HESI Psychiatric/Mental Health Practice Exam
bn bn bn bn
Atbnthebnfirstbnmeetingbnofbnabngroupbnofbnolderbnadultsbnatbnabndaycarebncenterbnf
orbnthebnelderly,bnthebnnursebnasksbnonebnofbnthebnmembersbnwhatbnkindsbnofbnthi
ngsbnshebnwouldbnlikebntobndobnwithbnthebngroup.bnThebnolderbnwomanbnshrugsbn
herbnshouldersbnandbnsays,bn"Youbntellbnme,bnyou'rebnthebnleader."bnWhatbnisbnth
ebnbestbnresponsebnforbnthebnnursebntobnmake?bn-bncorrectbnanswer✔ ✔
"Yes,bnIbnwillbnbebnleadingbnthisbngroup.bnWhatbnwouldbnyoubnlikebntobnaccom
plishbnduringbnthisbntime?"
Overbnabnperiodbnofbnseveralbnweeks,bnonebnmalebnparticipantbnofbnabnsocializati
onbngroupbnatbnabncommunitybndaybncarebncenterbnforbnthebnelderlybnmonopoliz
esbnmostbnofbnthebngroup'sbntimebnandbninterruptsbnothersbnwhenbntheybnarebntalk
ing.bnWhatbnisbnthebnbestbnactionbnforbnthebnnursebntobntakebninbnthisbnsituation?bn-
bncorrectbnanswer✔ ✔ Allowbnthebngroupbntobnhandlebnthebnproblem
Anbn86-year-
oldbnfemalebnclientbnwithbnAlzheimer'sbndiseasebnisbnwanderingbnthebnbusybnha
llsbnofbnthebnextendedbncarebnfacilitybnandbnasksbnthebnnurse,bn"WherebnshouldbnI
bnstandbnforbnthebnparade?"bnWhichbnresponsebnisbnbestbnforbnthebnnursebntobnpro
vide?bn-bncorrectbnanswer✔ ✔
"Let'sbngobnbackbntobnthebnactivitybnroombnandbnseebnwhat'sbngoingbnonbnthere.
"
Physicalbnexaminationbnofbnabn6-year-
oldbnrevealsbnseveralbnbitebnmarksbninbnvariousbnlocationsbnonbnthebnbody.bnX-
,raybnexaminationbnrevealsbnhealedbnfracturesbnofbnthebnribs.bnThebnmotherbntell
sbnthebnnursebnthatbnherbnchildbnisbnalwaysbnhavingbnaccidents.bnWhichbninitialbn
responsebnbybnthebnnursebnisbnmostbnappropriate?bn-bncorrectbnanswer✔ ✔
"Tellbnmebnmorebnspecificallybnaboutbnyourbnchildsbnaccidents."
Abnchildbnisbnbroughtbntobnthebnemergencybnroombnwithbnabnbrokenbnarm.bnBeca
usebnofbnotherbninjuries,bnthebnnursebnsuspectsbnthebnchildbnmaybnbebnabnvictimbn
ofbnabuse.bnWhenbnthebnnursebntriesbntobngivebnthebnchildbnanbninjection,bnthebnch
ild'sbnmotherbnbecomesbnverybnloudbnandbnshouts,bn"Ibnwon'tbnleavebnmybnson!bn
Don'tbnyoubntouchbnhim!bnYou'llbnhurtbnmybnchild!"bnWhatbnisbnthebnbestbninterp
retationbnofbnthebnmother'sbnstatements?bnThebnmotherbnis...bn-
bncorrectbnanswer✔ ✔ Projectingbnherbnfeelingsbnontobnthebnnurse
Abn38-year-
oldbnfemalebnclientbnisbnadmittedbnwithbnabndiagnosisbnofbnparanoidbnschizophr
enia.bnWhenbnherbntraybnisbnbroughtbntobnher,bnshebnrefusesbntobneatbnandbntellsbnt
hebnnurse,bn"Ibnknowbnyoubnarebntryingbntobnpoisonbnmebnwithbnthatbnfood."bnWh
ichbnresponsebnwouldbnbebnmostbnappropriatebnforbnthebnnursebntobnmake?bn-
bncorrectbnanswer✔ ✔
"I'llbnleavebnyourbntraybnhere.bnIbnambnavailablebnifbnyoubnneedbnanythingbnelse
."
Abn25-year-
oldbnfemalebnclientbnhasbnbeenbnparticularlybnrestlessbnandbnthebnnursebnfindsbnh
erbntryingbntobnleavebnthebnpsychiatricbnunit.bnShebntellsbnthebnnurse,bn"Pleasebnle
tbnmebngo!bnIbnmustbnleavebnbecausebnthebnsecretbnpolicebnarebnafterbnme."bnWhic
, hbnresponsebnisbnbestbnforbnthebnnursebntobnmake?bn-bncorrectbnanswer✔ ✔
"ComebnwithbnmebntobnyourbnroombnandbnIbnwillbnsitbnwithbnyou."
Abn45-year-
oldbnmalebnclientbntellsbnthebnnursebnthatbnhebnusedbntobnbelievebnhebnwasbnJesusbn
Christ,bnbutbnnowbnhebnknowsbnhebnisbnnot.bnWhichbnresponsebnisbnbestbnforbntheb
nnursebntobnmake? bn-bncorrectbnanswer✔ ✔
"Othersbnhavebnhadbnsimilarbnthoughtsbnwhilebnunderbnstress."
Abnnursebnworkingbninbnthebnemergencybnroombnofbnabnchildren'sbnhospitalbnad
mitsbnabnchildbnwhosebninjuriesbncouldbnhavebnresultedbnfrombnabuse.bnWhichbn
statementbnmostbnaccuratelybndescribesbnthebnnurse'sbnresponsibilitybninbncase
sbnofbnsuspectedbnchildbnabuse?bn-bncorrectbnanswer✔ ✔
Thebnnursebnshouldbnreportbnanybncasebnofbnsuspectedbnchildbnabusebntobnthebn
nursebninbncharge.
Abnclientbnwhobnisbnbeingbntreatedbnwithbnlithiumbncarbonatebnforbnbipolarbndis
orderbndevelopsbndiarrhea,bnvomiting,bnandbndrowsiness.bnWhatbnactionbnshou
ldbnthebnnursebntake?bn-bncorrectbnanswer✔ ✔
Notifybnthebnhealthcarebnproviderbnofbnthebnsymptomsbnpriorbntobnthebnnextbna
dministrationbnofbnthebndrug.
Abnclientbnonbnthebnpsychiatricbnunitbnappearsbntobnimitatebnabncertainbnnursebno
nbnthebnunit.bnThebnclientbnseeksbnoutbnthisbnparticularbnnursebnandbnimitatesbnth
ebnnurse'sbnmannerisms.bnThebnnursebnknowsbnthatbnthebnclientbnisbnusingbnwhic
hbndefensebnmechanism?bn-bncorrectbnanswer✔ ✔ Identification
bn bn bn bn
Atbnthebnfirstbnmeetingbnofbnabngroupbnofbnolderbnadultsbnatbnabndaycarebncenterbnf
orbnthebnelderly,bnthebnnursebnasksbnonebnofbnthebnmembersbnwhatbnkindsbnofbnthi
ngsbnshebnwouldbnlikebntobndobnwithbnthebngroup.bnThebnolderbnwomanbnshrugsbn
herbnshouldersbnandbnsays,bn"Youbntellbnme,bnyou'rebnthebnleader."bnWhatbnisbnth
ebnbestbnresponsebnforbnthebnnursebntobnmake?bn-bncorrectbnanswer✔ ✔
"Yes,bnIbnwillbnbebnleadingbnthisbngroup.bnWhatbnwouldbnyoubnlikebntobnaccom
plishbnduringbnthisbntime?"
Overbnabnperiodbnofbnseveralbnweeks,bnonebnmalebnparticipantbnofbnabnsocializati
onbngroupbnatbnabncommunitybndaybncarebncenterbnforbnthebnelderlybnmonopoliz
esbnmostbnofbnthebngroup'sbntimebnandbninterruptsbnothersbnwhenbntheybnarebntalk
ing.bnWhatbnisbnthebnbestbnactionbnforbnthebnnursebntobntakebninbnthisbnsituation?bn-
bncorrectbnanswer✔ ✔ Allowbnthebngroupbntobnhandlebnthebnproblem
Anbn86-year-
oldbnfemalebnclientbnwithbnAlzheimer'sbndiseasebnisbnwanderingbnthebnbusybnha
llsbnofbnthebnextendedbncarebnfacilitybnandbnasksbnthebnnurse,bn"WherebnshouldbnI
bnstandbnforbnthebnparade?"bnWhichbnresponsebnisbnbestbnforbnthebnnursebntobnpro
vide?bn-bncorrectbnanswer✔ ✔
"Let'sbngobnbackbntobnthebnactivitybnroombnandbnseebnwhat'sbngoingbnonbnthere.
"
Physicalbnexaminationbnofbnabn6-year-
oldbnrevealsbnseveralbnbitebnmarksbninbnvariousbnlocationsbnonbnthebnbody.bnX-
,raybnexaminationbnrevealsbnhealedbnfracturesbnofbnthebnribs.bnThebnmotherbntell
sbnthebnnursebnthatbnherbnchildbnisbnalwaysbnhavingbnaccidents.bnWhichbninitialbn
responsebnbybnthebnnursebnisbnmostbnappropriate?bn-bncorrectbnanswer✔ ✔
"Tellbnmebnmorebnspecificallybnaboutbnyourbnchildsbnaccidents."
Abnchildbnisbnbroughtbntobnthebnemergencybnroombnwithbnabnbrokenbnarm.bnBeca
usebnofbnotherbninjuries,bnthebnnursebnsuspectsbnthebnchildbnmaybnbebnabnvictimbn
ofbnabuse.bnWhenbnthebnnursebntriesbntobngivebnthebnchildbnanbninjection,bnthebnch
ild'sbnmotherbnbecomesbnverybnloudbnandbnshouts,bn"Ibnwon'tbnleavebnmybnson!bn
Don'tbnyoubntouchbnhim!bnYou'llbnhurtbnmybnchild!"bnWhatbnisbnthebnbestbninterp
retationbnofbnthebnmother'sbnstatements?bnThebnmotherbnis...bn-
bncorrectbnanswer✔ ✔ Projectingbnherbnfeelingsbnontobnthebnnurse
Abn38-year-
oldbnfemalebnclientbnisbnadmittedbnwithbnabndiagnosisbnofbnparanoidbnschizophr
enia.bnWhenbnherbntraybnisbnbroughtbntobnher,bnshebnrefusesbntobneatbnandbntellsbnt
hebnnurse,bn"Ibnknowbnyoubnarebntryingbntobnpoisonbnmebnwithbnthatbnfood."bnWh
ichbnresponsebnwouldbnbebnmostbnappropriatebnforbnthebnnursebntobnmake?bn-
bncorrectbnanswer✔ ✔
"I'llbnleavebnyourbntraybnhere.bnIbnambnavailablebnifbnyoubnneedbnanythingbnelse
."
Abn25-year-
oldbnfemalebnclientbnhasbnbeenbnparticularlybnrestlessbnandbnthebnnursebnfindsbnh
erbntryingbntobnleavebnthebnpsychiatricbnunit.bnShebntellsbnthebnnurse,bn"Pleasebnle
tbnmebngo!bnIbnmustbnleavebnbecausebnthebnsecretbnpolicebnarebnafterbnme."bnWhic
, hbnresponsebnisbnbestbnforbnthebnnursebntobnmake?bn-bncorrectbnanswer✔ ✔
"ComebnwithbnmebntobnyourbnroombnandbnIbnwillbnsitbnwithbnyou."
Abn45-year-
oldbnmalebnclientbntellsbnthebnnursebnthatbnhebnusedbntobnbelievebnhebnwasbnJesusbn
Christ,bnbutbnnowbnhebnknowsbnhebnisbnnot.bnWhichbnresponsebnisbnbestbnforbntheb
nnursebntobnmake? bn-bncorrectbnanswer✔ ✔
"Othersbnhavebnhadbnsimilarbnthoughtsbnwhilebnunderbnstress."
Abnnursebnworkingbninbnthebnemergencybnroombnofbnabnchildren'sbnhospitalbnad
mitsbnabnchildbnwhosebninjuriesbncouldbnhavebnresultedbnfrombnabuse.bnWhichbn
statementbnmostbnaccuratelybndescribesbnthebnnurse'sbnresponsibilitybninbncase
sbnofbnsuspectedbnchildbnabuse?bn-bncorrectbnanswer✔ ✔
Thebnnursebnshouldbnreportbnanybncasebnofbnsuspectedbnchildbnabusebntobnthebn
nursebninbncharge.
Abnclientbnwhobnisbnbeingbntreatedbnwithbnlithiumbncarbonatebnforbnbipolarbndis
orderbndevelopsbndiarrhea,bnvomiting,bnandbndrowsiness.bnWhatbnactionbnshou
ldbnthebnnursebntake?bn-bncorrectbnanswer✔ ✔
Notifybnthebnhealthcarebnproviderbnofbnthebnsymptomsbnpriorbntobnthebnnextbna
dministrationbnofbnthebndrug.
Abnclientbnonbnthebnpsychiatricbnunitbnappearsbntobnimitatebnabncertainbnnursebno
nbnthebnunit.bnThebnclientbnseeksbnoutbnthisbnparticularbnnursebnandbnimitatesbnth
ebnnurse'sbnmannerisms.bnThebnnursebnknowsbnthatbnthebnclientbnisbnusingbnwhic
hbndefensebnmechanism?bn-bncorrectbnanswer✔ ✔ Identification
