Mental Health HESI Test Bank 2024 Graded A+ Actual  Questions and Answers With Complete Solutions

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 
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 
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)