Mental Health/Psych HESI
Review Questions (50 Q study
with rationale)
At the first meeting of a group at a daycare center for older adults, the
nurse asks one of the members what kinds of things the client would like
to do with the group. The older adult shrugs and says, "You tell me.
You're the leader." What would be the best response for the nurse to
make?
A."Yes, I am the leader today. Would you like to be the leader
tomorrow?"
B."Yes, I will be leading this group. What would you like to accomplish?"
,C."Yes, I have been assigned to lead this group. I will be here for the
next 6 weeks."
D. "Yes, I am the leader. You seem angry about not being the leader
yourself." - ANSWER ✔✔ANS: B
Anxiety over participation in a group and testing of the leader
characteristically occur in the initial phase of group dynamics. (B)
provides information and refocuses the group to defining its function. (A)
is manipulative bargaining. (C) does not focus the group on its purpose
or task. (D) is interpreting the client's feelings and is almost challenging.
A client who is being treated with lithium carbonate for manic depression
begins to develop diarrhea, vomiting, and drowsiness. Which action
should the nurse take?
A. Notify the health care provider immediately and force fluids.
B. Prior to giving the next dose, notify the health care provider of these
symptoms.
C. Record the symptoms and continue with medication as prescribed.
,D. Hold the medication and refuse to administer additional doses. -
ANSWER ✔✔ANS: B
Although these are expected symptoms, the health care provider should
be notified prior to the next administration of the drug (B). Early side
effects of lithium carbonate (occurring with serum lithium levels below 2
mEq/L) generally follow a progressive pattern, beginning with diarrhea,
vomiting, drowsiness, and muscular weakness (C). At higher levels,
ataxia, tinnitus, blurred vision, and large dilute urine output may occur.
(A) will lower the lithium level. (D) is not warranted.
A woman brings her 48-year-old husband to the outpatient psychiatric
unit and tells the nurse that he has been sleepwalking, cannot remember
who he is, and exhibits multiple personalities. These behaviors are often
associated with which condition?
A. Dissociative disorder
B. Obsessive-compulsive disorder
C. Panic disorder
D. Posttraumatic stress syndrome - ANSWER ✔✔ANS: A
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, Sleepwalking, amnesia, and multiple personalities are examples of
detaching emotional conflict from one's consciousness (A). (B) is
characterized by persistent, recurrent intrusive thoughts or urges
(obsessions) that are unwilled and cannot be ignored and provoke
impulsive acts (compulsions), such as constant and repeated hand
washing. (C) is an acute attack of anxiety characterized by personality
disorganization. (D) is reexperiencing a psychologically terrifying or
distressing event that is outside the usual range of human experience
such as war or rape.
During a home visit, a client with schizophrenia reports hearing voices
that tell the client to walk in the middle of the street. The nurse records
several statements made by the client. Based on which statement
should the nurse determine that the client needs hospitalization?
A."Sometimes I take an extra one of my pills when I hear the voices."
B."The voices are louder when I forget to take my medication. "
C."No matter what I do, I cannot make the voices go away. "
D."I just try to tell the voices to stop when they bother me. " -
ANSWER ✔✔ANS: C
Review Questions (50 Q study
with rationale)
At the first meeting of a group at a daycare center for older adults, the
nurse asks one of the members what kinds of things the client would like
to do with the group. The older adult shrugs and says, "You tell me.
You're the leader." What would be the best response for the nurse to
make?
A."Yes, I am the leader today. Would you like to be the leader
tomorrow?"
B."Yes, I will be leading this group. What would you like to accomplish?"
,C."Yes, I have been assigned to lead this group. I will be here for the
next 6 weeks."
D. "Yes, I am the leader. You seem angry about not being the leader
yourself." - ANSWER ✔✔ANS: B
Anxiety over participation in a group and testing of the leader
characteristically occur in the initial phase of group dynamics. (B)
provides information and refocuses the group to defining its function. (A)
is manipulative bargaining. (C) does not focus the group on its purpose
or task. (D) is interpreting the client's feelings and is almost challenging.
A client who is being treated with lithium carbonate for manic depression
begins to develop diarrhea, vomiting, and drowsiness. Which action
should the nurse take?
A. Notify the health care provider immediately and force fluids.
B. Prior to giving the next dose, notify the health care provider of these
symptoms.
C. Record the symptoms and continue with medication as prescribed.
,D. Hold the medication and refuse to administer additional doses. -
ANSWER ✔✔ANS: B
Although these are expected symptoms, the health care provider should
be notified prior to the next administration of the drug (B). Early side
effects of lithium carbonate (occurring with serum lithium levels below 2
mEq/L) generally follow a progressive pattern, beginning with diarrhea,
vomiting, drowsiness, and muscular weakness (C). At higher levels,
ataxia, tinnitus, blurred vision, and large dilute urine output may occur.
(A) will lower the lithium level. (D) is not warranted.
A woman brings her 48-year-old husband to the outpatient psychiatric
unit and tells the nurse that he has been sleepwalking, cannot remember
who he is, and exhibits multiple personalities. These behaviors are often
associated with which condition?
A. Dissociative disorder
B. Obsessive-compulsive disorder
C. Panic disorder
D. Posttraumatic stress syndrome - ANSWER ✔✔ANS: A
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, Sleepwalking, amnesia, and multiple personalities are examples of
detaching emotional conflict from one's consciousness (A). (B) is
characterized by persistent, recurrent intrusive thoughts or urges
(obsessions) that are unwilled and cannot be ignored and provoke
impulsive acts (compulsions), such as constant and repeated hand
washing. (C) is an acute attack of anxiety characterized by personality
disorganization. (D) is reexperiencing a psychologically terrifying or
distressing event that is outside the usual range of human experience
such as war or rape.
During a home visit, a client with schizophrenia reports hearing voices
that tell the client to walk in the middle of the street. The nurse records
several statements made by the client. Based on which statement
should the nurse determine that the client needs hospitalization?
A."Sometimes I take an extra one of my pills when I hear the voices."
B."The voices are louder when I forget to take my medication. "
C."No matter what I do, I cannot make the voices go away. "
D."I just try to tell the voices to stop when they bother me. " -
ANSWER ✔✔ANS: C
