HESI Psychiatric Mental Health Actual
Exam Questions and Correct Detailed
Answers 2025 Top Rated A+
A 25-year-old female client has been particularly restless and the nurse finds her trying to leave
the psychiatric unit. She tells the nurse, "Please let me go! I must leave because the secret
police are after me." Which response is best for the nurse to make?
A) "No one is after you, you're safe here."
B) "You'll feel better after you have rested."
C) "I know you must feel lonely and frightened."
D) "Come with me to your room and I will sit with you." - CORRECT ANSWER >>>D.
"Come with me to your room and I will sit with you."
A 45-year-old male client tells the nurse that he used to believe that he was Jesus Christ, but
now he knows he is not. Which response is best for the nurse to make?
A) "Did you really believe you were Jesus Christ?"
B) "I think you're getting well."
C) "Others have had similar thoughts when under stress."
D) "Why did you think you were Jesus Christ?" - CORRECT ANSWER >>>Others have has
similar thoughts when under stress
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,A nurse working in the emergency room of a children's hospital admits a child whose injuries
could have resulted from abuse. Which statement most accurately describes the nurse's
responsibility in cases of suspected child abuse?
A) The nurse should obtain objective data such as x-rays before reporting suspicions to the
authorities.
B) The nurse should confirm any suspicions of child abuse with the healthcare provider before
reporting to the authorities.
C) The nurse should report any case of suspected child abuse to the nurse in charge.
D) The nurse should note in the client's record any suspicions of child abuse so that a history of
such suspicions can be tracked. - CORRECT ANSWER >>>C. The nurse should report
any case of suspected child abuse to the nurse in charge
A client who is being treated with lithium carbonate for bipolar disorder develops diarrhea,
vomiting, and drowsiness. What action should the nurse take?
A) Notify the healthcare provider immediately and prepare for administration of an antidote.
B) Notify the healthcare provider of the symptoms prior to the next administration of the drug.
C) Record the symptoms as normal side effects and continue administration of the prescribed
dosage.
D) Hold the medication and refuse to administer additional amounts of the drug. - CORRECT
ANSWER >>>B. Notify the healthcare provider of the symptoms prior to the next
administration of the drug.
A client on the psychiatric unit appears to imitate a certain nurse on the unit. The client seeks
out this particular nurse and imitates her mannerisms. The nurse knows that the client is using
which defense mechanism? A) Sublimation.
B) Identification.
C) Introjection.
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, D) Repression. - CORRECT ANSWER >>>B. Identification
The nurse is planning the care for a 32-year-old male client with acute depression. Which
nursing intervention bests helps this client deal with his depression? A) Ensure that the
client's day is filled with group activities.
B) Assist the client in exploring feelings of shame, anger, and guilt.
C) Allow the client to initiate and determine activities of daily living.
D) Encourage the client to explore the rationale for his depression. - CORRECT ANSWER
>>>B. Assist the client in exploring feelings of shame, anger, and guilt.
An anxious client expressing a fear of people and open places is admitted to the psychiatric unit.
What is the most effective way for the nurse to assist this client? A) Plan an outing within the
first week of admission.
B) Distract her whenever she expresses her discomfort about being with others.
C) Confront her fears and discuss the possible causes of these fears.
D) Accompany her outside for an increasing amount of time each day. - CORRECT
ANSWER >>>D. Accompany her outside for an increasing amount of time each day.
A client with bipolar disorder on the mental health unit becomes loud, and shouts at one of the
nurses, "You fat tub of lard! Get something done around here!" What is the best initial action
for the nurse to take?
A) Have the orderly escort the client to his room.
B) Tell the client his healthcare provider will be notified if he continues to be verbally abusive.
C) Redirect the client's energy by asking him to tidy the recreation room.
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Exam Questions and Correct Detailed
Answers 2025 Top Rated A+
A 25-year-old female client has been particularly restless and the nurse finds her trying to leave
the psychiatric unit. She tells the nurse, "Please let me go! I must leave because the secret
police are after me." Which response is best for the nurse to make?
A) "No one is after you, you're safe here."
B) "You'll feel better after you have rested."
C) "I know you must feel lonely and frightened."
D) "Come with me to your room and I will sit with you." - CORRECT ANSWER >>>D.
"Come with me to your room and I will sit with you."
A 45-year-old male client tells the nurse that he used to believe that he was Jesus Christ, but
now he knows he is not. Which response is best for the nurse to make?
A) "Did you really believe you were Jesus Christ?"
B) "I think you're getting well."
C) "Others have had similar thoughts when under stress."
D) "Why did you think you were Jesus Christ?" - CORRECT ANSWER >>>Others have has
similar thoughts when under stress
1|Page
,A nurse working in the emergency room of a children's hospital admits a child whose injuries
could have resulted from abuse. Which statement most accurately describes the nurse's
responsibility in cases of suspected child abuse?
A) The nurse should obtain objective data such as x-rays before reporting suspicions to the
authorities.
B) The nurse should confirm any suspicions of child abuse with the healthcare provider before
reporting to the authorities.
C) The nurse should report any case of suspected child abuse to the nurse in charge.
D) The nurse should note in the client's record any suspicions of child abuse so that a history of
such suspicions can be tracked. - CORRECT ANSWER >>>C. The nurse should report
any case of suspected child abuse to the nurse in charge
A client who is being treated with lithium carbonate for bipolar disorder develops diarrhea,
vomiting, and drowsiness. What action should the nurse take?
A) Notify the healthcare provider immediately and prepare for administration of an antidote.
B) Notify the healthcare provider of the symptoms prior to the next administration of the drug.
C) Record the symptoms as normal side effects and continue administration of the prescribed
dosage.
D) Hold the medication and refuse to administer additional amounts of the drug. - CORRECT
ANSWER >>>B. Notify the healthcare provider of the symptoms prior to the next
administration of the drug.
A client on the psychiatric unit appears to imitate a certain nurse on the unit. The client seeks
out this particular nurse and imitates her mannerisms. The nurse knows that the client is using
which defense mechanism? A) Sublimation.
B) Identification.
C) Introjection.
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, D) Repression. - CORRECT ANSWER >>>B. Identification
The nurse is planning the care for a 32-year-old male client with acute depression. Which
nursing intervention bests helps this client deal with his depression? A) Ensure that the
client's day is filled with group activities.
B) Assist the client in exploring feelings of shame, anger, and guilt.
C) Allow the client to initiate and determine activities of daily living.
D) Encourage the client to explore the rationale for his depression. - CORRECT ANSWER
>>>B. Assist the client in exploring feelings of shame, anger, and guilt.
An anxious client expressing a fear of people and open places is admitted to the psychiatric unit.
What is the most effective way for the nurse to assist this client? A) Plan an outing within the
first week of admission.
B) Distract her whenever she expresses her discomfort about being with others.
C) Confront her fears and discuss the possible causes of these fears.
D) Accompany her outside for an increasing amount of time each day. - CORRECT
ANSWER >>>D. Accompany her outside for an increasing amount of time each day.
A client with bipolar disorder on the mental health unit becomes loud, and shouts at one of the
nurses, "You fat tub of lard! Get something done around here!" What is the best initial action
for the nurse to take?
A) Have the orderly escort the client to his room.
B) Tell the client his healthcare provider will be notified if he continues to be verbally abusive.
C) Redirect the client's energy by asking him to tidy the recreation room.
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