HESI PSYCH MENTAL HEALTH TEST BANK ACTUAL EXAM 800 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

HESI PSYCH MENTAL HEALTH TEST BANK 2023-2024

ACTUAL EXAM 800 REAL EXAM QUESTIONS AND

CORRECT DETAILED ANSWERS WITH RATIONALES

(VERIFIED ANSWERS) |ALREADY GRADED A+

The Rn is planning client teaching for a 35-year-old client with alcoholic cirrhosis.

Which self-care measure should the RN emphasize for the client's recovery?

A. Support group meetings.

B. VitaminBandmultivitaminsupplements.

C. Diet with adequate calories and protein.

D. Alcohol abstinence. - ANSWER- D

A teenager has lost 20 pounds in the last three months is admitted to the hospital

with hypotension and tachycardia. The client reports irregular menses and hair

loss. Which intervention is most important for the RN to include in the clients plan

of care?

A. Implement behavioral modification therapy.

B. Initiate caloric and nutritional therapy.

C. Evaluate the client for low self-esteem.

D. Record daily weights and graft trend. - ANSWER- B

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 client's comfort level is increased when the RN breaks eye contact to take

notes.

B. The interview process is enhanced with note taking and allows the client to

speak at a normal pace.

C. Taking notes during an interview is a legal obligation of examining RN.

D. The RN's ability to directly observe the client's non-verbal communication is

limited

with note taking. - ANSWER- D

A client is receiving substitution therapy during withdrawal from benzodiazepines.

Which expected outcome statement has the highest priority when planning nursing

care?

a. Client will not demonstrate cross addiction.

b. Co-dependent behaviors will be decreased.

c. CNS stimulation will be reduced.

d. Client's level of consciousness will increase. - ANSWER- C

A client who is being treated with lithium carbonate for manic depression begins to

develop diarrhea, vomiting, and drowsiness. What action should the nurse take?

a. Notify the physician immediately and force fluids.

b. Prior to giving the next dose, notify the physician of the symptoms.

c. Record the symptoms and continue medication as prescribed.

d. Hold the medication and refuse to administer additional amounts of the

drug. - ANSWER- B

While caring for an older client, the RN observes multiple bruises in Over the

client's legs, arms, back, and gluteal areas. When the client Contact, the RN

suspects elder abuse. What action should the RN take?

A. Report family conversations and anger towards the client when visiting.

B. Ask the client specific questions about someone causing the bruising.

C. Question the family members and caregiver how the bruising occurred.

D. Measure and document size, shape and color of the bruised areas. - ANSWERD

The RN is performing intake interviews at a psychiatric clinic. A female client

with a known history of drug abuse reports that she had a heart attack four years

ago. Use of which substance places the client at highest risk for myocardial

infarction?

A. Benzodiazepine

B. Alcohol

C. Methamphetamine

D. Marijuana - ANSWER- C

After receiving treatment for anorexia, a student asks the school RN for permission

to work in the school cafeteria as part of the school's work study program. What

action should the RN take?

A. Suggest that the student work in the athletic department.

B. Determine the parent's opinion of the work assignments.

C. Referthestudenttoapsychiatristforfurtherdiscussion.

D. Recommend assignment to the receptionist's office. - ANSWER- D

A client who is homeless is diagnosed with schizophrenia and admitted on an

involuntary basis to a mental health hospital 4 days ago. The client stopped taking

prescribed antipsychotic drugs approximately one month ago. Since hospitalization

the client continues to have poor judgment and refuses all medications. What

action should the RN take?

A. Encourage the client to stay in the hospital so the client does not have to be

homeless.

B. Provide the client with medication if the client presents an imminent risk to self

and

others.

C. Administer a long acting antipsychotic medication so that the client can be

discharged to a shelter.

D. Describe to the client treatment options provided at the community mental

health clinics. - ANSWER- B

A male client comes to the emergency center because he has an erection that will

not resolve. The client reports that he is taking trazodone (Desyrel) for insomnia.

Which information is most important for the nurse ask the client?

A. When was the last time you drank alcoholic beverage?

B. Have you taken any medications for erectile dysfunction?

C. Are you having any other sexual dysfunctions or problems?

D. Do you have a history of angina or high blood pressure? - ANSWER- B

On admission to the mental health unit, a client diagnosed with schizophrenia tells

the RN that he is the son of god. Based on this statement, which intervention

should the RN include in this client's plan of care?

A. Lead the client by his arm to the seclusion room.

B. Ensure the client's environment is safe.

C. Schedule activity therapy twice a week.

D. Confront his delusion as not consistent with reality. - ANSWER- D

The RN on the day shift receive report about a client with depression who was in

bed most of the weekend. The RN walks into the client's room in the morning and

finds the client in bed. What intervention is best for the RN to implement?

A. Monitor the client's appetite and pattern of sleep.