of depression over a student who was killed by adrunk driver. After several weeks of counseling, which behavior is the best indicatorthat the client is coping well with the anxiety related to the student's death - becomesthe faculty sponsor for students against druin driving (SADD)*A male client arrives at the mental health clinc and asks the nurse for more lithiumand the antidepressant (Elavil) that he uses to help him sleep. After reviewing hisassesment findings with the healthcare provider, a serum creatinine is obtained.What information supports the reason for this laboratory test - Lithium is excretedby the kidneys and creatinine is related to kidney functioningA homeless person who is in the manic phase of bipolar disorder is admitted to themental health unit.. Which lab finding obtained on admission is most important for thenurse to report to the HCP? - decreased thyroid stimulating hormone level

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Rational: hyperthyroidism causes an increased level of serum thyroid hormones (T3and T4), which inhibit the release of TSH, so the clients manic behavior may berelated to an endocrine disorder.. elevated liver function profile, increased WBCcount, and decreased hematocrit and hemoglobin levels are abnormal findings thatare commonly found in the homeless population because of poor sanitation, poornutrition, and the prevalence of substance abuse*The nurse is teaching a client about the initiation of a prescribed abstinence therapyusing disulfiram (Antabuse). What information should the client acknowledgeunderstanding - remain alcohol free for 12 hours prior to the first doseHow do you take antabuse - must have patient consentWhen preparing to administer a domestic violence screening tool to a female client,which statement should the nurse provide - all clients are screened for domesticabuse because it is common in our societyA client with schizophrenia who is taking Haldol begins exhibiting tremors of theextremities. Which intervention should the nurse implement - consult with thehealthcare provider about reducing the dosageschizoprenia return to clinic 2 weeks after recieving dose of haldol; important infofor the nurse to obtain during this visit - current vital signs*A male client with bipolar disorder tells the nurse that he needs to "make somedeals 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 businessdecisions until his mania subsidesone on one session and nurse begins to get angry at patient - terminate session*patient with schizophrenia, drug and alcohol abuse in hospital for hepatitis, contanthealthcare provider before giving - acetaminophen

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teenaged girl self induced vomiting - frequency of binging and purging behaviorsantidepressant side effects - dry mouth, blurred vision, constipationno TV in room tell patient - it is important to be out of your room and talking to othersAn woman who started chemotherapy three days ago for cancer of the breast callsthe clinic reporting that she is so upset she cannot sleep. The client has several PRNmedications available. Which drug should the nurse instruct her to take? - Lorazepam(Ativan) 8 mg PO HSA male adult is admitted because of an acetaminophen (Tylenol) overdose. Aftertransfer to the mental health unit, the client is told he has liver damage. Whichinformation is most important for the nurse to include in the client's discharge plan?- do not take any over the counter medspatient being discharged - discuss feelings of dischargeThe nurse documents the mental status of a female client who has been hospitalizedfor several days by court order, The client states, "I don't need to be here" and tellsthe nurse that she believes that the television talks tp her. The nurse shoulddocument these assessment findings in which section of the mental status exam? -insight and judgement Rational: May present with a range of insight into theirdisorder related beliefs including absent insight/delusion symptomsdepressed mother and daughter speaks in group - i hear you say you worry aboutyour mother's distressA client who has agoraphobia (a fear of crowds) is beginning desensitization with thetherapist, and the nurse is reinforcing the process. Which intervention has thehighest 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

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alternate coping strategies and relaxation techniques. Expose progressively to fearedstimuli, offering support with the nurses presence. Provide positive reinforcementwhenever a decrease in phobic reaction occurs.When a male client is asked about his reason for coming to the mental health clinic hereplies, "It all started because I work in a hostile work environment. My boss wouldnot let me go to a religious service, so I went to human resources, and they didn'twant to do anything. It has been a really difficult time for me." Which response shouldthe nurse provide? - "Have the feelings associated with these events brought you tothe clinic?"ECT therapy non responsive - "have you taken erectile dysfunction meds?" patientsshould take blood pressure medication prior to ECT treatment as ordered with aslittle water as possible.*adolescent teen interupts group about pets at home during group therapy. BestNurse action? - redirect him with handoutclient in bed all weekend, depression - get client out of bed and activepostpartum depression Sign & Symptoms (3) - distrubed sleep, sadness, poorconcentration*Pt scheduled for ECT. appropriate nurse action? - NPO after midnightPt believes that other group members are stealing his clothes. - encourage client toactively participate in activityheatlh assessment of history of alcohol dependency WHAT ELSE WOULD BE ACONCERN - pancreatitisknee surgery post op and diaphoretic and visual hallucinations - obtain vital signs

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