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2019 HESI Mental Health Version Solved Exam Practice

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Nursing

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Exam Practice

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Hesi Version 1_March 2019
2019 HESI MENTAL HEALTH VERSION 1
1) If client is taking Antabuse, what should we tell him?
Client must stop drinking to make Antabuse effective.
2) Patient is on Haldol, Cogentin, Depakote, and Tylenol.
Discontinue Tylenol.
3) Why is creatinine ordered as lab?
To check lithium levels and creatinine in kidney.
4) Which patient is at highest risk for suicide?
Client with divorced parents.
5) Client states only had 4 hrs of sleep. Which immediate intervention after 24 hours?
Promote Sleep.
6) Alcohol withdrawal client.
need to insert IV.
7) Client depression. Nurse asks questions, but client looks down. What to do?
Wait for response.
8) Client is co-dependent. Which makes them co-dependent?
-Blaming husband.
9) Client had a divorce, lost job, and recent breakup of relationship. What is he at risk for?
10) Client had biopsy and positive for cancer. Ask family to assist her ADL. What is her outcome?
Expected, as client quiet area.
11) Working phase?
Explore issues and new problem areas.
12) Client on Zyprexa. What to assess
Weight
13) Nurse immediately reports to therapist and staff. Therapist immediately calls client’s
supervisor. What were their actions?
–Both Nurse and therapist did the right thing…appropriate.
14) What nursing assessment is the priority focus for a client with major depression?
Mood and affect.
Suicidal ideation. Correct

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Hesi Version 1_March 2019
Nutritional status.
Fluid and electrolyte balance.
15) 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?
Establish rapport in each phase of the nurse-client relationship. Correct
Determine the client's ability to communicate effectively.
Reflect on previous psychiatric interviews the nurse has performed.
Ensure data is collected and recorded in a systematic sequence.
16) GAD taking Xanax. The client will?
Decrease anxiety using 10-point scale.
17) Female heart attack 4 years ago. Use of which medication high risk for MI?
Methamphetamine
18) One-to-one session. Admitted for chronic depression. Recognize which defense mechanism?
Repression.
19) Woman fear of open places and crows. Nursing diagnosis?
Ineffective Individual Coping.
20) A female client with OCD admitted for cardiac catheterization. What action should the nurse
implement? Express feelings regarding procedure.
21) Client with bulimia nervosa. Highest priority
Electrolyte status
22) history of alcoholism admitted for detoxification; 6 mg of ativan what additional prescription
administer immediately
Vitamin B1 (thiamine)
23) Client who refuses antipsychotic medication disrupt group activities nurse decides client
needs constant observation based on
-wanders into client's room
24) "idont know, i just cant think" what activity should the nurse suggest
set daily goals in the community meeting
25) A recurrent negative symptom of chronic schizophrenia and medication Risperdal. walks
laterally contracted position, something has made his body contort

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Hesi Version 1_March 2019 2019 HESI MENTAL HEALTH VERSION 1 1) If client is taking Antabuse, what should we tell him? Client must stop drinking to make Antabuse effective. 2) Patient is on Haldol, Cogentin, Depakote, and Tylenol. Discontinue Tylenol. 3) Why is creatinine ordered as lab? To check lithium levels and creatinine in kidney. 4) Which patient is at highest risk for suicide? Client with divorced parents. 5) Client states only had 4 hrs of sleep. Which immediate intervention after 24 hours? Promote Sleep. 6) Alcohol withdrawal client. need to insert IV. 7) Client depression. Nurse asks questions, but client looks down. What to do? –Wait for response. 8) Client is co-dependent. Which makes them co-dependent? -Blaming husband. 9) Client had a divorce, lost job, and recent breakup of relationship. What is he at risk for? 10) Client had biopsy and positive for cancer. Ask family to assist her ADL. What is her outcome? –Expected, as client quiet area. 11) Working phase? –Explore issues and new problem areas. 12) Client on Zyprexa. What to assess –Weight 13) Nurse immediately reports to therapist and staff. Therapist immediately calls client’s supervisor. What were their actions? –Both Nurse and therapist did the right thing…appropriate. 14) What nursing assessment is the priority focus for a client with major depression? Mood and affect. Suicidal ideation. Correct Hesi Version 1_March 2019 Nutritional status. Fluid and electrolyte balance. 15) Which acti ...
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