Nightingale BSN 246 HESI MENTAL HEALTH ACTUAL
EXAM TEST BANK 2026/2027 PRACTICE QUESTIONS AND
STUDY GUIDE COMPLETE ACCURATE EXAM REAL
QUESTIONS WITH WELL ELABORATED ANSWERS WITH
DETAILED RATIONALES (RELIABLE SOLUTIONS)
CURRENTLY UPDATED VERSION 2026 EDITION
|GUARANTEED SUCCESS A+
The RN is teaching a client about the initiation of the prescribed
abstinence therapy using disulfiram (Antabuse). What information
should the client acknowledge understanding?
A. Completely abstain from heroin or cocaine use.
B. Remain alcohol free for 12 hours prior to the first dose.
C. Attend monthly meetings of alcoholics anonymous.
D. Admit to others that he is a substance user.
ANSWERS: B
,A male client with schizophrenia is admitted to the mental health
unit after abruptly stopping his prescription for ziprasidone
(Geodon) one month ago. Which question is most important for the
RN to ask the client?
A. Have you lost interest in the things that you used to enjoy?
B. Is your ability to think or concentrate decreased?
C. How many continuous hours do you sleep at night?
D. Do you hear sounds or voices that others do not hear?
ANSWERS: D
During an annual physical by the occupational RN working in a
corporate clinic, a male employee tells the RN that is high-stress job
is causing trouble in his personal life. He further explains that he
often gets so angry while driving to and from work that he has
considered "getting even" with other drivers. How should the RN
respond?
A. "Anger is contagious and could result in major confrontation."
B. "Try not to let your anger cause you to act impulsively."
C. "Expressing your anger to a stranger could result in an unsafe
situation."
D. "It sounds as if there are many situations that make you feel
angry."
ANSWERS: D
,A client who has agoraphobia (a fear of crowds) is beginning
desensitization with the therapist, and the RN is reinforcing the
process. Which intervention has the highest priority for this client's
plan of care?
A. Encourage substitution of positive thoughts and negative ones.
B. Establish trust by providing a calm, safe environment.
C. Progressively expose the client to larger crowds.
D. Encourage deep breathing when anxiety escalates in a crowd.
ANSWERS: B
Which nursing actions are likely to help promote the self-esteem of
a male client with modern depression?
A. Ask the client what his long term goals are.
B. Discuss the challenges of his medical condition.
C. Include the client in determining treatment protocol.
D. Encourage the client to engage in recreational therapy.
E. Provide opportunities for the client to discuss his concerns.
ANSWERS: A D E
, A male client is admitted to the psychiatric unit for recurrent
negative symptoms of chronic schizophrenia and medication
adjustment of Risperidone (Risperdal). When the client walks to the
nurse's station in a laterally contracted position, he states that
something has made his body contort into a monster. What action
should the RN take?
A. Medicate the client with the prescribed antipsychotic thioridazine
(Mellaril).
B. Offer the client a prescribed physical therapy hot pack for muscle
spasms.
C. Direct client to occupational therapy to distract him from somatic
complaints.
D. Administer the prescribed anticholinergic benztropine (Cogentin)
for dystonia.
ANSWERS: D
A mental health worker is caring for a client with escalating
aggressive behavior. Which action by the MHW warrant immediate
intervention by the RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loid voice to talk to the client.
D. Remains at a distance of 4 feet from the client.
ANSWERS: A
EXAM TEST BANK 2026/2027 PRACTICE QUESTIONS AND
STUDY GUIDE COMPLETE ACCURATE EXAM REAL
QUESTIONS WITH WELL ELABORATED ANSWERS WITH
DETAILED RATIONALES (RELIABLE SOLUTIONS)
CURRENTLY UPDATED VERSION 2026 EDITION
|GUARANTEED SUCCESS A+
The RN is teaching a client about the initiation of the prescribed
abstinence therapy using disulfiram (Antabuse). What information
should the client acknowledge understanding?
A. Completely abstain from heroin or cocaine use.
B. Remain alcohol free for 12 hours prior to the first dose.
C. Attend monthly meetings of alcoholics anonymous.
D. Admit to others that he is a substance user.
ANSWERS: B
,A male client with schizophrenia is admitted to the mental health
unit after abruptly stopping his prescription for ziprasidone
(Geodon) one month ago. Which question is most important for the
RN to ask the client?
A. Have you lost interest in the things that you used to enjoy?
B. Is your ability to think or concentrate decreased?
C. How many continuous hours do you sleep at night?
D. Do you hear sounds or voices that others do not hear?
ANSWERS: D
During an annual physical by the occupational RN working in a
corporate clinic, a male employee tells the RN that is high-stress job
is causing trouble in his personal life. He further explains that he
often gets so angry while driving to and from work that he has
considered "getting even" with other drivers. How should the RN
respond?
A. "Anger is contagious and could result in major confrontation."
B. "Try not to let your anger cause you to act impulsively."
C. "Expressing your anger to a stranger could result in an unsafe
situation."
D. "It sounds as if there are many situations that make you feel
angry."
ANSWERS: D
,A client who has agoraphobia (a fear of crowds) is beginning
desensitization with the therapist, and the RN is reinforcing the
process. Which intervention has the highest priority for this client's
plan of care?
A. Encourage substitution of positive thoughts and negative ones.
B. Establish trust by providing a calm, safe environment.
C. Progressively expose the client to larger crowds.
D. Encourage deep breathing when anxiety escalates in a crowd.
ANSWERS: B
Which nursing actions are likely to help promote the self-esteem of
a male client with modern depression?
A. Ask the client what his long term goals are.
B. Discuss the challenges of his medical condition.
C. Include the client in determining treatment protocol.
D. Encourage the client to engage in recreational therapy.
E. Provide opportunities for the client to discuss his concerns.
ANSWERS: A D E
, A male client is admitted to the psychiatric unit for recurrent
negative symptoms of chronic schizophrenia and medication
adjustment of Risperidone (Risperdal). When the client walks to the
nurse's station in a laterally contracted position, he states that
something has made his body contort into a monster. What action
should the RN take?
A. Medicate the client with the prescribed antipsychotic thioridazine
(Mellaril).
B. Offer the client a prescribed physical therapy hot pack for muscle
spasms.
C. Direct client to occupational therapy to distract him from somatic
complaints.
D. Administer the prescribed anticholinergic benztropine (Cogentin)
for dystonia.
ANSWERS: D
A mental health worker is caring for a client with escalating
aggressive behavior. Which action by the MHW warrant immediate
intervention by the RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loid voice to talk to the client.
D. Remains at a distance of 4 feet from the client.
ANSWERS: A
