HESI MENTAL HEALTH LATEST 2026-2027
ACTUAL EXAM COMPLETE 300 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
A female client is brought to the emergency department after police
officers found her disoriented, disorganized, and confused. The RN also
determines that the client is homeless and is exhibiting suspiciousness.
The client's plan of care should include what priority problem?
A. Acute confusion.
B. Ineffective community coping
C. Disturbed sensory perception.
D. Self-care deficit. - Correct AnswerA
The occupational health nurse is working with a female employee who
was just notified that her child was involved in a MVA and taken to the
hospital. The employee states, "I can't believe this. What should I do?"
Which response is best for the RN to provide in this crisis?
A. Tell me what you think should happen.
B. How serious was the collision?
C. Whatdoyouthinkyoushoulddo?
D. Call for transportation to the hospital. - Correct AnswerD
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,A client tells the RN that he has an IQ of 400+ and is a genius and an
inventor. He also reports that he is married to a female movie star and
thinks that his brother wants a sexual relationship with her. What is the
priority nursing problem for admission to the psychiatric unit?
A. Ineffective sexual patterns.
B. Impaired environmental interpretation.
C. Disturbed sensory perception.
D. Compromised family coping. - Correct AnswerA
The RN is providing care for a client diagnosed with borderline
personality disorder who has self-inflicted lacerations on the abdomen.
Which approach should the RN use when changing this client's
dressing?
A. Provide detailed thorough explanations when cleansing wound.
B. Perform the dressing change in a non-judgmental manner.
C. Ask in a non-threatening manner why the client cut own abdomen.
D. Request another staff member assist with the dressing change. -
Correct AnswerB
While sitting in the day room of the mental health unit, a male
adolescent avoids eye contact, looks at the floor, and talks softly when
interacting verbally with the RN. The two trade places, and the RN
demonstrates the client's behaviors. What is the main goal of this
therapeutic technique?
A. Initiate a non-threatening conversation with the client.
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,B. Dialog about the ineffectiveness of his interactions.
C. Allow the client to identify the way he interacts.
D. Discuss the client's feelings when he responds. - Correct AnswerC
An antidepressant medication is prescribed for a client who reports
sleeping only 4 hours in the past 2 days and weight loss of 9 lbs within
the last month. Which client goal is most important to achieve within
the first three days of treatment?
A. Meet scheduled appointment with dietitian.
B. Sleep at least 6 hours a night.
C. Understands the purpose of the medication regimen.
D. Describes the reasons for hospitalization. - Correct AnswerB
When preparing to administer to domestic violence screening tool to a
female client, which statement should the RN provide?
A. If your partner is abusing you, I need to ask these questions.
B. State law mandates that I ask if you are a victim of domestic violence.
C. The HCP provider needs to know if you are experiencing any
domestic abuse.
D. All clients are screened for domestic abuse because it is common in
our society. - Correct AnswerD
A young adult female visits the mental health clinic complaining of
diarrhea, headache, and muscle aches. She is afebrile, denies chills, and
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, all laboratory findings are within normal limits. During the physical
assessment, the client tells the RN that her sister thinks she is neurotic
and calls her a hypochondriac. Which response is best for the RN to
provide?
A. Unless your sister has a medical education, ignore her comments.
B. I can hear that your sister comments are over-whelming you.
C. Do you think it's possible that you might be a hypochondriac?
D. Besides your sister's comments, what in your life is troubling you? -
Correct AnswerD
The RN is leading a group on the inpatient psychiatric unit. Which
approach should the RN use during the working phase of group
development?
A. Establishing a rapport with group members.
B. Clarifying the nurse's role and clients' responsibilities.
C. Discussing ways to use new coping skills learned.
D. Helping clients identify areas of problem in their lives. - Correct
AnswerD
A male client with schizophrenia is demonstrating echolalia, which is
becoming annoying to other clients on the unit. What intervention is
best for the RN to implement?
A. Isolate the client from the other clients.
B. AdministerPRNsedative.
C. Avoidrecognizingthebehavior.
Page 4 of 82
ACTUAL EXAM COMPLETE 300 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
A female client is brought to the emergency department after police
officers found her disoriented, disorganized, and confused. The RN also
determines that the client is homeless and is exhibiting suspiciousness.
The client's plan of care should include what priority problem?
A. Acute confusion.
B. Ineffective community coping
C. Disturbed sensory perception.
D. Self-care deficit. - Correct AnswerA
The occupational health nurse is working with a female employee who
was just notified that her child was involved in a MVA and taken to the
hospital. The employee states, "I can't believe this. What should I do?"
Which response is best for the RN to provide in this crisis?
A. Tell me what you think should happen.
B. How serious was the collision?
C. Whatdoyouthinkyoushoulddo?
D. Call for transportation to the hospital. - Correct AnswerD
Page 1 of 82
,A client tells the RN that he has an IQ of 400+ and is a genius and an
inventor. He also reports that he is married to a female movie star and
thinks that his brother wants a sexual relationship with her. What is the
priority nursing problem for admission to the psychiatric unit?
A. Ineffective sexual patterns.
B. Impaired environmental interpretation.
C. Disturbed sensory perception.
D. Compromised family coping. - Correct AnswerA
The RN is providing care for a client diagnosed with borderline
personality disorder who has self-inflicted lacerations on the abdomen.
Which approach should the RN use when changing this client's
dressing?
A. Provide detailed thorough explanations when cleansing wound.
B. Perform the dressing change in a non-judgmental manner.
C. Ask in a non-threatening manner why the client cut own abdomen.
D. Request another staff member assist with the dressing change. -
Correct AnswerB
While sitting in the day room of the mental health unit, a male
adolescent avoids eye contact, looks at the floor, and talks softly when
interacting verbally with the RN. The two trade places, and the RN
demonstrates the client's behaviors. What is the main goal of this
therapeutic technique?
A. Initiate a non-threatening conversation with the client.
Page 2 of 82
,B. Dialog about the ineffectiveness of his interactions.
C. Allow the client to identify the way he interacts.
D. Discuss the client's feelings when he responds. - Correct AnswerC
An antidepressant medication is prescribed for a client who reports
sleeping only 4 hours in the past 2 days and weight loss of 9 lbs within
the last month. Which client goal is most important to achieve within
the first three days of treatment?
A. Meet scheduled appointment with dietitian.
B. Sleep at least 6 hours a night.
C. Understands the purpose of the medication regimen.
D. Describes the reasons for hospitalization. - Correct AnswerB
When preparing to administer to domestic violence screening tool to a
female client, which statement should the RN provide?
A. If your partner is abusing you, I need to ask these questions.
B. State law mandates that I ask if you are a victim of domestic violence.
C. The HCP provider needs to know if you are experiencing any
domestic abuse.
D. All clients are screened for domestic abuse because it is common in
our society. - Correct AnswerD
A young adult female visits the mental health clinic complaining of
diarrhea, headache, and muscle aches. She is afebrile, denies chills, and
Page 3 of 82
, all laboratory findings are within normal limits. During the physical
assessment, the client tells the RN that her sister thinks she is neurotic
and calls her a hypochondriac. Which response is best for the RN to
provide?
A. Unless your sister has a medical education, ignore her comments.
B. I can hear that your sister comments are over-whelming you.
C. Do you think it's possible that you might be a hypochondriac?
D. Besides your sister's comments, what in your life is troubling you? -
Correct AnswerD
The RN is leading a group on the inpatient psychiatric unit. Which
approach should the RN use during the working phase of group
development?
A. Establishing a rapport with group members.
B. Clarifying the nurse's role and clients' responsibilities.
C. Discussing ways to use new coping skills learned.
D. Helping clients identify areas of problem in their lives. - Correct
AnswerD
A male client with schizophrenia is demonstrating echolalia, which is
becoming annoying to other clients on the unit. What intervention is
best for the RN to implement?
A. Isolate the client from the other clients.
B. AdministerPRNsedative.
C. Avoidrecognizingthebehavior.
Page 4 of 82
