HESI RN EVOLVE Psychiatric/Mental Health Practice Exam
At the first meeting of a group of older adults at a daycare center for the elderly, the nurse asks one of
the members what kind of things she would like to do with the group. The older women shrugs her
shoulders and says. "You tell me, you're the leader". What is the best response for the nurse to make?
A. "Yes I am the leader today. Would you like to be the leader tomorrow."
B. "Yes, I will be leading this group. What would you like to accomplish during this time."
C. "Yes, I have been assigned to be the leader of this group. I will be here for the next 6 weeks.
D. "Yes, I am the leader. You seem angry about not being the leader yourself."
B. "Yes. I will be leading this group. What would you like to accomplish during this time?"
Over a period of several weeks. one male participant of a socialization group at a community daycare
center for the elderly monopolizes most of the groups time and interrupts others when they are talking.
What is the best action for the nurse to take in this situation.
A. Talk to the client outside the group about his behavior during group meetings.
B. Remind the client to allow others in the group a chance to talk
C. Allow the group to handle the problem
D. Ask the client to join another group
Allow the group to handle the problem
An 86-year-old female client with Alzheimer's disease is wandering the busy halls of the extended care
facility and asks the nurse, "Where should I stand for the parade?" Which response is best for the nurse
to provide?
A. Anywhere you want to stand as long as you don't get hurt by those in the parade
B. You are confused because of all the activity in the hall. There is no parade
C. Let's go back to the activity room and see whats going on in there
D. Remember I told you that this is a nursing home and I am your nurse
"Let's go back to the activity room and see whats going on in there"
,Physical examination of a 6 year old reveals several bite marks in various locations on his body. X-ray
examination revealed healed fractures of the ribs. The mother tells the nurse that her child is always
having accidents. Which initial response by the nurse is most important.
A. I need to inform the health care provider about your child's tendency to be accident prone.
B. Tell me more specifically about your child's accidents
C. I must report these injuries to the authorities because they do not seem accidental.
D. Boys this age always to require more supervision and can be quite accident prone.
"Tell me more specifically about your child's accidents."
A child is brought to the emergency room with a broken arm. Because of these injuries, the nurse
suspects the child may be a victim of abuse. When the nurse tries to give the child an injection, the child
mother becomes very loud and shouts."I won't leave my son! Don't you touch him! You'll hurt my child."
What is the best interpretation of the mother's statement? The mother is
A. Regressing to an earlier behavior pattern
B. Sublimating her anger
C. Projecting her feelings onto the nurse
D. Suppressing her fear
Projecting her feelings onto the nurse
A 38-year-old female client is admitted with a diagnosis of paranoid schizophrenia. When her tray is
brought to her, she refuses to eat and tells the nurse. "i know you are trying to poison me with food."
Which response would be most important for the nurse to make?
A. I'll leave your tray here. I am available if you need anything else
B. You are not being poisoned. Why do you think someone is trying to poison you
C. No one on this unit has ever died from poisoning. You are safe here.
D. I will talk to your healthcare provider about the possibility of changing your diet
I'll leave your tray here. I am available if you need anything else.
, A 25-year-old female client has been particularly restless and the nurse finds her trying to leave the
psychiatric unit. She tells the nurse "Please let me go I must leave because the secret police are after
me." which is best for the nurse to make?
A. No one is after you. You are safe here
B. You will feel better after you have rested
C. I know you must feel lonely and frightened
D. Come with me to your room and I will sit with you
Come with me to your room and I will sit with you
A 45-year-old male client tells the nurse he used to believe he was Jesus Christ but now he knows he is
not. Which response is best for the nurse to make?
A. Did you really believe you were Jesus Christ?
B. I think you're getting well
C. Others have had similar thoughts when under stress
D. Why did you think you were Jesus Christ?
Others have similar thoughts when under stress
A nurse working in the emergency room of a children hospital admits a child whose injuries could have
resulted from abuse. Which statement accurately describes the nurse's responsibility in cases of
suspected child abuse?
A. The nurse should obtain objective data such as x-rays before reporting suspicions to authorities
B. The nurse should confirm any suspicions of child abuse with the health care provider before reporting
to the authorities.
C. The nurse should report any case of suspected child abuse to the charge nurse
D. The nurse should note in the client's record any suspicions of child abuse so that a history of
suspicions can be tracked.
The nurse should report any case of suspected child abuse to the charge nurse
At the first meeting of a group of older adults at a daycare center for the elderly, the nurse asks one of
the members what kind of things she would like to do with the group. The older women shrugs her
shoulders and says. "You tell me, you're the leader". What is the best response for the nurse to make?
A. "Yes I am the leader today. Would you like to be the leader tomorrow."
B. "Yes, I will be leading this group. What would you like to accomplish during this time."
C. "Yes, I have been assigned to be the leader of this group. I will be here for the next 6 weeks.
D. "Yes, I am the leader. You seem angry about not being the leader yourself."
B. "Yes. I will be leading this group. What would you like to accomplish during this time?"
Over a period of several weeks. one male participant of a socialization group at a community daycare
center for the elderly monopolizes most of the groups time and interrupts others when they are talking.
What is the best action for the nurse to take in this situation.
A. Talk to the client outside the group about his behavior during group meetings.
B. Remind the client to allow others in the group a chance to talk
C. Allow the group to handle the problem
D. Ask the client to join another group
Allow the group to handle the problem
An 86-year-old female client with Alzheimer's disease is wandering the busy halls of the extended care
facility and asks the nurse, "Where should I stand for the parade?" Which response is best for the nurse
to provide?
A. Anywhere you want to stand as long as you don't get hurt by those in the parade
B. You are confused because of all the activity in the hall. There is no parade
C. Let's go back to the activity room and see whats going on in there
D. Remember I told you that this is a nursing home and I am your nurse
"Let's go back to the activity room and see whats going on in there"
,Physical examination of a 6 year old reveals several bite marks in various locations on his body. X-ray
examination revealed healed fractures of the ribs. The mother tells the nurse that her child is always
having accidents. Which initial response by the nurse is most important.
A. I need to inform the health care provider about your child's tendency to be accident prone.
B. Tell me more specifically about your child's accidents
C. I must report these injuries to the authorities because they do not seem accidental.
D. Boys this age always to require more supervision and can be quite accident prone.
"Tell me more specifically about your child's accidents."
A child is brought to the emergency room with a broken arm. Because of these injuries, the nurse
suspects the child may be a victim of abuse. When the nurse tries to give the child an injection, the child
mother becomes very loud and shouts."I won't leave my son! Don't you touch him! You'll hurt my child."
What is the best interpretation of the mother's statement? The mother is
A. Regressing to an earlier behavior pattern
B. Sublimating her anger
C. Projecting her feelings onto the nurse
D. Suppressing her fear
Projecting her feelings onto the nurse
A 38-year-old female client is admitted with a diagnosis of paranoid schizophrenia. When her tray is
brought to her, she refuses to eat and tells the nurse. "i know you are trying to poison me with food."
Which response would be most important for the nurse to make?
A. I'll leave your tray here. I am available if you need anything else
B. You are not being poisoned. Why do you think someone is trying to poison you
C. No one on this unit has ever died from poisoning. You are safe here.
D. I will talk to your healthcare provider about the possibility of changing your diet
I'll leave your tray here. I am available if you need anything else.
, A 25-year-old female client has been particularly restless and the nurse finds her trying to leave the
psychiatric unit. She tells the nurse "Please let me go I must leave because the secret police are after
me." which is best for the nurse to make?
A. No one is after you. You are safe here
B. You will feel better after you have rested
C. I know you must feel lonely and frightened
D. Come with me to your room and I will sit with you
Come with me to your room and I will sit with you
A 45-year-old male client tells the nurse he used to believe he was Jesus Christ but now he knows he is
not. Which response is best for the nurse to make?
A. Did you really believe you were Jesus Christ?
B. I think you're getting well
C. Others have had similar thoughts when under stress
D. Why did you think you were Jesus Christ?
Others have similar thoughts when under stress
A nurse working in the emergency room of a children hospital admits a child whose injuries could have
resulted from abuse. Which statement accurately describes the nurse's responsibility in cases of
suspected child abuse?
A. The nurse should obtain objective data such as x-rays before reporting suspicions to authorities
B. The nurse should confirm any suspicions of child abuse with the health care provider before reporting
to the authorities.
C. The nurse should report any case of suspected child abuse to the charge nurse
D. The nurse should note in the client's record any suspicions of child abuse so that a history of
suspicions can be tracked.
The nurse should report any case of suspected child abuse to the charge nurse
