HESI MENTAL HEALTH
LATEST 2024-2025
ACTUAL EXAM
COMPLETE 300
QUESTIONS AND
CORRECT DETAILED
ANSWERS WITH
RATIONALES|ALREADY
GRADED A+
,The nurse is planning care for a 32-year-old male client diagnosed with HIV infection who has a
history of chronic depression. Recently, the client's viral load has begun to increase rather than
decrease despite his adherence to the HIV drug regimen. What should the nurse do first while taking
the client's history upon admission to the hospital?
A) Determine if the client attends a support group weekly.
B) Hold all antidepressant medications until further notice.
C) Ask the client if he takes St. John's Wort routinely.
D) Have the client describe any recent changes in mood. - ANSWER -C
A 35-year-old male client on the psychiatric ward of a general hospital believes that someone is
trying to poison him. The nurse understands that a client's delusions are most likely related to his
A) early childhood experiences involving authority issues.
B) anger about being hospitalized.
C) low self-esteem.
D) phobic fear of food. - ANSWER -C
The nurse plans to help an 18-year-old female mentally retarded client ambulate the first
postoperative day after an appendectomy. When the nurse tells the client it is time to get out of
bed, the client becomes angry and tells the nurse, "Get out of here! I'll get up when I'm ready!"
Which response is best for the nurse to make?
A) Your healthcare provider has prescribed ambulation on the first postoperative day.
B) You must ambulate to avoid complications which could cause more discomfort than ambulating.
C) I know how you feel. You're angry about having to ambulate, but this will help you get well.
D) I'll be back in 30 minutes to help you get out of bed and walk around the room. - ANSWER -D
A client is admitted with a diagnosis of depression. The nurse knows that which characteristic is most
indicative of depression?
A) Grandiose ideation.
,B) Self-destructive thoughts.
C) Suspiciousness of others.
D) A negative view of self and the future. - ANSWER -D
A 65-year-old female client complains to the nurse that recently she has been hearing voices. What
question should the nurse ask this client first?
A) Do you have problems with hallucinations?
B) Are you ever alone when you hear the voices?
C) Has anyone in your family had hearing problems?
D) Do you see things that others cannot see? - ANSWER -B
woman who is bipolar is wearing low cut blouse, and skirt with no underwear, what does nurse do? -
ANSWER -Walk her to room and help her pick out something more appropriate
Older man who recently got divorced and is 2 years sober, and an alcoholic loves God. He loves kids
also. What should nurse ask at his initial interaction? - ANSWER -What is your biggest concern?
Woman is diagnosed with breast cancer and she becomes dependent and asks family members if
they can do ADL's that she is fully capable of doing. What is the reason for this behavior? - ANSWER -
Its expected; regression is a natural start for recovery
Patient having to get treated for benzodiazepam and methadone overdose. What do you use? -
ANSWER -Narcan
Patient watching TV starts talking loud to himself. The nurse comes in and can't distract him so turns
down the TV. What should the nurse do then? - ANSWER -Move client to quieter room
In group therapy the charge nurse notices a client increasing to severe levels of anxiety. What should
the nurse do? - ANSWER -Talk in a calm, approaching manner
A chronic depressed older man refuses to leave his room. His family moved away to a further
location so they're not able to visit him as much. What approach should the nurse take with this
man? - ANSWER -May I lay with you for a little?
, Patient who is really depressed and won't talk or communicate, later is energetic and talkative. What
should the nurse do? - ANSWER -Closely monitor the patient (could be suicidal)
Patient who had generalized anxiety disorder on Xanax long-term. What is the outcome? - ANSWER -
Importance of not quickly stopping the drug
Mother has a 9 month old baby with mental issues and growth issues. The mother comes in and says
she's depressed because she'll never have a normal baby. What should the nurse say? - ANSWER -
Have you had any thoughts of harming your baby or yourself?
Lithium level 1.5. What do you tell the client who had a recent suicide attempt after seeing him
become very anxious after hearing his Lithium levels? - ANSWER -drink 2-3L of water in 24 hours
Woman comes into ED having been raped by her date. What should the nurse document? - ANSWER
-document she stated "I was raped by my date"
Which patient would require CAGE assessment? - ANSWER -Alcohol patient, cut down, annoyed,
guilty, eye opener
A nurse is changing a dressing on a bipolar patient's stomach from self-inflicting knife wound. What
is the nurse's best approach? - ANSWER -showing no signs of being judgmental
Woman is at a meeting with you, what is important for the nurse to document after hearing her
issues in the relationship - ANSWER -get spouses statement as well
patient in corner with paranoid symptoms, staring and watching you. They refused to communicate
with you. What do you do? - ANSWER -ask simple questions
patient states "I can't get my thoughts together I should really sell my car. It's not in here. Let's buy a
car. What is the patient experiencing? - ANSWER -Tangential thinking
A depressed adolescent becomes sarcastic and irritates when you start to ask him questions. What
does the nurse do? - ANSWER -Ask him to play cards
A patient who has been on an antidepressant for 2 weeks. What should you watch for? - ANSWER -
suicidal attempts
LATEST 2024-2025
ACTUAL EXAM
COMPLETE 300
QUESTIONS AND
CORRECT DETAILED
ANSWERS WITH
RATIONALES|ALREADY
GRADED A+
,The nurse is planning care for a 32-year-old male client diagnosed with HIV infection who has a
history of chronic depression. Recently, the client's viral load has begun to increase rather than
decrease despite his adherence to the HIV drug regimen. What should the nurse do first while taking
the client's history upon admission to the hospital?
A) Determine if the client attends a support group weekly.
B) Hold all antidepressant medications until further notice.
C) Ask the client if he takes St. John's Wort routinely.
D) Have the client describe any recent changes in mood. - ANSWER -C
A 35-year-old male client on the psychiatric ward of a general hospital believes that someone is
trying to poison him. The nurse understands that a client's delusions are most likely related to his
A) early childhood experiences involving authority issues.
B) anger about being hospitalized.
C) low self-esteem.
D) phobic fear of food. - ANSWER -C
The nurse plans to help an 18-year-old female mentally retarded client ambulate the first
postoperative day after an appendectomy. When the nurse tells the client it is time to get out of
bed, the client becomes angry and tells the nurse, "Get out of here! I'll get up when I'm ready!"
Which response is best for the nurse to make?
A) Your healthcare provider has prescribed ambulation on the first postoperative day.
B) You must ambulate to avoid complications which could cause more discomfort than ambulating.
C) I know how you feel. You're angry about having to ambulate, but this will help you get well.
D) I'll be back in 30 minutes to help you get out of bed and walk around the room. - ANSWER -D
A client is admitted with a diagnosis of depression. The nurse knows that which characteristic is most
indicative of depression?
A) Grandiose ideation.
,B) Self-destructive thoughts.
C) Suspiciousness of others.
D) A negative view of self and the future. - ANSWER -D
A 65-year-old female client complains to the nurse that recently she has been hearing voices. What
question should the nurse ask this client first?
A) Do you have problems with hallucinations?
B) Are you ever alone when you hear the voices?
C) Has anyone in your family had hearing problems?
D) Do you see things that others cannot see? - ANSWER -B
woman who is bipolar is wearing low cut blouse, and skirt with no underwear, what does nurse do? -
ANSWER -Walk her to room and help her pick out something more appropriate
Older man who recently got divorced and is 2 years sober, and an alcoholic loves God. He loves kids
also. What should nurse ask at his initial interaction? - ANSWER -What is your biggest concern?
Woman is diagnosed with breast cancer and she becomes dependent and asks family members if
they can do ADL's that she is fully capable of doing. What is the reason for this behavior? - ANSWER -
Its expected; regression is a natural start for recovery
Patient having to get treated for benzodiazepam and methadone overdose. What do you use? -
ANSWER -Narcan
Patient watching TV starts talking loud to himself. The nurse comes in and can't distract him so turns
down the TV. What should the nurse do then? - ANSWER -Move client to quieter room
In group therapy the charge nurse notices a client increasing to severe levels of anxiety. What should
the nurse do? - ANSWER -Talk in a calm, approaching manner
A chronic depressed older man refuses to leave his room. His family moved away to a further
location so they're not able to visit him as much. What approach should the nurse take with this
man? - ANSWER -May I lay with you for a little?
, Patient who is really depressed and won't talk or communicate, later is energetic and talkative. What
should the nurse do? - ANSWER -Closely monitor the patient (could be suicidal)
Patient who had generalized anxiety disorder on Xanax long-term. What is the outcome? - ANSWER -
Importance of not quickly stopping the drug
Mother has a 9 month old baby with mental issues and growth issues. The mother comes in and says
she's depressed because she'll never have a normal baby. What should the nurse say? - ANSWER -
Have you had any thoughts of harming your baby or yourself?
Lithium level 1.5. What do you tell the client who had a recent suicide attempt after seeing him
become very anxious after hearing his Lithium levels? - ANSWER -drink 2-3L of water in 24 hours
Woman comes into ED having been raped by her date. What should the nurse document? - ANSWER
-document she stated "I was raped by my date"
Which patient would require CAGE assessment? - ANSWER -Alcohol patient, cut down, annoyed,
guilty, eye opener
A nurse is changing a dressing on a bipolar patient's stomach from self-inflicting knife wound. What
is the nurse's best approach? - ANSWER -showing no signs of being judgmental
Woman is at a meeting with you, what is important for the nurse to document after hearing her
issues in the relationship - ANSWER -get spouses statement as well
patient in corner with paranoid symptoms, staring and watching you. They refused to communicate
with you. What do you do? - ANSWER -ask simple questions
patient states "I can't get my thoughts together I should really sell my car. It's not in here. Let's buy a
car. What is the patient experiencing? - ANSWER -Tangential thinking
A depressed adolescent becomes sarcastic and irritates when you start to ask him questions. What
does the nurse do? - ANSWER -Ask him to play cards
A patient who has been on an antidepressant for 2 weeks. What should you watch for? - ANSWER -
suicidal attempts
