HESI Psychiatric-Mental Health Practice Exam comprehensive Questions and
Answers with 100% Correct Answers | Latest Version
A client who has been admitted to the psychiatric unit tells the nurse, "My problems are so bad that
noone can help me." Which response is best for the nurse to make? - (ANSWER)How can I help?
A 30-year-old sales manager tells the nurse, "I am thinking about a job change. I don't feel like I amliving
up to my potential." Which of Maslow's developmental stages is the sales manager attempting
toachieve? - (ANSWER)Self-Actualization
A male client is admitted to a mental health unit on Friday afternoon and is very upset on Sunday
because he has not had the opportunity to talk with the healthcare provider. Which response is best for
the nurse to provide this client? - (ANSWER)Let me call and leave a message for your healthcare provider
An 86-year-old female client with Alzheimer's disease is wandering the busy halls of the extended care
facility and asks the nurse, "Where should I stand for the parade?" Which response is best for the nurse
to provide? - (ANSWER)Let us go back to the activity room and see what is going on in there
A client is admitted with a diagnosis of depression. The nurse knows that which characteristic is most
indicative of depression? - (ANSWER)A negative view of self and the future
A 40-year-old male client diagnosed with schizophrenia and alcohol dependence has not had any visitors
or phone calls since admission. He reports he has no family that cares about him and was living on the
streets prior to this admission. According to Erikson's theory of psychosocial development, which stage is
the client in at this time? - (ANSWER)Stagnation
An elderly female client with advanced dementia is admitted to the hospital with a fractured hip. The
client repeatedly tells the staff, "Take me home. I want my Mommy." Which response is best for the
nurse to provide? - (ANSWER)Tell the client that the nurse is there and will help her
A 45-year-old male client tells the nurse that he used to believe that he was Jesus Christ, but now
heknows he is not. Which response is best for the nurse to make? - (ANSWER)Others have had similar
thoughts when under stress
,HESI Psychiatric-Mental Health Practice Exam comprehensive Questions and
Answers with 100% Correct Answers | Latest Version
A male client is admitted to the psychiatric unit with a medical diagnosis of paranoid
schizophrenia.During the admission procedure, the client looks up and states, "No, it's not MY fault. You
can't blame me. I didn't kill him, you did." What action is best for the nurse to take? - (ANSWER)Assess
the content of the hallucinations by asking the client what he is hearing
A woman arrives in the Emergency Center and tells the nurse she thinks she has been raped. The client is
sobbing and expresses disbelief that a rape could happen because the man is her best friend.After
acknowledging the client's fear and anxiety, how should the nurse respond? - (ANSWER)"Rape is no
limited to strangers and frequently occurs by someone who is known to the victim"
A 72-year-old female client is admitted to the psychiatric unit with a medical diagnosis of major
depression. Which statement by the client should concern the nurse and require further assessment? -
(ANSWER)I think my cat is going to die
A 52-year-old male client in the intensive care unit who has been oriented suddenly becomes
disoriented and fearful. Assessment of vital signs and other physical parameters reveal no significant
change and the nurse formulates the diagnosis, "Confusion related to ICU psychosis." Which intervention
is best to implement? - (ANSWER)Cluster care so that brief periods of rest can be scheduled during the
day
A 27-year-old female client is admitted to the psychiatric hospital with a diagnosis of bipolar
disorder,manic phase. She is demanding and active. Which intervention should the nurse include in this
client's plan of care? - (ANSWER)Provide a structured environment with little stimuli
A male client with mental illness and substance dependency tells the mental health nurse that he has
started using illegal drugs again and wants to seek treatment. Since he has a dual diagnosis, which
person is best for the nurse to refer this client to first - (ANSWER)His case manager
The parents of a 14-year-old boy bring their son to the hospital. He is lethargic, but responsive. The
mother states, "I think he took some of my pain pills." During initial assessment of the teenager, what
information is most important for the nurse to obtain from the parents? - (ANSWER)If he might have
taken any other drugs
,HESI Psychiatric-Mental Health Practice Exam comprehensive Questions and
Answers with 100% Correct Answers | Latest Version
A 38-year-old female client is admitted with a diagnosis of paranoid schizophrenia. When her tray is
brought to her, she refuses to eat and tells the nurse, "I know you are trying to poison me with that
food." Which response is most appropriate for the nurse to make? - (ANSWER)I'll leave your tray here. I
am available if you need anything else.
A 35-year-old male client on the psychiatric ward of a general hospital believes that someone is trying to
poison him. The nurse understands that a client's delusions are most likely related to his - (ANSWER)low
self-esteem
A manic depressive client on the psychiatric ward becomes loud, and shouts at one of the nurses, "You
fat tub of lard! Get something done around here!" What is the best initial action for the nurse to take? -
(ANSWER)Redirect the client's energy by asking him to tidy the recreation room
Which ego-defense mechanisms are exhibited by a phobic client who refuses to leave her home? -
(ANSWER)Symbolization
When preparing a teaching plan for a client who is to be discharged with a prescription for lithium
carbonate (Lithonate), it is most important for the nurse to include which instruction? - (ANSWER)Keep
your dietary salt intake consistent
The nurse is leading a "current events group" with chronic psychiatric clients. One group member states,
"Saddam Hussein was my nurse during my last hospitalization. He was a very mean nurse and wasn't
nice to me." Which response is best for the nurse to make? - (ANSWER)I agree that Saddam Hussein is
not a very nice man
The nurse observes a schizophrenic female client watching the news on TV. She begins to laugh softlyand
says, "Yes, my love, I'll do it." When the nurse questions the client about her comment shestates, "The
news commentator is my lover and he speaks to me each evening. Only I can understandwhat he says."
What is the best response for the nurse to make? - (ANSWER)What do you believe the news
commentator said to you?
, HESI Psychiatric-Mental Health Practice Exam comprehensive Questions and
Answers with 100% Correct Answers | Latest Version
Which diet selection by a depressed client taking the MAO inhibitor tranylcypromine sulfate
(Parnate)indicates to the nurse that the client understands the dietary restrictions imposed by this
medication regimen? - (ANSWER)Roast beef, baked potato with butter, and iced tea
The nurse suspects child abuse when assessing a 3-year-old boy and noticing several small, round burns
on his legs and trunk that might be the result of cigarette burns. Which parental behavior provides the
greatest validation for such suspicions? - (ANSWER)The parents tell the nurse that the child was burned
in a house fire which is incompatible with the nurse's observation of the type of burn
The nurse is preparing to administer phenelzine sulfate (Nardil) to a client on the psychiatric unit.Which
complaint related to administration of this drug should the nurse expect this client to make? -
(ANSWER)My mouth feels like cotton
The nurse should include which interventions in the plan of care for a severely depressed client with
neurovegetative symptoms? - (ANSWER)Permit rest periods as needed
Speaking slowly and simply
Allow the client extra time to complete tasks
Observe and encourage food and fluid intake
Encourage mild exercise and shorts walks on the unit
A young adult male client, diagnosed with paranoid schizophrenia, believes that world is trying poison
him. What intervention should the nurse include in this client's plan of care? - (ANSWER)Ask one nurse
to spend time with the client daily
A child is brought to the emergency room with a broken arm. Because of other injuries, the nurse
suspects the child may be a victim of abuse. When the nurse tries to give the child an injection, the
child's mother becomes very loud and shouts, "I won't leave my son! Don't you touch him! You'll hurt my
child!" What is the best interpretation of the mother's statements? The mother is - (ANSWER)Projecting
her feelings onto the nurse
A 45-year-old female client is admitted to the psychiatric unit for evaluation. Her husband states that she
has been reluctant to leave home for the last six months. The client has not gone to work for a month
Answers with 100% Correct Answers | Latest Version
A client who has been admitted to the psychiatric unit tells the nurse, "My problems are so bad that
noone can help me." Which response is best for the nurse to make? - (ANSWER)How can I help?
A 30-year-old sales manager tells the nurse, "I am thinking about a job change. I don't feel like I amliving
up to my potential." Which of Maslow's developmental stages is the sales manager attempting
toachieve? - (ANSWER)Self-Actualization
A male client is admitted to a mental health unit on Friday afternoon and is very upset on Sunday
because he has not had the opportunity to talk with the healthcare provider. Which response is best for
the nurse to provide this client? - (ANSWER)Let me call and leave a message for your healthcare provider
An 86-year-old female client with Alzheimer's disease is wandering the busy halls of the extended care
facility and asks the nurse, "Where should I stand for the parade?" Which response is best for the nurse
to provide? - (ANSWER)Let us go back to the activity room and see what is going on in there
A client is admitted with a diagnosis of depression. The nurse knows that which characteristic is most
indicative of depression? - (ANSWER)A negative view of self and the future
A 40-year-old male client diagnosed with schizophrenia and alcohol dependence has not had any visitors
or phone calls since admission. He reports he has no family that cares about him and was living on the
streets prior to this admission. According to Erikson's theory of psychosocial development, which stage is
the client in at this time? - (ANSWER)Stagnation
An elderly female client with advanced dementia is admitted to the hospital with a fractured hip. The
client repeatedly tells the staff, "Take me home. I want my Mommy." Which response is best for the
nurse to provide? - (ANSWER)Tell the client that the nurse is there and will help her
A 45-year-old male client tells the nurse that he used to believe that he was Jesus Christ, but now
heknows he is not. Which response is best for the nurse to make? - (ANSWER)Others have had similar
thoughts when under stress
,HESI Psychiatric-Mental Health Practice Exam comprehensive Questions and
Answers with 100% Correct Answers | Latest Version
A male client is admitted to the psychiatric unit with a medical diagnosis of paranoid
schizophrenia.During the admission procedure, the client looks up and states, "No, it's not MY fault. You
can't blame me. I didn't kill him, you did." What action is best for the nurse to take? - (ANSWER)Assess
the content of the hallucinations by asking the client what he is hearing
A woman arrives in the Emergency Center and tells the nurse she thinks she has been raped. The client is
sobbing and expresses disbelief that a rape could happen because the man is her best friend.After
acknowledging the client's fear and anxiety, how should the nurse respond? - (ANSWER)"Rape is no
limited to strangers and frequently occurs by someone who is known to the victim"
A 72-year-old female client is admitted to the psychiatric unit with a medical diagnosis of major
depression. Which statement by the client should concern the nurse and require further assessment? -
(ANSWER)I think my cat is going to die
A 52-year-old male client in the intensive care unit who has been oriented suddenly becomes
disoriented and fearful. Assessment of vital signs and other physical parameters reveal no significant
change and the nurse formulates the diagnosis, "Confusion related to ICU psychosis." Which intervention
is best to implement? - (ANSWER)Cluster care so that brief periods of rest can be scheduled during the
day
A 27-year-old female client is admitted to the psychiatric hospital with a diagnosis of bipolar
disorder,manic phase. She is demanding and active. Which intervention should the nurse include in this
client's plan of care? - (ANSWER)Provide a structured environment with little stimuli
A male client with mental illness and substance dependency tells the mental health nurse that he has
started using illegal drugs again and wants to seek treatment. Since he has a dual diagnosis, which
person is best for the nurse to refer this client to first - (ANSWER)His case manager
The parents of a 14-year-old boy bring their son to the hospital. He is lethargic, but responsive. The
mother states, "I think he took some of my pain pills." During initial assessment of the teenager, what
information is most important for the nurse to obtain from the parents? - (ANSWER)If he might have
taken any other drugs
,HESI Psychiatric-Mental Health Practice Exam comprehensive Questions and
Answers with 100% Correct Answers | Latest Version
A 38-year-old female client is admitted with a diagnosis of paranoid schizophrenia. When her tray is
brought to her, she refuses to eat and tells the nurse, "I know you are trying to poison me with that
food." Which response is most appropriate for the nurse to make? - (ANSWER)I'll leave your tray here. I
am available if you need anything else.
A 35-year-old male client on the psychiatric ward of a general hospital believes that someone is trying to
poison him. The nurse understands that a client's delusions are most likely related to his - (ANSWER)low
self-esteem
A manic depressive client on the psychiatric ward becomes loud, and shouts at one of the nurses, "You
fat tub of lard! Get something done around here!" What is the best initial action for the nurse to take? -
(ANSWER)Redirect the client's energy by asking him to tidy the recreation room
Which ego-defense mechanisms are exhibited by a phobic client who refuses to leave her home? -
(ANSWER)Symbolization
When preparing a teaching plan for a client who is to be discharged with a prescription for lithium
carbonate (Lithonate), it is most important for the nurse to include which instruction? - (ANSWER)Keep
your dietary salt intake consistent
The nurse is leading a "current events group" with chronic psychiatric clients. One group member states,
"Saddam Hussein was my nurse during my last hospitalization. He was a very mean nurse and wasn't
nice to me." Which response is best for the nurse to make? - (ANSWER)I agree that Saddam Hussein is
not a very nice man
The nurse observes a schizophrenic female client watching the news on TV. She begins to laugh softlyand
says, "Yes, my love, I'll do it." When the nurse questions the client about her comment shestates, "The
news commentator is my lover and he speaks to me each evening. Only I can understandwhat he says."
What is the best response for the nurse to make? - (ANSWER)What do you believe the news
commentator said to you?
, HESI Psychiatric-Mental Health Practice Exam comprehensive Questions and
Answers with 100% Correct Answers | Latest Version
Which diet selection by a depressed client taking the MAO inhibitor tranylcypromine sulfate
(Parnate)indicates to the nurse that the client understands the dietary restrictions imposed by this
medication regimen? - (ANSWER)Roast beef, baked potato with butter, and iced tea
The nurse suspects child abuse when assessing a 3-year-old boy and noticing several small, round burns
on his legs and trunk that might be the result of cigarette burns. Which parental behavior provides the
greatest validation for such suspicions? - (ANSWER)The parents tell the nurse that the child was burned
in a house fire which is incompatible with the nurse's observation of the type of burn
The nurse is preparing to administer phenelzine sulfate (Nardil) to a client on the psychiatric unit.Which
complaint related to administration of this drug should the nurse expect this client to make? -
(ANSWER)My mouth feels like cotton
The nurse should include which interventions in the plan of care for a severely depressed client with
neurovegetative symptoms? - (ANSWER)Permit rest periods as needed
Speaking slowly and simply
Allow the client extra time to complete tasks
Observe and encourage food and fluid intake
Encourage mild exercise and shorts walks on the unit
A young adult male client, diagnosed with paranoid schizophrenia, believes that world is trying poison
him. What intervention should the nurse include in this client's plan of care? - (ANSWER)Ask one nurse
to spend time with the client daily
A child is brought to the emergency room with a broken arm. Because of other injuries, the nurse
suspects the child may be a victim of abuse. When the nurse tries to give the child an injection, the
child's mother becomes very loud and shouts, "I won't leave my son! Don't you touch him! You'll hurt my
child!" What is the best interpretation of the mother's statements? The mother is - (ANSWER)Projecting
her feelings onto the nurse
A 45-year-old female client is admitted to the psychiatric unit for evaluation. Her husband states that she
has been reluctant to leave home for the last six months. The client has not gone to work for a month
