HESI RN MENTAL HEALTH EXAM PREP
EXAM WITH CORRECT ACTUAL QUESTIONS
AND CORRECTLY WELL DEFINED ANSWERS
LATEST 2025 ALREADY GRADED A+
Which subtypes of schizophrenia have a poor prognosis? Select all that apply.
1. Residual
2. Paranoid
3. Catatonic
4. Disorganized
5. Undifferentiated - ANSWERS-1. Residual
4. Disorganized
The residual and disorganized subtypes of schizophrenia each have a poor
prognosis. The prognosis of paranoid schizophrenia is good with treatment. The
,prognoses of the catatonic and undifferentiated subtypes of schizophrenia are
fair.
Nurses working with clients who have a diagnosis of dementia should adopt a
common approach of care because these clients need to do what?
1. Relate in a consistent manner to staff
2. Learn that the staff cannot be manipulated
3. Accept controls that are concrete and fairly applied
4. Have sameness and consistency in their environment - ANSWERS-4. Have
sameness and consistency in their environment
A consistent approach and consistent communication from all members of the
health team help the client who has dementia remain more reality oriented. It is
the staff members who need to be consistent. Clients who have this disorder do
not attempt to manipulate the staff. Acceptance of controls that are concrete and
fairly applied is not needed when working with clients who have this disorder;
consistency is most important.
During a special meeting to discuss the unexpected suicide of a recently
discharged client, a nurse overhears another client moan softly, "I'm next. Oh my
God, I'm next. They couldn't protect him, and they can't protect me, either."
What is the most therapeutic response by the nurse?
1. "That person was a lot sicker than you are."
,2. "You seem to be afraid that you'll hurt yourself."
3. "That was different. He was at home, but you're here."
4. "There's no need to worry. We'll protect you even after you're discharged." -
ANSWERS-2. "You seem to be afraid that you'll hurt yourself."
The statement "You seem to be afraid that you'll hurt yourself" identifies the
importance of feelings and provides an opening for the client to talk about them.
The client is not going to believe that the dead client was much sicker, and it is
not helping the client to express such feelings. The nursing goal is to help people
function outside the hospital environment and not be afraid to leave the hospital.
Telling the client not to worry and that the staff will protect him or her is
unrealistic and avoids the client's cry for help.
A client with paranoid schizophrenia tells the nurse, "My neighbors are spying on
me because they want to rob me and take money." While hospitalized, the client
complains of being poisoned by the food and of being given the wrong
medication. The nurse evaluates the client's response to medications and
therapy. Which finding leads the nurse to conclude that the client's reality testing
has improved?
1. The client eats the food provided on the hospital tray.
2. The client discusses his discharge plans with the staff.
3. The client questions each medication when it is administered.
4. The client asks permission to make phone calls to the hospital administration. -
ANSWERS-1. The client eats the food provided on the hospital tray.
, Because the client was complaining during her hospital stay that the food was
poisoned, eating the food on the tray indicates that the client feels safe and
understands that the hospital staff is not poisoning her food. Discussing discharge
plans with the staff does not provide adequate behavioral assessment with which
the nurse can evaluate reality testing. Questioning each medication when it is
administered indicates that the client still does not completely trust the staff.
Asking permission to make phone calls to the hospital administration seems to
indicate that the client still does not trust the staff and is attempting to intimidate
the staff by calling the administration.
A nurse should reassess an older adult client's needs and current plan of care
when the client's behavior indicates the development of what symptom?
1. Confusion
2. Hypochondriasis
3. Additional complaints
4. Increased socialization - ANSWERS-1. Confusion
The development of confusion indicates that the client's ability to maintain
equilibrium has not been achieved and that further disequilibrium is occurring.
Hypochondriasis and additional complaints do not indicate that the plan needs to
be changed unless the client's history demonstrates no prior use of these
defenses. Increased socialization is a positive response to the plan of care that
does not require reassessment.
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