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Psychiatric Mental Health Nursing Practice Questions and Answers, Exams of Psychiatry

Virginia State University (VSU)Psychiatry

A set of practice questions and answers related to psychiatric mental health nursing. It covers a range of topics including substance abuse, mental disorders, crisis intervention, and therapeutic interventions. The questions are designed to test knowledge and understanding of key concepts in psychiatric nursing, making it a valuable resource for students preparing for exams or seeking to reinforce their learning. Questions on topics such as addiction, delusions, withdrawal, neurodevelopmental disorders, crisis management, memory loss, ptsd, ocd, hallucinations, alzheimer's disease, schizophrenia, suicide, anxiety, and phobias. It also covers therapeutic interventions like milieu therapy and medication management.

Typology: Exams

2025/2026

Available from 09/20/2025

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hesigrader002 🇺🇸

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Psych HESI Practice Questions with
Correct Answers
1.
Which substance listed in the Diagnostic and Statistical
Manual of Mental
Disorders, Fifth Edition is considered addictive
and therefore, a substance of
possible abuse?
alcohol
caffeine
cannabis
hallucinogens
gambling
antianxiety
medications:
alcohol,
catteine,
cannabis,
hallucinogens,
antianxiety
medications
2. Which substance is the CAGE questionnaire used to screen?: alcohol
3. which type of group is Alcoholics Anonymous?: self-help group
4.
which type of delusion would the nurse chart about a client
who says, "I've
figured out how foreign agents have infiltrated the
news media. Now they want to shut me up"?: persecution
5. When planning for a client's care during the detoxification
phase of early
alcohol withdrawal, which action would the
nurse take?
check on client frequently
keep the client's room lights dim
address the client in a loud, clear
voice
restraint
the
client
during
periods
of
agitation:
check on the client
frequently
6. which rationale explains why the client who is displaying
hyperactive and manic behaviors with flights of ideas is not eating?: is
too busy to take time to eat
7. which type of sexual disorder describes a client who has a sexual
obsession with shoes?: fetishistic
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a

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Psych HESI Practice Questions with

Correct Answers

  1. Which substance listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition is considered addictive and therefore, a substance of possible abuse? alcohol caffeine cannabis hallucinogens gambling antianxiety medications: alcohol, catteine, cannabis, hallucinogens, antianxiety medications
  2. Which substance is the CAGE questionnaire used to screen?: alcohol
  3. which type of group is Alcoholics Anonymous?: self-help group
  4. which type of delusion would the nurse chart about a client who says, "I've figured out how foreign agents have infiltrated the news media. Now they want to shut me up"?: persecution
  5. When planning for a client's care during the detoxification phase of early alcohol withdrawal, which action would the nurse take? check on client frequently keep the client's room lights dim address the client in a loud, clear voice restraint the client during periods of agitation: check on the client frequently
  6. which rationale explains why the client who is displaying hyperactive and manic behaviors with flights of ideas is not eating?: is too busy to take time to eat
  7. which type of sexual disorder describes a client who has a sexual obsession with shoes?: fetishistic

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  1. what is the correct order of phases a client experiences in the event of a change in body image?: shock, withdrawal, acknowledgement, acceptance, rehabilitation
  2. which substance would pose the greatest risk of addiction for clients attend- ing an alcohol rehabilitation program? heroin cocaine nicotine phencyclidine: nicotine
  3. which disorder would the nurse classify as neurodevelopmental? anxiety bipolar disorder schizophreniform disorder ADHD: ADHD
  4. which behavior is characteristic of panic during a crisis? being physically immobile sobbing for no apparent reason difficulties with falling asleep startling to loud noises and touch: being physically immobile
  5. which factor would precipitate a client's use of confabulation?: marked memory loss
  6. an older adult seems to make up stories to fill in for memory lapses. which behavior is the client displaying?: confabulating
  7. an older adult client reports flashbacks related to his experiences in Vietnam; he exhibits startle reactions and poor concentration. which mental disorder is associated with these symptoms?: PTSD
  8. which rationale explains the function of obsessions and compulsions for a client with OCD?: unconscious control of unacceptable feelings
  9. which point in the daily routine correctly describes when

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  1. which term or phrase would the nurse chart about thought processes to describe a client diagnosed with schizophrenia who says, "Yes, it's March. March is Little Women. That's literal, you know"?: loose associations
  2. which term would the nurse use to describe the thought processes of a client who insists that they are the commander of an alien spaceship despite repeated reality orientation?: delusion
  3. which term describes a client who states that she no longer enjoys any of the activities that she once found fun and pleasurable?: anhedonia
  4. which statement is accurate for adolescent suicide behavior? boys account for more attempts compared to girls girls use more dramatic methods compared to boys girls talk more about suicide before attempting boys are more likely to use lethal methods than are girls: boys are more likely to use lethal methods than are girls
  5. which term describes the client's use of made-up words that have no mean- ing to other people?: neologisms
  6. which term describes the disturbance in mood and affect seen in clients who are depressed?: dysphoric
  7. which assessment finding is associated with depression? the client has islands of intact memory the client has impaired recent and remote memory the client has impaired recent and immediate memory the client needs step-by-step instructions for simple tasks: the client has islands of intact memory
  8. which characteristic uniquely associated with psychophysiological disorders would differentiate them from somatic symptom disorders?

5 / 26 emotional cause feeling of illness

7 / 26 depressed flat

8 / 26 cooperative resistive: flat

  1. which factor is related to safety when discussing standards for involuntary admission to a mental health facility? mental illness severe disability currently cutting needs treatment: currently cutting
  2. Which primary purpose foes the DSM-5 serve?: facilitates classification of mental disorders and guides the determination of diagnosis
  3. which additional clinical manifestation would the nurse monitor for in a client with GAD who presents with restlessness and fatigue?: excessive worry
  4. which primary anxiolytic medication would the nurse anticipate developing a teaching plan for when a client with social anxiety disorder has a history of exhibiting an intense, irrational fear of being scrutinized by others? sertraline paroxetine alprazolam venlafaxine clonazepam: alprazolam, clonazepam
  5. which client statement indicates that the client is experiencing a matura- tional crisis? moved out of parents house divorce problem with nursing professor vague feelings of uneasiness: "I just moved out of my parent's house; I should be happy, but I feel overwhelmed"
  6. which reaction is most likely to occur when the performance

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  1. the client reports screaming hysterically whenever a spider comes close to her. which defense mechanism is the client using?: displacement
  2. which behavior is most commonly used by an individual with a phobic disorder?: avoidance
  3. A client reports to the nurse, "I'm afraid of every little thing and I have a fear of dying. My heart races all the time, and I break out in sweats." Which first-line medications would the nurse anticipate developing a teaching plan for? sertraline fluoxetine phenelzine alprazolam imipramine: sertraline, fluoxetine
  4. an obviously upset client pushes ahead of the other clients and states, "I had an argument with my daughter, and now I'm tense, and anxious, and angry." Which level of anxiety is the client experiencing?: moderate moderate- focused on one part of reality but is unable to grasp the total picture mild- individual is cognizant of all aspects of reality but has "butterflies" panic- individual is no longer in contact with reality, is unable to make decisions, has impaired judgement, and is dysfunctional severe- lose touch with reality and have a feeling of impending doom, which tends to immobilize them
  5. which information would support the nurse's decision to arrange for a staff member to remain with a depressed client continuously? refusal to eat any food inability to concentrate agitated pacing in the

11 / 26 hall history of suicide attempts statements that life is not worth living: agitated pacing in the hall, history of suicide attempts, statements that life is not worth living

13 / 26 dominance: helplessness, isolation, hopelessness

  1. which short-term client outcome would be priority for a client who has attempted suicide? strengthening coping skills establishing a no-suicide contract

14 / 26 learning problem-solving techniques recognizing why suicide was attempted: establishing a no-suicide contract

  1. which interpretation would the nurse make about a depressed client with mild suicidal ideation who has no plan, but has adequate family support and attends church regularly? should be at no risk for suicide warrants one-on-one observation warrants placement in a seclusion room should be reassessed at intervals regarding suicidal intent: should be reassessed at intervals regarding suicidal intent
  2. which foods should the client receiving MAOI avoid?: cheese, beer, and products with chocolate
  3. the nurse is caring for a client take an SSRI for depression. which statement by the client requires additional teaching? "I should take the medication at the same time daily" "I can stop taking this medication when I feel better" "I will exercise to control any weight gain the medication might cause" "I need to report any agitation I experience to the health care provider": I can stop taking this medication when I feel better
  4. Which activity would be appropriate for the nurse to introduce to a de- pressed client during the early part of hospitalization? board game project involving drawing intense aerobic exercise group card game with three other clients: project involving drawing
  5. which clinical manifestation is associated with depression?

16 / 26 psychomotor retardation intrusive social behavior: psychomotor retardation

  1. which action would the nurse take to establish trust in a depressed client?: visit frequently for short periods with the client each day
  2. which action would the nurse take when working with a client who is de- pressed? accept what the client says attempt to keep the client occupied keep the client's surroundings cheery try to prevent the client from talking too much: accept what the client says
  3. which strategy would the nurse use to help a depressed, withdrawn client who exhibits sadness through nonverbal behavior?: cope with painful feelings by sharing them
  4. the serum lithium blood level of a client with a mood disorder, manic episode, is 2.3 mEq/L. which assessment findings would the nurse expect? elevation in mood decreased coordination vomiting diarrhea decreased mania: decreased coordination, vomiting, diarrhea
  5. which antiseizure medication would the nurse identify as being used to stabilize a client's mood by suppressing mania associated with BPD? lithium quetiapine ziprasidone carbamazepi

17 / 26 ne divalproex sodium: carbamazepine, divalproex sodium

  1. which biophysical need is the priority in the acute phase of bipolar disorder, manic episode?: physical

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  1. which medications is most likely to cause metabolic side effects (weight gain, elevated lipid and blood glucose levels)?: clozapine, olanzapine

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  1. which priority approach would the nurse take for a newly admitted client who is found to be experiencing command auditory hallucinations?: identifying the content of the messages in the auditory hallucinations
  2. which symptoms are classified as negative symptoms for a client diagnosed with schizophrenia?: anergy, anhedonia
  3. which situation would indicate the need for naltrexone to be administered?- : to decrease the recovering alcoholic's desire to drink
  4. which clinical manifestation would the nurse assess for in a client a few hours into alcohol withdrawal? agitation tremulousnes s yawning convulsions profuse diaphoresis: agitation, tremulousness
  5. place the clients in order from highest risk for life-threatening physiological withdrawal to the one with the lowest risk older adult who is withdrawing from alcohol an adolescent withdrawing from cocaine young adult withdrawing from long-acting benzo middle aged adult who is withdrawing from marijuana: older adult, benzo, cocaine, marijuana
  6. a client who is addicted to heroin has major surgery. afterward, the client received methadone. which purpose does the methadone serve?: switches the user from illicit opioid use to use of a legal drug
  7. which behavior indicated codependence for the spouse of a partner who abuses multiple drugs?: attempts to cover up the partners drug use
  8. which clinical manifestations would the nurse assess for in a client experi- encing marijuana withdrawal?