PSYCH MENTAL HEALTH HESI QUESTIONS WITH ANSWERS
A nurse is reviewing the assessment data of a client admitted to the mental health unit. The nurse notes
that the admission nurse documented that the client is experiencing anxiety as a result of a situational
crisis. The nurse determines that this type of crisis is caused by:
1) Witnessing a murder
2) The death of a loved one
3) A fire that destroyed the client's home
4) A recent rape episode experienced by the client
A nurse is conducting an initial assessment on a client in crisis. When assessing the client's perception of
the precipitating event that lead to the crisis, the appropriate question to ask is:
1) "With whom do you live?"
2) "Who is available to help you?"
3) "What leads you to seek help now?"
4) "What do you usually do to feel better?"
A moderatley depressed client who was hospitalized 2 days ago suddenly begins smiling and reporting
that the crisis is over. The client says to a nurse "I'm finally cured." The nurse interprets this behavior as
a cue to modify the treatment plan by:
1) Suggesting a reduction of medication
2) Allowing increased "in-room" activities
3) Increasing the level of suicide precautions
4) Allowing the client off-unit privileges as needed
An emergency department nurse is caring for an adult client who is a victim of family violence. Which
priority instruction would be included in the discharge instructions?
1) Information regarding shelters
2) Instructions regarding calling the police
3) Instructions regarding self-defense classes
4) Explaining the importance of leaving the violent situation
A female victim of sexual assault is being seen in the crisis center. The client states that she still feels "as
though the rape just happened yesterday," even though it has been a few months since the incident.
, The appropriate nursing response is which of the following?
1) "You need to try and be realistic. The rape did not just occur."
2) "It will take some time to get over these feelings about your rape."
3) "Tell me more about the incident that causes you to feel like the rape just occurred."
4) "What do you think that you can do to alleviate some of your fears about being raped again?"
A nurse is preparing to care for a dying client, and several family members are at the client' bedside.
Select the therapeutic techniques that the nurse would use when communicating with the family. Select
all that apply.
1) Discourage reminiscing
2) Make decisions for the family
3) Encourage expression of feelings, concerns, and fears
4) Explain everything that is happening to all family members
5) Touch and hold the client's or family member's hands if appropriate
6) Be honest and let the client and family know that they will not be abandoned by the nurse
A client's medication sheet contains a prescription for sertraline (Zoloft). To ensure safe administration
of the medication, a nurse would administer the dose:
1) On an empty stomach
2) At the same time each evening
3) Evenly spaced around the clock
4) As needed when the client complains of depression
A nurse is preforming a follow-up teaching session with a client discharged 1 month ago. The client is
taking fluoxetine (Prozac). What information would be important for the nurse to obtain during this
client visit regarding the side effects of the medication?
1) Cardiovascular symptoms
2) Gastrointestinal dysfunctions
3) Problems with mouth dryness
4) Problems with excessive sweating
A nurse is reviewing the assessment data of a client admitted to the mental health unit. The nurse notes
that the admission nurse documented that the client is experiencing anxiety as a result of a situational
crisis. The nurse determines that this type of crisis is caused by:
1) Witnessing a murder
2) The death of a loved one
3) A fire that destroyed the client's home
4) A recent rape episode experienced by the client
A nurse is conducting an initial assessment on a client in crisis. When assessing the client's perception of
the precipitating event that lead to the crisis, the appropriate question to ask is:
1) "With whom do you live?"
2) "Who is available to help you?"
3) "What leads you to seek help now?"
4) "What do you usually do to feel better?"
A moderatley depressed client who was hospitalized 2 days ago suddenly begins smiling and reporting
that the crisis is over. The client says to a nurse "I'm finally cured." The nurse interprets this behavior as
a cue to modify the treatment plan by:
1) Suggesting a reduction of medication
2) Allowing increased "in-room" activities
3) Increasing the level of suicide precautions
4) Allowing the client off-unit privileges as needed
An emergency department nurse is caring for an adult client who is a victim of family violence. Which
priority instruction would be included in the discharge instructions?
1) Information regarding shelters
2) Instructions regarding calling the police
3) Instructions regarding self-defense classes
4) Explaining the importance of leaving the violent situation
A female victim of sexual assault is being seen in the crisis center. The client states that she still feels "as
though the rape just happened yesterday," even though it has been a few months since the incident.
, The appropriate nursing response is which of the following?
1) "You need to try and be realistic. The rape did not just occur."
2) "It will take some time to get over these feelings about your rape."
3) "Tell me more about the incident that causes you to feel like the rape just occurred."
4) "What do you think that you can do to alleviate some of your fears about being raped again?"
A nurse is preparing to care for a dying client, and several family members are at the client' bedside.
Select the therapeutic techniques that the nurse would use when communicating with the family. Select
all that apply.
1) Discourage reminiscing
2) Make decisions for the family
3) Encourage expression of feelings, concerns, and fears
4) Explain everything that is happening to all family members
5) Touch and hold the client's or family member's hands if appropriate
6) Be honest and let the client and family know that they will not be abandoned by the nurse
A client's medication sheet contains a prescription for sertraline (Zoloft). To ensure safe administration
of the medication, a nurse would administer the dose:
1) On an empty stomach
2) At the same time each evening
3) Evenly spaced around the clock
4) As needed when the client complains of depression
A nurse is preforming a follow-up teaching session with a client discharged 1 month ago. The client is
taking fluoxetine (Prozac). What information would be important for the nurse to obtain during this
client visit regarding the side effects of the medication?
1) Cardiovascular symptoms
2) Gastrointestinal dysfunctions
3) Problems with mouth dryness
4) Problems with excessive sweating
