HESI PN MENTAL HEALTH PREPARATION
MANUAL 2026 PREMIUM QUESTIONS WITH
VERIFIED SOLUTIONS
▶ Factitious Disorder Answer: *intentional for sick role*
Intentional symptom creation
Desire to assume sick role - they like the attention they get when sick
May self-harm to create symptoms: weird self-harm like ingesting a little bit
of poison
▶ Malingering Disorder Answer: *intentional sx creation for external gain*
Legal, financial, housing, pain meds, procedures
Behavior stops when reward achieved
"I want to hurt myself" - homeless people will often say this in winter
months :(
▶ Somatic Symptom Disorder pattern & most common complaint Answer:
Multiple shifting symptoms
Frequent provider visits
High health anxiety
Pain most common complaint
Negative testing
▶ Somatic Symptom Disorder pattern - nursing focus Answer: Do not
confront
Validate distress w/o rewarding
Schedule regular visits
Focus on functioning: what's going well?
Single provider approach
Pocket manipulate
▶ Conversion Disorder - how pt typically presents Answer: Patient may
appear calm & INTERESTED
▶ Somatic Symptom and Dissociative Disorders - nursing communication
Answer: Validate feelings
, Avoid reinforcing illness behavior
Redirect to coping and activity
Promote independence
▶ Somatic Symptom and Dissociative Disorders - Treatment Principles
Answer: Treat comorbid depression/anxiety/trauma that is fueling behavior
CBT effective
Avoid excessive testing
Encourage functional goals
▶ Somatic Symptom and Dissociative Disorders - suicide risk Answer:
Increased risk due to depression and anxiety
Always assess safety
Often missed in medical settings
▶ Somatic Symptom and Dissociative Disorders - family education Answer:
Avoid reinforcing sick role
Encourage normal functioning
Set boundaries around symptoms
▶ Somatic Symptom and Dissociative Disorders - goal Answer: improved
functioning not symptom elimination: as close to independence as we can
▶ Consistency reduces ___ Answer: anxiety
▶ If tests negative → focus on Answer: coping not disease
▶ what is control center of sleep and wake Answer: hypothalamus
▶ sleep promotor Answer: GABA
▶ wake promotor Answer: histamine
▶ hormone that makes you want to be awake; sunlight signals this Answer:
OREXIN
▶ Homeostatic sleep drive vs Circadian wake drive Answer: Adenosine
Suprachiasmatic Nucleus (SCN) and Orexin and Melatonin ????
MANUAL 2026 PREMIUM QUESTIONS WITH
VERIFIED SOLUTIONS
▶ Factitious Disorder Answer: *intentional for sick role*
Intentional symptom creation
Desire to assume sick role - they like the attention they get when sick
May self-harm to create symptoms: weird self-harm like ingesting a little bit
of poison
▶ Malingering Disorder Answer: *intentional sx creation for external gain*
Legal, financial, housing, pain meds, procedures
Behavior stops when reward achieved
"I want to hurt myself" - homeless people will often say this in winter
months :(
▶ Somatic Symptom Disorder pattern & most common complaint Answer:
Multiple shifting symptoms
Frequent provider visits
High health anxiety
Pain most common complaint
Negative testing
▶ Somatic Symptom Disorder pattern - nursing focus Answer: Do not
confront
Validate distress w/o rewarding
Schedule regular visits
Focus on functioning: what's going well?
Single provider approach
Pocket manipulate
▶ Conversion Disorder - how pt typically presents Answer: Patient may
appear calm & INTERESTED
▶ Somatic Symptom and Dissociative Disorders - nursing communication
Answer: Validate feelings
, Avoid reinforcing illness behavior
Redirect to coping and activity
Promote independence
▶ Somatic Symptom and Dissociative Disorders - Treatment Principles
Answer: Treat comorbid depression/anxiety/trauma that is fueling behavior
CBT effective
Avoid excessive testing
Encourage functional goals
▶ Somatic Symptom and Dissociative Disorders - suicide risk Answer:
Increased risk due to depression and anxiety
Always assess safety
Often missed in medical settings
▶ Somatic Symptom and Dissociative Disorders - family education Answer:
Avoid reinforcing sick role
Encourage normal functioning
Set boundaries around symptoms
▶ Somatic Symptom and Dissociative Disorders - goal Answer: improved
functioning not symptom elimination: as close to independence as we can
▶ Consistency reduces ___ Answer: anxiety
▶ If tests negative → focus on Answer: coping not disease
▶ what is control center of sleep and wake Answer: hypothalamus
▶ sleep promotor Answer: GABA
▶ wake promotor Answer: histamine
▶ hormone that makes you want to be awake; sunlight signals this Answer:
OREXIN
▶ Homeostatic sleep drive vs Circadian wake drive Answer: Adenosine
Suprachiasmatic Nucleus (SCN) and Orexin and Melatonin ????
