2024 Hesi Mental Health Exam 1 – 3 | Guaranteed A+ Actual Questions and Answers, Complete 100%

2024 Hesi Mental Health Exam 1 – 3 | Guaranteed A+ Actual Questions and Answers, Complete 100%

2024 HESI Mental Health Exam
Guaranteed A+ Actual Questions and Answers, Complete 100%

1. Which statement made by a patient demonstrates a healthy degree of
   resilience? Select all that apply.
   a. “I try to remember not to take other people’s bad moods personally.”
   b. “I know that if I get really mad I’ll end up being depressed.”
   c. “I really feel that sometimes bad things are meant to happen.”
   d. “I’ve learned to calm down before trying to defend my opinions.”
   e. “I know that discussing issues with my boss would help me get my point
   across.”:
   Answer:
   A,D,E
2. 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
   specific psychiatric disorder. The best answer would be:
   a. Nursing Interventions Classification (NIC)
   b. Nursing Outcomes Classification (NOC)
   c. NANDA-I nursing diagnoses
   d. DSM-5:
   Answer:
   D
3. epidemiological studies contribute to improvements in care for individuals
   with mental disorders by: Select all that apply:
   a. Providing information about effective nursing techniques.
   b. Identifying risk factors that contribute to the development of a disorder.
   c. Identifying individuals in the general population who will develop a specific
   disorder.
   d. Identifying which individuals will respond favorably to a specific treatment.-:
   Answer:
   B,D
4. When discussing therapy options, the nurse should provide information
   about interpersonal therapy to which patient? Select all that apply.
   a. The teenager who is the focus of bullying at school
   b. The older woman who has just lost her life partner to cancer
   c. The young adult who has begun demonstrating hoarding tendencies d. The

adolescent demonstrating aggressive verbal and physical tendencies e. The
middle-aged adult who recently discovered her partner has been unfaithful:
Answer:
-A,B,E

5. When considering the suggestions of Hildegard Peplau, which activity
   should the nurse regularly engage in to ensure that the patient stays the focus
   of all therapeutic conversations?
   a. Assessing the patient for unexpressed concerns and fears
   b. Evaluating the possible need for additional training and education
   c. Reflecting on personal behaviors and personal needs
   d. Avoiding power struggles with the manipulative patient:
   Answer:
   C
6. Which action reflects therapeutic practices associated with operant
   conditioning?
   a. Encouraging a parent to read to their children to foster a love for learning
   b. Encouraging a patient to make daily journal entries describing their feelings
   c. Suggesting to a new mother that she spend time cuddling her newborn often
   during the day
   d. Acknowledging a patient who is often verbally aggressive for complimenting
   a picture another patient drew:
   Answer:
   D
7. Linda is terrified of spiders and cannot explain why. Because she lives in a
   wooded area, she would like to overcome this overwhelming fear. Her nurse
   practitioner suggests which therapy?
   a. Behavioral
   b. Biofeedback
   c. Aversion
   d. Systematic desensitization:
   Answer:
   D
8. A patient is telling a tearful story. The nurse listens empathically and responds

therapeutically with:
a. “The next time you find yourself in a similar situation, please call me.”
b. “I am sorry this situation made you feel so badly. Would you like some tea?”
c. “Let’s devise a plan on how you will react next time in a similar situation.”
d. “I am sorry that your friend was so thoughtless. You should be treated
better.”:
Answer:
C

9. Besides antianxiety agents, which classification of drugs is also commonly
   given to treat anxiety and anxiety disorders?
   a. Antipsychotics
   b. Mood stabilizers
   c. Antidepressants
   d. Cholinesterase inhibitors:
   Answer:
   C
10. A patient being treated for insomnia is prescribed ramel-teon (Rozerem).
    Which comorbid mental health condition would make this medication the
    hypnotic of choice for this particular patient?
    a. Obsessive-compulsive disorder
    b. Generalized anxiety disorder
    c. Persistent depressive disorder
    d. Substance use disorder:
    Answer:
    D
11. Which statement made by a patient prescribed bupropion (Wellbutrin)
    demonstrates that the medication education the patient received was effective?
    Select all that apply.
    a. “I hope Wellbutrin will help my depression and also help me to finally quit
    smoking.”
    b. “I’m happy to hear that I won’t need to worry too much about weight gain.”
    c. “It’s okay to take Wellbutrin since I haven’t had a seizure in 6 months.”
    d. “I need to be careful about driving since the medication could make me
    drowsy.”
    e. “My partner and I have discussed the possible effects this medication could
    have on our sex life.”:

Answer:
A,B

12. Which drug group calls for nursing assessment for development of abnormal
    movement disorders among individuals who take therapeutic dosages?
    a. SSRIs
    b. antipsychotics
    c. benzodiazepines
    d. tricyclic antidepressants:
    Answer:
    B
13. Psychotropic drugs have been used for more than half a century. What
    statement regarding their current status is true?
    a. Only one classification of psychotropic drugs exists.
    b. The Food and Drug Administration no longer approves new antidepressants.
    c. We do not know exactly how they work.
    d. Chlorpromazine (Thorazine), the first psychotropic, continues to be the
    treatment of choice with hallucinations.:
    Answer:
    C
14. A psychiatric nurse is reviewing prescriptions for a patient with major
    depression at the county clinic. Since the patient has a mild intellectual
    disability, the nurse would question which classification of antidepressant
    drugs:
    a. Selective serotonin reuptake inhibitors
    b. Monoamine oxidase inhibitors
    c. Serotonin and norepinephrine reuptake inhibitors
    d. All of the above:
    Answer:
    B
15. Which intervention demonstrates an attempt by nursing staff to meet the
    goals identified by the Joint Commission as National Patient Safety Goals?
    Select all that apply.
    a. Identifying patients using both name and date of birth before drawing blood.
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2024 HESI Mental Health Exam
Guaranteed A+ Actual Questions and Answers, Complete 100%

1. A:
   Answer:
   While interviewing a client, the nurse takes notes to assist with accurate
   documentation later. Which statement is most accurate regarding note-taking
   during an interview?
   A. The nurse’ ability to directly observe the client’s nonverbal communication is
   limited with note taking.
   B. Taking notes during an interview is a legal obligation of the examining nurse.
   C. The client’s comfort level is increased when the nurse breaks eye contact to take
   note to take note.
   D. The interview process is enhanced with note taking and allows the client speak
   at normal pace.
2. B:
   Answer:
   An adolescent male receives a prescription for an antidepressant drug because
   he is exhibiting a depressed affect. While the client is taking the antidepressant,
   which comparison of the client’s behavior before and after taking the drug is
   most important for the nurse to obtain?
   A. His appetite.
   B. The emotional quality of his attitude
   C. His level of activity.
   D. The interactions he has with others.
3. B C D:
   Answer:
   A nurse is providing education about strategies for a safety plan for a
   female client who is a victim of intimate partner violence. Which strategies should
   be included in the safety plan? Select all that apply.
   A. Purchase a gun to use for protection
   B. Establish a code with family and friends to signify violence.
   C. Plan an escape route to use if the abuser blocks the main exit.
   D. Have a bag ready that has extra clothes for self and children
4. B:

Answer:
While sitting in the dayroom of the mental health unit, a male adolescent avoids
eye contact, looks at the floor, and talks softly when interacting verbally with the
nurse. The two trade places, and the nurse demonstrate the client’s behavior. What
is the main goal of this therapeutic techniques?
A. Discuss the client’s feeling when he responds.
B. Allow the client to identify the way he interacts.
C. Initiate a non-threatening conversation with the client.
D. Dialog about the ineffectiveness of his interactions.)

5. C:
   Answer:
   A client with depression remains in bed most of the day, and declines activities.
   Which nursing problem has the greatest priority for this client?
   A. Loss of interest in diversional activity.
   B. Social isolation.
   C. Refusal to address nutritional needs.
   D. Low self-esteem.
6. B:
   Answer:
   The RN is preparing medications for a client with bipolar disorder and notices
   that the client discontinued antipsychotic medication for several days. Which
   medicationshould also be discontinued?
   a. Lithium. (Lithotabs)
   b. Benzotropine (Cogentin).
   c. Alprazolam (Xanax).
   d. Magnesium (Milk of Magnesia).
7. A:
   Answer:
   A female client requests that her husband be allowed to stay in the room during the
   admission assessment. When interviewing the client, the RN notes a discrepancy
   between the client’s verbal and nonverbal communication. What action does the
   RN take?
   A. Pay close attention and document the nonverbal messages.
   B. Ask the client’s husband to interpret the discrepancy.
   C. Ignore the nonverbal behavior and focus on the client’s verbal messages.

D. Integrate the verbal and nonverbal messages and interpret them as one.

8. B:
   Answer:
   A male client approaches the RN with an angry expression on his face and
   raises his voice, saying “My roommate is the most selfish, self-centered, angry
   person I have ever met. If he loses his temper one more time with me, I am
   going to punch him out!” The RN recognizes that the client is using which defense
   mechanism?
   A. Denial.
   B. Projection.
   C. Rationalization.
   D. Splitting.
9. A:
   Answer:
   male client with bipolar disorder who began taking lithium carbonate five days ago
   is complaining of excessive thirst, and the RN finds him attempting to drink water
   from the bathroom sink faucet. Which intervention should the RN implement?
   A. Report the client’s serum lithium level to the HCP.
   B. Encourage the client to suck on hard candy to relieve the symptoms.
   C. No action is needed since polydipsia is a common side effect.
   D. Tell the client that drinking from the faucet is not allowed.
10. B:
    Answer:
    The RN is teaching a client about the initiation of the prescribed abstinence
    therapy using disulfiram (Antabuse). What information should the client
    acknowledge understanding?
    A. Completely abstain from heroin or cocaine use.
    B. Remain alcohol free for 12 hours prior to the first dose.
    C. Attend monthly meetings of alcoholics anonymous.
    D. Admit to others that he is a substance user.
11. D:
    Answer:
    A male client with schizophrenia is admitted to the mental health unit after

abruptly stopping his prescription for ziprasidone (Geodon) one month ago. Which
question is most important for the RN to ask the client?
A. Have you lost interest in the things that you used to enjoy?
B. Is your ability to think or concentrate decreased?
C. How many continuous hours do you sleep at night?
D. Do you hear sounds or voices that others do not hear?

12. D:
    Answer:
    During an annual physical by the occupational RN working in a corporate clinic, a
    male employee tells the RN that is high-stress job is causing trouble in his personal
    life. He further explains that he often gets so angry while driving to and from work
    that he has considered “getting even” with other drivers. How should the RN
    respond?
    A. “Anger is contagious and could result in major confrontation.”
    B. “Try not to let your anger cause you to act impulsively.”
    C. “Expressing your anger to a stranger could result in an unsafe situation.”
    D. “It sounds as if there are many situations that make you feel angry.”
13. B:
    Answer:
    A client who has agoraphobia (a fear of crowds) is beginning desensitization
    with the therapist, and the RN is reinforcing the process. Which intervention has
    the highest priority for this client’s plan of care?
    A. Encourage substitution of positive thoughts and negative ones.
    B. Establish trust by providing a calm, safe environment.
    C. Progressively expose the client to larger crowds.
    D. Encourage deep breathing when anxiety escalates in a crowd.
14. A D E:
    Answer:
    Which nursing actions are likely to help promote the self-esteem of a male client
    with modern depression?
    A. Ask the client what his long term goals are.
    B. Discuss the challenges of his medical condition.
    C. Include the client in determining treatment protocol.
    D. Encourage the client to engage in recreational therapy.
    E. Provide opportunities for the client to discuss his concerns.
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2024 Hesi Mental Health Exam 3
Guaranteed A+ Actual Questions and Answers, Complete 100%

1. An adult client who lives in a residential facility is mentally retarded and
   has a history of bipolar disorder. During the past week, the client has refused
   to wear clothes and frequently exposes their body to other residents. Which
   intervention should the nurse implement?:
   Answer:
   B.
   Redirect the client to physically demanding activities
2. The nurse develops a plan of care for a client with symptoms of paranoia
   and psychosis. The priority nursing diagnosis is Impaired social interactions
   related to inability to trust. Which intervention is most important for the nurse
   to implement?:
   Answer:
   A.
   Greet the client by first name during each social interaction.
3. A client who has been admitted to the psychiatric unit tells the nurse, “My
   problems are so bad. No one can help me.” Which response would be best for
   the nurse to make?:
   Answer:
   A.
   “How can I help you? Tell me more about your problems.”
4. A middle-aged adult was discharged from a treatment center 6 weeks ago
   following treatment for suicide ideation and alcohol abuse. In a follow-up visit
   to the mental health clinic, the client complains of lethargy, apathy, irritability,
   and anxiety. Which question is most important for the nurse to ask?:
   Answer:
   B.
   “How much alcohol do you consume daily?”
5. The nurse admits a client with depression to the mental health unit. The
   client reports difficulty concentrating, has lost 10 pounds in 2 weeks, and is
   sleeping 12 hours a day. Which outcome is most important for the client to

meet by discharge?:
Answer:
B.
Reports feeling better and less depressed

6. Which ego defense mechanism is exhibited by a client with a phobia related
   to refusal to leave home?:
   Answer:
   B.
   Symbolization
7. An individual with a known history of alcohol abuse is admitted for emergency
   surgery following a motor vehicle collision. The nurse includes in the
   client’s plan of care, “Observe for signs of delirium tremens.” Which early
   signs indicate that the client is beginning to have delirium tremens?:
   Answer:
   C.
   Restlessness and confusion
8. What instructions should the nurse include in the discharge teaching plan
   of a client who has recently been prescribed oxazepam (Serax)? (Select all
   that apply.):
   Answer:
   B.
   Do not combine this medication with alcohol.
   C.
   This medication is typically used for short-term treatment.
   E.
   Avoid driving or operating equipment while taking this drug.
9. A client who has been hospitalized for 2 weeks for paranoia complains
   continuously to the staff that someone is trying to steal their clothing. What is
   the correct action for the nurse to take based on the client’s complaints?:
   Answer:
   A.
   get pdf at https://learnexams.com/search/study?query=hesi