HESI MENTAL HEALTH RN V1–V3 EXIT EXAM |
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS!!
<LATEST VERSION>
A nurse is caring for a client experiencing acute mania. Which intervention is the
priority?
A. Encourage participation in group therapy
B. Provide a high-calorie finger-food diet
C. Allow the client to set daily goals
D. Promote expression of feelings through journaling
Correct Answer: B
Rationale: Clients with mania have increased energy and decreased attention span,
making finger foods and high-calorie meals essential to maintain nutrition.
A client with schizophrenia states, “The television is sending me messages.”
Which response by the nurse is most appropriate?
A. “Why do you think the television is doing that?”
B. “That isn’t happening, you’re imagining it.”
C. “I don’t hear messages, but I understand this feels real to you.”
D. “You should ignore those thoughts.”
Correct Answer: C
Rationale: This response acknowledges the client’s experience without reinforcing
the delusion.
,Which behavior indicates effective coping in a client with generalized anxiety
disorder?
A. Avoiding stressful situations
B. Using deep breathing techniques
C. Increased reassurance-seeking
D. Frequent use of PRN benzodiazepines
Correct Answer: B
Rationale: Deep breathing is a healthy, self-directed coping mechanism that
reduces anxiety symptoms.
A client taking lithium reports nausea and diarrhea. What is the nurse’s best
action?
A. Hold the medication and notify the provider
B. Reassure the client this is expected
C. Encourage increased caffeine intake
D. Administer an antiemetic and continue lithium
Correct Answer: A
Rationale: Gastrointestinal symptoms may indicate lithium toxicity and require
prompt evaluation.
Which statement made by a client indicates readiness for discharge after treatment
for major depressive disorder?
A. “I don’t cry anymore.”
B. “I’ve learned how to manage my stressors.”
C. “I won’t need medication once I feel better.”
D. “My family will take care of everything.”
Correct Answer: B
Rationale: Insight and use of coping strategies demonstrate readiness for
discharge.
,A nurse observes a client pacing and clenching fists. What is the priority nursing
action?
A. Ask the client to sit down
B. Offer PRN medication
C. Use de-escalation techniques
D. Call security immediately
Correct Answer: C
Rationale: Early signs of agitation should be addressed with verbal de-escalation
to prevent escalation.
Which finding best indicates improvement in a client with anorexia nervosa?
A. Weight gain of 0.5 kg in one week
B. Verbalizing fear of gaining weight
C. Refusing snacks between meals
D. Exercising after meals
Correct Answer: A
Rationale: Gradual weight gain is a key indicator of recovery.
A client with PTSD reports nightmares. Which intervention is most appropriate?
A. Encourage avoidance of trauma reminders
B. Suggest sleeping with the lights on
C. Teach relaxation and grounding techniques
D. Limit daytime naps
Correct Answer: C
Rationale: Grounding and relaxation reduce hyperarousal and improve sleep
quality.
, Which client statement requires immediate follow-up?
A. “I feel anxious before therapy sessions.”
B. “Sometimes I hear voices when stressed.”
C. “I’ve been giving my belongings away.”
D. “I don’t sleep well at night.”
Correct Answer: C
Rationale: Giving away possessions may indicate suicidal intent.
A nurse is teaching about SSRIs. Which statement indicates understanding?
A. “I’ll stop taking it once I feel better.”
B. “It may take several weeks to feel the effects.”
C. “I can take this medication only when needed.”
D. “Side effects mean it’s not working.”
Correct Answer: B
Rationale: SSRIs typically require several weeks for full therapeutic effect.
A client with borderline personality disorder exhibits splitting behavior. What is
the nurse’s best response?
A. Assign the client to a different nurse
B. Set consistent limits with all staff
C. Confront the client about manipulation
D. Ignore the behavior
Correct Answer: B
Rationale: Consistency among staff prevents reinforcement of splitting behaviors.
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS!!
<LATEST VERSION>
A nurse is caring for a client experiencing acute mania. Which intervention is the
priority?
A. Encourage participation in group therapy
B. Provide a high-calorie finger-food diet
C. Allow the client to set daily goals
D. Promote expression of feelings through journaling
Correct Answer: B
Rationale: Clients with mania have increased energy and decreased attention span,
making finger foods and high-calorie meals essential to maintain nutrition.
A client with schizophrenia states, “The television is sending me messages.”
Which response by the nurse is most appropriate?
A. “Why do you think the television is doing that?”
B. “That isn’t happening, you’re imagining it.”
C. “I don’t hear messages, but I understand this feels real to you.”
D. “You should ignore those thoughts.”
Correct Answer: C
Rationale: This response acknowledges the client’s experience without reinforcing
the delusion.
,Which behavior indicates effective coping in a client with generalized anxiety
disorder?
A. Avoiding stressful situations
B. Using deep breathing techniques
C. Increased reassurance-seeking
D. Frequent use of PRN benzodiazepines
Correct Answer: B
Rationale: Deep breathing is a healthy, self-directed coping mechanism that
reduces anxiety symptoms.
A client taking lithium reports nausea and diarrhea. What is the nurse’s best
action?
A. Hold the medication and notify the provider
B. Reassure the client this is expected
C. Encourage increased caffeine intake
D. Administer an antiemetic and continue lithium
Correct Answer: A
Rationale: Gastrointestinal symptoms may indicate lithium toxicity and require
prompt evaluation.
Which statement made by a client indicates readiness for discharge after treatment
for major depressive disorder?
A. “I don’t cry anymore.”
B. “I’ve learned how to manage my stressors.”
C. “I won’t need medication once I feel better.”
D. “My family will take care of everything.”
Correct Answer: B
Rationale: Insight and use of coping strategies demonstrate readiness for
discharge.
,A nurse observes a client pacing and clenching fists. What is the priority nursing
action?
A. Ask the client to sit down
B. Offer PRN medication
C. Use de-escalation techniques
D. Call security immediately
Correct Answer: C
Rationale: Early signs of agitation should be addressed with verbal de-escalation
to prevent escalation.
Which finding best indicates improvement in a client with anorexia nervosa?
A. Weight gain of 0.5 kg in one week
B. Verbalizing fear of gaining weight
C. Refusing snacks between meals
D. Exercising after meals
Correct Answer: A
Rationale: Gradual weight gain is a key indicator of recovery.
A client with PTSD reports nightmares. Which intervention is most appropriate?
A. Encourage avoidance of trauma reminders
B. Suggest sleeping with the lights on
C. Teach relaxation and grounding techniques
D. Limit daytime naps
Correct Answer: C
Rationale: Grounding and relaxation reduce hyperarousal and improve sleep
quality.
, Which client statement requires immediate follow-up?
A. “I feel anxious before therapy sessions.”
B. “Sometimes I hear voices when stressed.”
C. “I’ve been giving my belongings away.”
D. “I don’t sleep well at night.”
Correct Answer: C
Rationale: Giving away possessions may indicate suicidal intent.
A nurse is teaching about SSRIs. Which statement indicates understanding?
A. “I’ll stop taking it once I feel better.”
B. “It may take several weeks to feel the effects.”
C. “I can take this medication only when needed.”
D. “Side effects mean it’s not working.”
Correct Answer: B
Rationale: SSRIs typically require several weeks for full therapeutic effect.
A client with borderline personality disorder exhibits splitting behavior. What is
the nurse’s best response?
A. Assign the client to a different nurse
B. Set consistent limits with all staff
C. Confront the client about manipulation
D. Ignore the behavior
Correct Answer: B
Rationale: Consistency among staff prevents reinforcement of splitting behaviors.
