HESI RN MENTAL HEALTH MID
CURRICULUM EXAM 2024-2025 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS|
FREQUENTLY TESTED QUESTIONS
AND SOLUTIONS |ALREADY GRADED
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A patient nervously says, "Financial problems are stressing my marriage. I've heard rumors about
cutbacks at works; i am afraid i might get laid off." The patient's pulse is 112/minutes; respirations are
26/ minute; a blood pressure is 166/88. Which nursing intervention will the nurse implement?
a. Advise the patient, "Go to sleep 30 to 60 minutes earlier each night to increase rest."
B. Direct the patient in slow and deep breathing via use of a positive, repeated.
C. Suggest the patient consider that a new job might be better than the present one.
D. Tell the patient, "Relax by spending more time playing with your pet."
B. Direct the patient in slow and deep breathing via use of a positive, repeated.
A 32 year old male client is experiencing severe anxiety over a recent failed relationship. What nursing
intervention should be given highest priority?
A. Give the client an anti anxiety agent immediately
B. Offer him psychotherapy to calm him down
C. Take the client to a quiet environment
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,D. Place him in supervised seclusion immediately
C. Take the client to a quiet environment
A nurse is closely monitoring a newly admitted client who is anxious. At what anxiety level might this
client become assaultive and a potential threat to himself and others?
A. Mild
B. Moderate
C. Severe
D. Panic
D. Panic
What is the most appropriate therapeutic intervention when helping a patient resolve their
agoraphobia?
A. Have the client go outdoors alone.
B. Advise the client to use high intensity exercises.
C. Allow the client to stay in his room as long as desired
D. Discuss the client's fear of his/her feelings or sensations rather than the situation.
D. Discuss the client's fear of his/her feelings or sensations rather than the situation.
A client is experiencing sudden, moderate level anxiety. The nurse would anticipate that the psychiatrist
would most likely prescribed which medication?
A. Citalopram
B. Alprazolam
C. Fluoxetine.
D. chlordiazepoxide
B. Alprazolam
A assesses severe anxiety in a client. Which symptom would the nurse expect to see as a response of the
sympathetic nervous system to anxiety?
A. Tachycardia
B. Bradycardia
C. Constricted pupils
D. Increased peristalsis
A. Tachycardia
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,A nurse is caring for a 23 year old client with schizophrenia. When the patient's father show up during
visitation hours, the client lies down in bed, curls up in a ball, and sucks his thumb. Which of the
following defense mechanisms is the client exhibiting?
A. undoing
B. Regression
C. Altruism
D. Displacement
B. Regression
Ed, An 18 year old male, hosted a party at his parents's house while his parents were out of town. It was
lit, to say the least. When ed's parents returned, they were infuriated by how messy the house was. Ed
apologized and gave them a $50 gift card to applebee's. Which defense mechanism is Ed using?
A. Regression
B. Altruism
C. Reaction Formation
D. Undoing
D. Undoing
According to the attachment theory, relationship disorders are related to trauma associated with
A. Insufficient food and/ or shelter
B. Siblings and/ or strangers.
C. Caregivers and/or parents
D. Culture and/or religion
C. Caregivers an/or patients
A 22 year old patient complains of nightmares, flashbacks, and poor concentration. These symptoms are
most consistent with which anxiety disorder?
A. Panic Attack
B. Phobic reaction
C. OCD
D. PTSD
D. PTSD
Which statement made by a client with PTSD would indicate improvement to the nurse?
A. I exercise when those fears surface.
B. I take valium to help me relax.
C. I usually meet my friends for a beer when i feel upset
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, D. I try to forget by blocking those thoughts from my mind.
A. I exercise when those fears surface
Lorazepam is prescribed for a client who has a generalized anxiety disorder. Which of the following
instructions is most important for the nurse to give the client?
A. Prolonged use can result in dependence.
B. Take the medication 2 hours after eating.
C. Take an additional dose if you don't obtain relief.
D. Return once a month to have your blood level tested.
A. Prolonged use can result in dependence.
Which scenario demonstrates a dissociative fugue?
A. After being caught in an extramarital affair, a man disappeared by then reappeared months later with
no memory of what occurred while he was missing
B. A man is extremely anxious about his problems and sometimes experiences dazed period of several
minutes passing without conscious awareness of them.
C. A woman finds unfamiliar clothes in her closet, is recognized whens he goes to new restaurants, and
complains of "Blackouts" despite not drinking.
D. A woman reports that when she feels tired or stressed, it seems like her body is not real and is
somehow growing smaller.
A. After being caught in an extramarital affair, a man disappeared by then reappeared months later with
no memory of what occurred while he was missing
What is a nurse's responsibility when a child is suspect of being abused or neglected?
A. Report to CPS with a physician's order
B. Parents must be informed before reporting to CPS
C. Reporing of suspected abuse or neglect is required by law in each state.
D. The nurse should consult a social worker before reporting to any authority
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