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HESI Mental Health NP (HesiMentalHealth) Practice Tests & Test Prep by Exam Edge - Topics


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HESI Psychiatric Mental Health NP Exam Blueprint

Understanding the exact breakdown of the HESI Psychiatric Mental Health NP test will help you know what to expect and how to most effectively prepare. The HESI Psychiatric Mental Health NP has multiple-choice questions The exam will be broken down into the sections below:

HESI Psychiatric Mental Health NP Exam Blueprint
Domain Name % Number of
Questions
Health Promotion and Disease Prevention 18% 18
Assessment of Acute and Chronic Illness 24% 24
The Nurse and Patient Relationship 14% 14
Clinical Management 27% 27
Professional Role and Policy 17% 17

HESI Psychiatric Mental Health NP - Exam Topics Sample Questions

A chronic mood disturbance of at least 2-years’ duration involving numerous hypomanic experiences and periods of depressed mood or loss of interest or pleasure is which of the following?

Correct Answer:
cyclothymic disorder
the correct answer to the question is "cyclothymic disorder." cyclothymic disorder, often described as a milder form of bipolar disorder, involves chronic fluctuations in mood that include periods of hypomanic symptoms and periods of depressive symptoms. it's crucial to understand the nature of these symptoms and how they differentiate from other mood disorders.

hypomanic symptoms are less intense than full-blown manic episodes which are typically observed in bipolar i disorder. hypomania might involve an elevated mood, increased activity or energy levels, and feelings of euphoria, but these are not severe enough to cause significant disruption to daily life or necessitate hospitalization.

on the other hand, the depressive symptoms in cyclothymic disorder are characterized by a persistent sadness, a lack of interest in previously enjoyed activities, or both. however, these depressive symptoms do not meet the full criteria for a major depressive episode, which is a hallmark of bipolar ii disorder.

cyclothymic disorder requires these symptoms to persist for at least two years in adults (or one year in children and adolescents), with no symptom-free intervals lasting longer than two months. this chronic aspect differentiates cyclothymic disorder from the episodic nature of mood swings seen in bipolar i and bipolar ii disorders, where mood phases are typically more defined and more intense.

in terms of treatment, the approach to managing cyclothymic disorder is similar to that of other bipolar spectrum disorders. biologic therapies, which may include mood stabilizers and sometimes antidepressants, aim to control the mood swings. psychotherapy, particularly cognitive-behavioral therapy, can be very beneficial. it helps individuals understand their condition, develop coping strategies to deal with mood changes, and maintain a routine, which can provide stability.

overall, understanding cyclothymic disorder is essential for accurate diagnosis and effective treatment. it is a chronic condition that, while less severe than other forms of bipolar disorder, still significantly impacts an individual's life and requires appropriate and ongoing management.

Which of the following is not true about the incidence and demographics of autism spectrum disorder?

Correct Answer:
onset of symptoms is before age 1


the question presented asks for which statement about the incidence and demographics of autism spectrum disorder (asd) is not true. let's review each statement in the context of what is widely accepted and supported by research in the field of developmental disorders.

1. **the concordant rate for an identical twin with autism is 60%.** this statement is accurate. studies show that if one identical twin has autism, the likelihood that the other twin will also be affected ranges from 36% to 95%, with many studies citing around 60%. this high concordance rate in identical twins, who share 100% of their genetic material, supports the strong genetic component of asd.

2. **the male-to-female ratio is 4:1.** this statement accurately reflects gender differences in the diagnosis of asd. research consistently finds that more males are diagnosed with autism than females, with ratios ranging from 3:1 to 4:1 in various studies. this disparity suggests potential genetic and neurobiological factors influencing males more than females, or it could reflect diagnostic biases.

3. **onset of symptoms is before age 1.** this statement is not accurate and represents the incorrect choice among the options provided. the diagnostic criteria for autism spectrum disorders, as outlined by sources such as the dsm-5 (diagnostic and statistical manual of mental disorders), specify that symptoms must be present in the early developmental period but may not become fully manifest until social demands exceed limited capacities, or may be masked by learned strategies later in life. while some signs of asd can be observed before age 1, formal diagnosis often occurs after this age because it is based on a broader range of developmental issues that are usually observable between ages 2 and 3. therefore, stating that symptom onset is universally before age 1 is misleading.

4. **more common in children with a family history of pervasive developmental disorders.** this statement is true. having a family member with asd increases the risk of another family member being diagnosed. genetic influences play a significant role in asd, and having a family history of pervasive developmental disorders is a known risk factor.

in summary, the statement "onset of symptoms is before age 1" is not true about the incidence and demographics of autism spectrum disorder and is the incorrect statement in the list provided. the other statements about twin concordance, gender ratio, and family history are consistent with current understanding and research in the field.