HESI MENTAL HEALTH EXAM 2024 WITH
QUESTIONS AND WELL DETAILED CORRECT
ANSWERS | LATEST 2024 | EXAM QUESTIONS AND
ANSWERS
QUESTION; The RN documents the mental status of a female client who has been hospitalized for several
days by court order. The client states" I don't need to be here," and tells the RN that she believes that
the t.v talks to her. The RN should document these assessment statementsin which section of the mental
status exam? - ANSWER-Insight and judgement.
QUESTION; An older ale client with schizophrenia is found smearing feces n the bathroom walls of the
chronic mental health unit where he resides. What action should the RN implement? - ANSWER-Escort
the client out of the bathroom.
QUESTION; A male client tells the RN that he does not want to take the atypical antipsychotic
drug,olanzapine (Zypexa), because of the side effects he experienced when he took the drug for a year.
Which experience is most likely related to taking olanzapine? - ANSWER-Weight gain of 75 lbs.
QUESTION;1. During admission to the psychiatric unit, a female client is extremely anxious and states
that she is worried about the sun coming up the next day. What intervention is most important for the
RN to implement during the admission process? - ANSWER-Assist the client in developing alternative
coping skills.
QUESTION; 2. A female client is brought to the emergency department after police officers found her
disoriented, disorganized, and confused. The RN also determines that the client is homeless and is
exhibiting suspiciousness. The client's plan of care should include what priority
problem? - ANSWER-Acute confusion.
QUESTION; The occupational health nurse is working with a female employee who was just notified
thather child was involved in a MVA and taken to the hospital. The employee states, "I can't believe this.
What should I do?" Which response is best for the RN to provide in this crisis? - ANSWER-Call for
transportation to the hospital.
QUESTION; A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also reports
that he is married to a female movie star and thinks that his brother wants a sexual relationship with her.
What is the priority nursing problem for admission to the psychiatric
,unit? - ANSWER-Ineffective sexual patterns.
QUESTION; The RN is providing care for a client diagnosed with borderline personality disorder who has
self-inflicted lacerations on the abdomen. Which approach should the RN use when
changing this client's dressing? - ANSWER-Perform the dressing change in a non-judgmental manner.
QUESTION; While sitting in the day room of the mental health unit, a male adolescent avoids eye
contact, looks at the floor, and talks softly when interacting verbally with the RN. The two trade places,
and the RN demonstrates the client's behaviors. What is the main goal of this
therapeutic technique? - ANSWER-Allow the client to identify the way he interacts.
QUESTION; An antidepressant medication is prescribed for a client who reports sleeping only 4 hours in
the past 2 days and weight loss of 9 lbs within the last month. Which client goal is most important to
achieve within the first three days of treatment? - ANSWER-Sleep at least 6 hours a night.
QUESTION; When preparing to administer to domestic violence screening tool to a female client, which
statement should the RN provide? - ANSWER-All clients are screened for domestic abuse because it is
common in our society.
QUESTION; A young adult female visits the mental health clinic complaining of diarrhea, headache, and
muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During
the physical assessment, the client tells the RN that her sister thinks she is neurotic and calls her a
hypochondriac. Which response is best for the RN to provide? - ANSWER-Besides your sister's
comments, what in your life is troubling you?
QUESTION; The RN is leading a group on the inpatient psychiatric unit. Which approach should the RN
use during the working phase of group development? - ANSWER-Helping clients identify areas of
problem in their lives.
QUESTION; A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to
other clients on the unit. What intervention is best for the RN to implement? - ANSWER-Escort the client
to his room.
, QUESTION; A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase. Based on
which assessment finding will the RN withhold the clonidine (Catapres) prescription? - ANSWER-Blood
pressure readings of 90/62 mmHg to 92/58 mmHg.
QUESTION; The RN on the evening shift receives report that a client is scheduled for electroconvulsive
treatment (ECT) in the morning. Which intervention should the Rn implement the evening
before the scheduled ECT? - ANSWER-Keep the client NPO after mid-night.
QUESTION; A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is
admitted to an acute care hospital for uncontrolled hypertension. What dietary choices should the RN
instruct the client to avoid? - ANSWER-Peperoni pizza.
QUESTION; A mental health worker is caring for a client with escalating aggressive behavior. Which
action by the mental health worker warrants immediate intervention by the RN? - ANSWER-Is attempting
the physically restrain the patient.
QUESTION; A client who recently experienced the death of a significant other arrives at the mental
health center. The client reports loss of interest in usual activities, expresses a wish to be with the
decreased significant other, has been eating very little, and has not slept in several days. Which client
statement is most important for the RN to explore at this time? - ANSWER-Not sleeping for several days.
QUESTION; A middle aged adult with major depressive disorder suffers from psychomotor retardation,
hypersomnia, and motivation. Which intervention is likely to be most effective in returning this client to a
normal level of functioning? - ANSWER-Teach the client to develop a plan for daily structured activities.
QUESTION; When developing a plan of care for a client admitted to the psychiatric unit following
aspiration of a caustic material related to a suicide attempt, which nursing problem has the
highest priority? - ANSWER-Ineffective breathing pattern.
QUESTION; A female client on a psychiatric unit is sweating profusely while she vigorously does pushups
and then runs the length of the corridor several times before crashing into furniture in the sitting room.
Picking herself up, she begins to toss chairs aside, looking for a red one to sit in. When another client
objects to the disturbance, the client shouts, "I am the boss here. I do what I want." Which nursing
problem best supports these observations? - ANSWER-Risk for other related violence related to
disruptive behavior.
QUESTIONS AND WELL DETAILED CORRECT
ANSWERS | LATEST 2024 | EXAM QUESTIONS AND
ANSWERS
QUESTION; The RN documents the mental status of a female client who has been hospitalized for several
days by court order. The client states" I don't need to be here," and tells the RN that she believes that
the t.v talks to her. The RN should document these assessment statementsin which section of the mental
status exam? - ANSWER-Insight and judgement.
QUESTION; An older ale client with schizophrenia is found smearing feces n the bathroom walls of the
chronic mental health unit where he resides. What action should the RN implement? - ANSWER-Escort
the client out of the bathroom.
QUESTION; A male client tells the RN that he does not want to take the atypical antipsychotic
drug,olanzapine (Zypexa), because of the side effects he experienced when he took the drug for a year.
Which experience is most likely related to taking olanzapine? - ANSWER-Weight gain of 75 lbs.
QUESTION;1. During admission to the psychiatric unit, a female client is extremely anxious and states
that she is worried about the sun coming up the next day. What intervention is most important for the
RN to implement during the admission process? - ANSWER-Assist the client in developing alternative
coping skills.
QUESTION; 2. A female client is brought to the emergency department after police officers found her
disoriented, disorganized, and confused. The RN also determines that the client is homeless and is
exhibiting suspiciousness. The client's plan of care should include what priority
problem? - ANSWER-Acute confusion.
QUESTION; The occupational health nurse is working with a female employee who was just notified
thather child was involved in a MVA and taken to the hospital. The employee states, "I can't believe this.
What should I do?" Which response is best for the RN to provide in this crisis? - ANSWER-Call for
transportation to the hospital.
QUESTION; A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also reports
that he is married to a female movie star and thinks that his brother wants a sexual relationship with her.
What is the priority nursing problem for admission to the psychiatric
,unit? - ANSWER-Ineffective sexual patterns.
QUESTION; The RN is providing care for a client diagnosed with borderline personality disorder who has
self-inflicted lacerations on the abdomen. Which approach should the RN use when
changing this client's dressing? - ANSWER-Perform the dressing change in a non-judgmental manner.
QUESTION; While sitting in the day room of the mental health unit, a male adolescent avoids eye
contact, looks at the floor, and talks softly when interacting verbally with the RN. The two trade places,
and the RN demonstrates the client's behaviors. What is the main goal of this
therapeutic technique? - ANSWER-Allow the client to identify the way he interacts.
QUESTION; An antidepressant medication is prescribed for a client who reports sleeping only 4 hours in
the past 2 days and weight loss of 9 lbs within the last month. Which client goal is most important to
achieve within the first three days of treatment? - ANSWER-Sleep at least 6 hours a night.
QUESTION; When preparing to administer to domestic violence screening tool to a female client, which
statement should the RN provide? - ANSWER-All clients are screened for domestic abuse because it is
common in our society.
QUESTION; A young adult female visits the mental health clinic complaining of diarrhea, headache, and
muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During
the physical assessment, the client tells the RN that her sister thinks she is neurotic and calls her a
hypochondriac. Which response is best for the RN to provide? - ANSWER-Besides your sister's
comments, what in your life is troubling you?
QUESTION; The RN is leading a group on the inpatient psychiatric unit. Which approach should the RN
use during the working phase of group development? - ANSWER-Helping clients identify areas of
problem in their lives.
QUESTION; A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to
other clients on the unit. What intervention is best for the RN to implement? - ANSWER-Escort the client
to his room.
, QUESTION; A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase. Based on
which assessment finding will the RN withhold the clonidine (Catapres) prescription? - ANSWER-Blood
pressure readings of 90/62 mmHg to 92/58 mmHg.
QUESTION; The RN on the evening shift receives report that a client is scheduled for electroconvulsive
treatment (ECT) in the morning. Which intervention should the Rn implement the evening
before the scheduled ECT? - ANSWER-Keep the client NPO after mid-night.
QUESTION; A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is
admitted to an acute care hospital for uncontrolled hypertension. What dietary choices should the RN
instruct the client to avoid? - ANSWER-Peperoni pizza.
QUESTION; A mental health worker is caring for a client with escalating aggressive behavior. Which
action by the mental health worker warrants immediate intervention by the RN? - ANSWER-Is attempting
the physically restrain the patient.
QUESTION; A client who recently experienced the death of a significant other arrives at the mental
health center. The client reports loss of interest in usual activities, expresses a wish to be with the
decreased significant other, has been eating very little, and has not slept in several days. Which client
statement is most important for the RN to explore at this time? - ANSWER-Not sleeping for several days.
QUESTION; A middle aged adult with major depressive disorder suffers from psychomotor retardation,
hypersomnia, and motivation. Which intervention is likely to be most effective in returning this client to a
normal level of functioning? - ANSWER-Teach the client to develop a plan for daily structured activities.
QUESTION; When developing a plan of care for a client admitted to the psychiatric unit following
aspiration of a caustic material related to a suicide attempt, which nursing problem has the
highest priority? - ANSWER-Ineffective breathing pattern.
QUESTION; A female client on a psychiatric unit is sweating profusely while she vigorously does pushups
and then runs the length of the corridor several times before crashing into furniture in the sitting room.
Picking herself up, she begins to toss chairs aside, looking for a red one to sit in. When another client
objects to the disturbance, the client shouts, "I am the boss here. I do what I want." Which nursing
problem best supports these observations? - ANSWER-Risk for other related violence related to
disruptive behavior.
