Hesi Psych Mental Health
Exit Exam V1, V2 & V3 2023-
2024 | 100+ Latest
Questions, Answers &
Rationales
, 1. A client in the mental health unit is becoming more agitated, shouting at the staff, and pacing
in the hall. Which intervention should the nurse implement first?
A. Offer the client a quiet place to sit and talk.
B. Administer prescribed PRN medication for agitation.
C. Call for additional staff to assist.
D. Set firm limits on the client’s behavior.
Answer: A. Offer the client a quiet place to sit and talk.
2. The nurse is caring for a client with schizophrenia who is experiencing auditory
hallucinations. Which nursing intervention is most appropriate?
A. Encourage the client to discuss the voices.
B. Tell the client that the voices are not real.
C. Instruct the client to ignore the voices.
D. Ask the client what the voices are saying.
Answer: D. Ask the client what the voices are saying.
3. Which statement by a client with major depressive disorder indicates improvement?
A. “I don’t want to get out of bed in the morning.”
B. “I have been going for walks with my friends.”
C. “I still feel hopeless about the future.”
D. “I can’t concentrate on anything.”
Answer: B. “I have been going for walks with my friends.”
, 4. A client is admitted with bipolar disorder, manic phase. Which behavior requires immediate
intervention?
A. Refusing to eat meals.
B. Talking loudly and rapidly.
C. Giving away personal belongings.
D. Demanding attention from staff.
Answer: C. Giving away personal belongings.
5. The nurse is planning care for a client with obsessivecompulsive disorder (OCD). Which
intervention is most appropriate?
A. Discourage all ritualistic behavior.
B. Allow extra time for the client to complete rituals.
C. Offer choices to distract from rituals.
D. Explain the irrationality of the rituals.
Answer: B. Allow extra time for the client to complete rituals.
6. A client with a history of alcohol use disorder is admitted for detoxification. Which
assessment finding requires immediate action?
A. Hand tremors
B. Nausea and vomiting
C. Auditory hallucinations
D. Anxiety
Answer: C. Auditory hallucinations
7. The nurse is caring for a client with generalized anxiety disorder. Which nursing intervention
is most effective?
A. Encourage the client to avoid stressful situations.
, B. Teach relaxation techniques and deep breathing exercises.
C. Advise the client to suppress anxious thoughts.
D. Discuss the client’s anxiety triggers in detail.
Answer: B. Teach relaxation techniques and deep breathing exercises.
8. Which statement by a client with borderline personality disorder requires immediate attention?
A. “Sometimes I feel empty inside.”
B. “I have been cutting myself to feel better.”
C. “I get angry easily.”
D. “I have trouble trusting people.”
Answer: B. “I have been cutting myself to feel better.”
9. A client with dementia is disoriented and attempting to leave the facility. What is the nurse’s
priority action?
A. Reorient the client to time and place.
B. Gently guide the client back to a safe area.
C. Call the family to pick up the client.
D. Administer a sedative as ordered.
Answer: B. Gently guide the client back to a safe area.
10. The nurse is caring for a client with panic disorder. The client reports chest pain and
palpitations. What should the nurse do first?
A. Reassure the client that symptoms are anxietyrelated.
B. Assess vital signs and rule out cardiac causes.
C. Encourage slow, deep breathing.
D. Notify the healthcare provider immediately.
Exit Exam V1, V2 & V3 2023-
2024 | 100+ Latest
Questions, Answers &
Rationales
, 1. A client in the mental health unit is becoming more agitated, shouting at the staff, and pacing
in the hall. Which intervention should the nurse implement first?
A. Offer the client a quiet place to sit and talk.
B. Administer prescribed PRN medication for agitation.
C. Call for additional staff to assist.
D. Set firm limits on the client’s behavior.
Answer: A. Offer the client a quiet place to sit and talk.
2. The nurse is caring for a client with schizophrenia who is experiencing auditory
hallucinations. Which nursing intervention is most appropriate?
A. Encourage the client to discuss the voices.
B. Tell the client that the voices are not real.
C. Instruct the client to ignore the voices.
D. Ask the client what the voices are saying.
Answer: D. Ask the client what the voices are saying.
3. Which statement by a client with major depressive disorder indicates improvement?
A. “I don’t want to get out of bed in the morning.”
B. “I have been going for walks with my friends.”
C. “I still feel hopeless about the future.”
D. “I can’t concentrate on anything.”
Answer: B. “I have been going for walks with my friends.”
, 4. A client is admitted with bipolar disorder, manic phase. Which behavior requires immediate
intervention?
A. Refusing to eat meals.
B. Talking loudly and rapidly.
C. Giving away personal belongings.
D. Demanding attention from staff.
Answer: C. Giving away personal belongings.
5. The nurse is planning care for a client with obsessivecompulsive disorder (OCD). Which
intervention is most appropriate?
A. Discourage all ritualistic behavior.
B. Allow extra time for the client to complete rituals.
C. Offer choices to distract from rituals.
D. Explain the irrationality of the rituals.
Answer: B. Allow extra time for the client to complete rituals.
6. A client with a history of alcohol use disorder is admitted for detoxification. Which
assessment finding requires immediate action?
A. Hand tremors
B. Nausea and vomiting
C. Auditory hallucinations
D. Anxiety
Answer: C. Auditory hallucinations
7. The nurse is caring for a client with generalized anxiety disorder. Which nursing intervention
is most effective?
A. Encourage the client to avoid stressful situations.
, B. Teach relaxation techniques and deep breathing exercises.
C. Advise the client to suppress anxious thoughts.
D. Discuss the client’s anxiety triggers in detail.
Answer: B. Teach relaxation techniques and deep breathing exercises.
8. Which statement by a client with borderline personality disorder requires immediate attention?
A. “Sometimes I feel empty inside.”
B. “I have been cutting myself to feel better.”
C. “I get angry easily.”
D. “I have trouble trusting people.”
Answer: B. “I have been cutting myself to feel better.”
9. A client with dementia is disoriented and attempting to leave the facility. What is the nurse’s
priority action?
A. Reorient the client to time and place.
B. Gently guide the client back to a safe area.
C. Call the family to pick up the client.
D. Administer a sedative as ordered.
Answer: B. Gently guide the client back to a safe area.
10. The nurse is caring for a client with panic disorder. The client reports chest pain and
palpitations. What should the nurse do first?
A. Reassure the client that symptoms are anxietyrelated.
B. Assess vital signs and rule out cardiac causes.
C. Encourage slow, deep breathing.
D. Notify the healthcare provider immediately.
