HESI PSYCH MENTAL
HEALTH QUESTIONS
AND VERIFIED
CORRECT ANSWERS
A male client is admitted to the psychiatric inpatient unit with a bandaged flesh
wound after attempting to shoot himself. He was divorced one year ago. Lost
his job four months ago, and suffered a breakup of is current relationship last
week. What is most likely source of this client's current feelings of depression?
A. Feelings of frustration.
B. A sense of loss
C. Poorself-esteem.
D. A lack of intimate relationships. - B
The RN documents the mental status of a female client who has been
hospitalized for several days by court order. The client states"I don't need to be
here," and tells the RN that she believes that the t.v talks to her. The RN should
document these assessment statements in which section of the mental status
exam?
A. Insight and judgement.
B. Moodandaffect.
C. Remotememory.
D. Level of concentration. - A
,An older ale client with schizophrenia is found smearing feces n the bathroom
walls of the chronic mental health unit where he resides. What action should the
RN implement?
A. Explain that the feces belong in the toilet.
B. Show the client how to clean the walls.
C. Escort the client out of the bathroom.
D. Assist the client to clean the walls. - C
A male client tells the RN that he does not want to take the atypical
antipsychotic drug, olanzapine (Zypexa), because of the side effects he
experienced when he took the drug for a year. Which experience is most likely
related to taking olanzapine?
A. Weight gain of 75 lbs.
B. Thoughts of wanting to hurt himself.
C. Frequentdayswithdiarrhea.
D. Alerted liver function test. - A
A college student who is a victim of a car-jacking presents to the community
health center and report increased anxiety. During the interview, what nursing
intervention should take the highest priority?
A. Identify support systems in the community that may be helpful.
B. Help the client feel safe to decrease anxiety.
C. Ask the client to describe coping strategies that were helpful in the past.
D. Encourage the client to verbalize anxiety related to event. - B
A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg
daily is admitted to an acute care hospital for uncontrolled hypertension. What
dietary choices should the RN instruct the client to avoid?
,A. Pan-seared catfish.
B. Peperoni pizza.
C. Deepfriedshrimp.
D. Beef trips with gravy. - B
The RN completes an assessment of a client who is experiencing intimate
partner violence (IPV). Which finding of the injuries should the RN include in
the documentation?
A. A summary of the client's feelings.
B. Photographs.
C. A general description.
D. A client's significant other's statement. - B
Following involvement in a MVC, a middle aged adult client is admitted to the
hospital with multiple facial fractures. The client's blood alcohol level is high on
admission. Which PRN prescription should be administered if the client begins
to exhibit signs and symptoms of delirium tremens (DTs)?
A. Prochlorperazine (Compazine) 5 mg IM.
B. Hydromorphone (Dialuadid) 2 mg IM.
C. Chlorpromazine (Thorazine) 50 mg IM.
D. Lorazepam (Ativan) 2 mg IM. - D
Patient says "I'm going to shoot myself" - a. Stop the client from leaving the
unit
, A client who is known to abuse drugs is admitted to the psychiatric unit. Which
medication should the nurse anticipate administering to a client who is
exhibiting benzodiazepine withdrawal symptoms?
a. Perphenazine (Trilafon).
b. Diphenylhydramine (Benadryl).
c. Chlordiazepoxide (Librium).
d. Isocarboxazid (Marplan). - C
A woman brings her 48-year-old husband to the outpatient psychiatric unit and
describes his behavior to the admitting nurse. She states that he has been
sleepwalking, cannot remember who he is, and exhibits multiple personalities.
The nurse knows that these behaviors are often associated with which
condition?
a. Dissociative disorder.
b. Obsessive-compulsive disorder.
c. Panic disorder.
d. Post-traumatic stress syndrome. - A
Which diet selection by a depressed client taking tranylcypromine sulfate
(Parnate), an MAO inhibitor, indicates to the nurse that the client understands
the dietary restrictions imposed by this medication regimen?
a. Hamburger, french fries, and chocolate milkshake.
b. Liver and onions, broccoli, and decaffeinated coffee.
c. Pepperoni and cheese pizza, tossed salad, and soda.
d. Roast beef, baked potato with butter, and iced tea. - C
A female client on a psychiatric unit is sweating profusely while she vigorously
does pushups and then runs the length of the corridor several times before
crashing in to the furniture in the sitting room. Picking herself up, she begins to
HEALTH QUESTIONS
AND VERIFIED
CORRECT ANSWERS
A male client is admitted to the psychiatric inpatient unit with a bandaged flesh
wound after attempting to shoot himself. He was divorced one year ago. Lost
his job four months ago, and suffered a breakup of is current relationship last
week. What is most likely source of this client's current feelings of depression?
A. Feelings of frustration.
B. A sense of loss
C. Poorself-esteem.
D. A lack of intimate relationships. - B
The RN documents the mental status of a female client who has been
hospitalized for several days by court order. The client states"I don't need to be
here," and tells the RN that she believes that the t.v talks to her. The RN should
document these assessment statements in which section of the mental status
exam?
A. Insight and judgement.
B. Moodandaffect.
C. Remotememory.
D. Level of concentration. - A
,An older ale client with schizophrenia is found smearing feces n the bathroom
walls of the chronic mental health unit where he resides. What action should the
RN implement?
A. Explain that the feces belong in the toilet.
B. Show the client how to clean the walls.
C. Escort the client out of the bathroom.
D. Assist the client to clean the walls. - C
A male client tells the RN that he does not want to take the atypical
antipsychotic drug, olanzapine (Zypexa), because of the side effects he
experienced when he took the drug for a year. Which experience is most likely
related to taking olanzapine?
A. Weight gain of 75 lbs.
B. Thoughts of wanting to hurt himself.
C. Frequentdayswithdiarrhea.
D. Alerted liver function test. - A
A college student who is a victim of a car-jacking presents to the community
health center and report increased anxiety. During the interview, what nursing
intervention should take the highest priority?
A. Identify support systems in the community that may be helpful.
B. Help the client feel safe to decrease anxiety.
C. Ask the client to describe coping strategies that were helpful in the past.
D. Encourage the client to verbalize anxiety related to event. - B
A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg
daily is admitted to an acute care hospital for uncontrolled hypertension. What
dietary choices should the RN instruct the client to avoid?
,A. Pan-seared catfish.
B. Peperoni pizza.
C. Deepfriedshrimp.
D. Beef trips with gravy. - B
The RN completes an assessment of a client who is experiencing intimate
partner violence (IPV). Which finding of the injuries should the RN include in
the documentation?
A. A summary of the client's feelings.
B. Photographs.
C. A general description.
D. A client's significant other's statement. - B
Following involvement in a MVC, a middle aged adult client is admitted to the
hospital with multiple facial fractures. The client's blood alcohol level is high on
admission. Which PRN prescription should be administered if the client begins
to exhibit signs and symptoms of delirium tremens (DTs)?
A. Prochlorperazine (Compazine) 5 mg IM.
B. Hydromorphone (Dialuadid) 2 mg IM.
C. Chlorpromazine (Thorazine) 50 mg IM.
D. Lorazepam (Ativan) 2 mg IM. - D
Patient says "I'm going to shoot myself" - a. Stop the client from leaving the
unit
, A client who is known to abuse drugs is admitted to the psychiatric unit. Which
medication should the nurse anticipate administering to a client who is
exhibiting benzodiazepine withdrawal symptoms?
a. Perphenazine (Trilafon).
b. Diphenylhydramine (Benadryl).
c. Chlordiazepoxide (Librium).
d. Isocarboxazid (Marplan). - C
A woman brings her 48-year-old husband to the outpatient psychiatric unit and
describes his behavior to the admitting nurse. She states that he has been
sleepwalking, cannot remember who he is, and exhibits multiple personalities.
The nurse knows that these behaviors are often associated with which
condition?
a. Dissociative disorder.
b. Obsessive-compulsive disorder.
c. Panic disorder.
d. Post-traumatic stress syndrome. - A
Which diet selection by a depressed client taking tranylcypromine sulfate
(Parnate), an MAO inhibitor, indicates to the nurse that the client understands
the dietary restrictions imposed by this medication regimen?
a. Hamburger, french fries, and chocolate milkshake.
b. Liver and onions, broccoli, and decaffeinated coffee.
c. Pepperoni and cheese pizza, tossed salad, and soda.
d. Roast beef, baked potato with butter, and iced tea. - C
A female client on a psychiatric unit is sweating profusely while she vigorously
does pushups and then runs the length of the corridor several times before
crashing in to the furniture in the sitting room. Picking herself up, she begins to
