HESI Mental Health Practice Questions and Answers/HESI Mental Health Test Bank

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HESI Mental Health Practice Questions and Answers/HESI Mental Health Test Bank 1. history of alcoholism admitted for detoxification; 6 mg of ativan what additional prescription administer immediately ... - Vitamin B1 (thiamine) 2. hopeless unable to stop crying; evaluate effectiveness of cognitive- behavioral techniques; client outcome? - Changes thought patterns r/t problem solving 3. Schizoprenia return to clinic 2 weeks after recieving dose of haldol; important info for the nurse to obtain during this visit - Current vital signs 4. Client who refuses antipsychotic medication disrupt group activities nurse decides client needs constant observation based on - wanders into client's room 5. PTSD admitted to psychiatric unit, which intervention is most important for plan of care - provide a quiet room away from the recreational area 6. middle aged female no previous psychiatric history because her family described her having paranoid thoughts "i want to find out why these people are stalking me" - it sounds like this experience is frightening you 7. "idont know, i just cant think" what activity should the nurse suggest - set daily goals in the community meeting 8. assessing male client with paranois, which behavior can this client be expected to exhibit - is openly hostile towards others for no apparent reason 9. 8 month old with profound mental and physcial disabilities - ask mother is she has ever thought about harming herself or her child 10. recurrent negative symptoms of chronic schizophrenia and medication risperdal. walks laterally contracted position, something has made his body contort - administer the prescribed anticholinergic benztropine (cogentin) for dystonia 11. bipolar disorder depakote for manic reactions. monitored for seizure - observe the client for a reduction in hyperexcitable bahaviors because the drug enhances cerebral inhibitory transmitters 12. chronically depressed older male client of a long term care facility becomes more reclusive and today refuses to leave room - may I sit for you for a while 13. wife having affair, sober of 3 years, i believe in god - what is troubling you most 14. smearing feces on the bathroom wall - escort the client out of the bathroom 15. i know marijuana is not addicting - anytime you alter your ability to think clearly you put yourself and others at risk 16. catatonicschizoprenia, emphysema, DM2, hyperlipidemia - check blood glucose measurement 17. depression remains in bed most of the day, declines activities and refuses meals - refusal to address nutritional needs 18. borderline personality disorder self inflicted lacerations on abdomen - perform the dressing change in a non judgemental manner 19. male client admitted depression and self mutilation - ask if the client has a plan to harm himself 20. admitted relationship distress wtih spouse and depressed mood, which diagnostic test - urine drug screen 21. victim of intimate partner violence what 3 things should you do - lish a code with family and friends to signify violence, an escape route to use if the abuser blocks main exit, a bag ready that has extra clothes for self and children 22. Star this term - You can study starred terms together 23. 1.5 lithium admitted for suicidal ideations - instruct client to drink 3 liters of fluid in 24 hours 24. a client throws chairs; what do you do - obtain staff assistance to help diffuse the escalating situation 25. pre symptomatic genetic testing for mental illness - the risk for mental ilness is not identified with genetic testing 26. sometimes my thoughts go so fast, is it time to eat - exhibits tangential thinking 27. male client on atypical antipsychotic drug olanzapine (zyprexa) - adverse reaction is weight gain 28. patient taking sertraline (zoloft) for postpartum depression, nursing teaching - contact healthcare provider if having suicidal thoughts (black box warning) 29. female brought to er for rape by date - my date raped me tonight (exact words from client) 30. nurse documents that a male client with schizophrenia is delusional, what statement made by the client would be a example? Why? - nurse at night is trying to poison me with pills (false beliefs of unfounded evidence) 31. two days after last drink, shouts at wife and kids, what nursing intervention has the highest priority - risk for injury (DT) 32. client sitting in corner of day room during admission assessment, what nursing action - ask client simple questions 33. psychomotor retardation, hypersomnia, and amotivation; what nursing intervention - teach client to have daily structured acitivites 34. male employee says imgonna shoot a coworker - find out if he has a weapon 35. female abused by husband, when taking her history which info is most important - if client has a plan to leave if her life is in danger 36. female depressed patient begins to talk and exhibit energy - observe her actions continuously 37. mother yells "dont touch him" as the nurse gives child - projects the feelings onto the nurse 38. Client makes a statement I feel like im going to die, what level of Anxiety is it? - moderate anxiety 39. female low cut blouse, red lipstick - assist the client back to her room and help her select appropriate clothing 40. recent suicide attempt, wife filed for divorce, loss job - encourage activities that will allow him to take control over his environment 41. hears voice and becomes agitated - move the client to a more quiet area 42. cancer patient who becomes dependent - expected, as the client to a quiet area of the unit 43. a male client is admitted to the er; overdose of benzodiazepine - administer narcan 44. 18 year old drug use; important information - the drug that was ingested 45. How do you take antabuse - each morning beginning 48 hours after your last drink of alcohol 46. attempted suicide by slashing wrists - check the client level of consciousness 47. client 164 cm 36 kg after sycopal episode at home - insert peripheral IV fluid resuscitation 48. 14 year old eating disorder what do you get them involved in - arts and crafts 49. a client with bulimia what do you do? - assess and report electrolyte imbalance 50. college student hears kill, kill - are you planning to obey the voices 51. patient complains of blindness - Conversion disorder 52. Star this term - You can study starred terms together 53. patient seeing snakes - administer activan 54. teen in er for threatening teacher - discuss methods of clearly communicating 1. A male employee who is assessed weekly in the employee clinic for blood pressure because of a history of hypertension tells the nurse that he is so upset with one of his co-workers that he would like to shoot him. What action should the nurse take first? a.) Determine if the client has a weapon available for use. b.) Inform the health care provider of the threat to harm a co-worker. c.) Notify security of the client’s intention to harm a co-worker. d.) Have the employee escorted to a mental health facility. Answ:A 2. A male client who is participating in an anger management assignment asks if he can make a leather belt in occupational therapy. The client begins pounding the leather vigorously with a mallet to imprint designs on the belt. What defense mechanism is the client using?* a.) Sublimation. b.) Suppression. c.) Regression. d.) Compensation. Answ:A 3. A 20-year-old female client with schizophrenia is scheduled to receive risperidone (Risperdal) 2mg at bedtime. When the nurse attempts to administer the medication, the client states. “I am not going to take that medicine, and you can’t make me.” What action should the nurse take? a.) Administer the medication via a nasogastric tube. b.) Substitute an injectable form of the medication. c.) Encourage the client to take the medicine because it will help her sleep. d.) Document in the client’s record that the medication was refused. Answ:C 4. An adult female client tells the nurse that though she is afraid her abusive boyfriend might one day kill her, she keeps hoping that he will change. What action should the nurse take first?* a.) Discuss treatment options for abusive partners. b.) Explore client’s readiness to discuss the situation. c.) Determine the frequency and type of client’s abuse. d.) Report the finding to the police department. Answ:B 5. A male client with bipolar disorder has not slept or eaten in four days. He paces and becomes increasingly agitated and loud while the nurse talks to his spouse. What intervention is the best for the nurse to implement at this time? a.) Move to a quiet area and provide peanut butter with crackers. b.) Walk with the client to the cafeteria and star as he eats lunch. c.) Request a full lunch tray from the dietary department. d.) Encourage the spouse to eat lunch with the client. Answ:A 6. The nurse asks a female client with a borderline personality disorder, “How do you feel about your children not coming to visit this weekend?” The client looks out the window and replies, “I really don’t care.” Which response is best for the nurse to provide? a.) “I noticed you were looking out the window when discussing your feelings.” b.) “I think you’re lying and it bothers you that your children aren’t coming.” c.) “I think you should discuss your children not coming in the group meeting.” d.) “Why do you think your children didn’t want to come visit you this weekend?” Answ:A 7. What is the most important goal of care for a client diagnosed with generalized anxiety disorder (GAD) who has been taking the benzodiazepine alprazolam (Xanax) long-term? The client will a.) Describe a decrease in anxiety using a 1 to 10 anxiety scale. b.) State the importance of not abruptly stopping the medication. c.) Not experience dizziness, lightheadedness, or sedation. d.) Attend scheduled individual and group therapy sessions. Answ:A 8. The nurse is performing intake interviews at a psychiatric clinic. A female client with a known history of drug abuse reports that she has a heart attack four years ago. Use of which substance abuse places the client at highest risk for myocardial infarction. a.) Benzodiazepine b.) Marijuana c.) Methamphetamine d.) Alcohol Answ:C 9. During a one-to-one session with the nurse, a female client who has been admitted for chronic depression and attempted suicide discloses her experience of sexual promiscuity and prostitution. When the nurse asks the client if she was ever sexually abused as a child, the client says, “I don’t remember, but my mother ran my father off when I was five.” The nurse should recognize that the client may be using which defense mechanism? a.) Denial b.) Projection c.) Regression d.) Repression Answ:D 10. A client who refuses antipsychotic medications disrupts group activities, talks with nonsensical words and wanders into client’s room. The nurse decides that the client needs constant observation based on which of these assessment findings? a.) Disrupts group activities. b.) Wanders into the client’s rooms. c.) Talks with nonsensical words. d.) Refuses antipsychotic medications. Answ:B ........Continued [Show More]

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