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Mental Health HESI Practice Exam: 75 Questions with Answers & Rationales

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Ace your Mental Health HESI exam with this 75-question practice test. Includes detailed answer rationales to reinforce psychiatric nursing concepts, therapeutic communication, and pharmacology.

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2025 Latest Mental Health Practice Exam Evolve
HESI 75 Questions and Answers with Detailed
Rationales/ Evolve Hesi Mental Health Prep
Questions and Answers Graded A+(new!)


Which statement about mental illness is true? -
...✔✔ANSWER✔✔...Mental illness changes with culture,
time in history, political systems, and the groups defining
it.


A nursing student new to psychiatric mental health
nursing asks a peer what resources he can use to figure
out which symptoms are present in a psychiatric
disorder. The best answer would be: -
...✔✔ANSWER✔✔...DSM - 5


Epidemiological studies contribute to improvements in
care for individuals with mental disorders by: -
...✔✔ANSWER✔✔...Identifying who in the general
population will develop a specific disorder


Which statement best describes a major difference
between a DSM - 5 diagnosis and a nursing diagnosis -
...✔✔ANSWER✔✔...The DSM-5 is associated with present

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symptoms, whereas a nursing diagnosis considers past,
present, and potential responses to actual mental health
problems.


The intervention that can be practiced by an advanced
practice registered nurse in psychiatric mental health but
cannot be practiced by a basic level registered nurse is -
...✔✔ANSWER✔✔...Psychotherapy


Which contribution to modern psychiatric mental health
nursing practice was made by Freud? -
...✔✔ANSWER✔✔...The theory of personality structure
and levels of awareness


The theory of interpersonal relationships developed by
Hildegard Peplau is based on the foundation provided by
which early theorist? - ...✔✔ANSWER✔✔...Sullivan


The concepts at the heart of Sullivan's theory of
personality are - ...✔✔ANSWER✔✔...Needs and anxiety


The premise that an individual's behavior and affect are
largely determined by his or her attitudes and

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assumptions about the world underlies: -
...✔✔ANSWER✔✔...Cognitive-behavioral therapy


Providing a safe environment for patients with impaired
cognition, planning unit activities to stimulate thinking,
and including patients and staff in unit meetings are all
part of: - ...✔✔ANSWER✔✔...Milieu therapy


A nurse administering a benzodiazepine should
understand that the therapeutic effect of benzodiazepines
results from potentiating the neurotransmitter: -
...✔✔ANSWER✔✔...GABA


Venlafaxine (Effexor) exerts its antidepressant effect by
selectively blocking the reuptake of: -
...✔✔ANSWER✔✔...Serotonin and norepinephrine


The nurse administers each of the following drugs to
various patients. The patient who should be most
carefully assessed for fluid and electrolyte imbalances is
the one receiving - ...✔✔ANSWER✔✔...lithium

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Which drug group calls for nursing assessment for
development of abnormal movement disorders among
individuals who take therapeutic dosages -
...✔✔ANSWER✔✔...antipsychotics


Blockage of dopamine transmission can lead to increased
pituitary secretions of prolactin. In women, this
hyperprolactinemia can result in -
...✔✔ANSWER✔✔...amenorrhea


Which of the following factors contribute to the movement
of patients out of large state institutions and into
community-based mental health treatment -
...✔✔ANSWER✔✔...a. States desire to save money by
moving the patients to the community, where the federal
government would pick up more of the cost,
c. A system of coordinated and accessible community
care was developed by forward-thinking communities
and offered more effective treatment, the Community
Mental Health
d. Centers Act of 1963 required states to develop and offer
care in community-based treatment programs,
e. Patient advocates exposed deficiencies of state
hospitals and took legal actions, leading to the

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