HESI MENTAL HEALTH REAL PRACTICE TEST
(QUESTIONS WITH CORRECT ANSWERS
AND EXPLANATION) 2024 V1 WEEK 8|A+
GRADED BY EXPERTS!!!!
A nurse working in the emergency room of a children hospital admits a child whose
injuries could have resulted from abuse. Which statement accurately describes the
nurse's responsibility in cases of suspected child abuse?
A. The nurse should obtain objective data such as x-rays before reporting suspicions to
authorities
B. The nurse should confirm any suspicions of child abuse with the health care provider
before reporting to the authorities.
C. The nurse should report any case of suspected child abuse to the charge
nurse
D. The nurse should note in the client's record any suspicions of child abuse so that a
history of suspicions can be tracked. - ANSWERS -C. The nurse should report any
case of suspected child abuse to the charge nurse
Rationale: It is the nurse's legal responsibility to report all suspected cases of
child abuse. Notifying the charge nurse starts the legal reporting.
A client who is being treated with lithium carbonate for bipolar disorder develops
diarrhea, vomiting, and drowsiness. What action should the nurse take?
A. Notify the healthcare provider. Immediately and prepare for administration of an
antidote
B. Notify the healthcare provider of the symptoms prior to the next administration
of the drug
C Record the symptoms as normal side effects and continue administration of
prescribed dosage.
D. Hold the medication and refuse to administer additional amount of the drug -
ANSWERS -B. Notify the healthcare provider of the symptoms prior to the next
administration of the drug
Rationale: Early side effects of lithium carbonate (occurring with serum lithium
levels below 2.0 mEq per liter) generally follow a progressive pattern beginning
with diarrhea, vomiting, drowsiness, and muscular weakness. At higher levels,
ataxia, tinnitus, blurred vision, and large dilute urine output may occur. (B) is the
,best choice. Although these are expected symptoms, the HCP should be notified
prior to the next administration of the drug.
An adult client who was admitted to the mental health unit yesterday tells the nurse that
microchips were planted in his head for military surveillance for his every move. Which
response is best for the nurse to provide.
A. You're are in the hospital, and I am the nurse caring for you.
B. It must be difficult for you to control your anxious feeling
C. Go to occupational therapist and start project
D. You are not in the war area now, this is the united states. - ANSWERS -C. Go to
occupational therapist and start project
Rationale: Delusions often generate fear and isolation, so the nurse should help
the client participate in activities that avoid focusing on the false belief and
encourage interaction with others.
A client who is on a 30-day commitment to a drug rehab unit, ask the nurse if he can go
for a walk on the grounds of the treatment center. When he is told that his privileges do
not include walking on the grounds, the client becomes verbally abusive. What
responses are appropriate for the nurse to use? (select all that apply)
A. Call a staff member to escort the client to his room
B. Ask the client to talk about what is causing him to upset
C. Ignore the client inappropriate behavior
D. Remind the client of the unit rules
E. Tell the client to talk to his healthcare provider about his privileges - ANSWERS -B.
Ask the client to talk about what is causing him to upset
D. Remind the client of the unit rules
Rationale: Therapeutic responses to disruptive behavior should start with the
nurse's reflective interpretation of the client's distress followed with an open
ended statement . "You seem upset; tell me about it." A discussion of unit rules
also provides an opportunity to explain how to obtain privileges to walk the
grounds. The other options are not appropriate ways to respond to this situation.
A client on the psychiatric unit appears to imitate a certain nurse on the unit.. the client
seeks out this particular nurse and imitates her mannerisms.. the nurse knows that the
client is using which defense mechanism
A. Sublimation
B. Identification
C. Introjection
D. Repression - ANSWERS -B. Identification
Rationale: Identification (B) is an attempt to be like someone or emulate the
personality traits of another.
, The nurse is planning the care for a 32-year-old male client with acute depression.
Which nursing intervention would best in helping this client with his depression?
A. Ensure that the client's day is filled with group activities
B. Assist the client in exploring feelings of shame, anger, and guilt
C. Allow the client to initiate and determine activities of daily living.
D. Encourage the client to explore the rationale for his depression - ANSWERS -B.
Assist the client in exploring feelings of shame, anger, and guilt
Rationale: Depression is associated with feelings of shame, anger, and guilt.
Exploring such feelings is an important nursing intervention for the depressed
client.
At the first meeting of a group of older adults at a daycare center for the elderly, the
nurse asks one of the members what kind of things she would like to do with the group.
The older women shrugs her shoulders and says. "You tell me, you're the leader". What
is the best response for the nurse to make?
A. "Yes I am the leader today. Would you like to be the leader tomorrow."
B. "Yes, I will be leading this group. What would you like to accomplish during
this time."
C. "Yes, I have been assigned to be the leader of this group. I will be here for the next 6
weeks.
D. "Yes, I am the leader. You seem angry about not being the leader yourself." -
ANSWERS -B. "Yes, I will be leading this group. What would you like to
accomplish during this time."
Rationale: Anxiety over participation in a group and testing of the leader
characteristically occur in the initial phase of group dynamics. (B) provides
information and focuses the group back to defining its function.
Over a period of several weeks. one male participant of a socialization group at a
community daycare center for the elderly monopolizes most of the groups time and
interrupts others when they are talking. What is the best action for the nurse to take in
this situation.
A. Talk to the client outside the group about his behavior during group meetings.
B. Remind the client to allow others in the group a chance to talk
C. Allow the group to handle the problem
D. Ask the client to join another group - ANSWERS -C. Allow the group to handle the
problem
Rationale: After several weeks, the group is in the working phase and the group
members should be allowed to determine the direction of the group. The nurse should
ignore the client's comments and allow the group to handle the situation.
(QUESTIONS WITH CORRECT ANSWERS
AND EXPLANATION) 2024 V1 WEEK 8|A+
GRADED BY EXPERTS!!!!
A nurse working in the emergency room of a children hospital admits a child whose
injuries could have resulted from abuse. Which statement accurately describes the
nurse's responsibility in cases of suspected child abuse?
A. The nurse should obtain objective data such as x-rays before reporting suspicions to
authorities
B. The nurse should confirm any suspicions of child abuse with the health care provider
before reporting to the authorities.
C. The nurse should report any case of suspected child abuse to the charge
nurse
D. The nurse should note in the client's record any suspicions of child abuse so that a
history of suspicions can be tracked. - ANSWERS -C. The nurse should report any
case of suspected child abuse to the charge nurse
Rationale: It is the nurse's legal responsibility to report all suspected cases of
child abuse. Notifying the charge nurse starts the legal reporting.
A client who is being treated with lithium carbonate for bipolar disorder develops
diarrhea, vomiting, and drowsiness. What action should the nurse take?
A. Notify the healthcare provider. Immediately and prepare for administration of an
antidote
B. Notify the healthcare provider of the symptoms prior to the next administration
of the drug
C Record the symptoms as normal side effects and continue administration of
prescribed dosage.
D. Hold the medication and refuse to administer additional amount of the drug -
ANSWERS -B. Notify the healthcare provider of the symptoms prior to the next
administration of the drug
Rationale: Early side effects of lithium carbonate (occurring with serum lithium
levels below 2.0 mEq per liter) generally follow a progressive pattern beginning
with diarrhea, vomiting, drowsiness, and muscular weakness. At higher levels,
ataxia, tinnitus, blurred vision, and large dilute urine output may occur. (B) is the
,best choice. Although these are expected symptoms, the HCP should be notified
prior to the next administration of the drug.
An adult client who was admitted to the mental health unit yesterday tells the nurse that
microchips were planted in his head for military surveillance for his every move. Which
response is best for the nurse to provide.
A. You're are in the hospital, and I am the nurse caring for you.
B. It must be difficult for you to control your anxious feeling
C. Go to occupational therapist and start project
D. You are not in the war area now, this is the united states. - ANSWERS -C. Go to
occupational therapist and start project
Rationale: Delusions often generate fear and isolation, so the nurse should help
the client participate in activities that avoid focusing on the false belief and
encourage interaction with others.
A client who is on a 30-day commitment to a drug rehab unit, ask the nurse if he can go
for a walk on the grounds of the treatment center. When he is told that his privileges do
not include walking on the grounds, the client becomes verbally abusive. What
responses are appropriate for the nurse to use? (select all that apply)
A. Call a staff member to escort the client to his room
B. Ask the client to talk about what is causing him to upset
C. Ignore the client inappropriate behavior
D. Remind the client of the unit rules
E. Tell the client to talk to his healthcare provider about his privileges - ANSWERS -B.
Ask the client to talk about what is causing him to upset
D. Remind the client of the unit rules
Rationale: Therapeutic responses to disruptive behavior should start with the
nurse's reflective interpretation of the client's distress followed with an open
ended statement . "You seem upset; tell me about it." A discussion of unit rules
also provides an opportunity to explain how to obtain privileges to walk the
grounds. The other options are not appropriate ways to respond to this situation.
A client on the psychiatric unit appears to imitate a certain nurse on the unit.. the client
seeks out this particular nurse and imitates her mannerisms.. the nurse knows that the
client is using which defense mechanism
A. Sublimation
B. Identification
C. Introjection
D. Repression - ANSWERS -B. Identification
Rationale: Identification (B) is an attempt to be like someone or emulate the
personality traits of another.
, The nurse is planning the care for a 32-year-old male client with acute depression.
Which nursing intervention would best in helping this client with his depression?
A. Ensure that the client's day is filled with group activities
B. Assist the client in exploring feelings of shame, anger, and guilt
C. Allow the client to initiate and determine activities of daily living.
D. Encourage the client to explore the rationale for his depression - ANSWERS -B.
Assist the client in exploring feelings of shame, anger, and guilt
Rationale: Depression is associated with feelings of shame, anger, and guilt.
Exploring such feelings is an important nursing intervention for the depressed
client.
At the first meeting of a group of older adults at a daycare center for the elderly, the
nurse asks one of the members what kind of things she would like to do with the group.
The older women shrugs her shoulders and says. "You tell me, you're the leader". What
is the best response for the nurse to make?
A. "Yes I am the leader today. Would you like to be the leader tomorrow."
B. "Yes, I will be leading this group. What would you like to accomplish during
this time."
C. "Yes, I have been assigned to be the leader of this group. I will be here for the next 6
weeks.
D. "Yes, I am the leader. You seem angry about not being the leader yourself." -
ANSWERS -B. "Yes, I will be leading this group. What would you like to
accomplish during this time."
Rationale: Anxiety over participation in a group and testing of the leader
characteristically occur in the initial phase of group dynamics. (B) provides
information and focuses the group back to defining its function.
Over a period of several weeks. one male participant of a socialization group at a
community daycare center for the elderly monopolizes most of the groups time and
interrupts others when they are talking. What is the best action for the nurse to take in
this situation.
A. Talk to the client outside the group about his behavior during group meetings.
B. Remind the client to allow others in the group a chance to talk
C. Allow the group to handle the problem
D. Ask the client to join another group - ANSWERS -C. Allow the group to handle the
problem
Rationale: After several weeks, the group is in the working phase and the group
members should be allowed to determine the direction of the group. The nurse should
ignore the client's comments and allow the group to handle the situation.
