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HESI CASE STUDY - PSYCHIATRIC-MENTAL
HEALTH PRACTICE EXAM
At the first meeting of a group of older adults at B. "Yes, I will be leading this
a daycare center for the elderly, the nurse asks group. What would you like to
one of the members what kinds of things she accomplish during this time?"
would like to do with the group. The older
woman shrugs her shoulders and says, "You tell
me, you're the leader." What is 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 during this time?"
C) "Yes, I have been assigned to be the leader of
this group. I will be here for the next six weeks."
D) "Yes, I am the leader. You seem angry about
not being the leader yourself."
Over a period of several weeks, one male C. Allow the group to handle the
participant of a socialization group at a problem.
community day care center for the elderly
monopolizes most of the group's time and
interrupts others when they are talking. What is
the best action for the nurse to take in this
situation?
A) Talk to the client outside the group about his
behavior during group meetings.
B) Remind the client to allow others in the group
a chance to talk.
C) Allow the group to handle the problem.
D) Ask the client to join another group.
An 86-year-old female client with Alzheimer's C. "Let's go back to the activity
disease is wandering the busy halls of the room and 1see what is going on
extended care facility and asks the nurse, there."
"Where should I stand for the parade?" Which
,response is best for the nurse to provide?
A) "Anywhere you want to stand as long as you
do not get hurt by those in the parade."
B) "You are confused because of all the activity
in the hall. There is no parade."
C) "Let us go back to the activity room and see
what is going on in there."
D) "Remember I told you that this is a nursing
home and I am your nurse."
Physical examination of a 6-year-old reveals B. "Tell me more specifically
several bite marks in various locations on his about your child's accidents."
body. X-ray examination reveals healed fractures
of the ribs. The mother tells the nurse that her
child is always having accidents. Which initial
response by the nurse would be most
appropriate?
A) "I need to inform the healthcare provider
about your child's tendency to be accident
prone."
B) "Tell me more specifically about your child's
accidents."
C) "I must report these injuries to the authorities
because they do not seem accidental."
D) "Boys this age always seem to require more
supervision and can be quite accident prone."
A child is brought to the emergency room with a C. projecting her anger.
broken arm. Because of other injuries, the nurse
suspects the child may be a victim of abuse.
When the nurse tries to give the child an
injection, the child's mother becomes very loud
and shouts, "I won't leave my son! Don't you
touch him! You'll hurt my child!" What is the best
interpretation of the mother's statements? The
mother is
A) regressing to an earlier behavior pattern.
,B) sublimating her anger.
C) projecting her feelings onto the nurse.
D) suppressing her fear.
A 38-year-old female client is admitted with a A. "I'll leave your tray here. I am
diagnosis of paranoid schizophrenia. When her available if you need anything
tray is brought to her, she refuses to eat and else."
tells the nurse, "I know you are trying to poison
me with that food." Which response is most
appropriate for the nurse to make?
A) "I'll leave your tray here. I am available if you
need anything else."
B) "You're not being poisoned. Why do you think
someone is trying to poison you?"
C) "No one on this unit has ever died from
poisoning. You're safe here."
D) "I will talk to your healthcare provider about
the possibility of changing your diet."
A 25-year-old female client has been particularly D. "Come with me to your room
restless and the nurse finds her trying to leave and I will sit with you."
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."
A 45-year-old male client tells the nurse that he C."I think you're getting well."
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?"
A nurse working on a mental health unit receives B. Moderate levels of anxiety.
a community call from a person who is tearful
and states, "I just feel so nervous all of the time.
I don't know what to do about my problems. I
haven't been able to sleep at night and have
hardly eaten for the past 3 or 4 days." The nurse
should initiate a referral based on which
assessment?
A) Altered thought processes.
B) Moderate levels of anxiety.
C) Inadequate social support.
D) Altered health maintenance.
A nurse working in the emergency room of a C. The nurse should report any
children's hospital admits a child whose injuries case of suspected child abuse.
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.
A client who is being treated with lithium B. Notify the healthcare provider
carbonate for bipolar disorder develops diarrhea, of the symptoms prior to the
HESI CASE STUDY - PSYCHIATRIC-MENTAL
HEALTH PRACTICE EXAM
At the first meeting of a group of older adults at B. "Yes, I will be leading this
a daycare center for the elderly, the nurse asks group. What would you like to
one of the members what kinds of things she accomplish during this time?"
would like to do with the group. The older
woman shrugs her shoulders and says, "You tell
me, you're the leader." What is 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 during this time?"
C) "Yes, I have been assigned to be the leader of
this group. I will be here for the next six weeks."
D) "Yes, I am the leader. You seem angry about
not being the leader yourself."
Over a period of several weeks, one male C. Allow the group to handle the
participant of a socialization group at a problem.
community day care center for the elderly
monopolizes most of the group's time and
interrupts others when they are talking. What is
the best action for the nurse to take in this
situation?
A) Talk to the client outside the group about his
behavior during group meetings.
B) Remind the client to allow others in the group
a chance to talk.
C) Allow the group to handle the problem.
D) Ask the client to join another group.
An 86-year-old female client with Alzheimer's C. "Let's go back to the activity
disease is wandering the busy halls of the room and 1see what is going on
extended care facility and asks the nurse, there."
"Where should I stand for the parade?" Which
,response is best for the nurse to provide?
A) "Anywhere you want to stand as long as you
do not get hurt by those in the parade."
B) "You are confused because of all the activity
in the hall. There is no parade."
C) "Let us go back to the activity room and see
what is going on in there."
D) "Remember I told you that this is a nursing
home and I am your nurse."
Physical examination of a 6-year-old reveals B. "Tell me more specifically
several bite marks in various locations on his about your child's accidents."
body. X-ray examination reveals healed fractures
of the ribs. The mother tells the nurse that her
child is always having accidents. Which initial
response by the nurse would be most
appropriate?
A) "I need to inform the healthcare provider
about your child's tendency to be accident
prone."
B) "Tell me more specifically about your child's
accidents."
C) "I must report these injuries to the authorities
because they do not seem accidental."
D) "Boys this age always seem to require more
supervision and can be quite accident prone."
A child is brought to the emergency room with a C. projecting her anger.
broken arm. Because of other injuries, the nurse
suspects the child may be a victim of abuse.
When the nurse tries to give the child an
injection, the child's mother becomes very loud
and shouts, "I won't leave my son! Don't you
touch him! You'll hurt my child!" What is the best
interpretation of the mother's statements? The
mother is
A) regressing to an earlier behavior pattern.
,B) sublimating her anger.
C) projecting her feelings onto the nurse.
D) suppressing her fear.
A 38-year-old female client is admitted with a A. "I'll leave your tray here. I am
diagnosis of paranoid schizophrenia. When her available if you need anything
tray is brought to her, she refuses to eat and else."
tells the nurse, "I know you are trying to poison
me with that food." Which response is most
appropriate for the nurse to make?
A) "I'll leave your tray here. I am available if you
need anything else."
B) "You're not being poisoned. Why do you think
someone is trying to poison you?"
C) "No one on this unit has ever died from
poisoning. You're safe here."
D) "I will talk to your healthcare provider about
the possibility of changing your diet."
A 25-year-old female client has been particularly D. "Come with me to your room
restless and the nurse finds her trying to leave and I will sit with you."
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."
A 45-year-old male client tells the nurse that he C."I think you're getting well."
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?"
A nurse working on a mental health unit receives B. Moderate levels of anxiety.
a community call from a person who is tearful
and states, "I just feel so nervous all of the time.
I don't know what to do about my problems. I
haven't been able to sleep at night and have
hardly eaten for the past 3 or 4 days." The nurse
should initiate a referral based on which
assessment?
A) Altered thought processes.
B) Moderate levels of anxiety.
C) Inadequate social support.
D) Altered health maintenance.
A nurse working in the emergency room of a C. The nurse should report any
children's hospital admits a child whose injuries case of suspected child abuse.
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.
A client who is being treated with lithium B. Notify the healthcare provider
carbonate for bipolar disorder develops diarrhea, of the symptoms prior to the
