HESI MENTAL HEALTH LATEST 2024-2025 ACTUAL
EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|ALREADY
GRADED A+
patient states "I can't get my thoughts together I should really sell my car. It's not in here.
Let's buy a car. What is the patient experiencing?
Tangential thinking
A depressed adolescent becomes sarcastic and irritates when you start to ask him
questions. What does the nurse do?
Ask him to play cards
A patient who has been on an antidepressant for 2 weeks. What should you watch for?
suicidal attempts
A patient won't take oral meds that is going through alcohol withdrawal. The nurse starts
giving saline lock per alcohol protocol and thiamine. What do you tell them that it will help
with recovery?
Thiamine will replenish alcohol effects on the body (something to do with iron)
A male patient got divorced a year ago, lost his job, and recently suffered from a break up.
What is his reason for his recent depression?
,feelings of loss
A patient is being admitted for drug overdose. She says the reason she is using drugs is
because of a recent breakup of an intimate relationship? what does the nurse do first
ask the patient if they feel as if they have a plan of suicide
a bipolar patient has stopped taking an antipsychotic. What other medication should the
nurse expect to be D/C
benzotropine (Congentin)
what should you recommend to a patient saying she can't get any sleep recently after
receiving news she has breast cancer. What medication should you recommend?
Ativan
A patient has possessions she doesn't trust anyone to hold because she thinks they will
steal them. How does the nurse establish trust?
make sure to talk short comments every now and then to her
Alcohol-Pancreatitis health assessment of history of alcohol dependency WHAT ELSE
WOULD BE A CONCERN
pancreatitis
,Admission A female client with a history of drinking who was admitted 8 hours ago after
receiving treatment for minor abrasions occurred from a fall at home. The nurse
determines the client's blood alcohol level (BAL) was not analyzed on administration action
should the nurse take Blood alcohol level-
ask the client about alcohol quantity, frequency, and time of the last drink.
IPV- difficulty leaving victim of intimate partner violence what 3 things should you do?
1. establish a code with family and friends to signify violence,
2. plan an escape route to use
if the abuser blocks main exit,
3.have a bag ready that has extra clothes for self and
children
Antisocial- interrupting A female client with bipolar disorder, manic phase, is planning
weekend activities with the other clients on the unit. The client interrupts the group, insists
that they change their plans to a disco party, and begins to curse loudly when the group
refuses to change the plans. Which intervention should the nurse implement?
C. Escort the client to a quieter place.
borderline personality disorder self-inflicted lacerations on abdomen
perform the dressing change in a non-judgemental manner
, The nurse is assessing a client who is believed to have a borderline personality disorder.
Which question is most important to include in this assessment?
C. Do you frequently have temper tantrums?
Conversion disorder patient complains of blindness
Conversion disorder Disorder
characterized by transferring a mental conflict into a physical symptom for which there is
no organic cause. Ex: blindness, paralysis, seizures, deafness, and pseudocyesis(false
pregnancy).
Countertransference occurs when a mental health care professional
redirects his or her feelings toward a client or becomes emotionally entangled with a client
counter
transference.
After returning to work after a weekend off the nurse gets report that a depressed client has
been in bed all weekend. What should the nurse to first?
Assist the client out of bed and involve in activity.
A client with dementia uses the defense mechanism of confabulation. What is the
reasoning?
To decrease anxiety.
EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|ALREADY
GRADED A+
patient states "I can't get my thoughts together I should really sell my car. It's not in here.
Let's buy a car. What is the patient experiencing?
Tangential thinking
A depressed adolescent becomes sarcastic and irritates when you start to ask him
questions. What does the nurse do?
Ask him to play cards
A patient who has been on an antidepressant for 2 weeks. What should you watch for?
suicidal attempts
A patient won't take oral meds that is going through alcohol withdrawal. The nurse starts
giving saline lock per alcohol protocol and thiamine. What do you tell them that it will help
with recovery?
Thiamine will replenish alcohol effects on the body (something to do with iron)
A male patient got divorced a year ago, lost his job, and recently suffered from a break up.
What is his reason for his recent depression?
,feelings of loss
A patient is being admitted for drug overdose. She says the reason she is using drugs is
because of a recent breakup of an intimate relationship? what does the nurse do first
ask the patient if they feel as if they have a plan of suicide
a bipolar patient has stopped taking an antipsychotic. What other medication should the
nurse expect to be D/C
benzotropine (Congentin)
what should you recommend to a patient saying she can't get any sleep recently after
receiving news she has breast cancer. What medication should you recommend?
Ativan
A patient has possessions she doesn't trust anyone to hold because she thinks they will
steal them. How does the nurse establish trust?
make sure to talk short comments every now and then to her
Alcohol-Pancreatitis health assessment of history of alcohol dependency WHAT ELSE
WOULD BE A CONCERN
pancreatitis
,Admission A female client with a history of drinking who was admitted 8 hours ago after
receiving treatment for minor abrasions occurred from a fall at home. The nurse
determines the client's blood alcohol level (BAL) was not analyzed on administration action
should the nurse take Blood alcohol level-
ask the client about alcohol quantity, frequency, and time of the last drink.
IPV- difficulty leaving victim of intimate partner violence what 3 things should you do?
1. establish a code with family and friends to signify violence,
2. plan an escape route to use
if the abuser blocks main exit,
3.have a bag ready that has extra clothes for self and
children
Antisocial- interrupting A female client with bipolar disorder, manic phase, is planning
weekend activities with the other clients on the unit. The client interrupts the group, insists
that they change their plans to a disco party, and begins to curse loudly when the group
refuses to change the plans. Which intervention should the nurse implement?
C. Escort the client to a quieter place.
borderline personality disorder self-inflicted lacerations on abdomen
perform the dressing change in a non-judgemental manner
, The nurse is assessing a client who is believed to have a borderline personality disorder.
Which question is most important to include in this assessment?
C. Do you frequently have temper tantrums?
Conversion disorder patient complains of blindness
Conversion disorder Disorder
characterized by transferring a mental conflict into a physical symptom for which there is
no organic cause. Ex: blindness, paralysis, seizures, deafness, and pseudocyesis(false
pregnancy).
Countertransference occurs when a mental health care professional
redirects his or her feelings toward a client or becomes emotionally entangled with a client
counter
transference.
After returning to work after a weekend off the nurse gets report that a depressed client has
been in bed all weekend. What should the nurse to first?
Assist the client out of bed and involve in activity.
A client with dementia uses the defense mechanism of confabulation. What is the
reasoning?
To decrease anxiety.
