HESI Mental Health Exam With 100% Corre
b b b b b b
ct Answers 2023
b b
Ab-bCorrectbAnswer-
Whilebinterviewingbabclient,bthebnursebtakesbnotesbtobassistbwithbaccuratebdocumentationblater.bWhichbsta
tementbisbmostbaccuratebregardingbnote-takingbduringbanbinterview?
A.bThebnurse'babilitybtobdirectlybobservebthebclient'sbnonverbalbcommunicationbisblimited
withbnotebtaking.
b
B.bTakingbnotesbduringbanbinterviewbisbablegalbobligationbofbthebexaminingbnurse.
C.bThebclient'sbcomfortblevelbisbincreasedbwhenbthebnursebbreaksbeyebcontactbtobtakebnotebtobtakebnote.
D.bThebinterviewbprocessbisbenhancedbwithbnotebtakingbandballowsbthebclientbspeakbatbnormalbpace.
Bb-bCorrectbAnswer-
Anbadolescentbmalebreceivesbabprescriptionbforbanbantidepressantbdrugbbecausebhebisbexhibitingbabdepress
edbaffect.bWhilebthebclientbisbtakingbthebantidepressant,bwhichbcomparisonbofbthebclient'sbbehaviorbbeforeb
andbafterbtakingbthebdrugbisbmostbimportantbforbthebnursebtobobtain?
A.bHisbappetite.
B.bThebemotionalbqualitybofbhisbattitude
C.bHisblevelbofbactivity.
D.bThebinteractionsbhebhasbwithbothers.
BbCbDb-bCorrectbAnswer-
Abnursebisbprovidingbeducationbaboutbstrategiesbforbabsafetybplanbforbabfemalebclientbwhobisbabvictimbofbinti
matebpartnerbviolence.bWhichbstrategiesbshouldbbebincludedbinbthebsafetybplan?bSelectballbthatbapply.
A.bPurchasebabgunbtobusebforbprotection
B.bEstablishbabcodebwithbfamilybandbfriendsbtobsignifybviolence.
C.bPlanbanbescapebroutebtobusebifbthebabuserbblocksbthebmainbexit.
D.bHavebabbagbreadybthatbhasbextrabclothesbforbselfbandbchildren
Bb-bCorrectbAnswer-
Whilebsittingbinbthebdayroombofbthebmentalbhealthbunit,babmalebadolescentbavoidsbeyebcontact,blooksbatbth
,ebfloor,bandbtalksbsoftlybwhenbinteractingbverballybwithbthebnurse.bThebtwobtradebplaces,bandbthebnursebde
monstratebthebclient'sbbehavior.bWhatbisbthebmainbgoalbofbthisbtherapeuticbtechniques?
A.bDiscussbthebclient'sbfeelingbwhenbhebresponds.
B.bAllowbthebclientbtobidentifybthebwaybhebinteracts.
C.bInitiatebabnon-threateningbconversationbwithbthebclient.
D.bDialogbaboutbthebineffectivenessbofbhisbinteractions.)
Cb-bCorrectbAnswer-
Abclientbwithbdepressionbremainsbinbbedbmostbofbthebday,bandbdeclinesbactivities.bWhichbnursingbproblemb
hasbthebgreatestbprioritybforbthisbclient?
A.bLossbofbinterestbinbdiversionalbactivity.
B.bSocialbisolation.
C.bRefusalbtobaddressbnutritionalbneeds.
D.bLowbself-esteem.
Bb-bCorrectbAnswer-
ThebRNbisbpreparingbmedicationsbforbabclientbwithbbipolarbdisorderbandbnoticesbthatbthebclientbdiscontinue
dbantipsychoticbmedicationbforbseveralbdays.bWhichbmedicationbshouldbalsobbebdiscontinued?
a.bLithium.b(Lithotabs)
b.bBenzotropineb(Cogentin).
c.bAlprazolamb(Xanax).
d.bMagnesiumb(MilkbofbMagnesia).
Ab-bCorrectbAnswer-
Abfemalebclientbrequestsbthatbherbhusbandbbeballowedbtobstaybinbthebroombduringbthebadmissionbassessm
ent.bWhenbinterviewingbthebclient,bthebRNbnotesbabdiscrepancybbetweenbthebclient'sbverbalbandbnonverbal
bcommunication.bWhatbactionbdoesbthebRNbtake?
A.bPaybclosebattentionbandbdocumentbthebnonverbalbmessages.
B.bAskbthebclient'sbhusbandbtobinterpretbthebdiscrepancy.
C.bIgnorebthebnonverbalbbehaviorbandbfocusbonbthebclient'sbverbalbmessages.
D.bIntegratebthebverbalbandbnonverbalbmessagesbandbinterpretbthembasbone.
,Bb-bCorrectbAnswer-
AbmalebclientbapproachesbthebRNbwithbanbangrybexpressionbonbhisbfacebandbraisesbhisbvoice,bsayingb"Mybro
ommatebisbthebmostbselfish,bself-
centered,bangrybpersonbIbhavebeverbmet.bIfbheblosesbhisbtemperbonebmorebtimebwithbme,bIbambgoingbtobpu
nchbhimbout!"bThebRNbrecognizesbthatbthebclientbisbusingbwhichbdefensebmechanism?
A.bDenial.
B.bProjection.
C.bRationalization.b
D.bSplitting.
Ab-bCorrectbAnswer-
Abmalebclientbwithbbipolarbdisorderbwhobbeganbtakingblithiumbcarbonatebfivebdaysbagobisbcomplainingbofbe
xcessivebthirst,bandbthebRNbfindsbhimbattemptingbtobdrinkbwaterbfrombthebbathroombsinkbfaucet.bWhichbint
erventionbshouldbthebRNbimplement?
A.bReportbthebclient'sbserumblithiumblevelbtobthebHCP.
B.bEncouragebthebclientbtobsuckbonbhardbcandybtobrelievebthebsymptoms.
C.bNobactionbisbneededbsincebpolydipsiabisbabcommonbsidebeffect.
D.bTellbthebclientbthatbdrinkingbfrombthebfaucetbisbnotballowed.
Bb-bCorrectbAnswer-
ThebRNbisbteachingbabclientbaboutbthebinitiationbofbthebprescribedbabstinencebtherapybusingbdisulfiramb(An
tabuse).bWhatbinformationbshouldbthebclientbacknowledgebunderstanding?
A.bCompletelybabstainbfrombheroinborbcocainebuse.
B.bRemainbalcoholbfreebforb12bhoursbpriorbtobthebfirstbdose.
C.bAttendbmonthlybmeetingsbofbalcoholicsbanonymous.
D.bAdmitbtobothersbthatbhebisbabsubstancebuser.
Db-bCorrectbAnswer-
Abmalebclientbwithbschizophreniabisbadmittedbtobthebmentalbhealthbunitbafterbabruptlybstoppingbhisbprescri
ptionbforbziprasidoneb(Geodon)bonebmonthbago.bWhichbquestionbisbmostbimportantbforbthebRNbtobaskbtheb
client?
A.bHavebyoublostbinterestbinbthebthingsbthatbyoubusedbtobenjoy?
B.bIsbyourbabilitybtobthinkborbconcentratebdecreased?
, C.bHowbmanybcontinuousbhoursbdobyoubsleepbatbnight?
D.bDobyoubhearbsoundsborbvoicesbthatbothersbdobnotbhear?
Db-bCorrectbAnswer-
DuringbanbannualbphysicalbbybtheboccupationalbRNbworkingbinbabcorporatebclinic,babmalebemployeebtellsbth
ebRNbthatbisbhigh-
stressbjobbisbcausingbtroublebinbhisbpersonalblife.bHebfurtherbexplainsbthatbheboftenbgetsbsobangrybwhilebdriv
ingbtobandbfrombworkbthatbhebhasbconsideredb"gettingbeven"bwithbotherbdrivers.bHowbshouldbthebRNbrespo
nd?
A.b"Angerbisbcontagiousbandbcouldbresultbinbmajorbconfrontation."
B.b"Trybnotbtobletbyourbangerbcausebyoubtobactbimpulsively."
C.b"Expressingbyourbangerbtobabstrangerbcouldbresultbinbanbunsafebsituation."
D.b"Itbsoundsbasbifbtherebarebmanybsituationsbthatbmakebyoubfeelbangry."
Bb-bCorrectbAnswer-
Abclientbwhobhasbagoraphobiab(abfearbofbcrowds)bisbbeginningbdesensitizationbwithbthebtherapist,bandbtheb
RNbisbreinforcingbthebprocess.bWhichbinterventionbhasbthebhighestbprioritybforbthisbclient'sbplanbofbcare?
A.bEncouragebsubstitutionbofbpositivebthoughtsbandbnegativebones.
B.bEstablishbtrustbbybprovidingbabcalm,bsafebenvironment.
C.bProgressivelybexposebthebclientbtoblargerbcrowds.
D.bEncouragebdeepbbreathingbwhenbanxietybescalatesbinbabcrowd.
AbDbEb-bCorrectbAnswer-Whichbnursingbactionsbareblikelybtobhelpbpromotebthebself-
esteembofbabmalebclientbwithbmodernbdepression?
A.bAskbthebclientbwhatbhisblongbtermbgoalsbare.
B.bDiscussbthebchallengesbofbhisbmedicalbcondition.
C.bIncludebthebclientbinbdeterminingbtreatmentbprotocol.
D.bEncouragebthebclientbtobengagebinbrecreationalbtherapy.
E.bProvidebopportunitiesbforbthebclientbtobdiscussbhisbconcerns.
Db-bCorrectbAnswer-
Abmalebclientbisbadmittedbtobthebpsychiatricbunitbforbrecurrentbnegativebsymptomsbofbchronicbschizophreni
b b b b b b
ct Answers 2023
b b
Ab-bCorrectbAnswer-
Whilebinterviewingbabclient,bthebnursebtakesbnotesbtobassistbwithbaccuratebdocumentationblater.bWhichbsta
tementbisbmostbaccuratebregardingbnote-takingbduringbanbinterview?
A.bThebnurse'babilitybtobdirectlybobservebthebclient'sbnonverbalbcommunicationbisblimited
withbnotebtaking.
b
B.bTakingbnotesbduringbanbinterviewbisbablegalbobligationbofbthebexaminingbnurse.
C.bThebclient'sbcomfortblevelbisbincreasedbwhenbthebnursebbreaksbeyebcontactbtobtakebnotebtobtakebnote.
D.bThebinterviewbprocessbisbenhancedbwithbnotebtakingbandballowsbthebclientbspeakbatbnormalbpace.
Bb-bCorrectbAnswer-
Anbadolescentbmalebreceivesbabprescriptionbforbanbantidepressantbdrugbbecausebhebisbexhibitingbabdepress
edbaffect.bWhilebthebclientbisbtakingbthebantidepressant,bwhichbcomparisonbofbthebclient'sbbehaviorbbeforeb
andbafterbtakingbthebdrugbisbmostbimportantbforbthebnursebtobobtain?
A.bHisbappetite.
B.bThebemotionalbqualitybofbhisbattitude
C.bHisblevelbofbactivity.
D.bThebinteractionsbhebhasbwithbothers.
BbCbDb-bCorrectbAnswer-
Abnursebisbprovidingbeducationbaboutbstrategiesbforbabsafetybplanbforbabfemalebclientbwhobisbabvictimbofbinti
matebpartnerbviolence.bWhichbstrategiesbshouldbbebincludedbinbthebsafetybplan?bSelectballbthatbapply.
A.bPurchasebabgunbtobusebforbprotection
B.bEstablishbabcodebwithbfamilybandbfriendsbtobsignifybviolence.
C.bPlanbanbescapebroutebtobusebifbthebabuserbblocksbthebmainbexit.
D.bHavebabbagbreadybthatbhasbextrabclothesbforbselfbandbchildren
Bb-bCorrectbAnswer-
Whilebsittingbinbthebdayroombofbthebmentalbhealthbunit,babmalebadolescentbavoidsbeyebcontact,blooksbatbth
,ebfloor,bandbtalksbsoftlybwhenbinteractingbverballybwithbthebnurse.bThebtwobtradebplaces,bandbthebnursebde
monstratebthebclient'sbbehavior.bWhatbisbthebmainbgoalbofbthisbtherapeuticbtechniques?
A.bDiscussbthebclient'sbfeelingbwhenbhebresponds.
B.bAllowbthebclientbtobidentifybthebwaybhebinteracts.
C.bInitiatebabnon-threateningbconversationbwithbthebclient.
D.bDialogbaboutbthebineffectivenessbofbhisbinteractions.)
Cb-bCorrectbAnswer-
Abclientbwithbdepressionbremainsbinbbedbmostbofbthebday,bandbdeclinesbactivities.bWhichbnursingbproblemb
hasbthebgreatestbprioritybforbthisbclient?
A.bLossbofbinterestbinbdiversionalbactivity.
B.bSocialbisolation.
C.bRefusalbtobaddressbnutritionalbneeds.
D.bLowbself-esteem.
Bb-bCorrectbAnswer-
ThebRNbisbpreparingbmedicationsbforbabclientbwithbbipolarbdisorderbandbnoticesbthatbthebclientbdiscontinue
dbantipsychoticbmedicationbforbseveralbdays.bWhichbmedicationbshouldbalsobbebdiscontinued?
a.bLithium.b(Lithotabs)
b.bBenzotropineb(Cogentin).
c.bAlprazolamb(Xanax).
d.bMagnesiumb(MilkbofbMagnesia).
Ab-bCorrectbAnswer-
Abfemalebclientbrequestsbthatbherbhusbandbbeballowedbtobstaybinbthebroombduringbthebadmissionbassessm
ent.bWhenbinterviewingbthebclient,bthebRNbnotesbabdiscrepancybbetweenbthebclient'sbverbalbandbnonverbal
bcommunication.bWhatbactionbdoesbthebRNbtake?
A.bPaybclosebattentionbandbdocumentbthebnonverbalbmessages.
B.bAskbthebclient'sbhusbandbtobinterpretbthebdiscrepancy.
C.bIgnorebthebnonverbalbbehaviorbandbfocusbonbthebclient'sbverbalbmessages.
D.bIntegratebthebverbalbandbnonverbalbmessagesbandbinterpretbthembasbone.
,Bb-bCorrectbAnswer-
AbmalebclientbapproachesbthebRNbwithbanbangrybexpressionbonbhisbfacebandbraisesbhisbvoice,bsayingb"Mybro
ommatebisbthebmostbselfish,bself-
centered,bangrybpersonbIbhavebeverbmet.bIfbheblosesbhisbtemperbonebmorebtimebwithbme,bIbambgoingbtobpu
nchbhimbout!"bThebRNbrecognizesbthatbthebclientbisbusingbwhichbdefensebmechanism?
A.bDenial.
B.bProjection.
C.bRationalization.b
D.bSplitting.
Ab-bCorrectbAnswer-
Abmalebclientbwithbbipolarbdisorderbwhobbeganbtakingblithiumbcarbonatebfivebdaysbagobisbcomplainingbofbe
xcessivebthirst,bandbthebRNbfindsbhimbattemptingbtobdrinkbwaterbfrombthebbathroombsinkbfaucet.bWhichbint
erventionbshouldbthebRNbimplement?
A.bReportbthebclient'sbserumblithiumblevelbtobthebHCP.
B.bEncouragebthebclientbtobsuckbonbhardbcandybtobrelievebthebsymptoms.
C.bNobactionbisbneededbsincebpolydipsiabisbabcommonbsidebeffect.
D.bTellbthebclientbthatbdrinkingbfrombthebfaucetbisbnotballowed.
Bb-bCorrectbAnswer-
ThebRNbisbteachingbabclientbaboutbthebinitiationbofbthebprescribedbabstinencebtherapybusingbdisulfiramb(An
tabuse).bWhatbinformationbshouldbthebclientbacknowledgebunderstanding?
A.bCompletelybabstainbfrombheroinborbcocainebuse.
B.bRemainbalcoholbfreebforb12bhoursbpriorbtobthebfirstbdose.
C.bAttendbmonthlybmeetingsbofbalcoholicsbanonymous.
D.bAdmitbtobothersbthatbhebisbabsubstancebuser.
Db-bCorrectbAnswer-
Abmalebclientbwithbschizophreniabisbadmittedbtobthebmentalbhealthbunitbafterbabruptlybstoppingbhisbprescri
ptionbforbziprasidoneb(Geodon)bonebmonthbago.bWhichbquestionbisbmostbimportantbforbthebRNbtobaskbtheb
client?
A.bHavebyoublostbinterestbinbthebthingsbthatbyoubusedbtobenjoy?
B.bIsbyourbabilitybtobthinkborbconcentratebdecreased?
, C.bHowbmanybcontinuousbhoursbdobyoubsleepbatbnight?
D.bDobyoubhearbsoundsborbvoicesbthatbothersbdobnotbhear?
Db-bCorrectbAnswer-
DuringbanbannualbphysicalbbybtheboccupationalbRNbworkingbinbabcorporatebclinic,babmalebemployeebtellsbth
ebRNbthatbisbhigh-
stressbjobbisbcausingbtroublebinbhisbpersonalblife.bHebfurtherbexplainsbthatbheboftenbgetsbsobangrybwhilebdriv
ingbtobandbfrombworkbthatbhebhasbconsideredb"gettingbeven"bwithbotherbdrivers.bHowbshouldbthebRNbrespo
nd?
A.b"Angerbisbcontagiousbandbcouldbresultbinbmajorbconfrontation."
B.b"Trybnotbtobletbyourbangerbcausebyoubtobactbimpulsively."
C.b"Expressingbyourbangerbtobabstrangerbcouldbresultbinbanbunsafebsituation."
D.b"Itbsoundsbasbifbtherebarebmanybsituationsbthatbmakebyoubfeelbangry."
Bb-bCorrectbAnswer-
Abclientbwhobhasbagoraphobiab(abfearbofbcrowds)bisbbeginningbdesensitizationbwithbthebtherapist,bandbtheb
RNbisbreinforcingbthebprocess.bWhichbinterventionbhasbthebhighestbprioritybforbthisbclient'sbplanbofbcare?
A.bEncouragebsubstitutionbofbpositivebthoughtsbandbnegativebones.
B.bEstablishbtrustbbybprovidingbabcalm,bsafebenvironment.
C.bProgressivelybexposebthebclientbtoblargerbcrowds.
D.bEncouragebdeepbbreathingbwhenbanxietybescalatesbinbabcrowd.
AbDbEb-bCorrectbAnswer-Whichbnursingbactionsbareblikelybtobhelpbpromotebthebself-
esteembofbabmalebclientbwithbmodernbdepression?
A.bAskbthebclientbwhatbhisblongbtermbgoalsbare.
B.bDiscussbthebchallengesbofbhisbmedicalbcondition.
C.bIncludebthebclientbinbdeterminingbtreatmentbprotocol.
D.bEncouragebthebclientbtobengagebinbrecreationalbtherapy.
E.bProvidebopportunitiesbforbthebclientbtobdiscussbhisbconcerns.
Db-bCorrectbAnswer-
Abmalebclientbisbadmittedbtobthebpsychiatricbunitbforbrecurrentbnegativebsymptomsbofbchronicbschizophreni
