HESI Mental Health: Guaranteed Academic
Improvement with Premier Exam Questions,
Thorough Explanations, and Comprehensive
Solutions
Melanie is a 38-year-old female admitted to the hospital to rule out a neurological disorder.
The testing was negative, yet she is reluctant to be discharged. Today she has added lower
back pain and a stabbing sensation in her abdomen. The nurse suspects a factitious
disorder in which Melanie may:
a. Consciously be trying to maintain her role of a sick patient
b. Not recognize her unmet needs to be cared for
c. Protect her child from illness
d. Recognize physical symptoms as a coping mechanism - CORRECT ANS- -A
What precipitating emotional factor has been associated with an increased incidence of
cancers? Select all that apply.
a. Anxiety
b. Job-related stress
c. Acute grief
d. Feelings of hopelessness and despair from depression
e. Prolonged, intense stress - CORRECT ANS- -D,E
Which patient is at greatest risk for developing a stress- induced myocardial infarction?
a. A patient who lost a child in an accidental shooting 24 hours ago
b. A woman who has begun experiencing early signs of menopause
c. A patient who has spent years trying to sustain a successful business
d. A patient who was diagnosed with chronic depression 10 years ago - CORRECT ANS- -D
,The care plan of a patient diagnosed with a somatic disorder includes the nursing diagnosis
ineffective coping. Which patient behavior demonstrates a successful outcome for that
nursing diagnosis?
a. Showers and dresses in clean clothes daily
b. Calls a friend to talk when feeling lonely
c. Spends more time talking about pain in her abdomen
d. Maintains focus and concentration - CORRECT ANS- -B
Malika agrees to try losing weight according to the nurse practitioner's outlined plan.
Additional teaching is warranted when Malika states:
a. "I am willing to admit I am depressed."
b. "Psychotherapy will be a part of my treatment."
c. "I prefer to have a gastric bypass rather than use this plan."
d. "My comorbid conditions may improve with weight loss." - CORRECT ANS- -C
Malika has been overweight all of her life. Now an adult, she has health problems related to
her excessive weight. Seeking weight loss assistance at a primary care facility Malika is
surprised when the nurse practitioner suggests:
a. A trial of SSRI antidepressant therapy
b. Mild exercise to start, increasing in intensity over time
c. Removing snack foods from the home
d. Medication treatment for hypertension - CORRECT ANS- -A
Which intervention will promote independence in a patient being treated for bulimia
nervosa?
a. Have the patient monitor daily caloric intake and intake and output of fluids.
, b. Encourage the patient to use behavior modification techniques to promote weight gain
behaviors.
c. Ask the patient to use a daily log to record feelings and circumstances related to urges to
purge.
d. Allow the patient to make limited choices about eating and exercise as weight gain
progresses. - CORRECT ANS- -D
When considering the need for monitoring, which intervention should the nurse implement
for a patient with anorexia nervosa? Select all that apply.
a. Provide scheduled portion-controlled meals and snacks.
b. Congratulate patients for weight gain and behaviors that promote weight gain.
c. Limit time spent in bathroom during periods when not under direct supervision.
d. Promote exercise as a method to increase appetite.
e. Observe patient during and after meals/snacks to ensure that adequate intake is
achieved and maintained. - CORRECT ANS- -A,C,E
The stage of sleep known as rapid eye movement or REM sleep is characterized by atonia
and myoclonic twitches in addition to the actual rapid movement of the eyes. Atonia is
thought to be a protective mechanism as it:
a. Limits physical movements
b. Prevents nightmares
c. Enhances the dream state
d. Regulates the autonomic nervous system - CORRECT ANS- -A
Sleep deprivation is considered a safety issue that results in loss of life and property.
Psychomotor impairments of sleep deprivation are similar to symptoms caused by:
a. Sleeping in excess of 10 hours
b. Misuse of caffeine products
Improvement with Premier Exam Questions,
Thorough Explanations, and Comprehensive
Solutions
Melanie is a 38-year-old female admitted to the hospital to rule out a neurological disorder.
The testing was negative, yet she is reluctant to be discharged. Today she has added lower
back pain and a stabbing sensation in her abdomen. The nurse suspects a factitious
disorder in which Melanie may:
a. Consciously be trying to maintain her role of a sick patient
b. Not recognize her unmet needs to be cared for
c. Protect her child from illness
d. Recognize physical symptoms as a coping mechanism - CORRECT ANS- -A
What precipitating emotional factor has been associated with an increased incidence of
cancers? Select all that apply.
a. Anxiety
b. Job-related stress
c. Acute grief
d. Feelings of hopelessness and despair from depression
e. Prolonged, intense stress - CORRECT ANS- -D,E
Which patient is at greatest risk for developing a stress- induced myocardial infarction?
a. A patient who lost a child in an accidental shooting 24 hours ago
b. A woman who has begun experiencing early signs of menopause
c. A patient who has spent years trying to sustain a successful business
d. A patient who was diagnosed with chronic depression 10 years ago - CORRECT ANS- -D
,The care plan of a patient diagnosed with a somatic disorder includes the nursing diagnosis
ineffective coping. Which patient behavior demonstrates a successful outcome for that
nursing diagnosis?
a. Showers and dresses in clean clothes daily
b. Calls a friend to talk when feeling lonely
c. Spends more time talking about pain in her abdomen
d. Maintains focus and concentration - CORRECT ANS- -B
Malika agrees to try losing weight according to the nurse practitioner's outlined plan.
Additional teaching is warranted when Malika states:
a. "I am willing to admit I am depressed."
b. "Psychotherapy will be a part of my treatment."
c. "I prefer to have a gastric bypass rather than use this plan."
d. "My comorbid conditions may improve with weight loss." - CORRECT ANS- -C
Malika has been overweight all of her life. Now an adult, she has health problems related to
her excessive weight. Seeking weight loss assistance at a primary care facility Malika is
surprised when the nurse practitioner suggests:
a. A trial of SSRI antidepressant therapy
b. Mild exercise to start, increasing in intensity over time
c. Removing snack foods from the home
d. Medication treatment for hypertension - CORRECT ANS- -A
Which intervention will promote independence in a patient being treated for bulimia
nervosa?
a. Have the patient monitor daily caloric intake and intake and output of fluids.
, b. Encourage the patient to use behavior modification techniques to promote weight gain
behaviors.
c. Ask the patient to use a daily log to record feelings and circumstances related to urges to
purge.
d. Allow the patient to make limited choices about eating and exercise as weight gain
progresses. - CORRECT ANS- -D
When considering the need for monitoring, which intervention should the nurse implement
for a patient with anorexia nervosa? Select all that apply.
a. Provide scheduled portion-controlled meals and snacks.
b. Congratulate patients for weight gain and behaviors that promote weight gain.
c. Limit time spent in bathroom during periods when not under direct supervision.
d. Promote exercise as a method to increase appetite.
e. Observe patient during and after meals/snacks to ensure that adequate intake is
achieved and maintained. - CORRECT ANS- -A,C,E
The stage of sleep known as rapid eye movement or REM sleep is characterized by atonia
and myoclonic twitches in addition to the actual rapid movement of the eyes. Atonia is
thought to be a protective mechanism as it:
a. Limits physical movements
b. Prevents nightmares
c. Enhances the dream state
d. Regulates the autonomic nervous system - CORRECT ANS- -A
Sleep deprivation is considered a safety issue that results in loss of life and property.
Psychomotor impairments of sleep deprivation are similar to symptoms caused by:
a. Sleeping in excess of 10 hours
b. Misuse of caffeine products
