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Mental Health Hesi PN Exam Test Bank Latest 2025
with 200 Real Exam Questions and Correct Verified
Answers with Rationales/ HESI PN Mental Health
Exam Practice Test Bank / PN Mental health Hesi
exam
The nurse is conducting discharge teaching for a client
with schizophrenia who plans to live in a group home.
Which statement is most indicative of the need for careful
follow-up after discharge?
a. Crickets are a good source of protein.
b. I have not heard any voices for a week.
c. Only my belief in God can help me.
d. Sometimes I have a hard time sitting still -
...ANSWER...✓✓ *C. Only my belief in God can help me.*
The most frequent cause of increased symptoms in
psychotic clients is non-compliance with the medication
regimen. If clients believe that "God alone" is going to
heal them (C) then they may discontinue their medication,
so (C) would pose the greatest threat to this client's
prognosis. (A) would require further teaching, but is not
as significant a statement as (C). (B) indicates an
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improvement in the client's condition. (D) may be a sign of
anxiety that could improve with tx, but does not have the
priority of (C).
A child is brought to the ER 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. projecting
her feelings onto the nurse.*
Projection is attributing one's own thoughts, impulses, or
behaviors onto another--it is the mother who is probably
harming the child and she is attributing her actions to the
nurse (C). The mother may be immature, but (A) is not the
best description of her behavior. (B) is substituting a
socially acceptable feeling for an unacceptable one. These
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are not socially acceptable feelings. The mother may be
suppressing her fear (D) by displaying anger, but such an
interpretation cannot be concluded from the data
presented.
An elderly female client with advanced dementia is
admitted to the hospital with a fractured hip. The client
repeatedly tells the staff, "Take me home. I want my
Mommy." Which response is best for the nurse to
provide?
a. Orient the client to the time, place, and person.
b. Tell the client that the nurse is there and will help her.
c. Remind the client that her mother is no longer living.
d. Explain the seriousness of her injury and need for
hospitalization. - ...ANSWER...✓✓ *B. Tell the client that
the nurse is there and will help her.*
Those with dementia often refer to home or parents when
seeking security and comfort. The nurse should use the
techniques of "offering self" and "talking to the feelings"
to provide reassurance (B). Clients with advanced
dementia have permanent physiological changes in the
brain (plaques and tangles) that prevent them from
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comprehending and retaining new information, so (A, C,
and D) are likely to be of little use to this client and do not
help the clients emotional needs.
A 27 y/o F client is admitted to the psychiatric hospital
with a dx of bipolar disorder, manic phase. She is
demanding and active. Which intervention should the
nurse include in this client's plan of care?
a. Schedule her to attend various group activities.
b. Reinforce her ability to make her own decisions.
c. Encourage her to identify feelings of anger.
d. Provide a structured environment with little stimuli. -
...ANSWER...✓✓ *D. Provide a structured environment
with little stimuli.*
Clients in the manic phase of bipolar disorder require
decreased stimuli and a structured environment (D). Plan
noncompetitive activities that can be carried out alone.
(A) is contraindicated; stimuli should be reduced as much
as possible. Impulsive decision-making is characteristic
of clients with bipolar disorder. To prevent future
complications, the nurse should monitor these clients'
decisions and assist them in decision-making process
Mental Health Hesi PN Exam Test Bank Latest 2025
with 200 Real Exam Questions and Correct Verified
Answers with Rationales/ HESI PN Mental Health
Exam Practice Test Bank / PN Mental health Hesi
exam
The nurse is conducting discharge teaching for a client
with schizophrenia who plans to live in a group home.
Which statement is most indicative of the need for careful
follow-up after discharge?
a. Crickets are a good source of protein.
b. I have not heard any voices for a week.
c. Only my belief in God can help me.
d. Sometimes I have a hard time sitting still -
...ANSWER...✓✓ *C. Only my belief in God can help me.*
The most frequent cause of increased symptoms in
psychotic clients is non-compliance with the medication
regimen. If clients believe that "God alone" is going to
heal them (C) then they may discontinue their medication,
so (C) would pose the greatest threat to this client's
prognosis. (A) would require further teaching, but is not
as significant a statement as (C). (B) indicates an
,2|Page
improvement in the client's condition. (D) may be a sign of
anxiety that could improve with tx, but does not have the
priority of (C).
A child is brought to the ER 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. projecting
her feelings onto the nurse.*
Projection is attributing one's own thoughts, impulses, or
behaviors onto another--it is the mother who is probably
harming the child and she is attributing her actions to the
nurse (C). The mother may be immature, but (A) is not the
best description of her behavior. (B) is substituting a
socially acceptable feeling for an unacceptable one. These
,3|Page
are not socially acceptable feelings. The mother may be
suppressing her fear (D) by displaying anger, but such an
interpretation cannot be concluded from the data
presented.
An elderly female client with advanced dementia is
admitted to the hospital with a fractured hip. The client
repeatedly tells the staff, "Take me home. I want my
Mommy." Which response is best for the nurse to
provide?
a. Orient the client to the time, place, and person.
b. Tell the client that the nurse is there and will help her.
c. Remind the client that her mother is no longer living.
d. Explain the seriousness of her injury and need for
hospitalization. - ...ANSWER...✓✓ *B. Tell the client that
the nurse is there and will help her.*
Those with dementia often refer to home or parents when
seeking security and comfort. The nurse should use the
techniques of "offering self" and "talking to the feelings"
to provide reassurance (B). Clients with advanced
dementia have permanent physiological changes in the
brain (plaques and tangles) that prevent them from
, 4|Page
comprehending and retaining new information, so (A, C,
and D) are likely to be of little use to this client and do not
help the clients emotional needs.
A 27 y/o F client is admitted to the psychiatric hospital
with a dx of bipolar disorder, manic phase. She is
demanding and active. Which intervention should the
nurse include in this client's plan of care?
a. Schedule her to attend various group activities.
b. Reinforce her ability to make her own decisions.
c. Encourage her to identify feelings of anger.
d. Provide a structured environment with little stimuli. -
...ANSWER...✓✓ *D. Provide a structured environment
with little stimuli.*
Clients in the manic phase of bipolar disorder require
decreased stimuli and a structured environment (D). Plan
noncompetitive activities that can be carried out alone.
(A) is contraindicated; stimuli should be reduced as much
as possible. Impulsive decision-making is characteristic
of clients with bipolar disorder. To prevent future
complications, the nurse should monitor these clients'
decisions and assist them in decision-making process
