HESI RN Mental Health Exit Exam –Latest Version Test Bank 2026-2027 ||
Approved Questions And Well Explained Answers With Rationales || Graded
A+ || 100% Pass || Guaranteed || Brandnew!!!!!!!!!!
A client says, “I’m going to die, and I wish my family would stop hoping for a cure! I get so
angry when they carry on like this.” What is the most therapeutic response by the nurse?
A. “Have you shared your feelings with your family?”
B. “I think we should talk more about your anger with your family.”
C. “You’re feeling angry that your family continues to hope for you to be cured.”
D. “It sounds like you’re being pessimistic.”
Correct Answer: C
Rationale:
This response uses reflection of feelings, a therapeutic communication technique. The nurse
acknowledges the client’s emotions without judgment and encourages further expression.
The client is experiencing anger related to lack of acceptance by family members, and
reflecting this feeling helps the client explore emotions.
A client was admitted voluntarily to a mental health unit. Which behavior does the nurse
anticipate?
A. Fearfulness regarding treatment measures
B. Anger and aggressiveness toward others
C. Understanding of the diagnosis and symptoms
D. Willingness to participate in planning care and treatment
Correct Answer: D
Rationale:
A voluntary client chooses admission and generally demonstrates willingness to seek
treatment and participate in care decisions. Voluntary status reflects some level of insight
and cooperation.
During the termination phase of the nurse-client relationship, which nursing task is
appropriate?
A. Planning short-term goals
B. Making appropriate referrals
,C. Developing realistic solutions
D. Identifying expected outcomes
Correct Answer: B
Rationale:
The termination phase focuses on preparing the client for separation, reviewing progress,
and ensuring continuity of care. Referrals support continued treatment after the nurse-client
relationship ends.
A voluntarily admitted client becomes physically and verbally abusive while demanding
discharge. The nurse applies restraints. Which legal consequences may apply? Select all
that apply.
A. Libel
B. Battery
C. Assault
D. Slander
E. False imprisonment
Correct Answers: B, C, E
Rationale:
• Assault occurs when a person is threatened with unwanted contact.
• Battery involves actual unwanted physical contact.
• False imprisonment involves restricting a person’s freedom without legal
justification.
Restraints must always follow legal requirements and facility policies.
A client seeks counseling after attempting to rescue someone from a fire, but the person
died. During the working phase, what should the nurse focus on?
A. Exploring ability to function
B. Exploring potential for self-harm
C. Asking about perception of the death
D. Examining feelings that may block adaptive coping
Correct Answer: D
Rationale:
The working phase focuses on helping clients identify emotions, develop coping skills, and
resolve problems. Exploring blocked feelings helps the client process grief and trauma.
,A sexually assaulted client is calm and quiet. Which defense mechanism does this behavior
suggest?
A. Denial
B. Projection
C. Rationalization
D. Intellectualization
Correct Answer: A
Rationale:
Denial is an unconscious defense mechanism where a person refuses to acknowledge a
painful reality. Remaining calm and detached immediately after trauma may indicate denial.
Unresolved feelings related to loss are most likely recognized during which phase of the
therapeutic relationship?
A. Working
B. Trusting
C. Orientation
D. Termination
Correct Answer: D
Rationale:
Termination often brings up feelings related to separation, loss, and abandonment. Clients
may express unresolved emotions as the relationship ends.
Which statement best reflects the nurse’s understanding of client rights?
A. “Autonomy is the fundamental right of each client.”
B. “Client rights are guaranteed only by state laws.”
C. “Being respectful and concerned will ensure that I’m attentive to my clients’ rights.”
D. “Only competent clients have rights.”
Correct Answer: C
Rationale:
Respect, dignity, and concern guide ethical nursing practice. Nurses have a responsibility to
protect rights regardless of diagnosis or condition.
, A nurse leads a psychotherapy group. During the termination stage, what is the nurse’s
role?
A. Encourage problem solving
B. Encourage completion of group tasks
C. Acknowledge contributions of each group member
D. Encourage members to meet each other
Correct Answer: C
Rationale:
The termination phase involves closure, reviewing accomplishments, and recognizing each
member’s participation and growth.
A client with delirium becomes confused and disoriented at night. What is the best initial
intervention?
A. Move client near the nurses’ station
B. Use indirect lighting and turn off the television
C. Keep television on for distraction
D. Play music in a bright room
Correct Answer: B
Rationale:
Reducing environmental stimulation helps decrease confusion. Noise and excessive
stimulation can worsen delirium.
A client develops blindness after witnessing a traumatic accident, but no physical cause
exists. The nurse suspects:
A. Psychosis
B. Repression
C. Conversion disorder
D. Dissociative disorder
Correct Answer: C
Rationale:
Conversion disorder involves neurological symptoms without an identifiable medical cause,
often associated with psychological stress or trauma.
Approved Questions And Well Explained Answers With Rationales || Graded
A+ || 100% Pass || Guaranteed || Brandnew!!!!!!!!!!
A client says, “I’m going to die, and I wish my family would stop hoping for a cure! I get so
angry when they carry on like this.” What is the most therapeutic response by the nurse?
A. “Have you shared your feelings with your family?”
B. “I think we should talk more about your anger with your family.”
C. “You’re feeling angry that your family continues to hope for you to be cured.”
D. “It sounds like you’re being pessimistic.”
Correct Answer: C
Rationale:
This response uses reflection of feelings, a therapeutic communication technique. The nurse
acknowledges the client’s emotions without judgment and encourages further expression.
The client is experiencing anger related to lack of acceptance by family members, and
reflecting this feeling helps the client explore emotions.
A client was admitted voluntarily to a mental health unit. Which behavior does the nurse
anticipate?
A. Fearfulness regarding treatment measures
B. Anger and aggressiveness toward others
C. Understanding of the diagnosis and symptoms
D. Willingness to participate in planning care and treatment
Correct Answer: D
Rationale:
A voluntary client chooses admission and generally demonstrates willingness to seek
treatment and participate in care decisions. Voluntary status reflects some level of insight
and cooperation.
During the termination phase of the nurse-client relationship, which nursing task is
appropriate?
A. Planning short-term goals
B. Making appropriate referrals
,C. Developing realistic solutions
D. Identifying expected outcomes
Correct Answer: B
Rationale:
The termination phase focuses on preparing the client for separation, reviewing progress,
and ensuring continuity of care. Referrals support continued treatment after the nurse-client
relationship ends.
A voluntarily admitted client becomes physically and verbally abusive while demanding
discharge. The nurse applies restraints. Which legal consequences may apply? Select all
that apply.
A. Libel
B. Battery
C. Assault
D. Slander
E. False imprisonment
Correct Answers: B, C, E
Rationale:
• Assault occurs when a person is threatened with unwanted contact.
• Battery involves actual unwanted physical contact.
• False imprisonment involves restricting a person’s freedom without legal
justification.
Restraints must always follow legal requirements and facility policies.
A client seeks counseling after attempting to rescue someone from a fire, but the person
died. During the working phase, what should the nurse focus on?
A. Exploring ability to function
B. Exploring potential for self-harm
C. Asking about perception of the death
D. Examining feelings that may block adaptive coping
Correct Answer: D
Rationale:
The working phase focuses on helping clients identify emotions, develop coping skills, and
resolve problems. Exploring blocked feelings helps the client process grief and trauma.
,A sexually assaulted client is calm and quiet. Which defense mechanism does this behavior
suggest?
A. Denial
B. Projection
C. Rationalization
D. Intellectualization
Correct Answer: A
Rationale:
Denial is an unconscious defense mechanism where a person refuses to acknowledge a
painful reality. Remaining calm and detached immediately after trauma may indicate denial.
Unresolved feelings related to loss are most likely recognized during which phase of the
therapeutic relationship?
A. Working
B. Trusting
C. Orientation
D. Termination
Correct Answer: D
Rationale:
Termination often brings up feelings related to separation, loss, and abandonment. Clients
may express unresolved emotions as the relationship ends.
Which statement best reflects the nurse’s understanding of client rights?
A. “Autonomy is the fundamental right of each client.”
B. “Client rights are guaranteed only by state laws.”
C. “Being respectful and concerned will ensure that I’m attentive to my clients’ rights.”
D. “Only competent clients have rights.”
Correct Answer: C
Rationale:
Respect, dignity, and concern guide ethical nursing practice. Nurses have a responsibility to
protect rights regardless of diagnosis or condition.
, A nurse leads a psychotherapy group. During the termination stage, what is the nurse’s
role?
A. Encourage problem solving
B. Encourage completion of group tasks
C. Acknowledge contributions of each group member
D. Encourage members to meet each other
Correct Answer: C
Rationale:
The termination phase involves closure, reviewing accomplishments, and recognizing each
member’s participation and growth.
A client with delirium becomes confused and disoriented at night. What is the best initial
intervention?
A. Move client near the nurses’ station
B. Use indirect lighting and turn off the television
C. Keep television on for distraction
D. Play music in a bright room
Correct Answer: B
Rationale:
Reducing environmental stimulation helps decrease confusion. Noise and excessive
stimulation can worsen delirium.
A client develops blindness after witnessing a traumatic accident, but no physical cause
exists. The nurse suspects:
A. Psychosis
B. Repression
C. Conversion disorder
D. Dissociative disorder
Correct Answer: C
Rationale:
Conversion disorder involves neurological symptoms without an identifiable medical cause,
often associated with psychological stress or trauma.
