Mental Health/Psych HESI Review Questions (50 Q study with rationale) 2025
ANS: B
Anxiety over participation in a group and testing of the leader
characteristically occur in the initial phase of group dynamics. (B)
provides information and refocuses the group to defining its
function. (A) is manipulative bargaining. (C) does not focus the
At the first meeting of a group at group on its purpose or task. (D) is interpreting the client's feelings
a daycare center for older adults, and is almost challenging.
the nurse asks one of the
members what kinds of things the
client would like to do with the
group. The older adult shrugs
and says, "You tell me. You're the
leader." What would be the best
response for the nurse to make?
A."Yes, I am the leader today.
Would you like to be the leader
tomorrow?"
B."Yes, I will be leading this
group. What would you like to
accomplish?"
C."Yes, I have been assigned to
lead this group. I will be here for
the next 6 weeks."
D. "Yes, I am the leader. You
seem angry about not being the
leader yourself."
1 of 31
,Mental Health/Psych HESI Review Questions (50 Q study with rationale) 2025
ANS: B
Although these are expected symptoms, the health care provider
should be notified prior to the next administration of the drug (B).
Early side effects of lithium carbonate (occurring with serum lithium
A client who is being treated with levels below 2 mEq/L) generally follow a progressive pattern,
lithium carbonate for manic beginning with diarrhea, vomiting, drowsiness, and muscular
depression begins to develop weakness (C). At higher levels, ataxia, tinnitus, blurred vision, and
diarrhea, vomiting, and large dilute urine output may occur. (A) will lower the lithium level.
drowsiness. Which action should (D) is not warranted.
the nurse take?
A. Notify the health care provider
immediately and force fluids.
B. Prior to giving the next dose,
notify the health care provider of
these symptoms.
C. Record the symptoms and
continue with medication as
prescribed.
D. Hold the medication and
refuse to administer additional
doses.
2 of 31
,Mental Health/Psych HESI Review Questions (50 Q study with rationale) 2025
ANS: A
Sleepwalking, amnesia, and multiple personalities are examples of
detaching emotional conflict from one's consciousness (A). (B) is
A woman brings her 48-year-old characterized by persistent, recurrent intrusive thoughts or urges
husband to the outpatient
(obsessions) that are unwilled and cannot be ignored and provoke
psychiatric unit and tells the impulsive acts (compulsions), such as constant and repeated hand
nurse that he has been
washing. (C) is an acute attack of anxiety characterized by
sleepwalking, cannot remember personality disorganization. (D) is reexperiencing a psychologically
who he is, and exhibits multiple terrifying or distressing event that is outside the usual range of
personalities. These behaviors
human experience such as war or rape.
are often associated with which
condition?
A. Dissociative disorder
B. Obsessive-compulsive
disorder
C. Panic disorder
D. Posttraumatic stress
syndrome
ANS: C
Hospitalization is needed if the client continues to hear voices
telling the client to do things that can cause self-harm (C). (A or B)
During a home visit, a client with do not require hospitalization unless symptoms become severe.
schizophrenia reports hearing The client should continue symptom management strategies (D) to
voices that tell the client to walk prevent hospitalization.
in the middle of the street. The
nurse records several statements
made by the client. Based on
which statement should the nurse
determine that the client needs
hospitalization?
A."Sometimes I take an extra one
of my pills when I hear the
voices."
B."The voices are louder when I
forget to take my medication. "
C."No matter what I do, I cannot
make the voices go away. "
D."I just try to tell the voices to
stop when they bother me. "
3 of 31
, Mental Health/Psych HESI Review Questions (50 Q study with rationale) 2025
ANS: B
The client is exhibiting manic behavior related to bipolar disorder,
and the nurse should redirect the client to activities that are
physically demanding (B) so that energy can be expended in a
An adult client who lives in a socially acceptable manner. Psychotic clients are not capable of
residential facility is mentally (A). When exhibiting acting-out behavior, the client is distracted
retarded and has a history of and (C) is difficult. (D) is likely to increase manic behaviors, such
bipolar disorder. During the past as mood swings and acting-out behaviors.
week, the client has refused to
wear clothes and frequently
exposes their body to other
residents. Which intervention
should the nurse implement?
A. Establish a one-to-one
relationship to discuss the
behavior.
B. Redirect the client to physically
demanding activities.
C. Encourage the client to
verbalize thoughts when acting
out.
D. Restrict social interactions with
other residents in the facility.
ANS: B
A client on the psychiatric unit Identification (B) is an attempt to be like someone or emulate the
seeks out a particular nurse and personality traits of another. (A) is substituting an unacceptable
imitates her mannerisms. Which feeling for one that is more socially acceptable. (C) is incorporating
defense mechanism does the the values or qualities of an admired person or group into one's
nurse recognize in this client? own ego structure. (D) is the involuntary exclusion of painful
thoughts or memories from one's awareness.
A.Sublimation
B.Identification
C.Introjection
D.Repression
4 of 31
ANS: B
Anxiety over participation in a group and testing of the leader
characteristically occur in the initial phase of group dynamics. (B)
provides information and refocuses the group to defining its
function. (A) is manipulative bargaining. (C) does not focus the
At the first meeting of a group at group on its purpose or task. (D) is interpreting the client's feelings
a daycare center for older adults, and is almost challenging.
the nurse asks one of the
members what kinds of things the
client would like to do with the
group. The older adult shrugs
and says, "You tell me. You're the
leader." What would be the best
response for the nurse to make?
A."Yes, I am the leader today.
Would you like to be the leader
tomorrow?"
B."Yes, I will be leading this
group. What would you like to
accomplish?"
C."Yes, I have been assigned to
lead this group. I will be here for
the next 6 weeks."
D. "Yes, I am the leader. You
seem angry about not being the
leader yourself."
1 of 31
,Mental Health/Psych HESI Review Questions (50 Q study with rationale) 2025
ANS: B
Although these are expected symptoms, the health care provider
should be notified prior to the next administration of the drug (B).
Early side effects of lithium carbonate (occurring with serum lithium
A client who is being treated with levels below 2 mEq/L) generally follow a progressive pattern,
lithium carbonate for manic beginning with diarrhea, vomiting, drowsiness, and muscular
depression begins to develop weakness (C). At higher levels, ataxia, tinnitus, blurred vision, and
diarrhea, vomiting, and large dilute urine output may occur. (A) will lower the lithium level.
drowsiness. Which action should (D) is not warranted.
the nurse take?
A. Notify the health care provider
immediately and force fluids.
B. Prior to giving the next dose,
notify the health care provider of
these symptoms.
C. Record the symptoms and
continue with medication as
prescribed.
D. Hold the medication and
refuse to administer additional
doses.
2 of 31
,Mental Health/Psych HESI Review Questions (50 Q study with rationale) 2025
ANS: A
Sleepwalking, amnesia, and multiple personalities are examples of
detaching emotional conflict from one's consciousness (A). (B) is
A woman brings her 48-year-old characterized by persistent, recurrent intrusive thoughts or urges
husband to the outpatient
(obsessions) that are unwilled and cannot be ignored and provoke
psychiatric unit and tells the impulsive acts (compulsions), such as constant and repeated hand
nurse that he has been
washing. (C) is an acute attack of anxiety characterized by
sleepwalking, cannot remember personality disorganization. (D) is reexperiencing a psychologically
who he is, and exhibits multiple terrifying or distressing event that is outside the usual range of
personalities. These behaviors
human experience such as war or rape.
are often associated with which
condition?
A. Dissociative disorder
B. Obsessive-compulsive
disorder
C. Panic disorder
D. Posttraumatic stress
syndrome
ANS: C
Hospitalization is needed if the client continues to hear voices
telling the client to do things that can cause self-harm (C). (A or B)
During a home visit, a client with do not require hospitalization unless symptoms become severe.
schizophrenia reports hearing The client should continue symptom management strategies (D) to
voices that tell the client to walk prevent hospitalization.
in the middle of the street. The
nurse records several statements
made by the client. Based on
which statement should the nurse
determine that the client needs
hospitalization?
A."Sometimes I take an extra one
of my pills when I hear the
voices."
B."The voices are louder when I
forget to take my medication. "
C."No matter what I do, I cannot
make the voices go away. "
D."I just try to tell the voices to
stop when they bother me. "
3 of 31
, Mental Health/Psych HESI Review Questions (50 Q study with rationale) 2025
ANS: B
The client is exhibiting manic behavior related to bipolar disorder,
and the nurse should redirect the client to activities that are
physically demanding (B) so that energy can be expended in a
An adult client who lives in a socially acceptable manner. Psychotic clients are not capable of
residential facility is mentally (A). When exhibiting acting-out behavior, the client is distracted
retarded and has a history of and (C) is difficult. (D) is likely to increase manic behaviors, such
bipolar disorder. During the past as mood swings and acting-out behaviors.
week, the client has refused to
wear clothes and frequently
exposes their body to other
residents. Which intervention
should the nurse implement?
A. Establish a one-to-one
relationship to discuss the
behavior.
B. Redirect the client to physically
demanding activities.
C. Encourage the client to
verbalize thoughts when acting
out.
D. Restrict social interactions with
other residents in the facility.
ANS: B
A client on the psychiatric unit Identification (B) is an attempt to be like someone or emulate the
seeks out a particular nurse and personality traits of another. (A) is substituting an unacceptable
imitates her mannerisms. Which feeling for one that is more socially acceptable. (C) is incorporating
defense mechanism does the the values or qualities of an admired person or group into one's
nurse recognize in this client? own ego structure. (D) is the involuntary exclusion of painful
thoughts or memories from one's awareness.
A.Sublimation
B.Identification
C.Introjection
D.Repression
4 of 31
