MENTAL HEALTH PSYCH HESI
NEWEST ACTUAL EXAM QUESTIONS
AND DETAILED CORRECT ANSWERS
2024-2025 (VERIFIED ANSWERS) | A+
GRADE
A female client on a psychiatric unit is sweating profusely
while she vigorously does push-ups and then runs the
length of the corridor several times before crashing into
furniture in the sitting room. Picking herself up, she begins
to toss chairs aside, looking for a red one to sit in. When
another client objects to the disturbance, the client shouts,
"I am the boss here. I do what I want." Which nursing
problem best supports these observations?
A. Deficient diversional activity related to excess energy
level.
B. Risk for other related violence related to disruptive
behavior.
C. Risk for activity intolerance related to hyperactivity.
D. Disturbed personal identity related to grandiosity.
Correct Answer B. Risk for other related violence related
to disruptive behavior
A RN is preparing the physical environment to interview a
new client for admission to the mental health unit. Which
,environmental setting facilitates the best outcome of the
interview?
A. Dim the lights in the room to help the patient feel calm.
B. Sit within two feet of the client to enhance level of
safety and security.
C. Reduce the noise level in the room by turning off the
television and radio.
D. Position table between the client and the RN for extra
personal space. Correct Answer C. Reduce the noise level
in the room by turning off the television and radio.
.An older homeless client visits the psychiatric clinic to
obtain a prescription renewal for alprazolam (Xanax).
During the health assessment, the client complains of
chest pain. Which action should the RN take first?
A. Refer the client to the cardiology unit.
B. Obtain the client Blood pressure.
C. Assess the client for substance abuse.
D. Determine if Xanax was taken recently. Correct Answer
D. Determine if Xanax was taken recently.
The mother of an 8-month-old infant with profound mental
and physical disabilities tells he RN how depressed she is
because she realized that her child will never achieve
normal growth and development milestones. How should
the RN respond to the mother?
A. Ask the mother if she has ever thought about harming
herself or her child.
,B. Reassure the mother that her child will achieve some
growth and development milestones.
C. Determine if the mother has other children who do not
have developmental disabilities.
D. Encourage the mother to write thoughts and feelings in
journal. Correct Answer A. Ask the mother if she has ever
thought about harming herself or her child.
Several clients with chronic mental illness and multiple
substance abuse histories live in a group residential home
and attend daycare mental health facility where group and
individual therapies are provided. The RN finds the
common bathroom at the facility with sputum on the walls,
urine in the sink and on the floors, and the toilet stopped
up with tissue, paper towels, and feces. What is the
priority issue that the RN should address?
A. Medication non-compliance.
B. Number of bathroom facilities.
C. Infection control.
D. Acting out behaviors. Correct Answer C. Infection
control.
A client with schizophrenia is admitted to the psychiatric
care unit for aggressive behavior, auditory hallucinations,
and potential for safe harm. The client has not been taking
medications as prescribed and insists that the food has
been poisoned and refuses to eat. What intervention
should the RN implement?
, A. Assure the client that all food served in the hospital is
safe to eat. B. Tell the client that irrational thinking is a
symptom of schizophrenia. C. Obtain an order for a tube
feeding for the client.
D. Provide the client with food in unopened containers
Correct Answer D. Provide the client with food in
unopened containers
The RN 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? (SOA)
A. Purchase a gun to use for protection.
B. Establish a code with family and friends to signify
violence.
C. Take a self-defense course that retaliates the abuser
with injury.
D. Have a bag ready that has extra clothes for self and
children.
E. Plan an escape route to use if the abuser blocks the
main exit. Correct Answer B. Establish a code with family
and friends to signify violence.
D. Have a bag ready that has extra clothes for self and
children.
E. Plan an escape route to use if the abuser blocks the
main exit.
The RN is admitting a male client who take lithium
carbonate (Eskalith) twice a day. Which information should
the RN report to the HCP immediately?
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