Mental Health (PSYCH) HESI - PRACTICE questions and answers
2025\2026 update
1. The nurse is discussing the grieving process with the client. Which stages are
included in Kubler-Ross' stages of grief? Rank in the correct order.
1. Acceptance
2. Bargaining
3. Denial
4. Anger
5. Depression:
ANS>>;
3. Denial
4. Anger
2. Bargaining
5. Depression
1. Acceptance
2. Which situation requires priority intervention on an inpatient psychiatric unit?
1. A client is threatening to throw the television at another client.
2. A male client wants to use the phone to call his spouse.
,3. A client sitting in a chair is delusional and hallucinating
4. A client has refused to eat anything for the last 2 days.: ANS>>
1. A client is threatening to throw the television at another client.
3. The client diagnosed with bipolar disorder and who is prescribed lithium, an anti
mania medication, is admitted to the psychiatric unit in an acute manic state. Which
intervention should the nurse implement first?
1. Have the laboratory draw a STAT serum lithium level.
2. Evaluate what behavior prompted the psychiatric admission.
3. Assess and treat the client's physiological needs.
4. Administer STAT dose of lithium to the client.: ANS>>
3. Assess and treat the client's physiological needs.
4. The psychiatric unit staff is upset about the new female charge nurse who just
sits in her office all day. One of the staff members informs the clinical manager
indicates a laissez-faire leadership style?
1. "I will schedule a meeting to discuss the concerns of the charge nurse."
2. "I hired the new charge nurse and she is doing what I told her to do."
3. "You and the staff really should take care of this situation on your own." 4. "I will
talk to the charge nurse about your concerns and get back to you.": ANS>>
,3. "You and the staff really should take care of this situation on your own."
(laissez-faire attitude is an "everybody is driving their own train" attitude,
you
, guys take care of it)(option 1. is democratic. 2. is an autocratic style.
authoritarian approach. 4. is taking charge of the situation.)
5. The mental health worker reports that one of the nurses threatened to force-fed
the male client diagnosed with schizophrenia if the client did not eat the meal on
the lunch tray. Which action should the charge nurse take first?
1.Tell the MHW that this intervention is part of the client's care plan.
2. Request the nurse to come to the office and discuss the MHW allegation.
3. Ask the client what happened between him and the nurse during lunch.
4. Ask the MHW to write down the situation to submit to the head nurse.:
An- swer:
2. Request the nurse to come to the office and discuss the MHW allegation. (never
choose an answer like 4. where it suggests you "pass it up" so that you don't have to
deal with the problem. it will be wrong)
6. The client diagnosed with paranoid schizophrenia is imminently aggres- sive and is
dangerous to himself, the other clients, and the psychiatric staff members. The client
is placed in a seclusion room. Which interventions should the psychiatric nurse
implement? Select all that apply.
2025\2026 update
1. The nurse is discussing the grieving process with the client. Which stages are
included in Kubler-Ross' stages of grief? Rank in the correct order.
1. Acceptance
2. Bargaining
3. Denial
4. Anger
5. Depression:
ANS>>;
3. Denial
4. Anger
2. Bargaining
5. Depression
1. Acceptance
2. Which situation requires priority intervention on an inpatient psychiatric unit?
1. A client is threatening to throw the television at another client.
2. A male client wants to use the phone to call his spouse.
,3. A client sitting in a chair is delusional and hallucinating
4. A client has refused to eat anything for the last 2 days.: ANS>>
1. A client is threatening to throw the television at another client.
3. The client diagnosed with bipolar disorder and who is prescribed lithium, an anti
mania medication, is admitted to the psychiatric unit in an acute manic state. Which
intervention should the nurse implement first?
1. Have the laboratory draw a STAT serum lithium level.
2. Evaluate what behavior prompted the psychiatric admission.
3. Assess and treat the client's physiological needs.
4. Administer STAT dose of lithium to the client.: ANS>>
3. Assess and treat the client's physiological needs.
4. The psychiatric unit staff is upset about the new female charge nurse who just
sits in her office all day. One of the staff members informs the clinical manager
indicates a laissez-faire leadership style?
1. "I will schedule a meeting to discuss the concerns of the charge nurse."
2. "I hired the new charge nurse and she is doing what I told her to do."
3. "You and the staff really should take care of this situation on your own." 4. "I will
talk to the charge nurse about your concerns and get back to you.": ANS>>
,3. "You and the staff really should take care of this situation on your own."
(laissez-faire attitude is an "everybody is driving their own train" attitude,
you
, guys take care of it)(option 1. is democratic. 2. is an autocratic style.
authoritarian approach. 4. is taking charge of the situation.)
5. The mental health worker reports that one of the nurses threatened to force-fed
the male client diagnosed with schizophrenia if the client did not eat the meal on
the lunch tray. Which action should the charge nurse take first?
1.Tell the MHW that this intervention is part of the client's care plan.
2. Request the nurse to come to the office and discuss the MHW allegation.
3. Ask the client what happened between him and the nurse during lunch.
4. Ask the MHW to write down the situation to submit to the head nurse.:
An- swer:
2. Request the nurse to come to the office and discuss the MHW allegation. (never
choose an answer like 4. where it suggests you "pass it up" so that you don't have to
deal with the problem. it will be wrong)
6. The client diagnosed with paranoid schizophrenia is imminently aggres- sive and is
dangerous to himself, the other clients, and the psychiatric staff members. The client
is placed in a seclusion room. Which interventions should the psychiatric nurse
implement? Select all that apply.
