MENTAL HEALTH HESI QUESTIONS AND SCENARIOS WITH CORRETLY WRITTEN ANSWERS.WILL AID IN REVISION AND GET AN A GRADE

1. 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
2. A female client with a history of drinking who was admitted 8 hours ago after
receiving treatment 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
3. 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)
4. A female client on a psychiatric unit is sweating profusely while she vigorously does
push-ups and then runs the length of the corridor several times before crashing into
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
5. 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
6. What is the most important goal for a client diagnosed with major depression who has
been receiving an antidepressant medication for two weeks
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
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 forth in front of the office
door, but does not enter the office. He then walks around 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 from arriving on time and interferes with her ability to function effectively. What action
should the nurse 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 occurred during the last month
A 26-year-old female client has been particularly restless and the nurse finds her trying to
leave the psychiatric unit. She tells her 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 alcoholic 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 drunk driving (SADD)
A male client arrives at the mental health clinic and asks the nurse for more lithium and the
antidepressant (Elavil) that he uses to help him sleep. After reviewing his assessment findings
with the healthcare provider, a serum creatinine is obtained. What information supports the
reason for this laboratory test
Lithium is excreted by the kidneys and creatinine is related to kidney functioning
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?
decreased thyroid stimulating hormone level
Rationale: hyperthyroidism causes an increased level of serum thyroid hormones (T3 and T4),
which inhibit the release of TSH, so the clients manic behavior may be related to an endocrine
disorder.. elevated liver function profile, increased WBC count, and decreased hematocrit and
hemoglobin levels are abnormal findings that are commonly found in the homeless population
because of poor sanitation, poor nutrition, and the prevalence of substance abuse
The nurse is teaching a client about the initiation of a prescribed abstinence therapy using
disulfiram (Antabuse). What information should the client acknowledge understanding
remain alcohol free for 12 hours prior to the first dose
How do you take Antabuse
must have patient consent
When preparing to administer a domestic violence screening tool to a female client, which
statement should the nurse provide
all clients are screened for domestic abuse because it is common in our society
A client with schizophrenia who is taking Haldol begins exhibiting tremors of the extremities.
Which intervention should the nurse implement
consult with the healthcare provider about reducing the dosage
schizophrenia return to clinic 2 weeks after receiving dose of Haldol; important info for the
nurse to obtain during this visit
current vital signs
A male client with bipolar disorder tells the nurse that he needs to "make some deals 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 business decisions until his mania subsides
one on one session and nurse begins to get angry at patient
terminate session
patient with schizophrenia, drug and alcohol abuse in hospital for hepatitis, contact
healthcare provider before giving
acetaminophen
teenaged girl self-induced vomiting
frequency of binging and purging behaviors
antidepressant side effects
dry mouth, blurred vision, constipation
no TV in room tell patient
it is important to be out of your room and talking to other