Psychiatric/Mental Health Assignment
Exam Hesi Practice Exam Questions
and Answers 100% Pass
The nurse is caring for an adult male client with catatonic schizophrenia who is
mute and motionless. What is the priority nursing problem?
A. Impaired mobility.
B. Ineffective individual coping.
C. Impaired verbal communication.
D. High risk for fluid and electrolyte imbalance. - ANSWER-ANS: D. High risk
for fluid and electrolyte imbalance.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
,Maintaining physiological stability by first addressing basic physiological needs is
the priority. A client who is in a catatonic or stuporous state is at risk for
malnutrition and dehydration. Fluid and electrolyte imbalance is the priority
nursing problem for this client at this time. The other problems are not life-
threatening.
A female client comes to an outpatient therapy appointment intoxicated. The
spouse tells the nurse, "There wasn't anything I could do to stop her drinking this
morning." What intervention should the nurse take at this time?
A. Arrange for emergency admission to a detoxification unit.
B. Talk to the spouse about strategies to limit the client's drinking.
C. Have the client admitted to the inpatient psychiatric unit.
D. Tell the client that therapy cannot take place while she is intoxicated. -
ANSWER-ANS: D. Tell the client that therapy cannot take place while she is
intoxicated.
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,Therapy sessions are designed to confront the issues that the client with alcohol
dependence may be experiencing. If the client presents inebriated, a therapeutic
and confrontational meeting cannot occur because the client's judgment is altered.
The other interventions are not necessary.
Which action is most important for the nurse to implement during the initial
interview for a client who is admitted to the mental health unit?
A. Establish rapport in each phase of the nurse-client relationship.
B. Determine the client's ability to communicate effectively.
C. Reflect on previous psychiatric interviews the nurse has performed.
D. Ensure data is collected and recorded in a systematic sequence. - ANSWER-
ANS: A. Establish rapport in each phase of the nurse-client relationship.
A client with whom the nurse establishes rapport during the initial interview and in
each phase of the nurse-client relationship feels understood by the nurse and is
more likely to cooperate and provide feedback during the admission process. The
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
, other actions not always needed to establish rapport or maintain the therapeutic
self in a therapeutic relationship.
The nurse is planning the care for a client based on the psychoanalytical model.
Which intervention should the nurse include in the plan of care?
A. Emphasize the client's strengths and assets.
B. Teach the importance of medication compliance.
C. Offer the client psychoeducational materials to read.
D. Focus on the client's positive or negative feelings toward the nurse. -
ANSWER-ANS: D. Focus on the client's positive or negative feelings toward the
nurse.
Interactions and interventions that focus on the client's positive or negative
feelings toward the nurse are based on the psychoanalytical model of mental health
care. The other interventions are not associated with the psychoanalytical model.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 4
Exam Hesi Practice Exam Questions
and Answers 100% Pass
The nurse is caring for an adult male client with catatonic schizophrenia who is
mute and motionless. What is the priority nursing problem?
A. Impaired mobility.
B. Ineffective individual coping.
C. Impaired verbal communication.
D. High risk for fluid and electrolyte imbalance. - ANSWER-ANS: D. High risk
for fluid and electrolyte imbalance.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
,Maintaining physiological stability by first addressing basic physiological needs is
the priority. A client who is in a catatonic or stuporous state is at risk for
malnutrition and dehydration. Fluid and electrolyte imbalance is the priority
nursing problem for this client at this time. The other problems are not life-
threatening.
A female client comes to an outpatient therapy appointment intoxicated. The
spouse tells the nurse, "There wasn't anything I could do to stop her drinking this
morning." What intervention should the nurse take at this time?
A. Arrange for emergency admission to a detoxification unit.
B. Talk to the spouse about strategies to limit the client's drinking.
C. Have the client admitted to the inpatient psychiatric unit.
D. Tell the client that therapy cannot take place while she is intoxicated. -
ANSWER-ANS: D. Tell the client that therapy cannot take place while she is
intoxicated.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
,Therapy sessions are designed to confront the issues that the client with alcohol
dependence may be experiencing. If the client presents inebriated, a therapeutic
and confrontational meeting cannot occur because the client's judgment is altered.
The other interventions are not necessary.
Which action is most important for the nurse to implement during the initial
interview for a client who is admitted to the mental health unit?
A. Establish rapport in each phase of the nurse-client relationship.
B. Determine the client's ability to communicate effectively.
C. Reflect on previous psychiatric interviews the nurse has performed.
D. Ensure data is collected and recorded in a systematic sequence. - ANSWER-
ANS: A. Establish rapport in each phase of the nurse-client relationship.
A client with whom the nurse establishes rapport during the initial interview and in
each phase of the nurse-client relationship feels understood by the nurse and is
more likely to cooperate and provide feedback during the admission process. The
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
, other actions not always needed to establish rapport or maintain the therapeutic
self in a therapeutic relationship.
The nurse is planning the care for a client based on the psychoanalytical model.
Which intervention should the nurse include in the plan of care?
A. Emphasize the client's strengths and assets.
B. Teach the importance of medication compliance.
C. Offer the client psychoeducational materials to read.
D. Focus on the client's positive or negative feelings toward the nurse. -
ANSWER-ANS: D. Focus on the client's positive or negative feelings toward the
nurse.
Interactions and interventions that focus on the client's positive or negative
feelings toward the nurse are based on the psychoanalytical model of mental health
care. The other interventions are not associated with the psychoanalytical model.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 4
