HESI Psychiatric/Mental Health Practice Test Already Graded A+
1. Response to a Client Anxious About a Procedure
Correct Answer: C) Affirm the client's anxiety and ask if she wants to talk.
- Rationale: Acknowledging the client's anxiety is essential in providing emotional support. This approach
encourages open communication and allows the nurse to assess the client's concerns more deeply,
creating a trusting environment where the client feels safe to express her fears.
2. Identifying Aggressive Behavior
Correct Answer: C) Verbally attacks and demeans peers in group settings.
- Rationale: This behavior is clearly aggressive as it involves verbal attacks that undermine the dignity of
others. Recognizing aggression in patients is important for maintaining a safe therapeutic environment.
3. Aspect to Explore First with the Client
Correct Answer: C) Support system.
- Rationale: Understanding the client's support system is crucial for assessing how he copes with his
feelings of being overwhelmed. A strong support network can be vital for mental well-being.
4. Action for an Agitated Client
Correct Answer: A) Activate the de-escalation response team.
- Rationale: In situations of potential harm, involving a de-escalation response team is a prioritized
safety measure. This team is trained to handle such situations effectively, minimizing risk for both staff
and the client.
5. Priority Intervention for Client with Borderline Personality Disorder
Correct Answer: D) Ask her if she feels like hurting herself when she is angry.
, - Rationale: Safety is the priority when caring for clients with a history of self-harm. Assessing current
feelings about self-harm allows the nurse to determine the level of risk and implement appropriate
interventions.
6. Drug Commonly Prescribed for ADHD
Correct Answer: D) Methylphenidate (Ritalin).
- Rationale: Methylphenidate is a first-line treatment for attention-deficit hyperactivity disorder (ADHD),
helping to improve focus and concentration in children and adults.
7. Nursing Problem for Client in Drug Rehabilitation
Correct Answer: B) Risk for self-violence related to suicidal depression.
- Rationale: When dealing with clients who have substance use disorders, assessing for suicidal ideation
and self-harm potential is crucial, especially if they present with depressive symptoms, which may be
exacerbated in recovery.
8. Primary Purpose of Therapeutic Communication
Correct Answer: C) Promote growth and change in clients.
- Rationale: Therapeutic communication aims to foster client empowerment and personal growth,
enabling clients to express their thoughts, feelings, and experiences in a safe environment.
9. Care for Client with Major Depressive Disorder on Sertraline
Correct Answer: B) The client may be at increased risk for suicide as the depression lifts.
- Rationale: In patients treated for depression, an increased risk for suicide is significant when they begin
to show improvement. This phenomenon, known as the "paradox of recovery," occurs because clients
may gain the energy to follow through with suicidal thoughts as their mood lifts.
What is the most prevalent type of elder abuse?
1. Response to a Client Anxious About a Procedure
Correct Answer: C) Affirm the client's anxiety and ask if she wants to talk.
- Rationale: Acknowledging the client's anxiety is essential in providing emotional support. This approach
encourages open communication and allows the nurse to assess the client's concerns more deeply,
creating a trusting environment where the client feels safe to express her fears.
2. Identifying Aggressive Behavior
Correct Answer: C) Verbally attacks and demeans peers in group settings.
- Rationale: This behavior is clearly aggressive as it involves verbal attacks that undermine the dignity of
others. Recognizing aggression in patients is important for maintaining a safe therapeutic environment.
3. Aspect to Explore First with the Client
Correct Answer: C) Support system.
- Rationale: Understanding the client's support system is crucial for assessing how he copes with his
feelings of being overwhelmed. A strong support network can be vital for mental well-being.
4. Action for an Agitated Client
Correct Answer: A) Activate the de-escalation response team.
- Rationale: In situations of potential harm, involving a de-escalation response team is a prioritized
safety measure. This team is trained to handle such situations effectively, minimizing risk for both staff
and the client.
5. Priority Intervention for Client with Borderline Personality Disorder
Correct Answer: D) Ask her if she feels like hurting herself when she is angry.
, - Rationale: Safety is the priority when caring for clients with a history of self-harm. Assessing current
feelings about self-harm allows the nurse to determine the level of risk and implement appropriate
interventions.
6. Drug Commonly Prescribed for ADHD
Correct Answer: D) Methylphenidate (Ritalin).
- Rationale: Methylphenidate is a first-line treatment for attention-deficit hyperactivity disorder (ADHD),
helping to improve focus and concentration in children and adults.
7. Nursing Problem for Client in Drug Rehabilitation
Correct Answer: B) Risk for self-violence related to suicidal depression.
- Rationale: When dealing with clients who have substance use disorders, assessing for suicidal ideation
and self-harm potential is crucial, especially if they present with depressive symptoms, which may be
exacerbated in recovery.
8. Primary Purpose of Therapeutic Communication
Correct Answer: C) Promote growth and change in clients.
- Rationale: Therapeutic communication aims to foster client empowerment and personal growth,
enabling clients to express their thoughts, feelings, and experiences in a safe environment.
9. Care for Client with Major Depressive Disorder on Sertraline
Correct Answer: B) The client may be at increased risk for suicide as the depression lifts.
- Rationale: In patients treated for depression, an increased risk for suicide is significant when they begin
to show improvement. This phenomenon, known as the "paradox of recovery," occurs because clients
may gain the energy to follow through with suicidal thoughts as their mood lifts.
What is the most prevalent type of elder abuse?
