Psychiatric Hesi January 5, 2022
1. A man complains of decreased concentration at work, tired during the day, sleeps 4 to 5
hours at night. What should the PN ask?
Answer: Do you often feel sad?
2. The RN documents the mental status of a female client who has been hospitalized for several
days by court order. The client states, “I don’t need to be here” and tells the RN that she
believes the television talks to her. The RN should document these assessment findings in
which section of the mental status exam.
A. Level of
concentration B. Insight
and judgement
C. Remote memory
D. Mood and affect
3. The RN is planning client teaching for a 35-year-old client with alcoholic cirrhosis. Which self-
care measure should the RN emphasize for the client’s recovery?
A. Support group meetings
B. Vitamin B and multivitamin supplements
C. Diet with adequate calories and
protein D. Alcohol abstinence
4. A female client admitted to the mental health unit starts to shout and scream at the RN.
What is the best approach for the RN to take?
A. Stay quietly with the patient
B. Tell her that she is out of control
C. Distract her by offering her finger foods
D. Ignore the client’s acting out behavior
5. The occupational health nurse is working with a female employee who was just notified that
her child was involved in a MVA and taken to the hospital. The employee states, “I can’t believe
this. What should I do?” Which response is best for the RN to provide in this crisis?
A. Tell me what you think should happen
B. How serious was the collision?
C. What do you think you should do?
D. Call for transportation to the
hospital
6. The RN is providing care for a client diagnosed with borderline personality disorder who has
self-inflicted lacerations on the abdomen. Which approach should the RN use when changing
this client’s dressing?
A. Provide detailed thorough explanations when cleansing
wound B. Perform the dressing change in a non-judgmental
manner
C. Ask in a non-threatening manner why the client cut his abdomen
, D. Request another staff member assist with the dressing change
7. A homeless client who reports feeling sad and depressed tells the mental health nurse that in
the past 2 days she has only had 4 hours of sleep. Which actions is most important for the RN to
implement within the first 24 hours after treatment is initiated?
A. Allow the client to rest and sleep
B. Ensure the client attends groups addressing coping skills for dealing with depression
C. Begin planning for the client’s discharge
D. Encourage verbalization of feelings
8. A male client tells the RN that he does not want to take the atypical antipsychotic drug,
olanzapine (Zypexa), because of the side effects he experienced when he took the drug for a
year. Which experience is most likely related to taking olanzapine?
A. Weight gain of 75 lbs.
B. Thoughts of wanting to hurt himself
C. Frequent days with diarrhea
D. Altered liver function test
Olanzapine (Zypexa) The principal side effects is weight gain
9. During the initial nursing interview, a client tells the nurse, “Sometimes my thoughts go so
fast. Wonder if I can sell my fast car. Work is so boring. I wonder if I can get a transfer. Is it time
to eat yet?” Which documentation should the nurse use to describe the client’s statements?
A. Demonstrates thought-blocking
B. Uses incoherent speech
C. Exhibits tangential thinking
D. Displays the use of word salad
10. A young adult female client is admitted to a psychiatric facility with a medical diagnosis of
bulimia nervosa. Which nursing intervention has the highest priority?
A. Schedule the client for group therapy with other bulimic clients
B. Assign the client’s care to a nurse of approximately the same age
C. Monitor the client carefully for binging activities
D. Assess and report the client’s electrolyte status to the healthcare provider
11. An 18-year-old client is brought to the emergency department with a suspected overdose.
Which information is most important for the nurse to obtain for the family?
Answer: The drug that was ingested
12. Depressed mother and her daughter speak in a group…
Answer: I hear you say, you’re worry about your mother
distress
13. Patient alcoholic with withdrawal symptoms that say has snake all her
body Answer: Administer PRN Lorazepam (Ativan)
1. A man complains of decreased concentration at work, tired during the day, sleeps 4 to 5
hours at night. What should the PN ask?
Answer: Do you often feel sad?
2. The RN documents the mental status of a female client who has been hospitalized for several
days by court order. The client states, “I don’t need to be here” and tells the RN that she
believes the television talks to her. The RN should document these assessment findings in
which section of the mental status exam.
A. Level of
concentration B. Insight
and judgement
C. Remote memory
D. Mood and affect
3. The RN is planning client teaching for a 35-year-old client with alcoholic cirrhosis. Which self-
care measure should the RN emphasize for the client’s recovery?
A. Support group meetings
B. Vitamin B and multivitamin supplements
C. Diet with adequate calories and
protein D. Alcohol abstinence
4. A female client admitted to the mental health unit starts to shout and scream at the RN.
What is the best approach for the RN to take?
A. Stay quietly with the patient
B. Tell her that she is out of control
C. Distract her by offering her finger foods
D. Ignore the client’s acting out behavior
5. The occupational health nurse is working with a female employee who was just notified that
her child was involved in a MVA and taken to the hospital. The employee states, “I can’t believe
this. What should I do?” Which response is best for the RN to provide in this crisis?
A. Tell me what you think should happen
B. How serious was the collision?
C. What do you think you should do?
D. Call for transportation to the
hospital
6. The RN is providing care for a client diagnosed with borderline personality disorder who has
self-inflicted lacerations on the abdomen. Which approach should the RN use when changing
this client’s dressing?
A. Provide detailed thorough explanations when cleansing
wound B. Perform the dressing change in a non-judgmental
manner
C. Ask in a non-threatening manner why the client cut his abdomen
, D. Request another staff member assist with the dressing change
7. A homeless client who reports feeling sad and depressed tells the mental health nurse that in
the past 2 days she has only had 4 hours of sleep. Which actions is most important for the RN to
implement within the first 24 hours after treatment is initiated?
A. Allow the client to rest and sleep
B. Ensure the client attends groups addressing coping skills for dealing with depression
C. Begin planning for the client’s discharge
D. Encourage verbalization of feelings
8. A male client tells the RN that he does not want to take the atypical antipsychotic drug,
olanzapine (Zypexa), because of the side effects he experienced when he took the drug for a
year. Which experience is most likely related to taking olanzapine?
A. Weight gain of 75 lbs.
B. Thoughts of wanting to hurt himself
C. Frequent days with diarrhea
D. Altered liver function test
Olanzapine (Zypexa) The principal side effects is weight gain
9. During the initial nursing interview, a client tells the nurse, “Sometimes my thoughts go so
fast. Wonder if I can sell my fast car. Work is so boring. I wonder if I can get a transfer. Is it time
to eat yet?” Which documentation should the nurse use to describe the client’s statements?
A. Demonstrates thought-blocking
B. Uses incoherent speech
C. Exhibits tangential thinking
D. Displays the use of word salad
10. A young adult female client is admitted to a psychiatric facility with a medical diagnosis of
bulimia nervosa. Which nursing intervention has the highest priority?
A. Schedule the client for group therapy with other bulimic clients
B. Assign the client’s care to a nurse of approximately the same age
C. Monitor the client carefully for binging activities
D. Assess and report the client’s electrolyte status to the healthcare provider
11. An 18-year-old client is brought to the emergency department with a suspected overdose.
Which information is most important for the nurse to obtain for the family?
Answer: The drug that was ingested
12. Depressed mother and her daughter speak in a group…
Answer: I hear you say, you’re worry about your mother
distress
13. Patient alcoholic with withdrawal symptoms that say has snake all her
body Answer: Administer PRN Lorazepam (Ativan)
