HESI Psychiatric Mental Health Practice Exam 2023 Brand New Questions| Guarantee Pass A+

HESI Psychiatric Mental Health Practice Exam 2023 Brand New Questions| Guarantee Pass A+

A client is admitted with a diagnosis of depression. The nurse knows that which characteristic is most indicative of depression?

A) Grandiose ideation.

B) Self-destructive thoughts.

C) Suspiciousness of others.

D) A negative view of self and the future.

A 45-year-old female client is admitted to the psychiatric unit for evaluation. Her husband states that she has been reluctant to leave home for the last six months. The client has not gone to work for a month and has been terminated from her job. She has not left the house since that time. This client is displaying symptoms of what condition?

A) Claustrophobia.

B) Acrophobia.

C) Agoraphobia.

D) Post-traumatic stress disorder.

A client who has been admitted to the psychiatric unit tells the nurse, "My problems are so bad that no one can help me." Which response is best for the nurse to make?

A) "How can I help?"

B) "Things probably aren't as bad as they seem right now."

C) "Let's talk about what is right with your life."

D) "I hear how miserable you are, but things will get better soon."

A woman brings her 48-year-old husband to the outpatient psychiatric unit and describes his behaviour to the admitting nurse. She states that he has been sleepwalking, cannot remember who he is, and exhibits multiple personalities. The nurse knows that these behaviours are often associated with

A) dissociative disorder.

B) obsessive-compulsive disorder.

C) panic disorder.

D) post-traumatic

A 27-year-old female client is admitted to the psychiatric hospital with a diagnosis of bipolar disorder, manic phase. She is demanding and active. Which intervention should the nurse include in this client's plan of care?

A) Schedule her to attend various group activities.

B) Reinforce her ability to make her own decisions.

C) Encourage her to identify feelings of anger.

D) Provide a structured environment with little stimuli.

The nurse plans to help an 18-year-old female mentally retarded client ambulate the first postoperative day after an appendectomy. When the nurse tells the client it is time to get out of bed, the client becomes angry and tells the nurse, "Get out of here! I'll get up when I'm ready!" Which response is best for the nurse to make?

A) "Your healthcare provider has prescribed ambulation on the first postoperative day."

B) "You must ambulate to avoid complications which could cause more discomfort than ambulating."

C) "I know how you feel. You're angry about having to ambulate, but this will help you get well."

D) "I'll be back in 30 minutes to help you get out of bed and walk around the room."

A 46-year-old female client has been on antipsychotic neuroleptics for the past three days. She has had a decrease in psychotic behaviour and appears to be responding well to the medication. On the fourth day, the client's blood pressure increases, she becomes pale and febrile, and demonstrates muscular rigidity. Which action should the nurse initiate?

A) Place the client on seizure precautions and monitor carefully.

B) Immediately transfer the client to ICU.

C) Describe the symptoms to the charge nurse and record on the client's chart.

D) No action is required at this time as these are known side effects of such drugs.

A male client is admitted to the psychiatric unit with a medical diagnosis of paranoid schizophrenia. During the admission procedure, the client looks up and states, "No, it's not MY fault. You can't blame me. I didn't kill him, you did." What action is best for the nurse to take?

A) Reassure the client by telling him that his fear of the admission procedure is to be expected.

B) Tell the client that no one is accusing him of murder and remind him that the hospital is a safe place.

C) Assess the content of the hallucinations by asking the client what he is hearing.

D) Ignore the behaviour and make no response at all to his delusional statements.

A 35-year-old male client on the psychiatric ward of a general hospital believes that someone is trying to poison him. The nurse understands that a client's delusions are most likely related to his

A) early childhood experiences involving authority issues.

B) anger about being hospitalized.

C) low self-esteem.

D) phobic fear of food.

A client who is diagnosed with schizophrenia is admitted to the hospital. The nurse assesses the client's mental status. Which assessment finding is most characteristic of a client with schizophrenia?

A) Mood swings.

B) Extreme sadness.

C) Manipulative behaviour.

D) Flat affect.

The nurse is conducting discharge teaching for a client with schizophrenia who plans to live in a group home. Which statement is most indicative of the need for careful follow-up after discharge?

A) "Crickets are a good source of protein."

B) "I have not heard any voices for a week."

C) "Only my belief in God can help me."

D) "Sometimes I have a hard time sitting still."

A 52-year-old male client in the intensive care unit who has been oriented suddenly becomes disoriented and fearful. Assessment of vital signs and other physical parameters reveal no significant change and the nurse formulates the diagnosis, "Confusion related to ICU psychosis." Which intervention is best to implement?

A) Move all machines away from the client's immediate area.

B) Attempt to allay the client's fears by explaining the etiology of his condition.

C) Cluster care so that brief periods of rest can be scheduled during the day.

D) Extend visitation times for family and friends.

The nurse observes a female client with schizophrenia watching the news on TV. She begins to laugh softly and says, "Yes, my love, I'll do it." When the nurse questions the client about her comment she states, "The news commentator is my lover and he speaks to me each evening. Only I can understand what he says." What is the best response for the nurse to make?

A) "What do you believe the news commentator said to you? "

B) "Let's watch news on a different television channel."

C) "Does the news commentator have plans to harm you or others?"

D) "The news commentator is not talking to you."

A male client with schizophrenia who is taking fluphenazine decanoate (Prolixin decanoate) is being discharged in the morning. A repeat dose of medication is scheduled for 20 days after discharge. The client tells the nurse that he is going on vacation in the Bahamas and will return in 18 days. Which statement by the client indicates a need for health teaching?

A) "When I return from my tropical island vacation, I will go to the clinic to get my Prolixin injection."

B) "While I am on vacation and when I return, I will not eat or drink anything that contains alcohol."

C) "I will notify the healthcare provider if I have a sore throat or flu-like symptoms."

D) "I will continue to take my benztropine mesylate (Cogentin) every day."