HESI MENTAL HEALTH LATEST ACTUAL EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+

HESI MENTAL HEALTH LATEST 2023-2024 ACTUAL EXAM

COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS

WITH RATIONALES|ALREADY GRADED A+

1 . The client reports becoming involved with legislation that promotes gun

safety after the death of the child by accidental shooting. Which defense

mechanism is the client exhibiting?

A. Denial

B. Sublimation

C. Identification

D. Intellectualization

ANSWER: B

A. Denial is the refusal to accept a painful reality by pretending that it did not happen.

B. Sublimation involves redirecting unacceptable feelings or drives into an acceptable channel.

C. Identification involves taking on attributes and characteristics of someone admired.

D. Intellectualization involves excessive focus on reasoning to avoid feelings associated with a

situation.

2. The client reports becoming physically ill with frequent crying episodes,

intense feelings of worthlessness, and loss of appetite on the anniversary of

the death of the client’s spouse. The client reports that this has occurred for

the last 5 years- What should be the nurse’s focus when counseling the client?

A. Anticipatory grief

B. Uncomplicated grief

C. Delayed grief reaction

D. Distorted grief reaction

ANSWER: D

A. Anticipatory grief is grief before a loss occurs.

B. In uncomplicated grief, the client’s self-esteem remains intact with symptom resolution.

C. Delayed grief reaction is the absence of the expression of grief during situations when a grief

reaction is expected.

D. The nurse’s focus for counseling should be directed toward the client’s distorted grief reaction.

The symptoms reported by the client are exaggerated and prolonged.


3. The client is being discharged after hospitalization for a suicide attempt.

Which question asked by the nurse assesses the learned prevention and

future coping strategies of the client?

A. “How did you try to kill yourself?”

B. “Why did you think life wasn’t worth living?”

C. “What skills can you utilize if you experience problems again?”

D. “Do you have the phone number of the suicide prevention center?”

ANSWER: C

A. How suicide was initially attempted would have been addressed during the initial assessment

and does not determine future coping.

B. Asking the client a “why” question is not helpful and conveys a judgmental attitude.

C. Asking the client directly regarding what skills he or she could utilize if similar problems occurred

in the future provides the client with an opportunity to reflect on learned behaviors and to

determine a plan for future prevention.

D. Although asking the client if the suicide prevention center number is known would be helpful,

the question does not determine learned coping strategies.

4. The nurse is caring for the client with a major depressive disorder. Which

nursing problem should be priority?

A. Powerlessness

B. Attempted suicide

C. Anticipatory grieving

D. Disturbed sleep pattern

ANSWER: B

1. The presence of powerlessness is concerning but does not take priority over the suicide.

2. The potential for suicidal behavior is priority for the client with a major depressive disorder who

previously attempted suicide.

3. Anticipatory grieving is concerning because it may be the cause of the major depressive disorder, but

it is not the priority.

4. The presence of a disturbed sleep pattern is concerning and should be addressed, but it is not the

priority.

5. The nurse is interviewing the client at a mental health clinic who recently

attempted suicide and continues to report active suicidal ideation. Which care

setting is most appropriate for this client?

A. An acute care hospital unit

B. An inpatient mental health unit


C. An outpatient mental health clinic

D. A community detoxification center

ANSWER: B

A. There is no indication that the client sustained injuries that require hospitalization on an

acute care unit.

B. The client with a history of suicidal behavior with current suicidal ideation is at risk and

in need of hospitalization. The most appropriate setting is an inpatient mental health

unit that is equipped to handle the safety issues of risky behaviors.

C. An outpatient mental health clinic does not provide the level of safety required for the

client reporting suicidal ideation.

D. There is no indication that the client’s attempted suicide was due to drug or alcohol

intoxication.

6. The nurse is discharging the client who was hospitalized on the mental

health unit for suicidal ideation. The nurse should advise the client to seek

help by contacting the mental health professional or the national suicide

prevention hotline if experiencing which warning signs for suicide? Select all

that apply.

A. Feeling sad

B. Hopelessness

C. Feelings of being trapped

D. Severe anxiety and agitation

E. Increasing alcohol or drug use

ANSWER: B, C, D, E

A. Feeling sad can be a normal mood variation and is not considered a warning sign of

suicide.

B. Hopelessness is a warning sign for suicide. Statements about problems never resolving

or about feelings of giving up indicate hopelessness.

C. Feeling trapped as if there is no way out is a warning sign of suicide.

D. Severe anxiety or agitation as well as recklessness can be an indication of suicide risk.

E. Increasing drug or alcohol use can be indicative of suicide risk.

7. The nurse is planning care for the client diagnosed with acute mania. What

situation must occur prior to initiating treatment with lithium carbonate?

A. The client must have been fasting for the past 12 hours.

B. The client’s kidney function should be within normal parameters.

C. The client’s behavior has not been controlled with room seclusion.

D. Benzodiazepine use has been discontinued in the client’s treatment.


ANSWER: B

A. Having the client fast is unnecessary prior to initiating treatment with lithium carbonate.

B. Because lithium carbonate (Lithobid) is excreted by the kidneys, a baseline evaluation of

normal kidney function should be completed before treatment begins.

C. Room seclusion is used as a last resort and is unrelated to medication administration.

D. Benzodiazepines are often used in treatment during the initiation phase to aid in

controlling mania, as it can take up to a week for lithium to become effective.

8. The client with a bipolar disorder presents to the ED with impaired

consciousness, nystagmus, and seizures. The nurse determines that which

result(s) on the client’s serum laboratory report illustrated explains the

client’s symptoms?

A. Dilantin

B. Lithium

C. Sodium and WBC

D. Creatinine and BUN

ANSWER: B

A. The Dilantin level is within the normal range (10—20 mcg/mL).

B. Symptoms of lithium toxicity appear at levels greater than 1.5 mEq/L. At a level greater

than 3.5 mEq/L, the symptoms of toxicity include coma, nystagmus, seizures, and

cardiovascular collapse.

C. The serum sodium is WNL (135—145 mEq/L). The WBCs are low (normal = 4500—1

1,000/microL or /mm3). Lithium can cause an increase in WBCs.

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