HESI PN Mental
Health Exam Pack
V1&V2 BEST FOR
2022 EXAM
,1.A nurse is collecting data from a client who is experiencing alcohol withdrawal. Which
of the manifestation should the nurse expect?
Answer: Diaphoresis
2. A nurse in a long-term care center is caring for an adult client who has Alzheimer’s
disease and whose partner died several years ago. The client appears upset and asls the
nurse when his partner will visit again. The nurse states,”It seems like you are feeling
lonely. Let’s take a walk outside and talk.’ Which of the following communication
strategies is the nurse using?
Answer: Validation therapy
3. A nurse is reinforcing teaching with a client who has schizophrenia and a new
prescription for chlorpromazine. Which of the following statements should the nurse
include in the teaching?
Answer:” The voices you have been hearing should decrease.”
4. A nurse is reinforcing teaching with a client who has generalized anxiety disorder and
is to start therapy with buspirone. Which of the following statementsshould the nurse
identify as an indication that the client understands the information?
Answer: “I should expect some improvement of my symptoms in about 10 days
5. A nurse is caring for a client who has major depressive disorder(MDD). The client
states.”I have nothing to live for anymore. I just can’t go on.” Which of the following
responses should the nurse make?
Answer: Are you thinking about ending your life
6. A nurse at an outpatient mental health clinic is assisting with a group therapy session.
One of the participants is having difficulty staying seated and states loudly to the
therapist.”I know more than you do about the people in this room!” The nurse should
identify that which of the following findings is the likely explanation for the client’s
behavior?
Answer: Hypomania
7. A nurse is assisting with a mental status examination for a client who has
schizophrenia. Which of the following statements should the nurse make to gather
information about the client’s ability to think abstractly?
Answer: How is an orange similar to an apple
,8.A nurse is reinforcing teaching with the parent of a child who has ADHD and is
exhibiting disruptive behaviors at home. Which of the following actions should the nurse
instruct the parent to take?
Answer: Initiate a point system for the child
9. A nurse is collecting data from a client who is having difficulty coping with the death
of his child. Which of the following questions by the nurse is the priority?
Answer: Do you think about harming yourself
10. A nurse is reinforcing teaching about thought stopping with a client who has a
phobia of riding in automobiles. Which of the following client statements indicates an
understanding of the instructions?
Answer: I will snap a rubber band on my wrist when I feel anxious about riding in a car
11. A nurse is assisting the charge nurse with the preparation for an in-service about
negligence for a group of newly licensed nurses. Which of the following scenarios should
the charge nurse use as an example to identify negligence?
Answer: A nurse does not notify the provider of a change in condition for a client who
has schizophrenia
12. A nurse in a provider’s office is collecting data from an older adult client whose adult
child reports that she “seems confused and can’t seem to remember much.”Which of
the following findings should lead the nurse to suspect delirium?
Answer: The client’s level of consciousness changes during the interview
13. A nurse is caring for a client who gave birth to a stillborn fetus one week ago. She
states to the nurse,”I am so angry that my doctor didn’t take better care of me and my
baby.” Which of the following responses should the nurse make?
Answer: It is important to share what you are feeling, even if it is anger
14. A nurse is contributing to the plan of care for a client who has borderline personality
disorder and exhibits manipulative behaviors. Which of the following interventions
should the nurse include in the plan to address limit setting?
Answer: Establish and explain consequences for the client’s behavior
15. A nurse is caring for an adult client who has visible injuries as a result of intimate
partner violence. Which of the following actions should the nurse take?
Answer: Encourage the client to develop a safety plan
, 16. A nurse in an urgent care clinic is collecting data from a client whose friend reports a
suspicion of cocaine use. The nurse should identify that which of the following
manifestations is an indicator of the client’s use of this substance?
Answer: Hypertension
17. A nurse in a mental health facility is caring for a client who has dementia. The client’s
agitation is increasing. Which of the following actions should the nurse take first?
Answer: Offer diversionary activities
18. A nurse is caring for a client who has bipolar disorder. The client suddenly appears
agitated and begins pacing at the end of the hallway with clenched fists. Which of the
following actions should the nurse take first?
Answer: Determine the client’s intentions
19. A nurse is reinforcing discharge teaching with a client who has a new prescription for
alprazolam. Which of the following instructions is the priority for the nurse to include?
Answer: Do not drive until your reaction to the medication is determined
20. A nurse is caring for a client who is 2 days postoperative following a hip arthroplasty.
When a news report about military action comes on the television, the client says to the
nurse, “My youngest child died 6 months ago while serving in the military.” Which of the
following responses should the nurse make?
Answer:
-This must be very difficult time for you
-Your child’s death must be a terrible loss
-Tell me something you remember about your child
21. A nurse is contributing to the plan of care for a client who has bipolar disorder and is
exhibiting mania, Which of the following interventions should the nurse include to
improve the nutritional status of the client?
Answer: Have the client’s favorite snacks available at all times.
22. A nurse is collecting data from a client who has paranoid personality disorder. Which
of the following manifestations should the nurse expect?
Answer: Projects blame onto others
23. A nurse on and inpatient unit is assisting with a group therapy session. During the
session, a client begins to shout using aggressive language. Which of the following
statements should the nurse make to the client?
Answer: When you raise your voice, it makes me feel uncomfortable and unsafe.”
Health Exam Pack
V1&V2 BEST FOR
2022 EXAM
,1.A nurse is collecting data from a client who is experiencing alcohol withdrawal. Which
of the manifestation should the nurse expect?
Answer: Diaphoresis
2. A nurse in a long-term care center is caring for an adult client who has Alzheimer’s
disease and whose partner died several years ago. The client appears upset and asls the
nurse when his partner will visit again. The nurse states,”It seems like you are feeling
lonely. Let’s take a walk outside and talk.’ Which of the following communication
strategies is the nurse using?
Answer: Validation therapy
3. A nurse is reinforcing teaching with a client who has schizophrenia and a new
prescription for chlorpromazine. Which of the following statements should the nurse
include in the teaching?
Answer:” The voices you have been hearing should decrease.”
4. A nurse is reinforcing teaching with a client who has generalized anxiety disorder and
is to start therapy with buspirone. Which of the following statementsshould the nurse
identify as an indication that the client understands the information?
Answer: “I should expect some improvement of my symptoms in about 10 days
5. A nurse is caring for a client who has major depressive disorder(MDD). The client
states.”I have nothing to live for anymore. I just can’t go on.” Which of the following
responses should the nurse make?
Answer: Are you thinking about ending your life
6. A nurse at an outpatient mental health clinic is assisting with a group therapy session.
One of the participants is having difficulty staying seated and states loudly to the
therapist.”I know more than you do about the people in this room!” The nurse should
identify that which of the following findings is the likely explanation for the client’s
behavior?
Answer: Hypomania
7. A nurse is assisting with a mental status examination for a client who has
schizophrenia. Which of the following statements should the nurse make to gather
information about the client’s ability to think abstractly?
Answer: How is an orange similar to an apple
,8.A nurse is reinforcing teaching with the parent of a child who has ADHD and is
exhibiting disruptive behaviors at home. Which of the following actions should the nurse
instruct the parent to take?
Answer: Initiate a point system for the child
9. A nurse is collecting data from a client who is having difficulty coping with the death
of his child. Which of the following questions by the nurse is the priority?
Answer: Do you think about harming yourself
10. A nurse is reinforcing teaching about thought stopping with a client who has a
phobia of riding in automobiles. Which of the following client statements indicates an
understanding of the instructions?
Answer: I will snap a rubber band on my wrist when I feel anxious about riding in a car
11. A nurse is assisting the charge nurse with the preparation for an in-service about
negligence for a group of newly licensed nurses. Which of the following scenarios should
the charge nurse use as an example to identify negligence?
Answer: A nurse does not notify the provider of a change in condition for a client who
has schizophrenia
12. A nurse in a provider’s office is collecting data from an older adult client whose adult
child reports that she “seems confused and can’t seem to remember much.”Which of
the following findings should lead the nurse to suspect delirium?
Answer: The client’s level of consciousness changes during the interview
13. A nurse is caring for a client who gave birth to a stillborn fetus one week ago. She
states to the nurse,”I am so angry that my doctor didn’t take better care of me and my
baby.” Which of the following responses should the nurse make?
Answer: It is important to share what you are feeling, even if it is anger
14. A nurse is contributing to the plan of care for a client who has borderline personality
disorder and exhibits manipulative behaviors. Which of the following interventions
should the nurse include in the plan to address limit setting?
Answer: Establish and explain consequences for the client’s behavior
15. A nurse is caring for an adult client who has visible injuries as a result of intimate
partner violence. Which of the following actions should the nurse take?
Answer: Encourage the client to develop a safety plan
, 16. A nurse in an urgent care clinic is collecting data from a client whose friend reports a
suspicion of cocaine use. The nurse should identify that which of the following
manifestations is an indicator of the client’s use of this substance?
Answer: Hypertension
17. A nurse in a mental health facility is caring for a client who has dementia. The client’s
agitation is increasing. Which of the following actions should the nurse take first?
Answer: Offer diversionary activities
18. A nurse is caring for a client who has bipolar disorder. The client suddenly appears
agitated and begins pacing at the end of the hallway with clenched fists. Which of the
following actions should the nurse take first?
Answer: Determine the client’s intentions
19. A nurse is reinforcing discharge teaching with a client who has a new prescription for
alprazolam. Which of the following instructions is the priority for the nurse to include?
Answer: Do not drive until your reaction to the medication is determined
20. A nurse is caring for a client who is 2 days postoperative following a hip arthroplasty.
When a news report about military action comes on the television, the client says to the
nurse, “My youngest child died 6 months ago while serving in the military.” Which of the
following responses should the nurse make?
Answer:
-This must be very difficult time for you
-Your child’s death must be a terrible loss
-Tell me something you remember about your child
21. A nurse is contributing to the plan of care for a client who has bipolar disorder and is
exhibiting mania, Which of the following interventions should the nurse include to
improve the nutritional status of the client?
Answer: Have the client’s favorite snacks available at all times.
22. A nurse is collecting data from a client who has paranoid personality disorder. Which
of the following manifestations should the nurse expect?
Answer: Projects blame onto others
23. A nurse on and inpatient unit is assisting with a group therapy session. During the
session, a client begins to shout using aggressive language. Which of the following
statements should the nurse make to the client?
Answer: When you raise your voice, it makes me feel uncomfortable and unsafe.”
