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HESI MENTAL HEALTH
COMPREHENSIVE 2025 BRAND NEW
ACTUAL EXAM WITH ANSWERS.
The client is questioning the nurse about taking another pill.
Which nursing intervention best promotes effective
communication? - correct answer-Explain that this pill is to help
prevent the muscle spasms in neck and jaw.
Rationale: The addition of benztropine will reduce the likelihood of
severe extrapyramidal symptoms that occur more often with
prototype antipsychotic medications such as haloperidol.
Which response from the client indicates that the haloperidol has
been effective? - correct answer-Experiences fewer
hallucinations.
Rationale: The client should experience fewer hallucinations if the
medication has been effective.
While teaching the client about the anticholinergic side effects
related to benztrophine, which intervention is most important for
the nurse to include in the client's plan of care? (Select all that
apply. One, some, or all options may be correct.) - correct
, Page | 2
answer-Report urinary retention or feeling that the bladder does
not empty.
Rationale: Serious side effects include urinary retention, blurred
vision or eye pain, confusion and hallucinations, and
uncontrollable movements of the client's eyes, lips, tongue, face,
and limbs. Dry mouth and constipation are less serious
anticholinergic effects.
Relay any feeling of heart palpations.
Rationale: Tachycardia, palpitations, blurred vision or eye pain,
confusion and hallucinations, and uncontrollable movements of
the client's eyes, lips, tongue, face, and limbs are all serious
anticholinergic side effects. Dry mouth, constipation, and
drowsiness are less serious anticholinergic effects.
On the fifth hospital day, the client reports feeling dizzy as he
stands to leave the morning group activity.
Which action should the nurse implement first? - correct answer-
Take the client's blood pressure while he is sitting and standing.
Rationale: Since the client is feeling dizzy, a blood pressure
reading should be taken while he is both sitting and standing to
determine if a positional change, referred to as orthostatic
hypotension, is associated with a change in the blood pressure
readings.
, Page | 3
What are the advantages for prescribing the atypical
antipsychotic, olanzapine? (Select all that apply. One, some, or all
options may be correct.) - correct answer-Lower incidence of
extrapyramidal symptoms (EPSEs).
Rationale: Olanzapine has fewer incidences of extrapyramidal
side effects (EPSEs) than other antipsychotic medications.
Rapid onset.
Rationale: Olanzapine has a rapid onset.
Acute and maintenance therapy.
Rationale: Olanzapine injection is effective in the treatment of
acutely agitated psychotic clients and there is sustained efficacy
when the client is switched to oral maintenance treatment.
What is the most important benefit the client can receive from his
attendance at the community meeting? - correct answer-Reality
orientation.
Rationale: Meetings that are designed to introduce clients to one
another, plan activities for the day, and address client concerns
and questions help ground the psychotic client in the present and
reality.
Group activities, such as drawing, exercising to music, baking,
community trips, and arts & crafts are offered on the unit. In the
afternoon, the client decides to join the group that has chosen
drawing as their activity.
, Page | 4
What is a goal of being in this activity group? - correct answer-
Gain self-acceptance and express feelings.
Rationale: An activity group promotes self-acceptance,
expression of feelings, and a focus on group goals rather than
individual issues.
The nurse is training a new team member. Which explanation
best promotes effective communication when discussing group
process and group content? - correct answer-Content includes
the clients' words, and group process is how the clients
communicate.
Rationale: Group content includes what the group members say,
and group process refers to how they communicate their thoughts
and feelings.
After 9 days of hospitalization, the client demonstrates fewer
hallucinations, and his thoughts are not influenced by delusions.
The client explains that several months before admission, he and
his HCP decided that he could stop taking his psychotropic
medications. He states that he does not know what happened and
stated that he thought that he was handling everything just fine.
The client's discharge is planned within several days.
Medication prescriptions for discharge include olanzapine 5 mg
PO daily BID. The nurse plans to educate the client about side
effects that do not go away.
HESI MENTAL HEALTH
COMPREHENSIVE 2025 BRAND NEW
ACTUAL EXAM WITH ANSWERS.
The client is questioning the nurse about taking another pill.
Which nursing intervention best promotes effective
communication? - correct answer-Explain that this pill is to help
prevent the muscle spasms in neck and jaw.
Rationale: The addition of benztropine will reduce the likelihood of
severe extrapyramidal symptoms that occur more often with
prototype antipsychotic medications such as haloperidol.
Which response from the client indicates that the haloperidol has
been effective? - correct answer-Experiences fewer
hallucinations.
Rationale: The client should experience fewer hallucinations if the
medication has been effective.
While teaching the client about the anticholinergic side effects
related to benztrophine, which intervention is most important for
the nurse to include in the client's plan of care? (Select all that
apply. One, some, or all options may be correct.) - correct
, Page | 2
answer-Report urinary retention or feeling that the bladder does
not empty.
Rationale: Serious side effects include urinary retention, blurred
vision or eye pain, confusion and hallucinations, and
uncontrollable movements of the client's eyes, lips, tongue, face,
and limbs. Dry mouth and constipation are less serious
anticholinergic effects.
Relay any feeling of heart palpations.
Rationale: Tachycardia, palpitations, blurred vision or eye pain,
confusion and hallucinations, and uncontrollable movements of
the client's eyes, lips, tongue, face, and limbs are all serious
anticholinergic side effects. Dry mouth, constipation, and
drowsiness are less serious anticholinergic effects.
On the fifth hospital day, the client reports feeling dizzy as he
stands to leave the morning group activity.
Which action should the nurse implement first? - correct answer-
Take the client's blood pressure while he is sitting and standing.
Rationale: Since the client is feeling dizzy, a blood pressure
reading should be taken while he is both sitting and standing to
determine if a positional change, referred to as orthostatic
hypotension, is associated with a change in the blood pressure
readings.
, Page | 3
What are the advantages for prescribing the atypical
antipsychotic, olanzapine? (Select all that apply. One, some, or all
options may be correct.) - correct answer-Lower incidence of
extrapyramidal symptoms (EPSEs).
Rationale: Olanzapine has fewer incidences of extrapyramidal
side effects (EPSEs) than other antipsychotic medications.
Rapid onset.
Rationale: Olanzapine has a rapid onset.
Acute and maintenance therapy.
Rationale: Olanzapine injection is effective in the treatment of
acutely agitated psychotic clients and there is sustained efficacy
when the client is switched to oral maintenance treatment.
What is the most important benefit the client can receive from his
attendance at the community meeting? - correct answer-Reality
orientation.
Rationale: Meetings that are designed to introduce clients to one
another, plan activities for the day, and address client concerns
and questions help ground the psychotic client in the present and
reality.
Group activities, such as drawing, exercising to music, baking,
community trips, and arts & crafts are offered on the unit. In the
afternoon, the client decides to join the group that has chosen
drawing as their activity.
, Page | 4
What is a goal of being in this activity group? - correct answer-
Gain self-acceptance and express feelings.
Rationale: An activity group promotes self-acceptance,
expression of feelings, and a focus on group goals rather than
individual issues.
The nurse is training a new team member. Which explanation
best promotes effective communication when discussing group
process and group content? - correct answer-Content includes
the clients' words, and group process is how the clients
communicate.
Rationale: Group content includes what the group members say,
and group process refers to how they communicate their thoughts
and feelings.
After 9 days of hospitalization, the client demonstrates fewer
hallucinations, and his thoughts are not influenced by delusions.
The client explains that several months before admission, he and
his HCP decided that he could stop taking his psychotropic
medications. He states that he does not know what happened and
stated that he thought that he was handling everything just fine.
The client's discharge is planned within several days.
Medication prescriptions for discharge include olanzapine 5 mg
PO daily BID. The nurse plans to educate the client about side
effects that do not go away.
