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4 HESI Mental Health Psych 55 Questions
Mental Health and Psychiatric Nursing (NURSADN 7)
San Joaquin Delta College
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HESI MENTAL HEALTH V4 2018 55 QUESTIONS
1. A nurse is explaining a fire drill routine to a group of clients. A client becomes disruptive
and continually interrupts the group. What is the nurse's best response? When you interrupt, I cannot explain what to do to the group.
2. When performing a MSE on a client which assessment intervention would best assist the
nurse? Ask the client to interpret the proverb a stitch in time saves nine.
3. A client comes in after being in a car accident and is experiencing alcohol withdrawal,
magnesium level of 1, cardiac dysrhythmias. What would you give first? Magnesium.
4. A woman is just told of her husband's dx of terminal cancer. What would the nurse offer
for the spouse (wife)? How would you like to be involved with your husband's care?
5. A nurse is to remove staples from an abdominal incision, the client is very anxious. What is
the most important intervention? Attempt to distract the client with general conversation.
6. A man who was stranded on the roof of his house for two days after a natural disaster,
months later ... Implement anxiety control strategies
7. A man dx with bipolar disorder states, "I don't understand, I believe in God and have not
done anything to deserve this". What is the nurse's best response? You didn't do anything wrong. You have a chemical imbalance in your brain.
8. A client becomes upset when the nurse he requests is not assigned to him, what is the
nurse's best response? Advise the client that nursing assignments are not based on client requests.
9. A client needs to wash her hands for two hours before able to go on with her morning.
She doesn't want to sit on the chairs in the dayroom for fear of getting dirty. What is this mechanism? Compulsion.
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10. A client in group is talking about her prostitution, the nurse asks her if she was abused
by her parents. She states "my mother ran my father out when I was young". What defense mechanism was used? Repression.
11. A woman calls the crisis hotline and says she has a loaded gun and is going to kill herself.
To maintain patient confidentiality what would the nurse do? Contact the person the client chooses to go to the home and remove the weapon.
12. A client with anger management issues uses belt making and bangs the leather heavily.
What defense mechanisms is being used? Sublimation.
13. A bipolar client comes into the clinic and tells the nurse that the next time she sees her
sister I'm going to kill her. What should the nurse do? Inform the sister.
14. What would be the nurse's highest priority for a newly admitted depressed client upon
admission? The nurse should go through the client's belongings.
15. Who is most prone to being abused (elder abuse)?
Females over 75 living with their families.
16. A client in the dayroom had tipped over a table and is escalating and has picked up a
chair which he is threatening to throw at another client. What should the nurse do first? Go and get more staff assistance.
17. A woman who is psychotic is carrying all of her belongings around with her because she
is afraid that someone will steal it. What is the best way to establish trust? Make brief contact with the client throughout the day.
18. In adolescent group discussing a handout on anger management, a client is becoming
increasingly interruptive and talking about his home and pets. What is the nurse's most appropriate response? Redirect the client to read the handout.
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Take the woman aside and ask her about abuse.
30. A business man is stressed about his finances, has anxiety and sleeplessness.
Limit intake of sugar and caffeine.
31. A mother comes into the clinic with her son who is being accused of a crime. She is
worried her son will go to jail. What should the nurse say to the mother? Consequences of enabling behaviors.
32. What is a common side effect of cocaine use.
Heart attack.
33. A client on LSD comes into the ER. How do you approach the client?
Talk calmly and soothing to the client.
34. A client taking Meth and Benzo's, what would the nurse prepare to do for overdose?
Give Narcan.
35. An alcoholic father tells his wife and children to stay away from him. What is the most
important nursing dx? Risk for injury.
36. What should you advise a patient who is on a MAOI not to eat?
Cheese, beer, and avocado.
37. The parents of a teenager who has overdosed what is the first question to ask?
What drug did the client ingest?
38. A client becomes agitated when the nurse is talking to his wife. He has not eaten in 3
days. What should the nurse do? Take to quiet room and give PB crackers.
39. When opening a mental health clinic...
American Nursing Association.
40. A client with a hx of depression and abusing alcohol with their depression getting worse.
What is the most important nursing dx?
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41. A woman is being abused by her husband; the abuse is escalating. What would the nurse
ask first? Do you have a plan in place when you are not safe?
42. A patient has stopped taking Depakote six months ago, what would the nurse assess?
Mood.
43. A nurse visits a community half way house with one bathroom. The nurse notices urine
all over the walls of the bathroom. The toilet is clogged with feces and paper towels. Infection control.
44. A client with Alzheimer's keeps asking for his mother. What is the nurses appropriate
response? Your mothers not here but you are safe.
45. A client is told to come in by friends, clients complaints include losing his job, just got a
divorce, single dad with two kids, what would be the best question for nurse to ask? What is troubling you the most?
46. What are the side effects of Lithium?
Dehydration, diarrhea, and thirstiness.
47. A client with an anxiety disorder is demonstrating signs of panic. Which intervention
would be the most appropriate for the nurse to implement Decrease environmental stimuli and interactions with other people.
48. A client tells the nurse that he is an accomplished writer and that directors of television
shows contact him for suggestions on actors and locations. The nurse realizes this client is experiencing the delusion of Grandiosity
49. A client tells the nurse that his father died after the client thought about it for a few
days. The nurse suspects the client is delusional and is demonstrating: A magical thinking
50. The nurse overhears a client diagnosed with terminal cancer tell a family member that
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4 HESI Mental Health Psych 55 Questions
Course: Mental Health and Psychiatric Nursing (NURSADN 7)
University: San Joaquin Delta College
