HESI ON MENTAL HEALTH WEEK6 EXAM
2024-2025 LATEST QUESTIONS WITH
SOLUTIONS, RATIONALES ALREADY
GRADED A+| STUDY TO PASS!!
A 19-year-old female client with diagnosis anorexia nervoua wants to help serve dinner
trays to other clients on a psychiatric unit. Which action should the nurse take?
A. Encourage the client self-motivation by asking her to pass trays for the rest of the
week.
B. Provide an additional challenge by asking the client to help feed the older clients.
C. Suggest another way or this client to participate in the unit's activities.
D. Tell the client that hospital guidelines allow only staff to pass the trays. - ANSWER-C.
Suggest another way or this client to participate in the unit's activities.
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 - ANSWER-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.
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?
A. Anywhere you want to stand as long as you don't get hurt by those in the parade
B. You are confused because of all the activity in the hall. There is no parade
C. Let's go back to the activity room and see whats going on in there
D. Remember I told you that this is a nursing home and I am your nurse - ANSWER-C. Let's
go back to the activity room and see whats going on in there
,Rationale: It is common for those with Alzheimer's disease to use the wrong words.
Redirecting the client (using an accepting non-judgmental dialogue) to a softer place and
familiar activities (C) is most helpful because clients experience short-term memory loss.
Physical examination of a 6 year old reveals several bite marks in various locations on his
body. X-ray examination revealed healed fractures of the ribs. The mother tells the nurse
that her child is always having accidents. Which initial response by the nurse is most
important.
A. I need to inform the health care provider about your child's tendency to be
accident prone.
B. Tell me more specifically about your child's accidents
C. I must report these injuries to the authorities because they do not seem accidental.
D. Boys this age always to require more supervision and can be quite accident prone. -
ANSWER-B. Tell me more specifically about your child's accidents
Rationale: (B) seeks more information using an open ended, non-threatening statement.
A child is brought to the emergency room with a broken arm. Because of these injuries,
the nurse suspects the child may be a victim of abuse. When the nurse tries to give the
child an injection, the child 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
statement? The mother is
A. Regressing to an earlier behavior pattern
B. Sublimating her anger
C. Projecting her feelings onto the nurse
D. Suppressing her fear - ANSWER-C. Projecting her feelings onto the nurse
Rationale: Projection is attributing one's own thoughts, impulses, or behaviors onto
another -- it is the mother who is probably harming the child and she is attributing her
actions to the nurse.
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 food." Which response would be most important for the nurse to make?
A. I'll leave your tray here. I am available if you need anything else
B. You are not being poisoned. Why do you think someone is trying to poison you
C. No one on this unit has ever died from poisoning. You are safe here.
, D. I will talk to your healthcare provider about the possibility of changing your diet -
ANSWER-A. I'll leave your tray here. I am available if you need anything else
Rationale: (A) is the best choice cited. The nurse does not argue with the client nor demand
that she eat, but offers support by agreeing to "be there if needed," e.g. to warm the food.
A 25-year-old female client has been particularly restless and the nurse finds her trying to
leave the psychiatric unit. She tells the nurse "Please let me go I must leave because the
secret police are after me." which is best for the nurse to make?
A. No one is after you. You are safe here
B. You will feel better after you have rested
C. I know you must feel lonely and frightened
D. Come with me to your room and I will sit with you - ANSWER-D. Come with me to your
room and I will sit with you
Rationale: (D) is the best response because it offers support without judgement or
demands.
A 45-year-old male client tells the nurse he used to believe he was Jesus Christ but now he
knows he is not. Which response is best for the nurse to make?
A. Did you really believe you were Jesus Christ?
B. I think you're getting well
C. Others have had similar thoughts when under stress
D. Why did you think you were Jesus Christ? - ANSWER-C. Others have had similar
thoughts when under stress
Rationale: (C) offers support by assuring the client that other have suffered as he has (also
the principle on with AA acts).
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
2024-2025 LATEST QUESTIONS WITH
SOLUTIONS, RATIONALES ALREADY
GRADED A+| STUDY TO PASS!!
A 19-year-old female client with diagnosis anorexia nervoua wants to help serve dinner
trays to other clients on a psychiatric unit. Which action should the nurse take?
A. Encourage the client self-motivation by asking her to pass trays for the rest of the
week.
B. Provide an additional challenge by asking the client to help feed the older clients.
C. Suggest another way or this client to participate in the unit's activities.
D. Tell the client that hospital guidelines allow only staff to pass the trays. - ANSWER-C.
Suggest another way or this client to participate in the unit's activities.
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 - ANSWER-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.
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?
A. Anywhere you want to stand as long as you don't get hurt by those in the parade
B. You are confused because of all the activity in the hall. There is no parade
C. Let's go back to the activity room and see whats going on in there
D. Remember I told you that this is a nursing home and I am your nurse - ANSWER-C. Let's
go back to the activity room and see whats going on in there
,Rationale: It is common for those with Alzheimer's disease to use the wrong words.
Redirecting the client (using an accepting non-judgmental dialogue) to a softer place and
familiar activities (C) is most helpful because clients experience short-term memory loss.
Physical examination of a 6 year old reveals several bite marks in various locations on his
body. X-ray examination revealed healed fractures of the ribs. The mother tells the nurse
that her child is always having accidents. Which initial response by the nurse is most
important.
A. I need to inform the health care provider about your child's tendency to be
accident prone.
B. Tell me more specifically about your child's accidents
C. I must report these injuries to the authorities because they do not seem accidental.
D. Boys this age always to require more supervision and can be quite accident prone. -
ANSWER-B. Tell me more specifically about your child's accidents
Rationale: (B) seeks more information using an open ended, non-threatening statement.
A child is brought to the emergency room with a broken arm. Because of these injuries,
the nurse suspects the child may be a victim of abuse. When the nurse tries to give the
child an injection, the child 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
statement? The mother is
A. Regressing to an earlier behavior pattern
B. Sublimating her anger
C. Projecting her feelings onto the nurse
D. Suppressing her fear - ANSWER-C. Projecting her feelings onto the nurse
Rationale: Projection is attributing one's own thoughts, impulses, or behaviors onto
another -- it is the mother who is probably harming the child and she is attributing her
actions to the nurse.
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 food." Which response would be most important for the nurse to make?
A. I'll leave your tray here. I am available if you need anything else
B. You are not being poisoned. Why do you think someone is trying to poison you
C. No one on this unit has ever died from poisoning. You are safe here.
, D. I will talk to your healthcare provider about the possibility of changing your diet -
ANSWER-A. I'll leave your tray here. I am available if you need anything else
Rationale: (A) is the best choice cited. The nurse does not argue with the client nor demand
that she eat, but offers support by agreeing to "be there if needed," e.g. to warm the food.
A 25-year-old female client has been particularly restless and the nurse finds her trying to
leave the psychiatric unit. She tells the nurse "Please let me go I must leave because the
secret police are after me." which is best for the nurse to make?
A. No one is after you. You are safe here
B. You will feel better after you have rested
C. I know you must feel lonely and frightened
D. Come with me to your room and I will sit with you - ANSWER-D. Come with me to your
room and I will sit with you
Rationale: (D) is the best response because it offers support without judgement or
demands.
A 45-year-old male client tells the nurse he used to believe he was Jesus Christ but now he
knows he is not. Which response is best for the nurse to make?
A. Did you really believe you were Jesus Christ?
B. I think you're getting well
C. Others have had similar thoughts when under stress
D. Why did you think you were Jesus Christ? - ANSWER-C. Others have had similar
thoughts when under stress
Rationale: (C) offers support by assuring the client that other have suffered as he has (also
the principle on with AA acts).
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
