HESI PSYCHIATRIC/MENTAL HEALTH PRACTICE EXAM WITH WELL DETAILED QUESTION & ANSWERS PERFECTLY A+ GRADED WITH RATIONALE

HESI PSYCHIATRIC/MENTAL HEALTH PRACTICE EXAM WITH
WELL DETAILED QUESTION & ANSWERS PERFECTLY A+
GRADED WITH RATIONALE




A female client is anxious about a scheduled diagnostic procedure and keeps asking the same
question of every staff person. How should the practical nurse respond?



A) Encourage the client to watch television as a distraction.

B) Reinforce with the client the need for the procedure regardless.

C) Affirm the client's anxiety and ask if she wants to talk.

D) Reassure the client that the procedure is performed for others every day. CORRECT
ANSWER>>>>C) Affirm the client's anxiety and ask if she wants to talk.



Which behavior should the practical nurse identify as aggressive in a client who is admitted to
the mental health unit?



A) Acts passive when personal rights are challenged.

B) Uses statements that express feelings of victimization.

C) Verbally attacks and demeans peers in group settings.

,D) Addresses others with Mister or Misses before last name. CORRECT
ANSWER>>>>C) Verbally attacks and demeans peers in group settings.



A male client arrives at the mental health clinic and tells the practical nurse (PN) that he is
overwhelmed and does not know who to talk to about his life. Based on the client's comments,
what aspect of the client's life should the practical nurse explore first with the client?



A) Coping mechanisms.

B) Problem resolution.

C) Support system.

D) Perception of the event. CORRECT ANSWER>>>>C) Support system.



A confused male client who unexpectedly becomes agitated and combative, raises his fist and
threatens a female practical nurse (PN) stating that he is going to bash in her face. What action
should the PN take?



A) Activate the de-escalation response team.

B) Administer a PRN antianxiety agent.

C) Tell the client his behavior is not acceptable.

D) Summon the in-house security guard. CORRECT ANSWER>>>>A) Activate the de-
escalation response team.



The practical nurse (PN) is caring for a female client with borderline personality disorder and a
history of self-mutilation. The client tells the PN that another staff member makes her feel angry
and unimportant. What priority intervention should the PN implement?

, A) Tell the client that she will be secluded if she acts out.

B) Give the client a reward for expressing her anger.

C) Explain that she should cope by doing something physical.

D) Ask her if she feels like hurting herself when she is angry. CORRECT ANSWER>>>>D)
Ask her if she feels like hurting herself when she is angry.



Which drug is commonly prescribed for a client with attention-deficit hyperactivity disorder
(ADHD)?



A) Haloperidol (Haldol).

B) Imipramine (Tofranil).

C) Fluphenazine (Prolixin).

D) Methylphenidate (Ritalin). CORRECT ANSWER>>>>D) Methylphenidate (Ritalin).



A male client is admitted to a drug rehabilitation program for chronic cocaine abuse. Which
nursing problem should the practical nurse consider is the client's highest priority?



A) Risk for noncompliance related to chronic drug use.

B) Risk for self-violence related to suicidal depression.

C) Sensory perceptual alteration related to stimulant drug use.

D) Risk for other-directed violence related to underlying personality disorder. CORRECT
ANSWER>>>>B) Risk for self-violence related to suicidal depression.



What is the primary purpose for the practical nurse (PN) to use therapeutic communication?