HESI MENTAL HEALTH 2025/2026
EXAMINATION
1. At the first meeting of a group of older adults at a daycare center for
the elderly, the nurse asks one of the members what kinds of things she
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." - ANSWER-B
Over a period of several weeks, one male participant of a socialization
group at a 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. Correct
D Ask the client to join another group. - ANSWER-C
An 86-year-old female client with Alzheimer's disease is wandering the
busy halls of the extended care facility and asks the nurse, "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's 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." - ANSWER-C.
Physical examination of a 6-year-old reveals several bite marks in
various locations on his 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 is 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." - ANSWER-B
A child is brought to the emergency room with a 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. - ANSWER-C
.
A 38-year-old female client is admitted with a diagnosis of paranoid
schizophrenia. When her tray is brought to her, she refuses to eat and
tells the nurse, "I know you are trying to poison me with that food."
Which response would be 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?"
EXAMINATION
1. At the first meeting of a group of older adults at a daycare center for
the elderly, the nurse asks one of the members what kinds of things she
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." - ANSWER-B
Over a period of several weeks, one male participant of a socialization
group at a 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. Correct
D Ask the client to join another group. - ANSWER-C
An 86-year-old female client with Alzheimer's disease is wandering the
busy halls of the extended care facility and asks the nurse, "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's 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." - ANSWER-C.
Physical examination of a 6-year-old reveals several bite marks in
various locations on his 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 is 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." - ANSWER-B
A child is brought to the emergency room with a 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. - ANSWER-C
.
A 38-year-old female client is admitted with a diagnosis of paranoid
schizophrenia. When her tray is brought to her, she refuses to eat and
tells the nurse, "I know you are trying to poison me with that food."
Which response would be 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?"
