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HESI MENTAL HEALTH EXAM ACTUAL EXAM | ALL
QUESTIONS AND CORRECT ANSWERS (DETAILED
ANSWERS) | ALREADY GRADED A+ | VERIFIED ANSWERS |
LATEST VERSION 2025
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WGU Psych - C476: Psychosis Meds... ANCC Review Questions (PMHNP I... MENTAL HEALTH HE
22 terms Teacher 21 terms Teacher 84 terms
felixkahara Preview Kivwalu_Israel Preview PurityIreri22
The nurse completes a physical Determine how long the client has been hearing the voice and
assessment. When asked what what it is saying.
brought her to the hospital, the
client replies that things just Rationale: Determining if voices are being heard and the type of
aren't right and begins to cry. voices are priority. The nurse must assess the content of the
After further conversation, the auditory hallucinations for the presence of command
client describes her mood as hallucinations. Command hallucinations may be telling the client
very sad now. She rarely goes to harm herself or others.
out or invites friends to visit. She
admits that she feels like
strangers are saying bad things
about her. Sometimes she hears
a man's voice that is a little bit
scary.
What is the priority focused
nursing assessment?
The client is assessed by the Hearing a man's voice.
nurse, a social worker, and the Rationale: Auditory hallucinations are inconsistent with
healthcare provider (HCP). depression and are more likely to occur with psychoses.
Based on their assessments, However, clients may experience a psychotic depression in
hospitalization is recommended which there is evidence of psychosis.
for psychotic depression.
Which behavior is inconsistent
with depression?
See an expert-written answer!
,The nurse asks the client to sign Unable to meet basic self-care needs.
the consent for treatment. Rationale: Involuntary treatment can be initiated if the client is
unable to meet basic self-care needs in such a way that he or she
If the client refuses treatment, is a danger to self.
which behaviors justify short- States she has a plan to harm herself.
term involuntary treatment? Rationale: Short-term involuntary care may be initiated to protect
(Select all that apply. One, some, the client if she has a plan to harm herself. It can also be initiated
or all options may be correct.) if she presents an intentional danger to others.
The client signs the treatment Selective serotonin reuptake inhibitor (SSRI).
form and is admitted to the Rationale: Fluoxetine is an SSRI antidepressant.
mental health unit. During the
first days of hospitalization, she
begins antidepressant therapy
with fluoxetine 10 mg.
In what classification of drugs is
the antidepressant fluoxetine?
Increase availability of serotonin.
What is the major action of SSRI
Rationale: The major action of SSRIs is to selectively inhibit the
antidepressants?
reuptake of serotonin and increase the availability of serotonin.
The nurse understands that Tricyclics have more dangerous side effects.
SSRIs are now more widely Rationale: SSRIs are more widely prescribed than tricyclics
prescribed than tricyclics for because they have fewer side effects, and tricyclics can be lethal
antidepressant therapy. What is in an overdose because they are cardiotoxic.
the rationale?
See an expert-written answer!
Generally within 1 to 4 weeks.
When the client receives Rationale: In general, it takes 2 to 4 weeks for antidepressant
fluoxetine, the nurse must effects to begin. However, it depends on the individual, and
explain the purpose and when some clients may feel effects start as soon as 1 week or as late as
to expect therapeutic 4 weeks. It is suggested that depression occurs when a depletion
effectiveness. What should the of neurotransmitters in the synapse cause the transmitter
nurse tell the client regarding receptors to increase. As the antidepressants make more
when she will begin to feel less transmitters available, it takes the receptors several weeks to
depressed? return their numbers back to normal and allow normal synaptic
activity.
The nurse should be aware of Gastrointestinal disturbances.
common side effects of SSRI Rationale: GI disturbances such as nausea and diarrhea, as well
antidepressants such as as genitourinary side effects such as sexual dysfunction, are
fluoxetine. Which side effect common with SSRIs. SSRIs do not have significant
should be communicated to the anticholinergic, cardiovascular, or sedative side effects.
client that commonly occur in
clients who are taking SSRI
antidepressants?
, The client also begins an Risperidone will help the think more clearly.
atypical antipsychotic, Rationale: Antipsychotic medications target symptoms related to
risperidone, because she disorders of thinking such as psychosis and behaviors associated
reports hearing a "scary voice" with agitation and disorganization or speech and behavior.
upon admission. Although the
client remains very withdrawn
and noncommunicative, the
nurse must explain the purpose
of risperidone. Which
explanation is best?
The nurse is reviewing the Hypothyroidism can lead to feeling sluggish and depressed.
client's admission lab work on Rationale: Thyroid levels can help detect hypothyroidism, which
the third day of hospitalization. can lead to depression.
Admission labs include thyroid
profile, urinalysis, chemistry
panel, pregnancy test, urine
drug screen, and VDRL (RPR)
which tests for venereal disease.
A thyroid profile is important for
several reasons. What role do
thyroid levels play in
depression?
It is a screening test for syphilis.
The nurse understands that a Rationale: A VDRL (RPR) is a serum screening test for syphilis,
VDRL is routinely done on which can be undetected and dormant and can cause cognitive
admission for which reason? impairment in later stages. If the screening serum test is positive,
a more specific test is required to make the diagnosis of syphilis.
See an expert-written answer!
When the client awakens in the Help the client with daily activities.
morning, she sits for periods of Rationale: When a client is very depressed, it is necessary to
time at the edge of her bed. She assist with daily activities because the client has decreased
does not initiate combing her energy. Physical care is more important with severe depression.
hair, getting dressed, or going to
breakfast. Which intervention
should the nurse implement?
Since the client has decreased Plan a scheduled rest period.
energy, which additional Rationale: It is best to plan rest periods according to the client's
intervention should the nurse energy level because some clients feel best in the morning and
implement? others feel best in the evening.
Acknowledge the client's courage in seeking help, then offer to
As the nurse initially sit quietly with the client.
communicates with the client, Rationale: Offering nonjudgmental acceptance and
which communication technique companionship will help develop trust. Acknowledging the step
is important? the client took in seeking help may restore the client's sense of
control over her situation.
HESI MENTAL HEALTH EXAM ACTUAL EXAM | ALL
QUESTIONS AND CORRECT ANSWERS (DETAILED
ANSWERS) | ALREADY GRADED A+ | VERIFIED ANSWERS |
LATEST VERSION 2025
Save
Students also studied
Flashcard sets Study guides
WGU Psych - C476: Psychosis Meds... ANCC Review Questions (PMHNP I... MENTAL HEALTH HE
22 terms Teacher 21 terms Teacher 84 terms
felixkahara Preview Kivwalu_Israel Preview PurityIreri22
The nurse completes a physical Determine how long the client has been hearing the voice and
assessment. When asked what what it is saying.
brought her to the hospital, the
client replies that things just Rationale: Determining if voices are being heard and the type of
aren't right and begins to cry. voices are priority. The nurse must assess the content of the
After further conversation, the auditory hallucinations for the presence of command
client describes her mood as hallucinations. Command hallucinations may be telling the client
very sad now. She rarely goes to harm herself or others.
out or invites friends to visit. She
admits that she feels like
strangers are saying bad things
about her. Sometimes she hears
a man's voice that is a little bit
scary.
What is the priority focused
nursing assessment?
The client is assessed by the Hearing a man's voice.
nurse, a social worker, and the Rationale: Auditory hallucinations are inconsistent with
healthcare provider (HCP). depression and are more likely to occur with psychoses.
Based on their assessments, However, clients may experience a psychotic depression in
hospitalization is recommended which there is evidence of psychosis.
for psychotic depression.
Which behavior is inconsistent
with depression?
See an expert-written answer!
,The nurse asks the client to sign Unable to meet basic self-care needs.
the consent for treatment. Rationale: Involuntary treatment can be initiated if the client is
unable to meet basic self-care needs in such a way that he or she
If the client refuses treatment, is a danger to self.
which behaviors justify short- States she has a plan to harm herself.
term involuntary treatment? Rationale: Short-term involuntary care may be initiated to protect
(Select all that apply. One, some, the client if she has a plan to harm herself. It can also be initiated
or all options may be correct.) if she presents an intentional danger to others.
The client signs the treatment Selective serotonin reuptake inhibitor (SSRI).
form and is admitted to the Rationale: Fluoxetine is an SSRI antidepressant.
mental health unit. During the
first days of hospitalization, she
begins antidepressant therapy
with fluoxetine 10 mg.
In what classification of drugs is
the antidepressant fluoxetine?
Increase availability of serotonin.
What is the major action of SSRI
Rationale: The major action of SSRIs is to selectively inhibit the
antidepressants?
reuptake of serotonin and increase the availability of serotonin.
The nurse understands that Tricyclics have more dangerous side effects.
SSRIs are now more widely Rationale: SSRIs are more widely prescribed than tricyclics
prescribed than tricyclics for because they have fewer side effects, and tricyclics can be lethal
antidepressant therapy. What is in an overdose because they are cardiotoxic.
the rationale?
See an expert-written answer!
Generally within 1 to 4 weeks.
When the client receives Rationale: In general, it takes 2 to 4 weeks for antidepressant
fluoxetine, the nurse must effects to begin. However, it depends on the individual, and
explain the purpose and when some clients may feel effects start as soon as 1 week or as late as
to expect therapeutic 4 weeks. It is suggested that depression occurs when a depletion
effectiveness. What should the of neurotransmitters in the synapse cause the transmitter
nurse tell the client regarding receptors to increase. As the antidepressants make more
when she will begin to feel less transmitters available, it takes the receptors several weeks to
depressed? return their numbers back to normal and allow normal synaptic
activity.
The nurse should be aware of Gastrointestinal disturbances.
common side effects of SSRI Rationale: GI disturbances such as nausea and diarrhea, as well
antidepressants such as as genitourinary side effects such as sexual dysfunction, are
fluoxetine. Which side effect common with SSRIs. SSRIs do not have significant
should be communicated to the anticholinergic, cardiovascular, or sedative side effects.
client that commonly occur in
clients who are taking SSRI
antidepressants?
, The client also begins an Risperidone will help the think more clearly.
atypical antipsychotic, Rationale: Antipsychotic medications target symptoms related to
risperidone, because she disorders of thinking such as psychosis and behaviors associated
reports hearing a "scary voice" with agitation and disorganization or speech and behavior.
upon admission. Although the
client remains very withdrawn
and noncommunicative, the
nurse must explain the purpose
of risperidone. Which
explanation is best?
The nurse is reviewing the Hypothyroidism can lead to feeling sluggish and depressed.
client's admission lab work on Rationale: Thyroid levels can help detect hypothyroidism, which
the third day of hospitalization. can lead to depression.
Admission labs include thyroid
profile, urinalysis, chemistry
panel, pregnancy test, urine
drug screen, and VDRL (RPR)
which tests for venereal disease.
A thyroid profile is important for
several reasons. What role do
thyroid levels play in
depression?
It is a screening test for syphilis.
The nurse understands that a Rationale: A VDRL (RPR) is a serum screening test for syphilis,
VDRL is routinely done on which can be undetected and dormant and can cause cognitive
admission for which reason? impairment in later stages. If the screening serum test is positive,
a more specific test is required to make the diagnosis of syphilis.
See an expert-written answer!
When the client awakens in the Help the client with daily activities.
morning, she sits for periods of Rationale: When a client is very depressed, it is necessary to
time at the edge of her bed. She assist with daily activities because the client has decreased
does not initiate combing her energy. Physical care is more important with severe depression.
hair, getting dressed, or going to
breakfast. Which intervention
should the nurse implement?
Since the client has decreased Plan a scheduled rest period.
energy, which additional Rationale: It is best to plan rest periods according to the client's
intervention should the nurse energy level because some clients feel best in the morning and
implement? others feel best in the evening.
Acknowledge the client's courage in seeking help, then offer to
As the nurse initially sit quietly with the client.
communicates with the client, Rationale: Offering nonjudgmental acceptance and
which communication technique companionship will help develop trust. Acknowledging the step
is important? the client took in seeking help may restore the client's sense of
control over her situation.
