HESI PN Mental Health Exam Test Bank | Latest
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A client with schizophrenia is admitted to an acute care psychiatric unit. Which clinical
findings indicate positive signs and symptoms of schizophrenia?
1. Withdrawal, poverty of speech, inattentiveness
2. Flat affect, decreased spontaneity, asocial behavior
3. Hypomania, labile mood swings, episodes of euphoria
4. Hyperactivity, auditory hallucinations, loose associations - ANSWER-4. Hyperactivity,
auditory hallucinations, loose associations
Hyperactivity, auditory hallucinations, and loose associations are positive symptoms of
schizophrenia; positive symptoms reflect a distortion or excess of normal function.
Hypomania, labile mood swings, and episodes of euphoria are associated with bipolar
,disorder, manic episode. Flat affect, decreased spontaneity, and asocial behavior and
hyperactivity, auditory hallucinations, and loose associations are all negative symptoms
associated with schizophrenia; negative symptoms reflect a diminution or absence of
normal function.
One morning a nurse on the psychiatric unit finds a client curled up in the fetal position in
the corner of the dayroom. What is an appropriate initial inference for the nurse to make
about the client?
1. The client is feeling more anxious today.
2. The client is trying to hide from the staff.
3. The client is tired and probably did not sleep well last night.
4. The client is physically ill and experiencing abdominal discomfort. - ANSWER-1. The
client is feeling more anxious today.
The fetal position represents regressive behavior; regression is a way of responding to
overwhelming anxiety. No data are available to indicate that the client is trying to hide or is
,tired or physically ill; further assessment would be necessary to support these other
interpretations.
A male client in a mental health facility turns his head to the side during a unit meeting as if
he hears something. When the nurse comments about it, the client replies, "You know, it's
that microcomputer those foreign agents implanted in my ear." In light of this statement,
what does the nurse determine that the client is experiencing?
1. Illusions
2. Hallucinations
3. Delusional thoughts
4. Neologistic thinking - ANSWER-3. Delusional thoughts
The client's statement reveals the cognitive disturbance called a delusion, which is a fixed
set of false beliefs that cannot be corrected by reason. An illusion is a misperception of an
actual environmental stimulus. A hallucination is a sensory experience, unrelated to
external stimuli. Neologisms are made-up words understood only by the speaker.
, When caring for clients who are at risk for suicide, what should the nurse consider?
1. A client who fails in a suicide attempt will probably not try again.
2. Formal suicide plans increase the likelihood that a client will attempt suicide.
3. It is best not to talk to clients about suicide because it may give them the idea.
4. Clients who talk about suicide are not planning it; they are using the threat to gain
attention. - ANSWER-2. Formal suicide plans increase the likelihood that a client will
attempt suicide.
A married male client with three children has lost his job and states that he feels useless.
He is tearful, upset, and embarrassed. What is an appropriate objective of care for this
client?
1. Limiting tearfulness
2. Increasing self-esteem
Edition with Verified 280+ Questions & Answers
Already Graded A+ 2026-2027.
A client with schizophrenia is admitted to an acute care psychiatric unit. Which clinical
findings indicate positive signs and symptoms of schizophrenia?
1. Withdrawal, poverty of speech, inattentiveness
2. Flat affect, decreased spontaneity, asocial behavior
3. Hypomania, labile mood swings, episodes of euphoria
4. Hyperactivity, auditory hallucinations, loose associations - ANSWER-4. Hyperactivity,
auditory hallucinations, loose associations
Hyperactivity, auditory hallucinations, and loose associations are positive symptoms of
schizophrenia; positive symptoms reflect a distortion or excess of normal function.
Hypomania, labile mood swings, and episodes of euphoria are associated with bipolar
,disorder, manic episode. Flat affect, decreased spontaneity, and asocial behavior and
hyperactivity, auditory hallucinations, and loose associations are all negative symptoms
associated with schizophrenia; negative symptoms reflect a diminution or absence of
normal function.
One morning a nurse on the psychiatric unit finds a client curled up in the fetal position in
the corner of the dayroom. What is an appropriate initial inference for the nurse to make
about the client?
1. The client is feeling more anxious today.
2. The client is trying to hide from the staff.
3. The client is tired and probably did not sleep well last night.
4. The client is physically ill and experiencing abdominal discomfort. - ANSWER-1. The
client is feeling more anxious today.
The fetal position represents regressive behavior; regression is a way of responding to
overwhelming anxiety. No data are available to indicate that the client is trying to hide or is
,tired or physically ill; further assessment would be necessary to support these other
interpretations.
A male client in a mental health facility turns his head to the side during a unit meeting as if
he hears something. When the nurse comments about it, the client replies, "You know, it's
that microcomputer those foreign agents implanted in my ear." In light of this statement,
what does the nurse determine that the client is experiencing?
1. Illusions
2. Hallucinations
3. Delusional thoughts
4. Neologistic thinking - ANSWER-3. Delusional thoughts
The client's statement reveals the cognitive disturbance called a delusion, which is a fixed
set of false beliefs that cannot be corrected by reason. An illusion is a misperception of an
actual environmental stimulus. A hallucination is a sensory experience, unrelated to
external stimuli. Neologisms are made-up words understood only by the speaker.
, When caring for clients who are at risk for suicide, what should the nurse consider?
1. A client who fails in a suicide attempt will probably not try again.
2. Formal suicide plans increase the likelihood that a client will attempt suicide.
3. It is best not to talk to clients about suicide because it may give them the idea.
4. Clients who talk about suicide are not planning it; they are using the threat to gain
attention. - ANSWER-2. Formal suicide plans increase the likelihood that a client will
attempt suicide.
A married male client with three children has lost his job and states that he feels useless.
He is tearful, upset, and embarrassed. What is an appropriate objective of care for this
client?
1. Limiting tearfulness
2. Increasing self-esteem
