HESI-
PN Mental Health
sd sd
MENTAL HEALTH/PSYCH HESI REVIEW QUESTIONS
(50 Q STUDY WITH RATIONALE)
Atsdthesdfirstsdmeetingsdofsdasdgroupsdatsdasddaycaresdcentersdforsdoldersdadults,sdthesdnursesdaskssdonesdofsdthesdmember
whatsdkindssdofsdthingssdthesdclientsdwouldsdlikesdtosddosdwithsdthesdgroup.sdThesdoldersdadultsdshrugssdandsdsays,sd"Yousdt
sdme.sdYou'resdthesdleader."sdWhatsdwouldsdbesdthesdbestsdresponsesdforsdthesdnursesdtosdmake?
A."Yes,sdIsdamsdthesdleadersdtoday.sdWouldsdyousdlikesdtosdbesdthesdleadersdtomorrow?"
B."Yes,sdIsdwillsdbesdleadingsdthissdgroup.sdWhatsdwouldsdyousdlikesdtosdaccomplish?"
C."Yes,sdIsdhavesdbeensdassignedsdtosdleadsdthissdgroup.sdIsdwillsdbesdheresdforsdthesdnextsd6sdweeks."
sdD.sd"Yes,sdIsdamsdthesdleader.sdYousdseemsdangrysdaboutsdnotsdbeingsdthesdleadersdyourself."sd-sdanswer--ANS:sdB
Anxietysdoversdparticipationsdinsdasdgroupsdandsdtestingsdofsdthesdleadersdcharacteristicallysdoccursdinsdthesdinitialsdphase
sdgroupsddynamics.sd(B)sdprovidessdinformationsdandsdrefocusessdthesdgroupsdtosddefiningsditssdfunction.sd(A)sdissdmanipu
tivesdbargaining.sd(C)sddoessdnotsdfocussdthesdgroupsdonsditssdpurposesdorsdtask.sd(D)sdissdinterpretingsdthesdclient'ssdfeelin
ssdandsdissdalmostsdchallenging.
Asdclientsdwhosdissdbeingsdtreatedsdwithsdlithiumsdcarbonatesdforsdmanicsddepressionsdbeginssdtosddevelopsddiarrhea,sdvo
ting,sdandsddrowsiness.sdWhichsdactionsdshouldsdthesdnursesdtake?
A.sdNotifysdthesdhealthsdcaresdprovidersdimmediatelysdandsdforcesdfluids.
B.sdPriorsdtosdgivingsdthesdnextsddose,sdnotifysdthesdhealthsdcaresdprovidersdofsdthesesdsymptoms.
C.sdRecordsdthesdsymptomssdandsdcontinuesdwithsdmedicationsdassdprescribed.
D.sdHoldsdthesdmedicationsdandsdrefusesdtosdadministersdadditionalsddoses.sd-sdanswer--ANS:sdB
Althoughsdthesesdaresdexpectedsdsymptoms,sdthesdhealthsdcaresdprovidersdshouldsdbesdnotifiedsdpriorsdtosdthesdnextsdadm
istrationsdofsdthesddrugsd(B).sdEarlysdsidesdeffectssdofsdlithiumsdcarbonatesd(occurringsdwithsdserumsdlithiumsdlevelssdbelow
2sdmEq/
L)sdgenerallysdfollowsdasdprogressivesdpattern,sdbeginningsdwithsddiarrhea,sdvomiting,sddrowsiness,sdandsdmuscularsdwe
nesssd(C).sdAtsdhighersdlevels,sdataxia,sdtinnitus,sdblurredsdvision,sdandsdlargesddilutesdurinesdoutputsdmaysdoccur.sd(A)sdw
lowersdthesdlithiumsdlevel.sd(D)sdissdnotsdwarranted.
Asdwomansdbringssdhersd48-year-
oldsdhusbandsdtosdthesdoutpatientsdpsychiatricsdunitsdandsdtellssdthesdnursesdthatsdhesdhassdbeensdsleepwalking,sdcannots
membersdwhosdhesdis,sdandsdexhibitssdmultiplesdpersonalities.sdThesesdbehaviorssdaresdoftensdassociatedsdwithsdwhichsd
ndition?
A.sdDissociativesddisorder
B.sdObsessive-compulsivesddisorder
C.sdPanicsddisorder
D.sdPosttraumaticsdstresssdsyndromesd-sdanswer--ANS:sdA
Sleepwalking,sdamnesia,sdandsdmultiplesdpersonalitiessdaresdexamplessdofsddetachingsdemotionalsdconflictsdfromsdone's
consciousnesssd(A).sd(B)sdissdcharacterizedsdbysdpersistent,sdrecurrentsdintrusivesdthoughtssdorsdurgessd(obsessions)sdt
tsdaresdunwilledsdandsdcannotsdbesdignoredsdandsdprovokesdimpulsivesdactssd(compulsions),sdsuchsdassdconstantsdandsdr
eatedsdhandsdwashing.sd(C)sdissdansdacutesdattacksdofsdanxietysdcharacterizedsdbysdpersonalitysddisorganization.sd(D)sdis
1sd/
sd15
, HESI-
PN Mental Health
sd sd
eexperiencingsdasdpsychologicallysdterrifyingsdorsddistressingsdeventsdthatsdissdoutsidesdthesdusualsdrangesdofsdhumansde
eriencesdsuchsdassdwarsdorsdrape.
Duringsdasdhomesdvisit,sdasdclientsdwithsdschizophreniasdreportssdhearingsdvoicessdthatsdtellsdthesdclientsdtosdwalksdinsdthesd
ddlesdofsdthesdstreet.sdThesdnursesdrecordssdseveralsdstatementssdmadesdbysdthesdclient.sdBasedsdonsdwhichsdstatements
houldsdthesdnursesddeterminesdthatsdthesdclientsdneedssdhospitalization?
A."SometimessdIsdtakesdansdextrasdonesdofsdmysdpillssdwhensdIsdhearsdthesdvoices."
B."ThesdvoicessdaresdloudersdwhensdIsdforgetsdtosdtakesdmysdmedication.sd"
C."NosdmattersdwhatsdIsddo,sdIsdcannotsdmakesdthesdvoicessdgosdaway.sd"
D."Isdjustsdtrysdtosdtellsdthesdvoicessdtosdstopsdwhensdtheysdbothersdme.sd"sd-sdanswer--ANS:sdC
Hospitalizationsdissdneededsdifsdthesdclientsdcontinuessdtosdhearsdvoicessdtellingsdthesdclientsdtosddosdthingssdthatsdcansdcau
esdself-
harmsd(C).sd(AsdorsdB)sddosdnotsdrequiresdhospitalizationsdunlesssdsymptomssdbecomesdsevere.sdThesdclientsdshouldsdco
nuesdsymptomsdmanagementsdstrategiessd(D)sdtosdpreventsdhospitalization.
Ansdadultsdclientsdwhosdlivessdinsdasdresidentialsdfacilitysdissdmentallysdretardedsdandsdhassdasdhistorysdofsdbipolarsddisorde
Duringsdthesdpastsdweek,sdthesdclientsdhassdrefusedsdtosdwearsdclothessdandsdfrequentlysdexposessdtheirsdbodysdtosdother
esidents.sdWhichsdinterventionsdshouldsdthesdnursesdimplement?
A.sdEstablishsdasdone-to-onesdrelationshipsdtosddiscusssdthesdbehavior.
B.sdRedirectsdthesdclientsdtosdphysicallysddemandingsdactivities.
C.sdEncouragesdthesdclientsdtosdverbalizesdthoughtssdwhensdactingsdout.
D.sdRestrictsdsocialsdinteractionssdwithsdothersdresidentssdinsdthesdfacility.sd-sdanswer--ANS:sdB
Thesdclientsdissdexhibitingsdmanicsdbehaviorsdrelatedsdtosdbipolarsddisorder,sdandsdthesdnursesdshouldsdredirectsdthesdclien
tosdactivitiessdthatsdaresdphysicallysddemandingsd(B)sdsosdthatsdenergysdcansdbesdexpendedsdinsdasdsociallysdacceptablesd
anner.sdPsychoticsdclientssdaresdnotsdcapablesdofsd(A).sdWhensdexhibitingsdacting-
outsdbehavior,sdthesdclientsdissddistractedsdandsd(C)sdissddifficult.sd(D)sdissdlikelysdtosdincreasesdmanicsdbehaviors,sdsuchsda
moodsdswingssdandsdacting-outsdbehaviors.
Asdclientsdonsdthesdpsychiatricsdunitsdseekssdoutsdasdparticularsdnursesdandsdimitatessdhersdmannerisms.sdWhichsddefense
mechanismsddoessdthesdnursesdrecognizesdinsdthissdclient?
A.Sublimation
B.Identification
C.Introjection
D.Repressionsd-sdanswer--ANS:sdB
Identificationsd(B)sdissdansdattemptsdtosdbesdlikesdsomeonesdorsdemulatesdthesdpersonalitysdtraitssdofsdanother.sd(A)sdissdsu
titutingsdansdunacceptablesdfeelingsdforsdonesdthatsdissdmoresdsociallysdacceptable.sd(C)sdissdincorporatingsdthesdvaluessdo
qualitiessdofsdansdadmiredsdpersonsdorsdgroupsdintosdone'ssdownsdegosdstructure.sd(D)sdissdthesdinvoluntarysdexclusionsdof
ainfulsdthoughtssdorsdmemoriessdfromsdone'ssdawareness.
Asdclientsdbeginssdtakingsdansdatypicalsdantipsychoticsdmedication.sdThesdnursesdmustsdprovidesdinformedsdconsentsdan
educationsdaboutsdcommonsdmedicationsdsidesdeffects.sdWhichsdclientsdeducationsdwillsdbesdmostsdimportant?
A.Maintainsdasdbalancedsddietsdandsdadequatesdexercise.
B.Besdsuresdthatsdthesddietsdissdadequatesdinsdsaltsdintake.
C.Monitorsdforsdanysdchangessdinsdsleepsdpattern.
2sd/
sd15
PN Mental Health
sd sd
MENTAL HEALTH/PSYCH HESI REVIEW QUESTIONS
(50 Q STUDY WITH RATIONALE)
Atsdthesdfirstsdmeetingsdofsdasdgroupsdatsdasddaycaresdcentersdforsdoldersdadults,sdthesdnursesdaskssdonesdofsdthesdmember
whatsdkindssdofsdthingssdthesdclientsdwouldsdlikesdtosddosdwithsdthesdgroup.sdThesdoldersdadultsdshrugssdandsdsays,sd"Yousdt
sdme.sdYou'resdthesdleader."sdWhatsdwouldsdbesdthesdbestsdresponsesdforsdthesdnursesdtosdmake?
A."Yes,sdIsdamsdthesdleadersdtoday.sdWouldsdyousdlikesdtosdbesdthesdleadersdtomorrow?"
B."Yes,sdIsdwillsdbesdleadingsdthissdgroup.sdWhatsdwouldsdyousdlikesdtosdaccomplish?"
C."Yes,sdIsdhavesdbeensdassignedsdtosdleadsdthissdgroup.sdIsdwillsdbesdheresdforsdthesdnextsd6sdweeks."
sdD.sd"Yes,sdIsdamsdthesdleader.sdYousdseemsdangrysdaboutsdnotsdbeingsdthesdleadersdyourself."sd-sdanswer--ANS:sdB
Anxietysdoversdparticipationsdinsdasdgroupsdandsdtestingsdofsdthesdleadersdcharacteristicallysdoccursdinsdthesdinitialsdphase
sdgroupsddynamics.sd(B)sdprovidessdinformationsdandsdrefocusessdthesdgroupsdtosddefiningsditssdfunction.sd(A)sdissdmanipu
tivesdbargaining.sd(C)sddoessdnotsdfocussdthesdgroupsdonsditssdpurposesdorsdtask.sd(D)sdissdinterpretingsdthesdclient'ssdfeelin
ssdandsdissdalmostsdchallenging.
Asdclientsdwhosdissdbeingsdtreatedsdwithsdlithiumsdcarbonatesdforsdmanicsddepressionsdbeginssdtosddevelopsddiarrhea,sdvo
ting,sdandsddrowsiness.sdWhichsdactionsdshouldsdthesdnursesdtake?
A.sdNotifysdthesdhealthsdcaresdprovidersdimmediatelysdandsdforcesdfluids.
B.sdPriorsdtosdgivingsdthesdnextsddose,sdnotifysdthesdhealthsdcaresdprovidersdofsdthesesdsymptoms.
C.sdRecordsdthesdsymptomssdandsdcontinuesdwithsdmedicationsdassdprescribed.
D.sdHoldsdthesdmedicationsdandsdrefusesdtosdadministersdadditionalsddoses.sd-sdanswer--ANS:sdB
Althoughsdthesesdaresdexpectedsdsymptoms,sdthesdhealthsdcaresdprovidersdshouldsdbesdnotifiedsdpriorsdtosdthesdnextsdadm
istrationsdofsdthesddrugsd(B).sdEarlysdsidesdeffectssdofsdlithiumsdcarbonatesd(occurringsdwithsdserumsdlithiumsdlevelssdbelow
2sdmEq/
L)sdgenerallysdfollowsdasdprogressivesdpattern,sdbeginningsdwithsddiarrhea,sdvomiting,sddrowsiness,sdandsdmuscularsdwe
nesssd(C).sdAtsdhighersdlevels,sdataxia,sdtinnitus,sdblurredsdvision,sdandsdlargesddilutesdurinesdoutputsdmaysdoccur.sd(A)sdw
lowersdthesdlithiumsdlevel.sd(D)sdissdnotsdwarranted.
Asdwomansdbringssdhersd48-year-
oldsdhusbandsdtosdthesdoutpatientsdpsychiatricsdunitsdandsdtellssdthesdnursesdthatsdhesdhassdbeensdsleepwalking,sdcannots
membersdwhosdhesdis,sdandsdexhibitssdmultiplesdpersonalities.sdThesesdbehaviorssdaresdoftensdassociatedsdwithsdwhichsd
ndition?
A.sdDissociativesddisorder
B.sdObsessive-compulsivesddisorder
C.sdPanicsddisorder
D.sdPosttraumaticsdstresssdsyndromesd-sdanswer--ANS:sdA
Sleepwalking,sdamnesia,sdandsdmultiplesdpersonalitiessdaresdexamplessdofsddetachingsdemotionalsdconflictsdfromsdone's
consciousnesssd(A).sd(B)sdissdcharacterizedsdbysdpersistent,sdrecurrentsdintrusivesdthoughtssdorsdurgessd(obsessions)sdt
tsdaresdunwilledsdandsdcannotsdbesdignoredsdandsdprovokesdimpulsivesdactssd(compulsions),sdsuchsdassdconstantsdandsdr
eatedsdhandsdwashing.sd(C)sdissdansdacutesdattacksdofsdanxietysdcharacterizedsdbysdpersonalitysddisorganization.sd(D)sdis
1sd/
sd15
, HESI-
PN Mental Health
sd sd
eexperiencingsdasdpsychologicallysdterrifyingsdorsddistressingsdeventsdthatsdissdoutsidesdthesdusualsdrangesdofsdhumansde
eriencesdsuchsdassdwarsdorsdrape.
Duringsdasdhomesdvisit,sdasdclientsdwithsdschizophreniasdreportssdhearingsdvoicessdthatsdtellsdthesdclientsdtosdwalksdinsdthesd
ddlesdofsdthesdstreet.sdThesdnursesdrecordssdseveralsdstatementssdmadesdbysdthesdclient.sdBasedsdonsdwhichsdstatements
houldsdthesdnursesddeterminesdthatsdthesdclientsdneedssdhospitalization?
A."SometimessdIsdtakesdansdextrasdonesdofsdmysdpillssdwhensdIsdhearsdthesdvoices."
B."ThesdvoicessdaresdloudersdwhensdIsdforgetsdtosdtakesdmysdmedication.sd"
C."NosdmattersdwhatsdIsddo,sdIsdcannotsdmakesdthesdvoicessdgosdaway.sd"
D."Isdjustsdtrysdtosdtellsdthesdvoicessdtosdstopsdwhensdtheysdbothersdme.sd"sd-sdanswer--ANS:sdC
Hospitalizationsdissdneededsdifsdthesdclientsdcontinuessdtosdhearsdvoicessdtellingsdthesdclientsdtosddosdthingssdthatsdcansdcau
esdself-
harmsd(C).sd(AsdorsdB)sddosdnotsdrequiresdhospitalizationsdunlesssdsymptomssdbecomesdsevere.sdThesdclientsdshouldsdco
nuesdsymptomsdmanagementsdstrategiessd(D)sdtosdpreventsdhospitalization.
Ansdadultsdclientsdwhosdlivessdinsdasdresidentialsdfacilitysdissdmentallysdretardedsdandsdhassdasdhistorysdofsdbipolarsddisorde
Duringsdthesdpastsdweek,sdthesdclientsdhassdrefusedsdtosdwearsdclothessdandsdfrequentlysdexposessdtheirsdbodysdtosdother
esidents.sdWhichsdinterventionsdshouldsdthesdnursesdimplement?
A.sdEstablishsdasdone-to-onesdrelationshipsdtosddiscusssdthesdbehavior.
B.sdRedirectsdthesdclientsdtosdphysicallysddemandingsdactivities.
C.sdEncouragesdthesdclientsdtosdverbalizesdthoughtssdwhensdactingsdout.
D.sdRestrictsdsocialsdinteractionssdwithsdothersdresidentssdinsdthesdfacility.sd-sdanswer--ANS:sdB
Thesdclientsdissdexhibitingsdmanicsdbehaviorsdrelatedsdtosdbipolarsddisorder,sdandsdthesdnursesdshouldsdredirectsdthesdclien
tosdactivitiessdthatsdaresdphysicallysddemandingsd(B)sdsosdthatsdenergysdcansdbesdexpendedsdinsdasdsociallysdacceptablesd
anner.sdPsychoticsdclientssdaresdnotsdcapablesdofsd(A).sdWhensdexhibitingsdacting-
outsdbehavior,sdthesdclientsdissddistractedsdandsd(C)sdissddifficult.sd(D)sdissdlikelysdtosdincreasesdmanicsdbehaviors,sdsuchsda
moodsdswingssdandsdacting-outsdbehaviors.
Asdclientsdonsdthesdpsychiatricsdunitsdseekssdoutsdasdparticularsdnursesdandsdimitatessdhersdmannerisms.sdWhichsddefense
mechanismsddoessdthesdnursesdrecognizesdinsdthissdclient?
A.Sublimation
B.Identification
C.Introjection
D.Repressionsd-sdanswer--ANS:sdB
Identificationsd(B)sdissdansdattemptsdtosdbesdlikesdsomeonesdorsdemulatesdthesdpersonalitysdtraitssdofsdanother.sd(A)sdissdsu
titutingsdansdunacceptablesdfeelingsdforsdonesdthatsdissdmoresdsociallysdacceptable.sd(C)sdissdincorporatingsdthesdvaluessdo
qualitiessdofsdansdadmiredsdpersonsdorsdgroupsdintosdone'ssdownsdegosdstructure.sd(D)sdissdthesdinvoluntarysdexclusionsdof
ainfulsdthoughtssdorsdmemoriessdfromsdone'ssdawareness.
Asdclientsdbeginssdtakingsdansdatypicalsdantipsychoticsdmedication.sdThesdnursesdmustsdprovidesdinformedsdconsentsdan
educationsdaboutsdcommonsdmedicationsdsidesdeffects.sdWhichsdclientsdeducationsdwillsdbesdmostsdimportant?
A.Maintainsdasdbalancedsddietsdandsdadequatesdexercise.
B.Besdsuresdthatsdthesddietsdissdadequatesdinsdsaltsdintake.
C.Monitorsdforsdanysdchangessdinsdsleepsdpattern.
2sd/
sd15
