HESI MENTAL HEALTH ACTUAL EXAM QUESTION WITH VERIFIED
ANSWERS. LATEST 2024-2025
1. An adult client who lives in a residential facility is mentally retarded and has
a history of bipolar disorder. During the past week, the client has refused to
wear clothes and frequently exposes their body to other residents. Which
intervention should the nurse implement?: B.
Redirect the client to physically demanding activities
2. The nurse develops a plan of care for a client with symptoms of paranoia and
psychosis. The priority nursing diagnosis is Impaired social interactions
related to inability to trust. Which intervention is most important for the
nurse to implement?: A.
Greet the client by first name during each social interaction.
3. A client who has been admitted to the psychiatric unit tells the nurse, "My
problems are so bad. No one can help me." Which response would be best
for the nurse to make?: A.
"How can I help you? Tell me more about your problems."
4. A middle-aged adult was discharged from a treatment center 6 weeks ago
following treatment for suicide ideation and alcohol abuse. In a follow-up
visit to the mental health clinic, the client complains of lethargy, apathy,
irritability, and anxiety. Which question is most important for the nurse to
ask?: B.
"How much alcohol do you consume daily?"
5. The nurse admits a client with depression to the mental health unit. The
client reports difficulty concentrating, has lost 10 pounds in 2 weeks, and is
sleeping 12 hours a day. Which outcome is most important for the client to
meet by discharge?: B.
Reports feeling better and less depressed
6. Which ego defense mechanism is exhibited by a client with a phobia related
to refusal to leave home?: B.
Symbolization
7. An individual with a known history of alcohol abuse is admitted for
emergency surgery following a motor vehicle collision. The nurse includes in
the client's plan of care, "Observe for signs of delirium tremens." Which
early signs indicate that the client is beginning to have delirium tremens?: C.
Restlessness and confusion
8. What instructions should the nurse include in the discharge teaching plan of
a client who has recently been prescribed oxazepam (Serax)? (Select all that
apply.): B.
Do not combine this medication with alcohol.
C.
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, This medication is typically used for short-term treatment.
E.
Avoid driving or operating equipment while taking this drug.
9. A client who has been hospitalized for 2 weeks for paranoia complains
continuously to the staff that someone is trying to steal their clothing. What
is the correct action for the nurse to take based on the client's complaints?:
A.
Enroll the client in an exercise class to promote positive activities.
10. A client believes that his health care provider is an FBI agent and that his
apartment is a site for slave trading. The client believes that the FBI has
cameras in the apartment, so it is not safe to return there. Based on these
symptoms, which class of medication is most likely to find to be prescribed
for this client?: C. Antipsychotic
11. A client who recently retired is admitted to the psychiatric inpatient unit with
a diagnosis of major depression. The initial nursing care plan includes the
goal, "Assist client to express feelings of guilt." What is true about the goal
statement referring to the client's depression?: C.
Depressed clients may be unaware of guilt feelings and should be encouraged to
increase self-awareness.
12. A 38-year-old client is admitted with a diagnosis of paranoid schizophrenia.
When the lunch tray is brought to the room, the client refuses to eat and tells
the nurse, "I know you are trying to poison me with that food." Which
response by the nurse is the most therapeutic?: A.
"I'll leave your tray here. I am available if you need anything else."
13. A 25-year-old client has suffered extensive burns and is crying during
dressing change treatment. The client tells the nurse, "Please let me die.
Why are you all torturing me like this? I just want to die." Which response by
the nurse is best?: B.
"I know these treatments must seem like torture to you, but we want to help you
recover."
14. When planning care for the client undergoing electroconvulsive therapy
(ECT), which equipment should the nurse make available? (Select all that
apply.): A.
Oxygen
B.
Suction equipment
D.
Crash cart
15. On admission, a depressed client tells the nurse, "I can't eat because my
tongue is rubber." Which is the best action for the nurse to implement?: C.
Provide a well-balanced liquid diet for the client.
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ANSWERS. LATEST 2024-2025
1. An adult client who lives in a residential facility is mentally retarded and has
a history of bipolar disorder. During the past week, the client has refused to
wear clothes and frequently exposes their body to other residents. Which
intervention should the nurse implement?: B.
Redirect the client to physically demanding activities
2. The nurse develops a plan of care for a client with symptoms of paranoia and
psychosis. The priority nursing diagnosis is Impaired social interactions
related to inability to trust. Which intervention is most important for the
nurse to implement?: A.
Greet the client by first name during each social interaction.
3. A client who has been admitted to the psychiatric unit tells the nurse, "My
problems are so bad. No one can help me." Which response would be best
for the nurse to make?: A.
"How can I help you? Tell me more about your problems."
4. A middle-aged adult was discharged from a treatment center 6 weeks ago
following treatment for suicide ideation and alcohol abuse. In a follow-up
visit to the mental health clinic, the client complains of lethargy, apathy,
irritability, and anxiety. Which question is most important for the nurse to
ask?: B.
"How much alcohol do you consume daily?"
5. The nurse admits a client with depression to the mental health unit. The
client reports difficulty concentrating, has lost 10 pounds in 2 weeks, and is
sleeping 12 hours a day. Which outcome is most important for the client to
meet by discharge?: B.
Reports feeling better and less depressed
6. Which ego defense mechanism is exhibited by a client with a phobia related
to refusal to leave home?: B.
Symbolization
7. An individual with a known history of alcohol abuse is admitted for
emergency surgery following a motor vehicle collision. The nurse includes in
the client's plan of care, "Observe for signs of delirium tremens." Which
early signs indicate that the client is beginning to have delirium tremens?: C.
Restlessness and confusion
8. What instructions should the nurse include in the discharge teaching plan of
a client who has recently been prescribed oxazepam (Serax)? (Select all that
apply.): B.
Do not combine this medication with alcohol.
C.
1/6
, This medication is typically used for short-term treatment.
E.
Avoid driving or operating equipment while taking this drug.
9. A client who has been hospitalized for 2 weeks for paranoia complains
continuously to the staff that someone is trying to steal their clothing. What
is the correct action for the nurse to take based on the client's complaints?:
A.
Enroll the client in an exercise class to promote positive activities.
10. A client believes that his health care provider is an FBI agent and that his
apartment is a site for slave trading. The client believes that the FBI has
cameras in the apartment, so it is not safe to return there. Based on these
symptoms, which class of medication is most likely to find to be prescribed
for this client?: C. Antipsychotic
11. A client who recently retired is admitted to the psychiatric inpatient unit with
a diagnosis of major depression. The initial nursing care plan includes the
goal, "Assist client to express feelings of guilt." What is true about the goal
statement referring to the client's depression?: C.
Depressed clients may be unaware of guilt feelings and should be encouraged to
increase self-awareness.
12. A 38-year-old client is admitted with a diagnosis of paranoid schizophrenia.
When the lunch tray is brought to the room, the client refuses to eat and tells
the nurse, "I know you are trying to poison me with that food." Which
response by the nurse is the most therapeutic?: A.
"I'll leave your tray here. I am available if you need anything else."
13. A 25-year-old client has suffered extensive burns and is crying during
dressing change treatment. The client tells the nurse, "Please let me die.
Why are you all torturing me like this? I just want to die." Which response by
the nurse is best?: B.
"I know these treatments must seem like torture to you, but we want to help you
recover."
14. When planning care for the client undergoing electroconvulsive therapy
(ECT), which equipment should the nurse make available? (Select all that
apply.): A.
Oxygen
B.
Suction equipment
D.
Crash cart
15. On admission, a depressed client tells the nurse, "I can't eat because my
tongue is rubber." Which is the best action for the nurse to implement?: C.
Provide a well-balanced liquid diet for the client.
2/6
