Mental health hesi exam questions

Mental Health Hesi Review Questions

QUES: a 30 year old sales manager tells the nurse "i am thinking about a job change. i don't feel like i am living up to my potential." which of maslows developmental stages is the sales manager attempting to achieve

QUES: 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

QUES: an adult male client who was admitted to the mental health unit yesterday tells the nurse that microchips were planted in his head for military surveillance of his every move.. which response is best for the nurse to provide

QUES: the nurse is assessing a clients intelligence.. which factor should the nurse remember during this part of the mental status exam

QUES: at a support meeting of parents of a teenager with polysubstance dependency, a parent states "each time my son tries to quit taking drugs, he gets so depressed that I'm afraid he will commit suicide".. the nurses response should be based on which information

QUES: the wife of a male client recently diagnosed with schizophrenia asks the nurse, "what exactly is schizophrenia? is my husband all right?".. which response is best for the nurse to provide

QUES: a young adult male client, diagnosed with paranoid schizophrenia, believes that the world is trying to poison him.. what intervention should the nurse include in this clients plan of care

QUES: a female client with OCD is describing her obsessions and compulsions and asks the nurse why these make her feel safer.. what information should the nurse include in this clients teaching plan

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QUES: the parents of a 14 year old boy bring their son to the hospital.. he is lethargic, but responsive.. the mother states "i think he took some of my pain pills".. during initial assessment of the teenager, what information is most important for the nurse to obtain from the parents

QUES: a male client with mental illness and substance dependency tells the mental health nurse that he has started using illegal drugs again and wants to seek treatment.. since he has a dual diagnosis, which person is best for the nurse to refer this client to first

QUES: a male client is admitted to a mental health unit on friday afternoon and is very upset on sunday because he has not had the opportunity to talk with the HCP.. which response is best for the nurse to provide this client

QUES: a female client refuses to take an oral hypoglycemic agent bc she believes that the drug is being administered as part of an elaborate plan by the mafia to harm her.. which nursing intervention is most important to include in this clients plan of care

QUES: a male client is admitted to the psychiatric unit with a medical diagnosis of paranoid schizophrenia.. during the admission procedure, the client looks up and states "no, its not my fault, you can't blame me, i didn't kill him, you did".. what action is best for the nurse to take

QUES: an 86 year old female client with alzheimers disease is wandering the busy halls of the extended care facility and asks the nurse "where should i stand for the parade".. which response is best for the nurse to provide

QUES: physical exam of a 6 year old reveals several bite marks in various locations on his body.. x-ray exam reveals healed fractures of the ribs.. the mother tells the nurse that her child is always having accidents.. which initial response by the nurse would be most appropriate

QUES: a 38 year old female client is admitted with a diagnosis of paranoid schizophrenia.. when her tray is brought to her, she refuses to eat and tells the nurse, "i know you are trying to poison me with that food".. which response is most appropriate for the nurse to make

QUES: a 25 year old female client has been particularly restless and the nurse finds her trying to leave the psychiatric unit.. she tells the nurse "please let me go! i must leave bc the secret police are after me".. which response is best for the nurse to make

QUES: a 45 year old male client tells the nurse that he used to believe that he was jesus christ, but now he knows he is not.. which response is best for the nurse to make

QUES: a nurse working in the emergency room of a children's hospital admits a child whose injuries could have resulted from abuse.. which statement most accurately describes the nurses responsibility in cases of suspected child abuse

QUES: a client who is being treated with lithium carbonate for bipolar disorder develops diarrhea, vomiting, and drowsiness.. what action should the nurse take

QUES: a client on the psychiatric unit appears to imitate a certain nurse on the unit.. the client seeks out this particular nurse and imitates her mannerisms.. the nurse knows that the client is using which defense mechanism

QUES: a client, who is on a 30 day commitment to a drug rehabilitation unit, asks the nurse if he can go for a walk on the grounds of the treatment center.. when he is told that his privileges do not include walking on the grounds, the client becomes verbally abusive.. which approach should the nurse use

QUES: the nurse is planning the care for a 32 year old male client with acute depression.. which nursing intervention best helps this client deal with his depression

QUES: an anxious client expressing a fear of people and open places is admitted to the psychiatric unit.. what is the most effective way for the nurse to assist this client

QUES: a client with bipolar disorder on the mental health unit becomes loud, and shouts at one of the nurses "you fat tub of lard! get something done around here!".. what is the best initial action for the nurse to take

QUES: a 35 year old male client who has been hospitalized for two weeks for chronic paranoia continues to state that someone is trying to steal his clothing.. which action should the nurse implement

QUES: on admission, a highly anxious client is described as delusional.. the nurse understands that delusions are most likely to occur with which class of disorder

QUES: a client is admitted with a diagnosis of depression.. the nurse knows that which characteristic is most indicative of depression

QUES: a client who has been admitted to the psychiatric unit tells the nurse "my problems are so bad that no one can help me".. which response is best for the nurse to make

QUES: a woman brings her 48 year old husband to the outpatient psychiatric unit and describes his behavior to the admitting nurse.. she states that he has been sleepwalking, cannot remember who he is, and exhibits multiple personalities.. the nurse knows that these behaviors are often associated with

QUES: a 27 year old female client is admitted to the psychiatric hospital with a diagnosis of bipolar disorder, manic phase.. she is demanding and active.. which intervention should the nurse include in this clients plan of care

QUES: a 35 year old male client on the psychiatric ward of a general hospital believes that someone is trying to poison him.. the nurse understands that a clients delusions are most likely related to his

QUES: a client who is diagnosed with schizophrenia is admitted to the hospital.. the nurse assesses the clients mental status.. which assessment finding is most characteristic of a client with schizophrenia

QUES: the nurse is conducting discharge teaching for a client with schizophrenia who plans to live in a group home.. which statement is most indicative of the need for careful follow up after discharge

QUES: a 52 year old male client in the ICU who has been oriented suddenly becomes disoriented and fearful.. assessment of VS and other physical parameters reveal no significant change and the nurse formulates the diagnosis "confusion related to ICU psychosis".. which intervention is best to implement

QUES: a 19 year old female client with a diagnosis of anorexia nervosa wants to help serve dinner trays to other clients on a psychiatric unit.. what action should the nurse take

QUES: the nurse is leading a "current evens group" with chronic psychiatric clients.. one group member states "clara barton was my nurse during my last hospitalization.. she was a very mean nurse and wasn't nice to me".. which response is best for the nurse to make

QUES: the nurse should hold the next scheduled dose of a clients haloperidol (Haldol) based on which assessment finding

QUES: within several days of hospitalization, a client is repeatedly washing the top of the same table.. which intervention is best for the nurse to implement to help the client cope with anxiety related to this behavior

QUES: a female client with depression attends group and states that she sometimes misses her medication appointments bc she feels very anxious about riding the bus.. which statement is the nurses best response

QUES: the nurse is planning discharge for a male client with schizophrenia.. the client insists that he is returning to his apartment, although the HCP informed him that he will be moving to a boarding home.. what is the most important nursing diagnosis for discharge planning

QUES: when preparing a teaching plan for a client who is to be discharged with a prescription for lithium carbonate (Lithonate), it is most important for the nurse to include which instruction

QUES: the nurse is preparing to administer phenelzine sulfate (Nardil) to a client on the psychiatric unit.. which complaint related to administration of this drug should the nurse expect this client to make

QUES: a client who is known to abuse drugs is admitted to the psychiatric unit.. which medication should the nurse anticipate administering to a client who is exhibiting benzodiazepine withdrawal symptoms

QUES: a 72 year old female client is admitted to the psychiatric unit with a diagnosis of major depression.. which statement by the client should be of greatest concern to the nurse and require further assessment

QUES: which diet selection by a client who is depressed and taking the MAOI tranylcypromine sulfate (Parnate) indicates to the nurse that the client understands the dietary restrictions imposed by this medication regimen

QUES: a 65 year old female client complains to the nurse that recently she has been hearing voices.. what question should the nurse ask this client first

QUES: an elderly female client with advanced dementia is admitted to the hospital with a fractured hip.. the client repeatedly tells the staff "take me home.. i want my mommy".. which response is best for the nurse to provide

QUES: the nurse suspects child abuse when assessing a 3 year old boy and noticing several small, round burns on his legs and trunk that might be the result of cigarette burns.. which parental behavior provides the greatest validation for such suspicions

QUES: the nurse should include which interventions in the plan of care for a severely depressed client with neurovegetative symptoms

QUES: the charge nurse is collaborating with the nursing staff about the plan of care for a client who is very depressed.. what is the most important intervention to implement during the first 48 hours after the clients admission to the unit

QUES: over a period of several weeks, one male participant of a socialization group at a community day care center for the elderly monopolizes most of the groups time and interrupts others when they are talking.. what is the best action for the nurse to take in this situation

QUES: the nurse is taking a history for a female client who is requesting a routine female exam.. which assessment finding requires follow up

QUES: The nurse is assessing the parents of a nuclear family who are attending a support group for parents of adolescents.. according to erickson, these parents who are adapting to middle adulthood should exhibit which characteristic

QUES: a male client with schizophrenia tells the nurse that the voices he hears are saying "you must kill yourself".. to assist the client in coping with these thoughts, which response is best for the nurse to provide

QUES: a woman arrives in the emergency center and tells the nurse she thinks she has been raped.. the client is sobbing and expresses disbelief that a rape could happen bc the man is her best friend.. after acknowledging the clients fear and anxiety, how should the nurse respond

QUES: while assessing a 70 year old male client, a nurse working in the outpatient clinic notices bruises on the clients chest.. the client admits that his daughter, who is is caregiver, becomes frustrated and sometimes hits him.. what is the priority outcome for the elderly client who sustained the abuse

QUES: the nurse is assessing a client who is believed to have a borderline personality disorder.. which question is most important to include in this assessment

QUES: a nurse is teaching a female client who is in a homosexual relationship about womens health.. which topic is the most important for the nurse to address

QUES: a client who abuses alcohol says to the nurse, i am glad i went in for treatment.. now my problems with alcohol are all behind me.. which response is best for the nurse to provide

QUES: a male client who is on the liver transplant list is called to the unit for a possible transplant.. when learning that the donor organ is no longer available, the client slams doors and shouts vulgarities about his situation.. what action should the nurse implement first

QUES: a client is told that her infant will be stillborn.. what is the most important action for the nurse to implement after the birth

QUES: which nursing intervention should the nurse implement with parents who experience a fetal demise and express the wish not to see the baby

QUES: a client actively involved in substance addiction therapy frequently relapses into benzodiazepines and alcohol use.. the client tells the nurse, i don't think i will ever be able to kick this habit.. how should the nurse respond

QUES: a client who is admitted with the chief complaint of feeling depressed tells the nurse, i want to feel normal agiain.. how should the nurse respond

QUES: the nurse is planning the care for a client based on the psychoanalytical model.. which intervention should the nurse include

QUES: a female client responds to the nurse with negative comments and antagonistic behavior.. the nurse tells the client that she is unconsciously casting the nurse in the role of the clients mother.. the nurses feedback is based on which model of therapy

QUES: which client should the nurse identify as the highest risk for the onset of stress related problems

QUES: the client with depression asks the nurse, "what are neurotransmitters? my doctor thinks my problem may lie with the neurotransmitters in my brain".. what information should the nurse use to support an explanation of neurotransmitters

QUES: a client is scheduled to complete a positron emission tomography (PET) scan.. the client asks the nurse to explain the reason the test was prescribed.. how should the nurse respond

QUES: a client with panic disorder tells the nurse, "this illness is awful, I'm frightened that i will always be this way and that theres no hope for me".. what is the best information for the nurse to provide

QUES: a female client who is admitted for treatment of uncontrolled DM is withdrawn and tearful.. she complains she has gained excessive weight bc she hates her diet, hates taking insulin, and just wants to be normal again.. what therapeutic action should the nurse take

QUES: which action is most important for the nurse to implement during the initial interview for a client who is admitted to the mental health unit

QUES: when assessing a clients emotional intelligence, which client capabilities should the nurse focus the interview on with a client diagnosed with a chronic mental illness

QUES: a male client tells the nurse that he plans to kill his spouse and her lover as soon as he is released from the hospital.. what action should the nurse implement

QUES: what action should the nurse take when a client who is psychotic proposes goals that are both unrealistic and undesirable

QUES: a client is pacing in the hall near the nurses station and swearing loudly.. what response is best for the nurse to provide

QUES: a client is responding to auditory hallucinations and shakes a fist at a nurse and says "back off witch!".. the nurse follows the client into the day room.. what action should the nurse implement

QUES: a female client presents to the emergency center with confusion, emotional numbness, and expresses to the nurse a feeling of disbelief that she was raped.. the nurse determines the client is in the acute phase of rape trauma syndrome.. what action should the nurse implement first

QUES: which client outcome indicates improvement for a client who is admitted with auditory hallucinations

QUES: the nurse is caring for an adult male client with catatonic schizophrenia who is mute and motionless.. what is the priority nursing diagnosis

Ques: a client with a history of alcoholism with a compound fracture of the femur after falling down the previous night.. what additional assessment should be the priority focus for the nurse

QUES: a female client comes to an outpatient therapy appointment intoxicated.. the spouse tells the nurse, "there wasn't anything i could do to stop her drinking this morning".. what intervention should the nurse take at this time

QUES: which client statement should the nurse identify as most typical of a client with mania

QUES: what nursing assessment is the priority focus for a client with major depression

QUES: the nurse is caring for a client who received the first time ECT a half hour ago.. which action should the nurse implement first

QUES: a client with substance abuse is admitted to the mental health unit.. which action should be implemented by the nurse, and not delegated to a UAP

QUES: which action should the nurse implement first for a client experiencing alcohol withdrawal

QUES: the nurse is caring for a client who was admitted for alcohol detoxification 2 days ago.. which finding is most critical for the nurse to report to the HCP

QUES: the community health nurse facilitates a substance abuse prevention group for a homeless population.. which statement demonstrates that a client has a realistic understanding of the recovery process?

QUES: which action should the nurse implement during the termination phase of the nurse client relationship?

QUES: which statement made by an adolescent in group therapy should the nurse identify as a priority in planning care?

QUES: the nurse is caring for a female client who is admitted for depression with the nursing diagnosis, self esteem, chronic low.. which client response indicates to the nurse that the client has improved self esteem

QUES: an adolescent who attempted suicide with drug OD arrives in the ED with an empty 30 tab bottle of acetaminophen.. which action should the nurse implement

QUES: a client on the mental health unit reports concerns about weight gain as a result of taking divalproex (Depakote) and requests assistance to fill out a menu.. the nurse should initiate a referral to which health care team

QUES: during the admission of a male client to the mental health unit, the client tells the nurse that he had a panic attack today and ran out of the physicians office.. which question is most important for the nurse to ask the client

QUES: the daughter of a female client with stage 1 alzehimers disease asks the nurse what changes should she expect to demonstrate in this stage.. what finding should the nurse tell the daughter is common?