EVOLVE HESI RN PSYCHIATRIC-MENTAL HEALTH EXIT EXAM TESTBANK/HESI RN PSYCHIATRIC-MENTAL
HEALTH EXIT EXAM QUESTIONS AND ANSWERS ALREADY GRADED A+. 100% VERIFIED SOLUTIONS |
UPDATED PER LATEST GUIDELINES | GRADED A+...
Core Domains:
• Therapeutic Communication and Nurse-Client Relationship
• Anxiety, Obsessive-Compulsive, and Trauma-Related Disorders
• Mood Disorders and Suicidal Ideation
• Schizophrenia Spectrum and Other Psychotic Disorders
• Substance Use and Addictive Disorders
• Personality Disorders and Impulse Control
• Neurocognitive and Eating Disorders
• Legal, Ethical, and Safety Issues in Psychiatric Nursing
• Psychopharmacology and Side Effect Management
• Crisis Intervention and Management of Aggression
Introduction
This comprehensive examination is designed to evaluate the essential psychiatric-mental health nursing
competencies required for safe, effective, and compassionate care. It assesses knowledge of psychiatric disorders,
therapeutic communication, crisis intervention, psychopharmacology, and legal-ethical principles within the scope
of RN practice. The 100 multiple-choice questions include scenario-based items that simulate clinical situations,
requiring critical thinking, prioritization, and application of the nursing process. Emphasis is placed on patient
safety, therapeutic relationships, and evidence-based interventions. Mastery of these domains demonstrates
readiness for the HESI Psychiatric-Mental Health Exit Exam and for entry-level nursing practice in mental health
settings.
,SECTION ONE
Question 1
A client with generalized anxiety disorder tells the nurse, "I can't stop worrying about everything. My heart
races, and I can't breathe." What is the most appropriate initial nursing response?
A. "You need to stop thinking so much."
B. "Tell me what you are feeling right now."
C. "I'll get you some medication for anxiety."
D. "You should try to relax."
🟢 Correct Answer:
B
🔴 RATIONALE:
Using an open-ended statement encourages the client to express feelings. It validates the client's experience
without minimizing or giving advice, which is fundamental to therapeutic communication. Options A and D
dismiss the client. C jumps to medication without assessment.
Question 2
A client with major depressive disorder is prescribed fluoxetine. The nurse should inform the client that the full
therapeutic effect may take:
A. 1 to 2 days
B. 3 to 5 days
C. 1 to 2 weeks
D. 4 to 6 weeks
🟢 Correct Answer:
D
,🔴 RATIONALE:
SSRIs like fluoxetine typically require 4 to 6 weeks to achieve full therapeutic response. Early improvement may
begin in 1-2 weeks, but the full antidepressant effect takes longer. Clients need education to prevent premature
discontinuation.
Question 3
A client with schizophrenia is responding to internal stimuli and appears to be hallucinating. Which nursing
intervention is most appropriate?
A. Tell the client the voices are not real.
B. Ignore the behavior to avoid reinforcement.
C. Ask the client what the voices are saying.
D. Direct the client to reality-based activities.
🟢 Correct Answer:
C
🔴 RATIONALE:
Assessing the content of auditory hallucinations is essential for safety, as command hallucinations could lead to
harm. Reassuring, distracting, and not arguing about the reality of hallucinations are subsequent steps. The
priority is assessment.
Question 4
The nurse is caring for a client with bipolar disorder in the manic phase. Which meal selection is most
appropriate?
A. Steak, baked potato, and salad
B. Soup, casserole, and fruit
C. Finger foods such as sandwich and fruit that the client can eat while moving
D. A full-course meal requiring utensils
, 🟢 Correct Answer:
C
🔴 RATIONALE:
Hyperactive manic clients often cannot sit still to eat. High-calorie finger foods that can be consumed while
pacing help maintain nutritional intake. Formal meals are often refused or remain uneaten.
Question 5
A client on lithium carbonate reports polyuria and polydipsia. The nurse suspects:
A. Diabetes mellitus
B. Lithium-induced nephrogenic diabetes insipidus
C. Hyponatremia
D. Hyperkalemia
🟢 Correct Answer:
B
🔴 RATIONALE:
Lithium interferes with the action of antidiuretic hormone on the renal collecting duct, causing nephrogenic
diabetes insipidus with excessive urination and thirst. Monitoring lithium levels and renal function is essential.
Question 6
Which statement by a client indicates that teaching about clozapine therapy has been effective?
A. "I will need to have weekly blood tests for a few months, then every other week or monthly."
B. "I can stop the medication when I feel better."
C. "Clozapine will cure my illness."
D. "Weight gain is uncommon with this drug."
HEALTH EXIT EXAM QUESTIONS AND ANSWERS ALREADY GRADED A+. 100% VERIFIED SOLUTIONS |
UPDATED PER LATEST GUIDELINES | GRADED A+...
Core Domains:
• Therapeutic Communication and Nurse-Client Relationship
• Anxiety, Obsessive-Compulsive, and Trauma-Related Disorders
• Mood Disorders and Suicidal Ideation
• Schizophrenia Spectrum and Other Psychotic Disorders
• Substance Use and Addictive Disorders
• Personality Disorders and Impulse Control
• Neurocognitive and Eating Disorders
• Legal, Ethical, and Safety Issues in Psychiatric Nursing
• Psychopharmacology and Side Effect Management
• Crisis Intervention and Management of Aggression
Introduction
This comprehensive examination is designed to evaluate the essential psychiatric-mental health nursing
competencies required for safe, effective, and compassionate care. It assesses knowledge of psychiatric disorders,
therapeutic communication, crisis intervention, psychopharmacology, and legal-ethical principles within the scope
of RN practice. The 100 multiple-choice questions include scenario-based items that simulate clinical situations,
requiring critical thinking, prioritization, and application of the nursing process. Emphasis is placed on patient
safety, therapeutic relationships, and evidence-based interventions. Mastery of these domains demonstrates
readiness for the HESI Psychiatric-Mental Health Exit Exam and for entry-level nursing practice in mental health
settings.
,SECTION ONE
Question 1
A client with generalized anxiety disorder tells the nurse, "I can't stop worrying about everything. My heart
races, and I can't breathe." What is the most appropriate initial nursing response?
A. "You need to stop thinking so much."
B. "Tell me what you are feeling right now."
C. "I'll get you some medication for anxiety."
D. "You should try to relax."
🟢 Correct Answer:
B
🔴 RATIONALE:
Using an open-ended statement encourages the client to express feelings. It validates the client's experience
without minimizing or giving advice, which is fundamental to therapeutic communication. Options A and D
dismiss the client. C jumps to medication without assessment.
Question 2
A client with major depressive disorder is prescribed fluoxetine. The nurse should inform the client that the full
therapeutic effect may take:
A. 1 to 2 days
B. 3 to 5 days
C. 1 to 2 weeks
D. 4 to 6 weeks
🟢 Correct Answer:
D
,🔴 RATIONALE:
SSRIs like fluoxetine typically require 4 to 6 weeks to achieve full therapeutic response. Early improvement may
begin in 1-2 weeks, but the full antidepressant effect takes longer. Clients need education to prevent premature
discontinuation.
Question 3
A client with schizophrenia is responding to internal stimuli and appears to be hallucinating. Which nursing
intervention is most appropriate?
A. Tell the client the voices are not real.
B. Ignore the behavior to avoid reinforcement.
C. Ask the client what the voices are saying.
D. Direct the client to reality-based activities.
🟢 Correct Answer:
C
🔴 RATIONALE:
Assessing the content of auditory hallucinations is essential for safety, as command hallucinations could lead to
harm. Reassuring, distracting, and not arguing about the reality of hallucinations are subsequent steps. The
priority is assessment.
Question 4
The nurse is caring for a client with bipolar disorder in the manic phase. Which meal selection is most
appropriate?
A. Steak, baked potato, and salad
B. Soup, casserole, and fruit
C. Finger foods such as sandwich and fruit that the client can eat while moving
D. A full-course meal requiring utensils
, 🟢 Correct Answer:
C
🔴 RATIONALE:
Hyperactive manic clients often cannot sit still to eat. High-calorie finger foods that can be consumed while
pacing help maintain nutritional intake. Formal meals are often refused or remain uneaten.
Question 5
A client on lithium carbonate reports polyuria and polydipsia. The nurse suspects:
A. Diabetes mellitus
B. Lithium-induced nephrogenic diabetes insipidus
C. Hyponatremia
D. Hyperkalemia
🟢 Correct Answer:
B
🔴 RATIONALE:
Lithium interferes with the action of antidiuretic hormone on the renal collecting duct, causing nephrogenic
diabetes insipidus with excessive urination and thirst. Monitoring lithium levels and renal function is essential.
Question 6
Which statement by a client indicates that teaching about clozapine therapy has been effective?
A. "I will need to have weekly blood tests for a few months, then every other week or monthly."
B. "I can stop the medication when I feel better."
C. "Clozapine will cure my illness."
D. "Weight gain is uncommon with this drug."
