HESI MENTAL HEALTH RN EXAM (LATEST 2026 UPDATE) |
QUESTIONS WITH CORRECT VERIFIED ACCURATE
ANSWERS (MULTIPLE CHOICES) |ALREADY GRADED A+
The nurse observes biting, rocking, sucking, and lags in intellectual
development in a child. She also concludes the child is suffering from
sleep disorders. What could be the reason for the child's condition?
1. Physical neglect
2. Sexual abuse
3. Physical abuse
4. Emotional abuse - Answer -4. Emotional abuse
The child may be neglected if the parent is having a mental illness
such as psychosis. Sleep disorders, feeding disorders, biting, rocking,
sucking, and lags in intellectual development are behavioral findings
associated with emotional abuse. Physical neglect, sexual abuse, and
physical abuse manifest in different sets of signs and symptoms.
Which emotional condition may be apparent in a client with an
addiction?
1. Insomnia
2. Social isolation
3. Acute confusion
4. Functional urinary incontinence - Answer -2. Social isolation
Social isolation is an emotional condition that may be apparent in a
client with an addiction. Insomnia, acute confusion, and functional
urinary incontinence are physical, not emotional, conditions that may
be apparent in clients with addiction.
A client who has been battling cancer of the ovary for 7 years is
admitted to the hospital in a debilitated state. The healthcare provider
tells the client that she is too frail for surgery or further chemotherapy.
When making rounds during the night, the nurse enters the client's
pg. 1
,room and finds her crying. Which is the most appropriate intervention
by the nurse?
1. Sit down quietly next to the bed and allow her to cry.
2. Pull the curtain and leave the room to provide privacy for the client.
3. Explain to the client that her feelings are expected and they will
pass with time.
4. Observe the length of time the client cries and document her
difficulty accepting her impending death. - Answer -1. Sit down
quietly next to the bed and allow her to cry.
Sitting down quietly next to the bed and allowing her to cry
demonstrates acceptance of the client's behavior and provides an
opportunity for the client to verbally express feelings if desired.
Pulling the curtain and leaving the room to provide privacy for the
client may make the client feel that the behavior is wrong or is
annoying others. Also, it abandons the client when support is needed.
Explaining to the client that her feelings are expected and they will
pass with time closes off communication and does not provide an
opportunity for the client to talk about feelings. Also, it provides false
reassurance. The length of time she cries is unimportant at this time.
Assuming that she is having difficulty accepting her impending death
is a conclusion without enough information.
Which of these are symptoms of depression commonly observed in
older adults? Select all that apply.
1. Fatigue
2. Sadness
3. Agitation
4. Increased sleep
5. Increased appetite - Answer -1. Fatigue
2. Sadness
pg. 2
,3. Agitation
Symptoms of depression that are often observed in older adults
include fatigue, sadness, and agitation. Insomnia is more likely than
increased sleep to occur in depressed older adults. Anorexia, rather
than increased appetite, is more likely to occur in depressed older
adults.
A nurse is aware that after the administration of alprazolam (Xanax) is
started, it is important to observe the client for side effects. What is
the nurse's initial action?
1. Measuring the client's urine output
2. Examining the client's pupils daily
3. Checking the client's blood pressure
4. Monitoring the abdomen for distention
- Answer -3. Checking the client's blood pressure
Orthostatic hypotension is a common side effect of alprazolam
(Xanax) that occurs early in therapy. Central nervous system
depression is not an early side effect, but it may occur after prolonged
use. An alteration in urine output is not a common side effect, but it
may occur after prolonged use. Distention is not a common side
effect, but distention from constipation may occur after prolonged
use.
A nurse is administering medications to clients on a psychiatric unit.
What does the nurse identify as the reason that so many psychiatric
clients are given the drug benztropine or trihexyphenidyl in
conjunction with the phenothiazine-derivative neuroleptic
medications?
1. They reduce postural hypotension.
2. They potentiate the effects of the neuroleptic drug.
3. They combat the extrapyramidal side effects of the neuroleptic
drug.
pg. 3
, 4. They ameliorate the depression that may accompany schizophrenia.
- Answer -3. They combat the extrapyramidal side effects of the
neuroleptic drug.
Benztropine and trihexyphenidyl control the extrapyramidal
(parkinsonian) manifestations associated with the neuroleptics and are
classified as antiparkinsonian drugs. These drugs do not reduce
postural hypotension, nor do they potentiate phenothiazine derivatives
or have an effect on depression.
A married male client with three children has lost his job and states
that he feels useless. He is tearful, upset, and embarrassed. What is an
appropriate objective of care for this client?
1. Limiting tearfulness
2. Increasing self-esteem
3. Controlling feelings of sadness
4. Promoting acceptance by others - Answer -2. Increasing self-
esteem
The loss of a job can precipitates negative feelings about the self and
decrease self-esteem. Feelings should be expressed, not limited;
attempting to decrease a client's crying often ends up worsening it.
Crying is not necessarily an expression of sadness; other feelings are
involved. The focus should be on the client's self-acceptance, not
acceptance by others.
A 44-year-old client has been unable to function since her husband
asked for a divorce 2 weeks ago. She is brought to the crisis
intervention center by a friend. What type of crisis is this situation?
1. Social
2. Situational
3. Maturational
4. Developmental - Answer -2. Situational
pg. 4
QUESTIONS WITH CORRECT VERIFIED ACCURATE
ANSWERS (MULTIPLE CHOICES) |ALREADY GRADED A+
The nurse observes biting, rocking, sucking, and lags in intellectual
development in a child. She also concludes the child is suffering from
sleep disorders. What could be the reason for the child's condition?
1. Physical neglect
2. Sexual abuse
3. Physical abuse
4. Emotional abuse - Answer -4. Emotional abuse
The child may be neglected if the parent is having a mental illness
such as psychosis. Sleep disorders, feeding disorders, biting, rocking,
sucking, and lags in intellectual development are behavioral findings
associated with emotional abuse. Physical neglect, sexual abuse, and
physical abuse manifest in different sets of signs and symptoms.
Which emotional condition may be apparent in a client with an
addiction?
1. Insomnia
2. Social isolation
3. Acute confusion
4. Functional urinary incontinence - Answer -2. Social isolation
Social isolation is an emotional condition that may be apparent in a
client with an addiction. Insomnia, acute confusion, and functional
urinary incontinence are physical, not emotional, conditions that may
be apparent in clients with addiction.
A client who has been battling cancer of the ovary for 7 years is
admitted to the hospital in a debilitated state. The healthcare provider
tells the client that she is too frail for surgery or further chemotherapy.
When making rounds during the night, the nurse enters the client's
pg. 1
,room and finds her crying. Which is the most appropriate intervention
by the nurse?
1. Sit down quietly next to the bed and allow her to cry.
2. Pull the curtain and leave the room to provide privacy for the client.
3. Explain to the client that her feelings are expected and they will
pass with time.
4. Observe the length of time the client cries and document her
difficulty accepting her impending death. - Answer -1. Sit down
quietly next to the bed and allow her to cry.
Sitting down quietly next to the bed and allowing her to cry
demonstrates acceptance of the client's behavior and provides an
opportunity for the client to verbally express feelings if desired.
Pulling the curtain and leaving the room to provide privacy for the
client may make the client feel that the behavior is wrong or is
annoying others. Also, it abandons the client when support is needed.
Explaining to the client that her feelings are expected and they will
pass with time closes off communication and does not provide an
opportunity for the client to talk about feelings. Also, it provides false
reassurance. The length of time she cries is unimportant at this time.
Assuming that she is having difficulty accepting her impending death
is a conclusion without enough information.
Which of these are symptoms of depression commonly observed in
older adults? Select all that apply.
1. Fatigue
2. Sadness
3. Agitation
4. Increased sleep
5. Increased appetite - Answer -1. Fatigue
2. Sadness
pg. 2
,3. Agitation
Symptoms of depression that are often observed in older adults
include fatigue, sadness, and agitation. Insomnia is more likely than
increased sleep to occur in depressed older adults. Anorexia, rather
than increased appetite, is more likely to occur in depressed older
adults.
A nurse is aware that after the administration of alprazolam (Xanax) is
started, it is important to observe the client for side effects. What is
the nurse's initial action?
1. Measuring the client's urine output
2. Examining the client's pupils daily
3. Checking the client's blood pressure
4. Monitoring the abdomen for distention
- Answer -3. Checking the client's blood pressure
Orthostatic hypotension is a common side effect of alprazolam
(Xanax) that occurs early in therapy. Central nervous system
depression is not an early side effect, but it may occur after prolonged
use. An alteration in urine output is not a common side effect, but it
may occur after prolonged use. Distention is not a common side
effect, but distention from constipation may occur after prolonged
use.
A nurse is administering medications to clients on a psychiatric unit.
What does the nurse identify as the reason that so many psychiatric
clients are given the drug benztropine or trihexyphenidyl in
conjunction with the phenothiazine-derivative neuroleptic
medications?
1. They reduce postural hypotension.
2. They potentiate the effects of the neuroleptic drug.
3. They combat the extrapyramidal side effects of the neuroleptic
drug.
pg. 3
, 4. They ameliorate the depression that may accompany schizophrenia.
- Answer -3. They combat the extrapyramidal side effects of the
neuroleptic drug.
Benztropine and trihexyphenidyl control the extrapyramidal
(parkinsonian) manifestations associated with the neuroleptics and are
classified as antiparkinsonian drugs. These drugs do not reduce
postural hypotension, nor do they potentiate phenothiazine derivatives
or have an effect on depression.
A married male client with three children has lost his job and states
that he feels useless. He is tearful, upset, and embarrassed. What is an
appropriate objective of care for this client?
1. Limiting tearfulness
2. Increasing self-esteem
3. Controlling feelings of sadness
4. Promoting acceptance by others - Answer -2. Increasing self-
esteem
The loss of a job can precipitates negative feelings about the self and
decrease self-esteem. Feelings should be expressed, not limited;
attempting to decrease a client's crying often ends up worsening it.
Crying is not necessarily an expression of sadness; other feelings are
involved. The focus should be on the client's self-acceptance, not
acceptance by others.
A 44-year-old client has been unable to function since her husband
asked for a divorce 2 weeks ago. She is brought to the crisis
intervention center by a friend. What type of crisis is this situation?
1. Social
2. Situational
3. Maturational
4. Developmental - Answer -2. Situational
pg. 4
