HESI On Mental Health PSYCH) - PRACTICE 2025 Question And Answers

HESI On Mental Health PSYCH) -
PRACTICE 2025 Question And Answers

Au60uyearuolduclientudiagnoseduwithuchronicuschizophreniaupresentsuinuanuemergencyudep
artmentuwithuuncontrollableutongueumovements,ustiffuneck,uandudifficultyuswallowing.uWhic
humedicaludiagnosisuandutreatmentushoulduaunurseuanticipateuwhenuplanningucareuforuthisuc
lient?
A.uNeurolepticumalignantusyndromeutreatedubyudiscontinuinguantipsychoticumedications.u
B.uAgranulocytosisutreatedubyuadministrationuofuclozapineu(Clozaril).u
C.uExtrapyramidalusymptomsutreatedubyuadministrationuofubenztropineu(Cogentin).u
D.uTardiveudyskinesiautreatedubyudiscontinuinguantipsychoticumedications.u-
uCORRECTuuANSWER-Answer:u

D.uTardiveudyskinesiautreatedubyudiscontinuinguantipsychoticumedications.u
(happensuafteruptuhasuchronicallyutakenuantipsychoticumedications.uWhenuprescribinguanti
psychotics,uyouuwantutoustartulowuandugraduallyuincreaseudoseubecauseuofuthis.uQuestionuc
lues:u"Chronicuschizophrenia",u"uncontrollableutongueumovements,ustiffuneck,udifficultyusw
allowing")

AuclientubeganutakingulithiumuforutheutreatmentuofuBPudisorderuapproximatelyu1umonthuago.u
Theuclientuasksuifuituisunormalutouhaveugainedu12upoundsuinuthisutimeuframe.uWhichuisutheuap
propriateunursinguresponse?
A.u"Thatsustrange.uWeightulossuisutheutypicalupattern."
B.u"Whatuhaveuyouubeenueating?uWeightugainuisunotuusuallyuassociateuwithulithium."
C.u"Weightugainuisuaucommonubututroublingusideueffect."
D.u"Weightugainuonlyuoccursuduringutheufirstumonthuofutreatmentuwithuthisudrug."u-
uCORRECTuuANSWER-Answer:

C.u"Weightugainuisuaucommonubututroublingusideueffect."

Auclientudiagnoseduwithuauhistoryuofuanorexiaunervosaucomesutouanuoutpatientuclinicuafterub
eingumedicallyucleared.uTheuclientustates,u"Myuparentsuwatchumeulikeuauhawkuanduneveruletu
meuoutuofutheirusight.u"uWhichunursingudiagnosisuwouldutakeupriorityuatuthisutime?
A.uAlteredunutritionulessuthanubodyurequirements
B.uAlteredusocialuinteraction
C.uImpaireduverbalucommunication
D.uAlteredufamilyuprocessesu-uCORRECTuuANSWER-Answer:
D.uAlteredufamilyuprocesses

Auclientudiagnoseduwithuantisocialupersonalityudisorderucomesutouaunurses'ustationuatu11:00
up.m.urequestingutouphoneuaulawyerutoudiscussufilinguforudivorce.uTheuuniturulesustateuthatuno

uphoneucallsuareupermitteduafteru10:00up.m.uWhichunursinguresponseuisumostuappropriate?u

,A.u"Gouaheaduanduuseutheuphone.uIuknowuthisupendingudivorceuisustressful."
B.u"Youuknowubetteruthanubreakutheurules.uImusurpriseduatuyou.u"
C.u"Ituisuafterutheu10:00up.m.uphoneucurfew.uYouuwillubeuableutoucallutomorrow."
D.u"Theudecisionutoudivorceushouldunotubeuconsidereduuntiluyouuhaveuhaduaugoodunightsusle
ep."u-uCORRECTuuANSWER-Answer:u
C.u"Ituisuafterutheu10:00up.m.uphoneucurfew.uYouuwillubeuableutoucallutomorrow."

Auclientudiagnoseduwithubipolarudisorderuisudistraughtuoveruinsomniauexperienceduoverutheu
lastu3unightsuanduau12-
upounduweightulossuoverutheupastu2uweeks.uWhichushouldubeuthisuclient'supriorityunursingudi

agnosis?
A.uKnowledgeudeficituR/TubipolarudisorderuAEBuconcernuaboutusymptoms.u
B.uAlteredunutrition:uLessuthanubodyurequirementsur/tuhyperactivityuAEBuweightuloss.u
C.uRiskuforusuicideur/tupowerlessnessuAEBuinsomniauanduanorexia.
D.uAlteredusleepupatternsur/tumaniauAEBuinsomniauforutheupastu3unights.u-
uCORRECTuuANSWER-Answer:

B.uAlteredunutrition:uLessuthanubodyurequirementsur/tuhyperactivityuAEBuweightuloss.u(physi
caluneeds/healthualwaysupriority.)

Auclientudiagnoseduwithubipolarudisorder:udepressiveuphaseuintentionallyuoverdosesuonuser
tralineu(Zoloft).uFamilyumembersureportuthatutheuclientuhasuexperienceuanorexia,uinsomnia,u
andurecentujobuloss.uWhatushouldubeutheupriorityunursingudiagnosisuforuthisuclient?
A.uRiskuforusuicideur/tuhopelessness.
B.uAnxiety:usevereur/tuhyperactivity
C.uImbalancedunutrition:ulessuthanubodyurequirementsur/turefusalutoueat
D.uDysfunctionalugrievingur/tulossuofuemployment.u-uCORRECTuuANSWER-Answer:u
A.uRiskuforusuicideur/tuhopelessness.

Auclientudiagnoseduwithuborderlineupersonalityudisorderubringsuupuauconflictuwithutheustaffuin
uaucommunityumeetinguandudevelopsuaufollowinguofuclientsuwhouunreasonablyudemandumo

dificationuofuuniturules.uHowucanutheunursingustaffubestuhandleuthisusituation?u
A.uAllowutheuclientsutouapplyutheudemocraticuprocessuwhenudevelopinguuniturules.u
B.uMaintainuconsistencyuofucareubyuopenucommunicationutouavoidustaffumanipulation.u
C.uAllowutheuclientuspokesmanutouverbalizeuconcernsuduringuauunitustaffumeeting.u
D.uMaintainuunituorderubyutheuapplicationuofuautocraticuleadership.u-
uCORRECTuuANSWER-Answer:

B.uMaintainuconsistencyuofucareubyuopenucommunicationutouavoidustaffumanipulation.u
(borderlineupersonalityudisorderuisuveryumanipulative.uTheyuwantutoucauseusplittinguwhichul
ooksulikeupittingutheunursesuagainstueachuother,uoruoneudayuyouuareutheubestunurseueveruan
duthenutheunextudayuyouuareutheuworstunurseuinutheuworld.)

AuclientudiagnoseduwithuBPudisorderuhasubeenutakingulithiumucarbonateu(Lithaine)uforu1uyea
r.uTheuclientupresentsuinuanuemergencyudepartmentuwithuautempuofu101Fu(38C),usevereudiar
rhea,ublurreduvision,uandutinnitus.uHowushouldutheunurseuinterpretutheseusymptoms?u
A.uSymptomsuindicateuconsumptionuofufoodsuhighuinutyramine.
B.uSymptomsuindicateulithiumucarbonateudiscontinuationusyndrome.u

, C.uSymptomsuindicateutheudevelopmentuofulithiumucarbonateutolerance.u
D.uSymptomsuindicateulithiumucarbonateutoxicity.u-uCORRECTuuANSWER-Answer:
D.uSymptomsuindicateulithiumucarbonateutoxicity.u(0.6-
1.2unormalurange.ublurreduvisionuandutinnitusuisumostuobviousuclue)

AuclientudiagnoseduwithuBPudisorderuisuexhibitingusevereumanicubehaviors.uAuphysicianupre
scribesulithiumucarbonateu(Eskalith)uanduolanzapineu(Zyprexa).uTheuclient'suspouseuquesti
onsutheuZyprexauorder.uWhichuisutheuappropriateunursinguresponse?
A.u"ZyprexauinucombinationuwithuEskalithucuresumanicusymptoms."
B.u"Zyprexaupreventsuextrapyramidalusideueffects."
C.u"Zyprexauensuresuaugoodunight'susleep."
D.u"ZyprexaucalmsuhyperactivityuuntilutheuEskalithutakesueffect."u-uCORRECTuuANSWER-
Answer:u
D.u"ZyprexaucalmsuhyperactivityuuntilutheuEskalithutakesueffect."
(whenuitucomesutoupsychumeds,uitutakesu4-
6uwksutouseeueffect.uGiveuZyprexauasuaubridgeuuntiluLithiumutakesuinueffect."

AuclientudiagnoseduwithuBPudisorder:umanicuepisodeurefusesutoutakeulithiumucarbonateudue
utouexcessiveuweightugain.uinuorderutouincreaseucompliance,uwhichumedicationushoulduaunur

seuanticipateuthatuauphysicianuwilluprescribe?
A.uSertralineu(Zoloft)
B.uValporicuacidu(Depakote)
C.uTrazodoneu(Desyrel)
D.uParoxetineu(Paxil)u-uCORRECTuuANSWER-Answer:u
B.uValporicuacidu(Depakote)u
(prescribedutouhelpuwithuweightuloss.)

Auclientudiagnoseduwithubulimiaunervosauhasubeenuattendinguaumentaluhealthuclinicuforusev
eralumonths.uWhichufactorushoulduaunurseuidentifyuasuanuappropriateuindicatoruofuaupositiveu
clientubehavioraluchange?
A.uTheuclientugainedu2upoundsuinu1uwk
B.uTheuclientufocuseduconversationsuonunutritiousufood
C.uTheuclientudemonstrateduhealthyucopingumechanismsuthatudecreaseduanxiety
D.uTheuclientuverbalizeduanuunderstandinguofutheuetiologyuofutheudisorderu-
uCORRECTuuANSWER-Answer:

C.uTheuclientudemonstrateduhealthyucopingumechanismsuthatudecreaseduanxiety

Auclientudiagnoseduwithumajorudepressionuwithupsychoticufeaturesuhearsuvoicesucommandi
nguself-
harm.uAunurseuisuunableutouelicituaucontractuforusafety.uWhatushouldubeutheunurse'supriorityui
nterventionuatuthisutime?u
A.uObtaininguanuorderuforulockeduseclusionuuntiluclientuisunoulongerusuicidal.u
B.uconductingu15-minuteuchecksutouensureusafety.u
C.uPlacingutheuclientuonuone-to-
oneuobservationuwhileucontinuingutoumonitorusuicidaluideations.u