HESI 2025 MENTAL HEALTH FINAL ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES GRADED A+
A woman brings her 48-year-old husband to the outpatient psychiatric unit and describes his
behavior to the admitting nurse. She states that he has been sleepwalking, cannot remember
who he is, and exhibits multiple personalities. The nurse knows that these behaviors are often
associated with which condition?
a. Dissociative disorder.
b. Obsessive-compulsive disorder.
c. Panic disorder.
d. Post-traumatic stress syndrome.
A
Which diet selection by a depressed client taking tranylcypromine sulfate (Parnate), a MAO
inhibitor, indicates to the nurse that the client understands the dietary restrictions imposed by
this medication regimen?
a. Hamburger, French fries, and chocolate milkshake.
b. Liver and onions, broccoli, and decaffeinated coffee.
c. Pepperoni and cheese pizza, tossed salad, and soda.
d. Roast beef, baked potato with butter, and iced tea.
C
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 in to the 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 disturbances, the client shouts," I am the boss here. I do
what I want." Which nursing problem best supports these observations
-Risk for other related violence related to disruptive behavior
,A female client engages in repeated checks of door and window locks. Behavior that prevents
her from arriving on time and interferes with her ability to function effectively. What action should
the nurse take?
-plan a list of activities to be carried out daily
The nurse is preparing medications for a client with disorder and notices that the antipsychotic
medication was discontinued several days ago. Which medication should also be discontinued?
-Benztropine (Cogentin)
The nurse is teaching a client about the initiation of a prescribed abstinence therapy using
disulfiram (Antabuse). What information should the client acknowledge understanding
remain alcohol free for 12 hours prior to the first dose
A male client with bipolar disorder tells the nurse that he needs to "make some deals so that he
can improve his retirement savings." Based on this information, which client outcome should the
nurse include in the plan of care
delay business decisions until his mania subsides
teenaged girl self-induced vomiting
frequency of binging and purging behaviors
Pt is getting oriented to the unit and replies "there are no TVs in the room" What is the nurse's
best respond?
it is important to be out of your room and talking to others
,A male adult is admitted because of an acetaminophen (Tylenol) overdose. After transfer to the
mental health unit, the client is told he has liver damage. Which information is most important for
the nurse to include in the client's discharge plan?
-do not take any over the counter meds
The nurse 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 nurse that she
believes that the television talks to her. The nurse should document these assessment findings
in which section of the mental status exam?
insight and judgement
A client who has agoraphobia (a fear of crowds) is beginning desensitization with the therapist,
and the nurse is reinforcing the process. Which intervention has the highest priority for this
client's plan of care?
-establish trust by providing a calm, safe environment
ECT therapy is not working, patient is non responsive to treatment what question should the
nurse ask?
-
have you taken erectile dysfunction meds?
adolescent teen interrupts group about pets at home
-redirect him to read from materials
depressed patient in bed all weekend, nurse finds patient still in bed on her shift, what is the
best action to take?
-get client out of bed and active postpartum depression Sign & Symptoms (3)
-disturbed sleep, sadness, poor concentration
, ECT pretreatment teaching
NPO after midnight
client who refuses antipsychotic medication disrupt group activities nurse decides client needs
constant observation based on?
-wanders into client's room
recurrent negative symptoms of chronic schizophrenia and medication risperdal. walks laterally
contracted position, something has made his body contort
administer the prescribed anticholinergic benztropine (cogentin) for dystonia
depression remains in bed most of the day, declines activities and refuses meals
refusal to address nutritional needs
Victim of intimate partner violence what 3 things should you do? SELECT ALL THAT APPLY
(only 3 correct answers)
1.establish a code with family and friends to signify violence,
2.plan an escape route to use if the abuser blocks main exit,
3.have a bag ready that has extra clothes for self and children
patient taking sertraline (zoloft) for postpartum depression, nursing teaching
contact healthcare provider if having suicidal thoughts (black box warning)
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES GRADED A+
A woman brings her 48-year-old husband to the outpatient psychiatric unit and describes his
behavior to the admitting nurse. She states that he has been sleepwalking, cannot remember
who he is, and exhibits multiple personalities. The nurse knows that these behaviors are often
associated with which condition?
a. Dissociative disorder.
b. Obsessive-compulsive disorder.
c. Panic disorder.
d. Post-traumatic stress syndrome.
A
Which diet selection by a depressed client taking tranylcypromine sulfate (Parnate), a MAO
inhibitor, indicates to the nurse that the client understands the dietary restrictions imposed by
this medication regimen?
a. Hamburger, French fries, and chocolate milkshake.
b. Liver and onions, broccoli, and decaffeinated coffee.
c. Pepperoni and cheese pizza, tossed salad, and soda.
d. Roast beef, baked potato with butter, and iced tea.
C
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 in to the 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 disturbances, the client shouts," I am the boss here. I do
what I want." Which nursing problem best supports these observations
-Risk for other related violence related to disruptive behavior
,A female client engages in repeated checks of door and window locks. Behavior that prevents
her from arriving on time and interferes with her ability to function effectively. What action should
the nurse take?
-plan a list of activities to be carried out daily
The nurse is preparing medications for a client with disorder and notices that the antipsychotic
medication was discontinued several days ago. Which medication should also be discontinued?
-Benztropine (Cogentin)
The nurse is teaching a client about the initiation of a prescribed abstinence therapy using
disulfiram (Antabuse). What information should the client acknowledge understanding
remain alcohol free for 12 hours prior to the first dose
A male client with bipolar disorder tells the nurse that he needs to "make some deals so that he
can improve his retirement savings." Based on this information, which client outcome should the
nurse include in the plan of care
delay business decisions until his mania subsides
teenaged girl self-induced vomiting
frequency of binging and purging behaviors
Pt is getting oriented to the unit and replies "there are no TVs in the room" What is the nurse's
best respond?
it is important to be out of your room and talking to others
,A male adult is admitted because of an acetaminophen (Tylenol) overdose. After transfer to the
mental health unit, the client is told he has liver damage. Which information is most important for
the nurse to include in the client's discharge plan?
-do not take any over the counter meds
The nurse 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 nurse that she
believes that the television talks to her. The nurse should document these assessment findings
in which section of the mental status exam?
insight and judgement
A client who has agoraphobia (a fear of crowds) is beginning desensitization with the therapist,
and the nurse is reinforcing the process. Which intervention has the highest priority for this
client's plan of care?
-establish trust by providing a calm, safe environment
ECT therapy is not working, patient is non responsive to treatment what question should the
nurse ask?
-
have you taken erectile dysfunction meds?
adolescent teen interrupts group about pets at home
-redirect him to read from materials
depressed patient in bed all weekend, nurse finds patient still in bed on her shift, what is the
best action to take?
-get client out of bed and active postpartum depression Sign & Symptoms (3)
-disturbed sleep, sadness, poor concentration
, ECT pretreatment teaching
NPO after midnight
client who refuses antipsychotic medication disrupt group activities nurse decides client needs
constant observation based on?
-wanders into client's room
recurrent negative symptoms of chronic schizophrenia and medication risperdal. walks laterally
contracted position, something has made his body contort
administer the prescribed anticholinergic benztropine (cogentin) for dystonia
depression remains in bed most of the day, declines activities and refuses meals
refusal to address nutritional needs
Victim of intimate partner violence what 3 things should you do? SELECT ALL THAT APPLY
(only 3 correct answers)
1.establish a code with family and friends to signify violence,
2.plan an escape route to use if the abuser blocks main exit,
3.have a bag ready that has extra clothes for self and children
patient taking sertraline (zoloft) for postpartum depression, nursing teaching
contact healthcare provider if having suicidal thoughts (black box warning)
