3/11/25, 2:25 PM
PSYCH / MENTAL HEALTH HESI EXAM 160 QUESTIONS WITH 100% ACCURATE SOLUTIONS
1. A 30-year-old man who was recently started on haloperidol 30 mg/day
developed hyperpyrexia, muscle rigidity, akinesia, mutism, sweating,
tachycardia, and increased blood pressure. The investigation showed an
increased WBC count and increased creatinine phosphokinase. There is no
history of any other drug intake or any signs of infection. What is the most
likely diagnosis?
Tardive dyskinesia
Neuroleptic malignant syndrome
Drug overdose
Drug-induced Parkinsonism
2. In a community mental health facility, the nurse remarked that the patient
voluntarily submitted himself for consultation. Based on this data, what
behavior is expected?
A. Willingness to engage in the care and treatment plan
D. Fear about treatment measures is a common trait
C. An awareness of the diagnoses, pathophysiology, and symptoms
B. Anger and aggression directed at others
3. What is the primary concern expressed by the wife of the client diagnosed
with paranoid schizophrenia?
Her husband believes his food is being poisoned.
Her husband refuses to take his medication.
Her husband is experiencing hallucinations.
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Her husband is showing signs of depression.
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4. In a scenario where a client refuses to eat due to paranoia about food safety,
which combination of interventions would best support the client while
addressing their concerns?
Focus on the client's self-disclosure about food preferences and offer
food in open containers.
Identify the reasons the client has for not wanting to eat and offer
opinions about nutrition.
Use open-ended questions to encourage client dialogue and offer
the client food in closed containers, such as in cans that have to be
opened.
Offer opinions about the necessity for adequate nutrition and focus
on the client's self-disclosure about food preferences.
5. If a nurse notices that a client is not taking their sertraline (Zoloft) consistently
at the same time each evening, what should be the nurse's immediate action?
Educate the client on the importance of consistent timing for
medication effectiveness.
Ignore the inconsistency if the client reports feeling better.
Schedule the medication to be administered by the nurse.
Change the medication to a different antidepressant.
6. If a nurse observes that a client with delirium becomes more agitated when
exposed to bright lights and loud noises, what should the nurse prioritize in
their care plan?
Encouraging the client to engage in group activities
Providing the client with stimulating audio-visual materials
Minimizing environmental stimuli such as bright lights and loud
noises
3/52
, 3/11/25, 2:25 PM
Increasing the use of direct lighting to keep the client alert
7. In a scenario where a client expresses feelings of hopelessness after a recent
loss, what would be an appropriate follow-up question to assess their
emotional state further?
What do you usually do to feel better?
What thoughts have you been having since your loss?
Who is available to help you?
With whom do you live?
8. What is the diagnosis suspected by the nurse in the case of a client who
became blind after witnessing a traumatic event with no organic cause?
Repression
Dissociative Disorder
Psychosis
Conversion Disorder
9. When obtaining a sexual history from a client in a clinic setting, the nurse
notes that the client appears very uncomfortable and pauses for long
periods before answering the nurse's questions. What is the nurse's best
response?
"I am sorry that my questions are making you very uncomfortable."
"These questions are making you uncomfortable, so we'll finish next
time."
"Don't worry. We'll be done with these questions in no time at all."
"Take your time. I realize that this is a very private topic to talk
about."
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PSYCH / MENTAL HEALTH HESI EXAM 160 QUESTIONS WITH 100% ACCURATE SOLUTIONS
1. A 30-year-old man who was recently started on haloperidol 30 mg/day
developed hyperpyrexia, muscle rigidity, akinesia, mutism, sweating,
tachycardia, and increased blood pressure. The investigation showed an
increased WBC count and increased creatinine phosphokinase. There is no
history of any other drug intake or any signs of infection. What is the most
likely diagnosis?
Tardive dyskinesia
Neuroleptic malignant syndrome
Drug overdose
Drug-induced Parkinsonism
2. In a community mental health facility, the nurse remarked that the patient
voluntarily submitted himself for consultation. Based on this data, what
behavior is expected?
A. Willingness to engage in the care and treatment plan
D. Fear about treatment measures is a common trait
C. An awareness of the diagnoses, pathophysiology, and symptoms
B. Anger and aggression directed at others
3. What is the primary concern expressed by the wife of the client diagnosed
with paranoid schizophrenia?
Her husband believes his food is being poisoned.
Her husband refuses to take his medication.
Her husband is experiencing hallucinations.
1/52
,3/11/25, 2:25 PM
Her husband is showing signs of depression.
2/52
,3/11/25, 2:25 PM
4. In a scenario where a client refuses to eat due to paranoia about food safety,
which combination of interventions would best support the client while
addressing their concerns?
Focus on the client's self-disclosure about food preferences and offer
food in open containers.
Identify the reasons the client has for not wanting to eat and offer
opinions about nutrition.
Use open-ended questions to encourage client dialogue and offer
the client food in closed containers, such as in cans that have to be
opened.
Offer opinions about the necessity for adequate nutrition and focus
on the client's self-disclosure about food preferences.
5. If a nurse notices that a client is not taking their sertraline (Zoloft) consistently
at the same time each evening, what should be the nurse's immediate action?
Educate the client on the importance of consistent timing for
medication effectiveness.
Ignore the inconsistency if the client reports feeling better.
Schedule the medication to be administered by the nurse.
Change the medication to a different antidepressant.
6. If a nurse observes that a client with delirium becomes more agitated when
exposed to bright lights and loud noises, what should the nurse prioritize in
their care plan?
Encouraging the client to engage in group activities
Providing the client with stimulating audio-visual materials
Minimizing environmental stimuli such as bright lights and loud
noises
3/52
, 3/11/25, 2:25 PM
Increasing the use of direct lighting to keep the client alert
7. In a scenario where a client expresses feelings of hopelessness after a recent
loss, what would be an appropriate follow-up question to assess their
emotional state further?
What do you usually do to feel better?
What thoughts have you been having since your loss?
Who is available to help you?
With whom do you live?
8. What is the diagnosis suspected by the nurse in the case of a client who
became blind after witnessing a traumatic event with no organic cause?
Repression
Dissociative Disorder
Psychosis
Conversion Disorder
9. When obtaining a sexual history from a client in a clinic setting, the nurse
notes that the client appears very uncomfortable and pauses for long
periods before answering the nurse's questions. What is the nurse's best
response?
"I am sorry that my questions are making you very uncomfortable."
"These questions are making you uncomfortable, so we'll finish next
time."
"Don't worry. We'll be done with these questions in no time at all."
"Take your time. I realize that this is a very private topic to talk
about."
4/52
