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Mental Health/Psych HESI Review
Questions (100+ Questions study with
Rationale) Expert Verified Actual
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/ Newest Update, 2025/2026. Questions
and Correct Answers/ Latest Update /
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In conducting the initial assessment of a preoperative client, the nurse
notes that the client's home medications include the monoamine
oxidase (MAO) inhibitor phenelzine. Because of this client's medication
history, which assessment finding is most important for the nurse to
monitor?
A. Blood pressure
B. Urinary output
C. Temperature
D. Respiratory rate
Ans: A. Blood pressure
The nurse has received a new prescription for the client to begin taking
sertraline. Prior to administering the initial dose of sertraline, it is most
important for the nurse to obtain which information?
A. Current weight
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B. Any history of heart disease
C. Familial history of mental illness
D. Medication history
Ans: D. Medication history
Case study: Client's speech is loud, rapid, and incoherent. She says,
"Police don't see my stardom. The stars twinkle at night. I like to eat ice
cream and watch movies. Have you seen the show about the detective
and the angel? I have angels watching over me."
Drag from Word Choices to complete the sentence:
The nurse recognizes the client's speech as ___________, __________,
and ___________.
Word choices:
echolalia
loose associations
clang association
pressured
tangential
circumstantial
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Ans: loose associations, pressured, tangential
Abnormal speech patterns may be associated with
psychological conditions. Pressured speech is often loud, rapid,
and incoherent. Clients may display tangentiality in their
speech by adding unnecessary details and being unable to reach
a point. Conversation may drift off topic and fail to return to
the original concept. Similarly, loose associations display when
thoughts are represented in words that have limited
connections to the previous statement.
Case study (cont'd): The nurse evaluates the client's presentation and
considers the assessment findings.
For each assessment finding, click to indicate whether findings from
the client's assessment are generally associated with bipolar disorder
(mania), schizophrenia, or both.
Loose association
Flat or blunt affect
Motor agitation
Elevated mood
Labile
Delusions
Low appetite
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Ans: Loose association: BOTH
Flat or blunt affect: Schizophrenia
Motor agitation: BOTH
Elevated mood: Bipolar disorder (mania)
Labile: BOTH
Delusions: BOTH
Low appetite: Bipolar disorder (mania)
Schizophrenia is traditionally characterized by a flattened or
blunt affect. Meanwhile, clients with bipolar disorder (mania)
tend to have an elevated mood. Clients experiencing mania also
display low appetite and altered eating patterns. Both clients
with bipolar disorder (mania) and clients with schizophrenia
share symptoms such as being labile, having delusions, using
loose associations, and having motor agitation. With lability,
clients can present with emotional instability and rapidly
changing emotions. Delusions are beliefs that are not based on
reality. They are also fixed and false. With loose associations,
speech patterns shod an inability to stay on point as the client
brings up unrelated ideas. Motor agitation is purposeless of
unintentional restlessness, such as pacing.
Case study (cont'd): The nurse notifies the healthcare provider about
the client's behavior and the nurse's inability to obtain an
electrocardiogram.
All rights reserved © 2025/ 2026 |
Mental Health/Psych HESI Review
Questions (100+ Questions study with
Rationale) Expert Verified Actual
Questions & Answers for Guaranteed Pass
/ Newest Update, 2025/2026. Questions
and Correct Answers/ Latest Update /
Already Graded
In conducting the initial assessment of a preoperative client, the nurse
notes that the client's home medications include the monoamine
oxidase (MAO) inhibitor phenelzine. Because of this client's medication
history, which assessment finding is most important for the nurse to
monitor?
A. Blood pressure
B. Urinary output
C. Temperature
D. Respiratory rate
Ans: A. Blood pressure
The nurse has received a new prescription for the client to begin taking
sertraline. Prior to administering the initial dose of sertraline, it is most
important for the nurse to obtain which information?
A. Current weight
All rights reserved © 2025/ 2026 |
, Page |2
B. Any history of heart disease
C. Familial history of mental illness
D. Medication history
Ans: D. Medication history
Case study: Client's speech is loud, rapid, and incoherent. She says,
"Police don't see my stardom. The stars twinkle at night. I like to eat ice
cream and watch movies. Have you seen the show about the detective
and the angel? I have angels watching over me."
Drag from Word Choices to complete the sentence:
The nurse recognizes the client's speech as ___________, __________,
and ___________.
Word choices:
echolalia
loose associations
clang association
pressured
tangential
circumstantial
All rights reserved © 2025/ 2026 |
, Page |3
Ans: loose associations, pressured, tangential
Abnormal speech patterns may be associated with
psychological conditions. Pressured speech is often loud, rapid,
and incoherent. Clients may display tangentiality in their
speech by adding unnecessary details and being unable to reach
a point. Conversation may drift off topic and fail to return to
the original concept. Similarly, loose associations display when
thoughts are represented in words that have limited
connections to the previous statement.
Case study (cont'd): The nurse evaluates the client's presentation and
considers the assessment findings.
For each assessment finding, click to indicate whether findings from
the client's assessment are generally associated with bipolar disorder
(mania), schizophrenia, or both.
Loose association
Flat or blunt affect
Motor agitation
Elevated mood
Labile
Delusions
Low appetite
All rights reserved © 2025/ 2026 |
, Page |4
Ans: Loose association: BOTH
Flat or blunt affect: Schizophrenia
Motor agitation: BOTH
Elevated mood: Bipolar disorder (mania)
Labile: BOTH
Delusions: BOTH
Low appetite: Bipolar disorder (mania)
Schizophrenia is traditionally characterized by a flattened or
blunt affect. Meanwhile, clients with bipolar disorder (mania)
tend to have an elevated mood. Clients experiencing mania also
display low appetite and altered eating patterns. Both clients
with bipolar disorder (mania) and clients with schizophrenia
share symptoms such as being labile, having delusions, using
loose associations, and having motor agitation. With lability,
clients can present with emotional instability and rapidly
changing emotions. Delusions are beliefs that are not based on
reality. They are also fixed and false. With loose associations,
speech patterns shod an inability to stay on point as the client
brings up unrelated ideas. Motor agitation is purposeless of
unintentional restlessness, such as pacing.
Case study (cont'd): The nurse notifies the healthcare provider about
the client's behavior and the nurse's inability to obtain an
electrocardiogram.
All rights reserved © 2025/ 2026 |
