HESI MENTAL HEALTH EXAM QUIZ
WITH VERIFIED CORRECT ANSWERS
Practice |exam
1. A |30-year-old |sales |manager |tells |the |nurse, |"I |am |thinking |about |a |job |change. |I |don't |feel
|like |I |am |living |up |to |my |potential." |Which |of |Maslow's |developmental |stages |is |the |sales
|manager |attempting |to |achieve?
A. Self-Actualization.
B. Loving |and |Belonging.
C. Basic |Needs.
D. Safety |and |Security.
Answ:A
Self-actualization |is |the |highest |level |of |Maslow's |development |stages, |which |is |an |attempt |to |fulfill
|one's |full |potential |(C). |(B) |is |identifying |support |systems. |(C) |is |the |first |level |of |Maslow's
|developmental |stages |and |is |the |foundation |upon |which |higher |needs |rest. |Individuals |who |feel |safe
|and |secure |(D) |in |their |environment |perceive |themselves |as |having |physical |safety |and |lack |fear |of
|harm.
2. The |nurse |observes |a |client |who |is |admitted |to |the |mental |health |unit |and |identifies |that |the
|client |is |talking |continuously, |using |words |that |rhyme |but |that |have |no |context |or |relationship
|with |one |topic |to |the |next |in |the |conversation. |This |client's |behavior |and |thought |processes | are
|consistent |with |which |syndrome?
A. Dementia.
B. Depression.
C. Schizophrenia.
D. Chronic |brain |syndrome.
Answ:C
The |client |is |demonstrating |symptoms |of |schizophrenia |(C), |such |as |disorganized |speech |that |may
|include |word |salad |(communication |that |includes |both |real |and |imaginary |words |in |no |logical
,|order), |incoherent |speech, |and |clanging |(rhyming). |Dementia |(A) |is |a |global |impairment |of
|intellectual |(cognitive) |functions |that |may |be |progressive, |such |as |Alzheimer's |or |organic |brain
|syndrome |(D). |Depression |(C) |is |typified |by |psychomotor |retardation, |and |the |client |appears |to |be
|slowed |down |in |movement, |in |speech, |and |would |appear |listless |and |disheveled.
, 3. A |homeless |person |who |is |in |the |manic |phase |of |bipolar |disorder |is |admitted |to |the |mental
|health |unit. |Which |laboratory |finding |obtained |on |admission |is |most |important |for |the |nurse |to
|report |to |the |healthcare |provider?
A. Decreased |thyroid |stimulating |hormone |level.
B. Elevated |liver |function |profile.
C. Increased |white |blood |cell |count.
D. Decreased |hematocrit |and |hemoglobin |levels.
Answ:A
Hyperthyroidism |causes |an |increased |level |of |serum |thyroid |hormones |(T3 |and |T4), |which
|inhibit |the |release |of |TSH |(A), |so |the |client's |manic |behavior |may |be |related |to |an |endocrine
|disorder. |(B, |C, |and |D) |are |abnormal |findings |that |are |commonly |found |in |the |homeless
|population |because |of |poor |sanitation, |poor |nutrition, |and |the |prevalence |of |substance |abuse.
4. An |adult |male |client |who |was |admitted |to |the |mental |health |unit |yesterday |tells |the |nurse |that
|microchips |were |planted |in |his |head |for |military |surveillance |of |his |every |move. |Which |response
|is |best |for |the |nurse |to |provide?
A. You |are |in |the |hospital, |and |I |am |the |nurse |caring |for |you.
B. It |must |be |difficult |for |you |to |control |your |anxious |feelings.
C. Go |to |occupational |therapy |and |start |a |project.
D. You |are |not |in |a |war |area |now; |this |is |the |United |States.
Answ:C
Delusions |often |generate |fear |and |isolation, |so |the |nurse |should |help |the |client |participate |in
|activities |that |avoid |focusing |on |the |false |belief |and |encourage |interaction |with |others |(C).
|Delusions |are |often |well-fixed, |and |though |(A) |reinforces |reality, |it |is |argumentative |and |dismisses
|the |client's |fears. |It |is |often |difficult |for |the |client |to |recognize |the |relationship |between |delusions
|and |anxiety |(B), |and |the |nurse |should |reassure |the |client |that |he |is |in |a |safe |place.
Dismissing |delusional |thinking |(D) |is |unrealistic |because |neurochemical |imbalances |that |cause
|positive |symptoms |of |schizophrenia |require |antipsychotic |drug |therapy.
5. The |nurse |is |assessing |a |client's |intelligence. |Which |factor |should |the |nurse |remember
|during |this |part |of |the |mental |status |exam?
A. Acute |psychiatric |illnesses |impair |intelligence.
WITH VERIFIED CORRECT ANSWERS
Practice |exam
1. A |30-year-old |sales |manager |tells |the |nurse, |"I |am |thinking |about |a |job |change. |I |don't |feel
|like |I |am |living |up |to |my |potential." |Which |of |Maslow's |developmental |stages |is |the |sales
|manager |attempting |to |achieve?
A. Self-Actualization.
B. Loving |and |Belonging.
C. Basic |Needs.
D. Safety |and |Security.
Answ:A
Self-actualization |is |the |highest |level |of |Maslow's |development |stages, |which |is |an |attempt |to |fulfill
|one's |full |potential |(C). |(B) |is |identifying |support |systems. |(C) |is |the |first |level |of |Maslow's
|developmental |stages |and |is |the |foundation |upon |which |higher |needs |rest. |Individuals |who |feel |safe
|and |secure |(D) |in |their |environment |perceive |themselves |as |having |physical |safety |and |lack |fear |of
|harm.
2. The |nurse |observes |a |client |who |is |admitted |to |the |mental |health |unit |and |identifies |that |the
|client |is |talking |continuously, |using |words |that |rhyme |but |that |have |no |context |or |relationship
|with |one |topic |to |the |next |in |the |conversation. |This |client's |behavior |and |thought |processes | are
|consistent |with |which |syndrome?
A. Dementia.
B. Depression.
C. Schizophrenia.
D. Chronic |brain |syndrome.
Answ:C
The |client |is |demonstrating |symptoms |of |schizophrenia |(C), |such |as |disorganized |speech |that |may
|include |word |salad |(communication |that |includes |both |real |and |imaginary |words |in |no |logical
,|order), |incoherent |speech, |and |clanging |(rhyming). |Dementia |(A) |is |a |global |impairment |of
|intellectual |(cognitive) |functions |that |may |be |progressive, |such |as |Alzheimer's |or |organic |brain
|syndrome |(D). |Depression |(C) |is |typified |by |psychomotor |retardation, |and |the |client |appears |to |be
|slowed |down |in |movement, |in |speech, |and |would |appear |listless |and |disheveled.
, 3. A |homeless |person |who |is |in |the |manic |phase |of |bipolar |disorder |is |admitted |to |the |mental
|health |unit. |Which |laboratory |finding |obtained |on |admission |is |most |important |for |the |nurse |to
|report |to |the |healthcare |provider?
A. Decreased |thyroid |stimulating |hormone |level.
B. Elevated |liver |function |profile.
C. Increased |white |blood |cell |count.
D. Decreased |hematocrit |and |hemoglobin |levels.
Answ:A
Hyperthyroidism |causes |an |increased |level |of |serum |thyroid |hormones |(T3 |and |T4), |which
|inhibit |the |release |of |TSH |(A), |so |the |client's |manic |behavior |may |be |related |to |an |endocrine
|disorder. |(B, |C, |and |D) |are |abnormal |findings |that |are |commonly |found |in |the |homeless
|population |because |of |poor |sanitation, |poor |nutrition, |and |the |prevalence |of |substance |abuse.
4. An |adult |male |client |who |was |admitted |to |the |mental |health |unit |yesterday |tells |the |nurse |that
|microchips |were |planted |in |his |head |for |military |surveillance |of |his |every |move. |Which |response
|is |best |for |the |nurse |to |provide?
A. You |are |in |the |hospital, |and |I |am |the |nurse |caring |for |you.
B. It |must |be |difficult |for |you |to |control |your |anxious |feelings.
C. Go |to |occupational |therapy |and |start |a |project.
D. You |are |not |in |a |war |area |now; |this |is |the |United |States.
Answ:C
Delusions |often |generate |fear |and |isolation, |so |the |nurse |should |help |the |client |participate |in
|activities |that |avoid |focusing |on |the |false |belief |and |encourage |interaction |with |others |(C).
|Delusions |are |often |well-fixed, |and |though |(A) |reinforces |reality, |it |is |argumentative |and |dismisses
|the |client's |fears. |It |is |often |difficult |for |the |client |to |recognize |the |relationship |between |delusions
|and |anxiety |(B), |and |the |nurse |should |reassure |the |client |that |he |is |in |a |safe |place.
Dismissing |delusional |thinking |(D) |is |unrealistic |because |neurochemical |imbalances |that |cause
|positive |symptoms |of |schizophrenia |require |antipsychotic |drug |therapy.
5. The |nurse |is |assessing |a |client's |intelligence. |Which |factor |should |the |nurse |remember
|during |this |part |of |the |mental |status |exam?
A. Acute |psychiatric |illnesses |impair |intelligence.
