HESI RN Mental Health Exam Prep Questions &
Knowledge Review (HESI and SAUNDERS NCLEX-RN
COMPREHENSIVE Review) 285 Actual Qs & Ans / 2025
Terms in this set (285)
A married male client with 2. Increasing self-esteem
three children has lost his job
and states that he feels The loss of a job can precipitate negative feelings about the
useless. He is tearful, upset, self and decrease self-esteem. Feelings should be
expressed, not limited; attempting to decrease a client's
and embarrassed. What is an crying often ends up worsening it. Crying is not necessarily
appropriate objective of care an expression of sadness; other feelings are involved. The
for this client? focus should be on the client's self-acceptance, not
acceptance by others.
1. Limiting tearfulness
2. Increasing self-
esteem3. Controlling
feelings of sadness
4. Promoting acceptance by
others
, 2. Situational
A 44-year-old client has been
unable to function since her Situational crises involve an unanticipated loss, such as a
husband asked for a divorce divorce, that is threatening to the client. Social crises
involve multiple losses such as those occurring during major
2 weeks ago. She is brought
disasters. Maturational crises occur in response to stress
to the crisis intervention experienced as one struggles with developmental tasks.
center by a friend. What type Developmental (maturational) crises are associated with
developmental tasks; divorce is not a developmental task.
of crisis is this situation?
1. Social
2. Situational
3. Maturational
4. Developmental
A resident in a nursing home 1. By offering choices consistent with the client's heritage
recently immigrated to the
United States from Italy. How Adherence to a plan of care is enhanced by the nurse's
does the nurse plan to providing choices consistent with the client's cultural beliefs
and practices. The nurse's cultural or personal beliefs and
provide emotional support? biases should not influence or interfere with the
implementation of appropriate care. Helping the client
1. By offering adjust to the American culture is not the priority at this
time; care should be adapted to the client's needs and
choicesconsistent with the culture. The person's cultural practices should not be
client's heritage addressed unless they are detrimental to the person's
2. By ensuring that health.
theclient understands
American beliefs
3. By assisting the client
inadjusting to the American
culture
4. By correcting
theclient's misconceptions
about appropriate health
practices
, 1. Confusion
A nurse should reassess an
older adult client's needs The development of confusion indicates that the client's
and current plan of care ability to maintain equilibrium has not been achieved and
that further disequilibrium is occurring. Hypochondriasis
when the client's behavior
and additional complaints do not indicate that the plan
indicates the development of needs to be changed unless the client's history
what symptom? demonstrates no prior use of these defenses. Increased
socialization is a positive response to the plan of care that
does not require reassessment.
1. Confusion
2. Hypochondriasis
3. Additional complaints
4. Increased socialization
, An injured child is brought to 2. Focusing on the child's role in sustaining the injury 3.
the emergency department Changing the story of how the child sustained the injury
by the parents. While 5. Giving an explanation of how the injury occurred that is
interviewing the parents, the not consistent with the injury
nurse begins to suspect child
abuse. Which parental The child is often made the scapegoat in the situation; the
behaviors might support this parents blame the child because they have unrealistic
expectations of the child. Discrepancies or inconsistencies in
conclusion? Select all that the history result from attempts to present a story that is not
apply. based in fact. Discrepancies between the parental
explanation for the child's injuries and the physical findings
or discrepancies in the history that each parent gives are
1. Demonstrating common because the information that is being provided is
concernfor the injured child not based in fact. Abusive parents usually do not ask
2. Focusing on the questions about the injury or prognosis and demonstrate
little or no interest in their child's wellbeing.
child'srole in sustaining the
injury 3. Changing the story
of how the child sustained
the injury
4. Asking questions
aboutthe injury and the
child's prognosis
5. Giving an explanation
ofhow the injury occurred
that is not consistent with
the injury
A nurse is planning to teach a 1. Mild
client about selfcare. What
Mild anxiety motivates one to action, such as learning or
level of anxiety will best
making changes. Higher levels of anxiety tend to blur the
enhance the client's learning individual's perceptions and interfere with functioning.
abilities? Attention is severely reduced by panic. The perceptual field is
greatly reduced with severe anxiety and narrowed with
moderate anxiety.
1. Mild
2. Panic
3. Severe
4. Moderate
Knowledge Review (HESI and SAUNDERS NCLEX-RN
COMPREHENSIVE Review) 285 Actual Qs & Ans / 2025
Terms in this set (285)
A married male client with 2. Increasing self-esteem
three children has lost his job
and states that he feels The loss of a job can precipitate negative feelings about the
useless. He is tearful, upset, self and decrease self-esteem. Feelings should be
expressed, not limited; attempting to decrease a client's
and embarrassed. What is an crying often ends up worsening it. Crying is not necessarily
appropriate objective of care an expression of sadness; other feelings are involved. The
for this client? focus should be on the client's self-acceptance, not
acceptance by others.
1. Limiting tearfulness
2. Increasing self-
esteem3. Controlling
feelings of sadness
4. Promoting acceptance by
others
, 2. Situational
A 44-year-old client has been
unable to function since her Situational crises involve an unanticipated loss, such as a
husband asked for a divorce divorce, that is threatening to the client. Social crises
involve multiple losses such as those occurring during major
2 weeks ago. She is brought
disasters. Maturational crises occur in response to stress
to the crisis intervention experienced as one struggles with developmental tasks.
center by a friend. What type Developmental (maturational) crises are associated with
developmental tasks; divorce is not a developmental task.
of crisis is this situation?
1. Social
2. Situational
3. Maturational
4. Developmental
A resident in a nursing home 1. By offering choices consistent with the client's heritage
recently immigrated to the
United States from Italy. How Adherence to a plan of care is enhanced by the nurse's
does the nurse plan to providing choices consistent with the client's cultural beliefs
and practices. The nurse's cultural or personal beliefs and
provide emotional support? biases should not influence or interfere with the
implementation of appropriate care. Helping the client
1. By offering adjust to the American culture is not the priority at this
time; care should be adapted to the client's needs and
choicesconsistent with the culture. The person's cultural practices should not be
client's heritage addressed unless they are detrimental to the person's
2. By ensuring that health.
theclient understands
American beliefs
3. By assisting the client
inadjusting to the American
culture
4. By correcting
theclient's misconceptions
about appropriate health
practices
, 1. Confusion
A nurse should reassess an
older adult client's needs The development of confusion indicates that the client's
and current plan of care ability to maintain equilibrium has not been achieved and
that further disequilibrium is occurring. Hypochondriasis
when the client's behavior
and additional complaints do not indicate that the plan
indicates the development of needs to be changed unless the client's history
what symptom? demonstrates no prior use of these defenses. Increased
socialization is a positive response to the plan of care that
does not require reassessment.
1. Confusion
2. Hypochondriasis
3. Additional complaints
4. Increased socialization
, An injured child is brought to 2. Focusing on the child's role in sustaining the injury 3.
the emergency department Changing the story of how the child sustained the injury
by the parents. While 5. Giving an explanation of how the injury occurred that is
interviewing the parents, the not consistent with the injury
nurse begins to suspect child
abuse. Which parental The child is often made the scapegoat in the situation; the
behaviors might support this parents blame the child because they have unrealistic
expectations of the child. Discrepancies or inconsistencies in
conclusion? Select all that the history result from attempts to present a story that is not
apply. based in fact. Discrepancies between the parental
explanation for the child's injuries and the physical findings
or discrepancies in the history that each parent gives are
1. Demonstrating common because the information that is being provided is
concernfor the injured child not based in fact. Abusive parents usually do not ask
2. Focusing on the questions about the injury or prognosis and demonstrate
little or no interest in their child's wellbeing.
child'srole in sustaining the
injury 3. Changing the story
of how the child sustained
the injury
4. Asking questions
aboutthe injury and the
child's prognosis
5. Giving an explanation
ofhow the injury occurred
that is not consistent with
the injury
A nurse is planning to teach a 1. Mild
client about selfcare. What
Mild anxiety motivates one to action, such as learning or
level of anxiety will best
making changes. Higher levels of anxiety tend to blur the
enhance the client's learning individual's perceptions and interfere with functioning.
abilities? Attention is severely reduced by panic. The perceptual field is
greatly reduced with severe anxiety and narrowed with
moderate anxiety.
1. Mild
2. Panic
3. Severe
4. Moderate
