HESI MENTAL HEALTH EXAM 2024 WITH 160

HESI MENTAL HEALTH EXAM 2024 WITH 160

REAL EXAM QUESTIONS AND CORRECT

ANSWERS ALREADY GRADED A+/ REAL

MENTAL HEALTH EXAM 2024/2025 EXAM

QUESTIONS AND ANSWERS(NEW!!)

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:

• Selective serotonin reuptake inhibitors
• Monoamine oxidase inhibitors
• Serotonin and norepinephrine reuptake inhibitors
• All of the above - ANSWER-B

The mental health team is determining treatment options for a male patient who is experiencing psychotic symptoms. Which question(s) should the team answer to determine whether a community outpatient or inpatient setting is most appropriate?Select all that apply.

• "Is the patient expressing suicidal thoughts?"
• "Does the patient have intact judgment and insight into his situation?"
• "Does the patient have experiences with either community or inpatient mental

healthcare facilities?"

• "Does the patient require a therapeutic environment to support the management

of psychotic symptoms?"

• "Does the patient require the regular involvement of their family/significant

other in planning and executing the plan of care?" - ANSWER-A,B,D,E

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What side effects should the nurse monitor for when caring for a patient prescribed donepezil (Aricept)? Select all that apply.

• Insomnia
• Constipation
• Bradycardia
• Signs of dizziness
• Reports of headache - ANSWER-A,C,D,E

A Gulf War veteran has been homeless since being discharged from military service. He is now diagnosed with schizophrenia. The nurse practitioner recognizes that assertive community treatment (ACT) is a good option for this patient since

ACT provides:

• Psychiatric home care
• Care for hard-to-engage, seriously ill patients
• Outpatient community mental health center care
• A comprehensive emergency service model - ANSWER-B

Which statement made by a patient demonstrates a healthy degree of resilience?Select all that apply.

• "I try to remember not to take other people's bad moods personally."
• "I know that if I get really mad I'll end up being depressed."
• "I really feel that sometimes bad things are meant to happen."
• "I've learned to calm down before trying to defend my opinions."
• "I know that discussing issues with my boss would help me get my point

across." - ANSWER-A,D,E

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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:

• Nursing Interventions Classification (NIC)
• Nursing Outcomes Classification (NOC)
• NANDA-I nursing diagnoses
• DSM-5 - ANSWER-D

epidemiological studies contribute to improvements in care for individuals with mental disorders by: Select all that apply:

• Providing information about effective nursing techniques.
• Identifying risk factors that contribute to the development of a disorder.
• Identifying individuals in the general population who will develop a specific

disorder.

• Identifying which individuals will respond favorably to a specific treatment. -

ANSWER-B,D

When discussing therapy options, the nurse should provide information about interpersonal therapy to which patient? Select all that apply.

• The teenager who is the focus of bullying at school
• The older woman who has just lost her life partner to cancer
• 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

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? 3 / 4

• Assessing the patient for unexpressed concerns and fears
• Evaluating the possible need for additional training and education
• Reflecting on personal behaviors and personal needs
• Avoiding power struggles with the manipulative patient - ANSWER-C

Which action reflects therapeutic practices associated with operant conditioning?

• Encouraging a parent to read to their children to foster a love for learning
• Encouraging a patient to make daily journal entries describing their feelings
• Suggesting to a new mother that she spend time cuddling her newborn often

during the day

• Acknowledging a patient who is often verbally aggressive for complimenting a

picture another patient drew - ANSWER-D

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?

• Behavioral
• Biofeedback
• Aversion
• Systematic desensitization - ANSWER-D

A patient is telling a tearful story. The nurse listens empathically and responds

therapeutically with:

• "The next time you find yourself in a similar situation, please call me."
• "I am sorry this situation made you feel so badly. Would you like some tea?"
• "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

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