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HESI Mental Health Practice Questions
1. A client with depression is prescribed an SSRI. The client asks, 'Why do I need to take this medication every day?' What is the best response by the nurse?
- A. This medication will help balance the chemicals in your brain.
- B. This medication needs to be taken regularly to be effective.
- C. This medication will start working immediately to improve your mood.
- D. You should take this medication only when you feel sad or depressed.
Correct answer: D
Rationale: Explaining that the medication may take several weeks to take full effect helps manage the client's expectations and encourages adherence to the prescribed treatment.
2. The community health nurse talks to a male client who has bipolar disorder. The client explains that he sleeps 4 to 5 hours a night and is working with his partner to start two new businesses and build an empire. The client stopped taking his medications several days ago. What nursing problem has the highest priority?
- A. Excessive work activity.
- B. Decreased need for sleep.
- C. Medication management.
- D. Inflated self-esteem.
Correct answer: C
Rationale: The most important nursing problem is medication management (C) because compliance with the medication regimen will help prevent hospitalization. The client is also exhibiting signs of mania, such as excessive work activity (A), decreased need for sleep (B), and inflated self-esteem (D); however, these problems do not have the priority of medication management. Managing the medications is crucial to stabilize the client's condition and prevent potential harm associated with untreated bipolar disorder.
3. When caring for a client who has overdosed on PCP, the nurse should be especially cautious about which of the following client behaviors?
- A. Visual hallucinations
- B. Violent behavior
- C. Bizarre behavior
- D. Loud screaming
Correct answer: B
Rationale: The correct answer is B: 'Violent behavior.' When a client has overdosed on PCP, the nurse should be particularly cautious about the manifestation of violent behavior. PCP overdose can lead to aggressive and unpredictable actions, posing a significant risk to both the client and healthcare providers. Visual hallucinations (choice A), bizarre behavior (choice C), and loud screaming (choice D) can also occur with PCP overdose, but the primary concern should be the potential for violent behavior, making it the most critical behavior to monitor and manage.
4. During a mental status exam, what factor should the nurse remember when assessing a client's intelligence?
- A. Acute psychiatric illnesses can impair intelligence
- B. Intelligence can be influenced by social and cultural beliefs
- C. Poor concentration skills suggest limited intelligence
- D. The inability to think abstractly indicates limited intelligence
Correct answer: B
Rationale: The correct answer is B. Intelligence is indeed influenced by social and cultural beliefs. It is essential to recognize that intelligence is not solely determined by innate abilities but can also be shaped by various external factors such as cultural background, education, and social environment. Choices A, C, and D are incorrect because acute psychiatric illnesses do not necessarily impair intelligence, poor concentration skills do not always suggest limited intelligence, and the inability to think abstractly alone does not always indicate limited intelligence.
5. A client states that she hears God's voice telling her that she has sinned and needs to punish herself. Which response by the LPN/LVN is most important?
- A. How do you think you will be punished?
- B. Please tell staff when you think you need to punish yourself.
- C. What exactly do you think you have done to be punished?
- D. Let's talk about your strengths
Correct answer: B
Rationale: The most important response by the LPN/LVN is to encourage the client to communicate with staff when they feel the need to punish themselves. This approach can help assess the risk of self-harm and enable appropriate intervention. Choice A focuses more on the method of punishment rather than encouraging help-seeking behavior. Choice C seeks specific details about the perceived wrongdoing rather than addressing the immediate concern of self-punishment. Choice D, discussing strengths, does not directly address the client's current distress and potential self-harm risk.
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