HESI PSYCHIATRIC MENTAL HEALTH PRACTICE EXAM 2024-2025
|COMPLETE EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) A GRADE.
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
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
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
|COMPLETE EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) A GRADE.
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
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
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
