HESI Mental Health
Exams With questions
And Correct Answers
2024
Which statement made by a patient demonstrates a healthy degree of resilience? Select
all that apply.
a. "I try to remember not to take other people's bad moods personally."
b. "I know that if I get really mad I'll end up being depressed."
c. "I really feel that sometimes bad things are meant to happen."
d. "I've learned to calm down before trying to defend my opinions."
e. "I know that discussing issues with my boss would help me get my point across." -
ANSWER-A,D,E
A nursing student new to psychiatric-mental health nursing asks a peer what resources
he can use to figure out which symptoms are present in a specific psychiatric disorder.
The best answer would be:
a. Nursing Interventions Classification (NIC)
b. Nursing Outcomes Classification (NOC)
c. NANDA-I nursing diagnoses
d. DSM-5 - ANSWER-D
epidemiological studies contribute to improvements in care for individuals with mental
disorders by: Select all that apply:
a. Providing information about effective nursing techniques.
b. Identifying risk factors that contribute to the development of a disorder.
c. Identifying individuals in the general population who will develop a specific disorder.
,d. Identifying which individuals will respond favorably to a specific treatment. -
ANSWER-B,D
When discussing therapy options, the nurse should provide information about
interpersonal therapy to which patient? Select all that apply.
a. The teenager who is the focus of bullying at school
b. The older woman who has just lost her life partner to cancer
c. The young adult who has begun demonstrating hoarding tendencies d. The
adolescent demonstrating aggressive verbal and physical tendencies e. The middle-
aged adult who recently discovered her partner has been unfaithful - ANSWER-A,B,E
When considering the suggestions of Hildegard Peplau, which activity should the nurse
regularly engage in to ensure that the patient stays the focus of all therapeutic
conversations?
a. Assessing the patient for unexpressed concerns and fears
b. Evaluating the possible need for additional training and education
c. Reflecting on personal behaviors and personal needs
d. Avoiding power struggles with the manipulative patient - ANSWER-C
Which action reflects therapeutic practices associated with operant conditioning?
a. Encouraging a parent to read to their children to foster a love for learning
b. Encouraging a patient to make daily journal entries describing their feelings
c. Suggesting to a new mother that she spend time cuddling her newborn often during
the day
d. Acknowledging a patient who is often verbally aggressive for complimenting a picture
another patient drew - ANSWER-D
Linda is terrified of spiders and cannot explain why. Because she lives in a wooded
area, she would like to overcome this overwhelming fear. Her nurse practitioner
suggests which therapy?
a. Behavioral
b. Biofeedback
c. Aversion
d. Systematic desensitization - ANSWER-D
A patient is telling a tearful story. The nurse listens empathically and responds
therapeutically with:
a. "The next time you find yourself in a similar situation, please call me."
b. "I am sorry this situation made you feel so badly. Would you like some tea?"
c. "Let's devise a plan on how you will react next time in a similar situation." d. "I am
sorry that your friend was so thoughtless. You should be treated better." - ANSWER-C
Besides antianxiety agents, which classification of drugs is also commonly given to treat
anxiety and anxiety disorders?
a. Antipsychotics
b. Mood stabilizers
,c. Antidepressants
d. Cholinesterase inhibitors - ANSWER-C
A patient being treated for insomnia is prescribed ramel-teon (Rozerem). Which
comorbid mental health condition would make this medication the hypnotic of choice for
this particular patient?
a. Obsessive-compulsive disorder
b. Generalized anxiety disorder
c. Persistent depressive disorder
d. Substance use disorder - ANSWER-D
Which statement made by a patient prescribed bupropion (Wellbutrin) demonstrates
that the medication education the patient received was effective? Select all that apply.
a. "I hope Wellbutrin will help my depression and also help me to finally quit smoking."
b. "I'm happy to hear that I won't need to worry too much about weight gain."
c. "It's okay to take Wellbutrin since I haven't had a seizure in 6 months."
d. "I need to be careful about driving since the medication could make me drowsy."
e. "My partner and I have discussed the possible effects this medication could have on
our sex life." - ANSWER-A,B
Which drug group calls for nursing assessment for development of abnormal movement
disorders among individuals who take therapeutic dosages?
a. SSRIs
b. antipsychotics
c. benzodiazepines
d. tricyclic antidepressants - ANSWER-B
Psychotropic drugs have been used for more than half a century. What statement
regarding their current status is true?
a. Only one classification of psychotropic drugs exists.
b. The Food and Drug Administration no longer approves new antidepressants.
c. We do not know exactly how they work.
d. Chlorpromazine (Thorazine), the first psychotropic, continues to be the treatment of
choice with hallucinations. - ANSWER-C
A psychiatric nurse is reviewing prescriptions for a patient with major depression at the
county clinic. Since the patient has a mild intellectual disability, the nurse would
question which classification of antidepressant drugs:
a. Selective serotonin reuptake inhibitors
b. Monoamine oxidase inhibitors
c. Serotonin and norepinephrine reuptake inhibitors
d. All of the above - ANSWER-B
Which intervention demonstrates an attempt by nursing staff to meet the goals identified
by the Joint Commission as National Patient Safety Goals? Select all that apply.
a. Identifying patients using both name and date of birth before drawing blood.
, b. Sitting with the patient diagnosed with an eating disorder during meals. c.
Administering the Beck Scale on each patient at the time of admission. d. Performing a
medication history assessment on each new patient.
e. Using appropriate hand washing technique at all times. - ANSWER-A,C,D,E
The mental health team is determining treatment options for a male patient who is
experiencing psychotic symptoms. Which question(s) should the team answer to
determine whether a community outpatient or inpatient setting is most appropriate?
Select all that apply.
a. "Is the patient expressing suicidal thoughts?"
b. "Does the patient have intact judgment and insight into his situation?"
c. "Does the patient have experiences with either community or inpatient mental
healthcare facilities?"
d. "Does the patient require a therapeutic environment to support the management of
psychotic symptoms?"
e. "Does the patient require the regular involvement of their family/significant other in
planning and executing the plan of care?" - ANSWER-A,B,D,E
A Gulf War veteran has been homeless since being discharged from military service. He
is now diagnosed with schizophrenia. The nurse practitioner recognizes that assertive
community treatment (ACT) is a good option for this patient since ACT provides:
a. Psychiatric home care
b. Care for hard-to-engage, seriously ill patients
c. Outpatient community mental health center care
d. A comprehensive emergency service model - ANSWER-B
Emma is a 40-year-old married female who has found it increasingly difficult to leave
her home due to agoraphobia. Emma's family is appropriately concerned and suggests
that she seek psychiatric care. After investigating her options, Emma decides to try:
a. Telepsychiatry
b. Assertive community treatment
c. Psychiatric home care
d. Outpatient psychiatric care - ANSWER-A
Pablo is a homeless adult who has no family connection. Pablo passed out on the street
and emergency medical services took him to the hospital where he expresses a wish to
die. The physician recognizes evidence of substance use problems and mental health
issues and recommends inpatient treatment for Pablo. What is the rationale for this
treatment choice? Select all that apply.
a. Intermittent supervision is available in inpatient settings.
b. He requires stabilization of multiple symptoms.
c. He has nutritional and self-care needs.
d. Medication adherence will be mandated.
e. He is in imminent danger of harming himself. - ANSWER-B,C,E
Exams With questions
And Correct Answers
2024
Which statement made by a patient demonstrates a healthy degree of resilience? Select
all that apply.
a. "I try to remember not to take other people's bad moods personally."
b. "I know that if I get really mad I'll end up being depressed."
c. "I really feel that sometimes bad things are meant to happen."
d. "I've learned to calm down before trying to defend my opinions."
e. "I know that discussing issues with my boss would help me get my point across." -
ANSWER-A,D,E
A nursing student new to psychiatric-mental health nursing asks a peer what resources
he can use to figure out which symptoms are present in a specific psychiatric disorder.
The best answer would be:
a. Nursing Interventions Classification (NIC)
b. Nursing Outcomes Classification (NOC)
c. NANDA-I nursing diagnoses
d. DSM-5 - ANSWER-D
epidemiological studies contribute to improvements in care for individuals with mental
disorders by: Select all that apply:
a. Providing information about effective nursing techniques.
b. Identifying risk factors that contribute to the development of a disorder.
c. Identifying individuals in the general population who will develop a specific disorder.
,d. Identifying which individuals will respond favorably to a specific treatment. -
ANSWER-B,D
When discussing therapy options, the nurse should provide information about
interpersonal therapy to which patient? Select all that apply.
a. The teenager who is the focus of bullying at school
b. The older woman who has just lost her life partner to cancer
c. The young adult who has begun demonstrating hoarding tendencies d. The
adolescent demonstrating aggressive verbal and physical tendencies e. The middle-
aged adult who recently discovered her partner has been unfaithful - ANSWER-A,B,E
When considering the suggestions of Hildegard Peplau, which activity should the nurse
regularly engage in to ensure that the patient stays the focus of all therapeutic
conversations?
a. Assessing the patient for unexpressed concerns and fears
b. Evaluating the possible need for additional training and education
c. Reflecting on personal behaviors and personal needs
d. Avoiding power struggles with the manipulative patient - ANSWER-C
Which action reflects therapeutic practices associated with operant conditioning?
a. Encouraging a parent to read to their children to foster a love for learning
b. Encouraging a patient to make daily journal entries describing their feelings
c. Suggesting to a new mother that she spend time cuddling her newborn often during
the day
d. Acknowledging a patient who is often verbally aggressive for complimenting a picture
another patient drew - ANSWER-D
Linda is terrified of spiders and cannot explain why. Because she lives in a wooded
area, she would like to overcome this overwhelming fear. Her nurse practitioner
suggests which therapy?
a. Behavioral
b. Biofeedback
c. Aversion
d. Systematic desensitization - ANSWER-D
A patient is telling a tearful story. The nurse listens empathically and responds
therapeutically with:
a. "The next time you find yourself in a similar situation, please call me."
b. "I am sorry this situation made you feel so badly. Would you like some tea?"
c. "Let's devise a plan on how you will react next time in a similar situation." d. "I am
sorry that your friend was so thoughtless. You should be treated better." - ANSWER-C
Besides antianxiety agents, which classification of drugs is also commonly given to treat
anxiety and anxiety disorders?
a. Antipsychotics
b. Mood stabilizers
,c. Antidepressants
d. Cholinesterase inhibitors - ANSWER-C
A patient being treated for insomnia is prescribed ramel-teon (Rozerem). Which
comorbid mental health condition would make this medication the hypnotic of choice for
this particular patient?
a. Obsessive-compulsive disorder
b. Generalized anxiety disorder
c. Persistent depressive disorder
d. Substance use disorder - ANSWER-D
Which statement made by a patient prescribed bupropion (Wellbutrin) demonstrates
that the medication education the patient received was effective? Select all that apply.
a. "I hope Wellbutrin will help my depression and also help me to finally quit smoking."
b. "I'm happy to hear that I won't need to worry too much about weight gain."
c. "It's okay to take Wellbutrin since I haven't had a seizure in 6 months."
d. "I need to be careful about driving since the medication could make me drowsy."
e. "My partner and I have discussed the possible effects this medication could have on
our sex life." - ANSWER-A,B
Which drug group calls for nursing assessment for development of abnormal movement
disorders among individuals who take therapeutic dosages?
a. SSRIs
b. antipsychotics
c. benzodiazepines
d. tricyclic antidepressants - ANSWER-B
Psychotropic drugs have been used for more than half a century. What statement
regarding their current status is true?
a. Only one classification of psychotropic drugs exists.
b. The Food and Drug Administration no longer approves new antidepressants.
c. We do not know exactly how they work.
d. Chlorpromazine (Thorazine), the first psychotropic, continues to be the treatment of
choice with hallucinations. - ANSWER-C
A psychiatric nurse is reviewing prescriptions for a patient with major depression at the
county clinic. Since the patient has a mild intellectual disability, the nurse would
question which classification of antidepressant drugs:
a. Selective serotonin reuptake inhibitors
b. Monoamine oxidase inhibitors
c. Serotonin and norepinephrine reuptake inhibitors
d. All of the above - ANSWER-B
Which intervention demonstrates an attempt by nursing staff to meet the goals identified
by the Joint Commission as National Patient Safety Goals? Select all that apply.
a. Identifying patients using both name and date of birth before drawing blood.
, b. Sitting with the patient diagnosed with an eating disorder during meals. c.
Administering the Beck Scale on each patient at the time of admission. d. Performing a
medication history assessment on each new patient.
e. Using appropriate hand washing technique at all times. - ANSWER-A,C,D,E
The mental health team is determining treatment options for a male patient who is
experiencing psychotic symptoms. Which question(s) should the team answer to
determine whether a community outpatient or inpatient setting is most appropriate?
Select all that apply.
a. "Is the patient expressing suicidal thoughts?"
b. "Does the patient have intact judgment and insight into his situation?"
c. "Does the patient have experiences with either community or inpatient mental
healthcare facilities?"
d. "Does the patient require a therapeutic environment to support the management of
psychotic symptoms?"
e. "Does the patient require the regular involvement of their family/significant other in
planning and executing the plan of care?" - ANSWER-A,B,D,E
A Gulf War veteran has been homeless since being discharged from military service. He
is now diagnosed with schizophrenia. The nurse practitioner recognizes that assertive
community treatment (ACT) is a good option for this patient since ACT provides:
a. Psychiatric home care
b. Care for hard-to-engage, seriously ill patients
c. Outpatient community mental health center care
d. A comprehensive emergency service model - ANSWER-B
Emma is a 40-year-old married female who has found it increasingly difficult to leave
her home due to agoraphobia. Emma's family is appropriately concerned and suggests
that she seek psychiatric care. After investigating her options, Emma decides to try:
a. Telepsychiatry
b. Assertive community treatment
c. Psychiatric home care
d. Outpatient psychiatric care - ANSWER-A
Pablo is a homeless adult who has no family connection. Pablo passed out on the street
and emergency medical services took him to the hospital where he expresses a wish to
die. The physician recognizes evidence of substance use problems and mental health
issues and recommends inpatient treatment for Pablo. What is the rationale for this
treatment choice? Select all that apply.
a. Intermittent supervision is available in inpatient settings.
b. He requires stabilization of multiple symptoms.
c. He has nutritional and self-care needs.
d. Medication adherence will be mandated.
e. He is in imminent danger of harming himself. - ANSWER-B,C,E
