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HESI Mental Health Practice Exam With Answers (229 Solved Questions) - Document preview page 1

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HESI Mental Health Practice Exam With Answers (229 Solved Questions)

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HESI Mental Health Practice Exam With Answers (229 Solved Questions) - Page 1 preview imageMental Health HESI1.Which characteristic is commonly associated withadolescent depression? (Select all that apply.)A. Exercising dailyB. Having suicidal ideationC. Exhibiting tearfulnessD. Having poor muscle toneE. Avoiding previously enjoyed activities and relation-shipsB. Having suicidalideationC. Exhibiting tear-fulnessE. Avoiding previ-ously enjoyed ac-tivities and rela-tionships2.Which characteristic of adolescence is exempli-fied by risk-taking behavior without fear of conse-quences?A. AnimismB. Personal fableC. Imaginery audienceD. Sense of invulnerabilityD. Sense of invul-nerability3.A client does not take their medication regularly andis depressed. Which inference can the nurse makeabout the client's motivational level?A. Not motivatedB. Intrinsically motivatedC. Extrinsically motivated with self-determinationD. Extrinsically motivated without self-determinationA. Not motivated4.Which action would the nurse take for a withdrawnclient who suddenly screams, bursts into tears, andruns from the room to the far end of the hallway?A. Walk to the end of the hallway where the client isstandingB. Accept the action as the impulsive behavior of asick personC. Ask another client in the dayroom why the clientacted in this wayD. Document objectively the incident in the client'srecord immediatelyA. Walk to theend of the hallwaywhere the client isstandingThis lets the clientknow that thenurse is available.It also demon-strates an accep-tance of the client.5.Which consistent approach would the nurse use fora client diagnosed with an antisocial personality dis-1 / 93
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HESI Mental Health Practice Exam With Answers (229 Solved Questions) - Page 2 preview image
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HESI Mental Health Practice Exam With Answers (229 Solved Questions) - Page 3 preview imageorder?A. Warm and firm without being punitiveB. Indifferent and detached but nonjudgementalC. Confidentiality acquiescent to client demandsD. Clearly communicative of personal disapprovalA. Warm andfirm without beingpunitive6.Which technique would be appropriate for clientswho exhibit mild neurocognitive impairment?A. Reality orientationB. Behavioral confrontationC. Reflective communicationD. Reminiscence group therapyA. Reality orienta-tion7.Which characteristic is most essential for the nurseto have in caring for clients with mental health disor-ders?A. EmpathyB. SympathyC. OrganizationD. AuthoritarianismA. EmpathyEmpathy - under-standing and, tosome extent, shar-ing the emotionsof another- en-courages the ex-pression of feel-ings. Sympathy,or feeling sorryfor someone, mayfurther decreasethe client's feel-ings of self-worth.8.Which stage is a terminally ill client displayingby gradually moving towards resolution of feelingsabout impending death according to Kubler-Ross'theory of death and dying?A. Anger stageB. Denial stageC. Bargaining stageD. Acceptance stageD. AcceptancestageWhen acceptanceis reached. the in-dividual is begin-ning to withdrawfrom life; commu-nication is simple,concise, and most2 / 93
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HESI Mental Health Practice Exam With Answers (229 Solved Questions) - Page 4 preview imageoften nonverbal.Kubler-Ross' re-search has shownthat at this stage,verbal communi-cation is typical-ly less impor-tant, and touchand presence aremost important.The client hasmoved past theanger, denial, andbargaining stages.9.Which action would the nurse take for a client withan obsessive-compulsive disorder who continuallywalks up and down the hall, touching every other andbecomes upset if interrupted?A. Distract the client, which will help the client forgetabout touching the chairs.B. Encourage the client to continue touching thechairs as long as the client wants until fatigue setsinC. Remove chairs from the hall, thereby relieving theclient of the necessity of touching every other oneD. Allow the behavior to continue for a specified time,letting the client help set the time limits to be imposedD. Allow the be-havior to contin-ue for a speci-fied time, lettingthe client help setthe time limits tobe imposed10.Place the five stages of grievingidentified and de-scribed by Elisabeth Kubler-Ross in order of progres-sion from first to last.1. Anger2. Denial3. Depression4. Acceptance5. Bargaining2. Denial1. Anger5. Bargaining3. Depression4. Acceptance11.3 / 93
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HESI Mental Health Practice Exam With Answers (229 Solved Questions) - Page 5 preview imageWhich assessment finding would the nurse observein a client with bipolar disorder, manic phase?A. Constant singingB. Ritualistic behaviorC. Flat affectD. Apathetic demeanorA. Constantsinging12.Which reason would be likely for a client's anger andacting out when the nurse interrupts the hand-wash-ing ritual of a client with obsessive-compulsive dis-order?A. Has overwhelming feelings of anxietyB. Resents the nurse's authoritarian mannerC. Is clashing with the nurse's personalityD. Reflects and aggressive characteristicA. Has over-whelming feelingsof anxiety13.Which response would the nurse make to a clientwho says, 'I feel so guilty. None of this makes anysense. Everyone must really think I'm crazy,' afterperforming a complex ritual?A. 'Your behavior is bizarre, but it serves a usefulpurpose.'B. 'You're concerned about what other people arethinking about you.'C. 'I am sure people understand that you can't helpthis behavior right now.'D. 'Guilt serves no useful purpose. It just helps youstay stuck where you are.'B. 'You're con-cerned about whatother people arethinking aboutyou.'14.Which characteristic of clients with antisocial person-ality disorder would the nurse consider when plan-ning care?A. Engages in many ritualsB. Is a perfectionistC. Exhibits lack of empathy for othersD. Possesses limited communication skillsC. Exhibits lack ofempathy for others15.At which stage of Kohlberg's theory does an individ-ual want to fulfill the expectations of one's immediategroup?A. Good boy-niceorientation4 / 93
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HESI Mental Health Practice Exam With Answers (229 Solved Questions) - Page 6 preview imageA. Good boy-nice orientationB. Society-maintaining orientationC. Instrumental relativist orientationD. Universal ethical principle orientationThe goodboy-good girl ori-entation stage in-volves an individ-ual who wants towin the approvaland maintain theexpectations ofone's immedi-ate group. Duringthe society-main-taining orientationstage, an individ-ual expands fo-cus from a rela-tionship with oth-ers to societal con-cerns. The instru-mental relativistorientation stageinvolves a childwho wants to fol-low parental rules.the universal eth-ical principle ori-entation stage de-fines "right" by thedecision of con-science accordingto self-chosen eth-ical principles.16.Which side effect would the nurse monitor for in aseverely depressed client who received electrocon-vulsive therapy (ECT)?A. Loss of appetiteB. Postural hypotensionC. Total memory lossD. Confusion immediately after the treatmentD. Confusion im-mediately after thetreatment5 / 93
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HESI Mental Health Practice Exam With Answers (229 Solved Questions) - Page 7 preview image17.A client is diagnosed with Alzheimer disease and isexhibiting hyperorality. Which parameter would thenurse closely monitor to keep this client safe?A. For choking at meal timesB. For the presence of mouth ulcersC. For injuries from touching hot foodsD. For attempts at eating inedible objectsD. For attempts ateating inedible ob-jects18.Which period of Piaget's theory covers the preva-lence of egocentrism in adolescents?A. SensorimotorB. PreoperationalC. Formal operationsD. Concrete operationsC. Formal opera-tions19.Which explanation, when providing a change-of-shiftreport, would the nurse use to describe a client di-agnosed with schizophrenia who is experiencing op-posing emotions simultaneously?A. Double bindB. AmbivalenceC. Loose associationD. Inappropriate affectB. Ambivalence20.Which response would the nurse use when a client di-agnosed with acquired immunodeficiency syndrome(AIDS) states, "I'm not worried because they have acure for AIDS"?A. "Repeated phlebotomies may be able to rid you ofthe virus."B. "You may be cured for AIDS after prolonged phar-macological therapy."C. "Perhaps you should have worn condoms to pre-vent contracting the virus."D. "There is no cure for AIDS, but there are medica-tions that can slow down the virus."D. "There is nocure for AIDS, butthere are medica-tions that can slowdown the virus."21.Which type of group is Alcoholics Anonymous (AA)?A. Social groupB. Self-help group6 / 93
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HESI Mental Health Practice Exam With Answers (229 Solved Questions) - Page 8 preview imageB. Self-help groupC. Resocialization groupD. Psychotherapeutic group22.Which type of delusion would the nurse chart about aclient who says, 'I've figured out how foreign agentshave infiltrated the news media. Now they want toshut me up'?A. NihilisticB. PersecutionC. ControlD. GrandeurB. Persecution23.When planning for a client's care during the detoxifi-cation phase of early alcohol withdrawal, which ac-tion would the nurse take?A. Check on the client frequently.B. Keep the client's room lights dimC. Address the client in a loud, clear voiceD. Restrain the client during periods of agitationA. Check on theclient frequently.24.Which rationale explains why the client who is dis-playing hyperactive and manic behaviors with flightsof ideas is not eating?A. Feels undeserving of the foodB. Is too busy to take time to eatC. Wishes to avoid others in the dining areaD. Believes that the food is poisonedB. Is too busy totake time to eat25.The parent of a child with a terminal illness ap-pears overwhelmed and anxious. Which is the bestresponse by the nurse?A. Explaining the diagnosis in a variety of waysB. Encouraging the parent to express their feelingsC. Recommending that the parent talk with other par-entsD. Offering assurance that surgery will probably cor-rect the problemB. Encouragingthe parent to ex-press their feel-ings26.7 / 93
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HESI Mental Health Practice Exam With Answers (229 Solved Questions) - Page 9 preview imageWhich is the nurse's most therapeutic response forthe child who is about to have an intravenous (IV) lineinserted and cries out that he is afraid of IVs?A. 'Tell me what frightens you.'B. 'It's just a little prick in the arm.'C. 'You're a big boy; this will hardly hurt.'D. 'Come on-there's no reason to be afraid.'A. 'Tell me whatfrightens you.'27.An 8-year-old child has experienced the death of asister. The child begins to ask many questions aboutwhat happens to the body after death. The parentwonders if this is abnormal behavior picked up fromplaying video games. Which is the best response bythe nurse?A. "Playing video games can cause morbid behav-iors."B. "Children handle the event of death more realisti-cally than adults do."C. "School-aged children are inquisitive and ask a lotof questions about death."D. "Giggling, attracting attention, and playing are theusual ways of dealing with death."C. "School-agedchildren are in-quisitive and aska lot of questionsabout death."28.A child has a fractured arm and multiple old injuries.Child maltreatment is suspected. Which parentalcharacteristic supports this suspicion?A. Inquiring about the time of dischargeB. Displaying signs of guilt about the injuriesC. Expressing concern about the child's healthD. Offering inconsistent stories about the injuriesD. Offering in-consistent storiesabout the injuries29.Which type of crisis has occurred when a suddenterrorist act causes the deaths of thousands of adultsand children and negatively affects their families,friends, communities, and the nation?A. Situation-maturationalB. SituationalC. MaturationalD. AdventitiousD. AdventitiousAn adventitiouscrisis is a cri-sis or disasterthat is unplannedand accidental;its subcategories8 / 93
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HESI Mental Health Practice Exam With Answers (229 Solved Questions) - Page 10 preview imageinc. natural dis-asters, nation-al disasters, andcrimes of violence.A situational-mat-urational crisis isnot a typical cate-gory in crisis theo-ry. If 2 events oc-curred around thesame time-for ex-ample, retirement(maturational cri-sis) and the un-expected death ofa spouse (stu-ational crisis)-theclient would haveto deal with bothissues. A situa-tional crisis resultsfrom an externalsource and theloss is often unex-pected. A matura-tional crisis occursas an individualmoves into a newstage of devel-opment and priorcoping styles areno longer effec-tive; maturationalcrises are usuallypredictable.30.Which characteristic of a therapeutic milieu would thenurse consider important for a confused older adultwith socially aggressive behavior?A. Sets limitsThe therapeutic9 / 93
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HESI Mental Health Practice Exam With Answers (229 Solved Questions) - Page 11 preview imageA. Sets limitsB. Has varietyC. Is group orientedD. Allows freedom of expressionmilieu characteris-tic would be toset limits. Becauseclients with social-ly aggressive be-havior have poorcontrol, these in-dividuals require atherapeutic envi-ronment in whichappropriate lim-its for behav-ior are set forthem. Variety willincrease anxiety.The daily routineshould be struc-tured and repeti-tive. A group-ori-ented environ-ment is too stim-ulating for a per-son with sociallyaggressive behav-ior. Freedom of ex-pression may re-sult in injury tothe client or oth-ers, becuase theclient may be un-able to control im-pulses.31.Which activity would the nurse ask an older adult todo when testing short-term memory?A. Substract serial sevens from 100B. Copy one simple geometric figureC. State three random words mentioned earlier in theexaminationC. State three ran-dom words men-tioned earlier inthe examination10 / 93
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HESI Mental Health Practice Exam With Answers (229 Solved Questions) - Page 12 preview imageD. Name two common objects when the nurse pointsto them32.Which action would the nurse take for an older adultwith Alzheimer disease who has laid out several out-fits on the bed to wear to a recreational session butis still wearing nightclothes?A. Assist the client to dress and explain when resi-dents are expected at the activity.B. Prompt the client to dress more quickly to avoiddelaying the other residentsC. Help the client select appropriate attire and offer tohelp the client get dressedD. Allow the client time to dress but explain that theclient has missed the opportunity to attend the activ-ityC. Help the clientselect appropriateattire and offer tohelp the client getdressed33.Which characteristic would a nurse expect to be ex-hibited by an adolescent? (Select all that apply)A. A belief in their own invulnerabilityB. Personal fableC. Temper tantrumsD. Attempts to control situationsE. Eagerness for formal educationA. A belief in theirown invulnerabilityB. Personal fableThey show per-sonal fable be-cause they thinktheir thoughtsand feelings areunique. Toddlersget to know theirabilities to con-trol situations andseem pleased withit. Preschoolersrefine the masteryof their bodies andeagerly await thebeginning of for-mal education.34.11 / 93
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HESI Mental Health Practice Exam With Answers (229 Solved Questions) - Page 13 preview imageHow do adolescents establish group identity duringpsychosocial development?A. By evaluating their own health with a feeling ofwell-beingB. By fostering their independence with balancedfamily structureC. By achieving marked physical changes with mas-culine and feminine behaviorsD. By building close peer relationships to achieveacceptance in the societyD. By build-ing close peerrelationships toachieve accep-tance in the soci-ety35.In which period will the adolescent have a prevalenceof egocentric thoughts according to Piaget's theory?A. SensorimotorC. PreoperationalC. Formal operationsD. Concrete operationsC. Formal opera-tionsDuring the periodof formal opera-tions, there is aprevalence of ego-centric thought inadolescents. Dur-ing the sensorimo-tor period, infantsdevelop a schemaor action patternfor dealing with theenvironment. Dur-ing the preoper-ational period, atoddler has ego-centric thoughts.During the con-crete operationsperiod, the childthinks about anaction before it isperformed physi-cally.36.12 / 93
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HESI Mental Health Practice Exam With Answers (229 Solved Questions) - Page 14 preview imageWhich characteristic is found in an adolescent ac-cording to Erikson's theory of psychosocial develop-ment (Select all that apply)A. The adolescent develops a conscienceB. The adolescent concentrates on work and playC. The adolescent develops autonomy by makingchoicesD. The adolescent is concerned about his or her ap-pearance and body imageE. The adolescent acquires a sense of identity byparticipating in decision-makingD. The adoles-cent is concernedabout his or herappearance andbody imageE. The adolescentacquires a senseof identity by par-ticipating in deci-sion-making37.Which statement describes adolescent according toLawrence Kohlberg's theory of moral development?(Select all that apply.)A. "An individual recognizes that there is more thanone correct view."B. "An individual's thoughts are influenced by moraldecisions and behaviors."C. "An individual expands his or her focus from arelationship with others to societal concerns."D. "An individual wants to win the approval of andmaintain the expectations of one's immediate group."E. "An individual's response to a moral dilemma is interms of absolute obedience to authority and rules."B. "An individual'sthoughts are in-fluenced by moraldecisions and be-haviors."C. "An individualexpands his or herfocus from a rela-tionship with oth-ers to societal con-cerns."38.Which period of Piaget's theory marks the end ofcognitive development?A. SensorimotorB. PreoperationalC. Formal operationsD. Concrete operationsC. Formal opera-tions39.Which response would the nurse give to the commonstatement "But you don't understand" when caringfor an adolescent?A. "I don't understand what you mean."B. "I do understand; I was a teenager once too."C. "It would behelpful to under-stand; let's talk."13 / 93
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HESI Mental Health Practice Exam With Answers (229 Solved Questions) - Page 15 preview imageC. "It would be helpful to understand; let's talk."D. "It's you who should try to understand others."40.At which stage does an adolescent develop abstractthinking?A. Genital stageB. Conventional reasoningC. Formal operations periodD. Identity vs. role confusionC. Formal opera-tions periodAccording to Pi-aget's moral de-velopment theo-ry, an adolescentdevelops abstractthinking during theformal operationsperiod. Accordingto Freud's geni-tal stage, sexu-al urges reawak-en and are direct-ed to an individualoutside the familycircle. During theconventional rea-soning stage, aperson establish-es his or hermorals based onhis or her person-al internalizationof societal expec-tations. Accordingto the identity ver-sus role confu-sion stage, thereis a marked pre-occupation withappearance andbody image.41.14 / 93
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HESI Mental Health Practice Exam With Answers (229 Solved Questions) - Page 16 preview imageWhich behavior would an adolescent exhibit?A. Temper tantrumsB. Attempting to control situationsC. Synchronization of moral skillsD. Eagerness for formal educationC. Synchroniza-tion of moral skillsAdolescents re-fine and synchro-nize physical, psy-chosocial, cogni-tive, and moralskills to be-come an acceptedmember of soci-ety. Toddlers tendto have tempertantrums. Toddlersalso learn abouthow to control situ-ations. Preschool-ers refine the mas-tery of their bodiesand eagerly awaitthe beginning offormal education.42.Which aspect of psychosocial development is com-monly observed in adolescents? (Select all that ap-ply.)A. A search for personal identityB. Development of an ethical systemC. A sense of invincibilityD. Belief that their parents are materialisticE. Emotional dependence on parentsA. A search forpersonal identityB. Development ofan ethical systemAn adolescenttends to searchfor his or herpersonal identityand develop hisor her own ethi-cal system duringpsychosocial de-velopment. Duringthe cognitive de-velopment, ado-15 / 93
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