QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|
READY GRADED A+
1. While interviewing a client, the nurse takes A
notes to assist with accurate documentation
later. Which statement is most accurate re-
garding note-taking during an interview?
A. The nurse' ability to directly observe the
client's nonverbal communication is limited
with note taking.
B. Taking notes during an interview is a legal
obligation of the examining nurse.
C. The client's comfort level is increased when
the nurse breaks eye contact to take note to
take note.
D. The interview process is enhanced with
note taking and allows the client speak at nor-
mal pace.
2. An adolescent male receives a prescription B
for an antidepressant drug because he is ex-
hibiting a depressed affect. While the client is
taking the antidepressant, which comparison
of the client's behavior before and after taking
the drug is most important for the nurse to
obtain?
A. His appetite.
B. The emotional quality of his attitude
C. His level of activity.
D. The interactions he has with others.
3. A nurse is providing education about strate- B C D
gies for a safety plan for a female client who
is a victim of intimate partner violence. Which
strategies should be included in the safety
plan? Select all that apply.
A. Purchase a gun to use for protection
B. Establish a code with family and friends to
signify violence.
C. Plan an escape route to use if the abuser
blocks the main exit.
, HESI MENTAL HEALTH LATEST 2025-2026 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|
READY GRADED A+
D. Have a bag ready that has extra clothes for
self and children
4. While sitting in the dayroom of the mental B
health unit, a male adolescent avoids eye con-
tact, looks at the floor, and talks softly when
interacting verbally with the nurse. The two
trade places, and the nurse demonstrate the
client's behavior. What is the main goal of this
therapeutic techniques?
A. Discuss the client's feeling when he re-
sponds.
B. Allow the client to identify the way he inter-
acts.
C. Initiate a non-threatening conversation with
the client.
D. Dialog about the ineffectiveness of his in-
teractions.)
5. A client with depression remains in bed most C
of the day, and declines activities. Which nurs-
ing problem has the greatest priority for this
client?
A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
6. The RN is preparing medications for a client B
with bipolar disorder and notices that the
client discontinued antipsychotic medication
for several days. Which medication should
also be discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).
, HESI MENTAL HEALTH LATEST 2025-2026 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|
READY GRADED A+
7. A female client requests that her husband be A
allowed to stay in the room during the ad-
mission assessment. When interviewing the
client, the RN notes a discrepancy between
the client's verbal and nonverbal communica-
tion. What action does the RN take?
A. Pay close attention and document the non-
verbal messages.
B. Ask the client's husband to interpret the
discrepancy.
C. Ignore the nonverbal behavior and focus on
the client's verbal messages.
D. Integrate the verbal and nonverbal mes-
sages and interpret them as one.
8. A male client approaches the RN with an an- B
gry expression on his face and raises his
voice, saying "My roommate is the most self-
ish, self-centered, angry person I have ever
met. If he loses his temper one more time
with me, I am going to punch him out!" The
RN recognizes that the client is using which
defense mechanism?
A. Denial.
B. Projection.
C. Rationalization.
D. Splitting.
9. A male sclient swith sbipolar sdisorder swho sbegan
sA staking slithium scarbonate sfive sdays sago sis
scom- splaining sof sexcessive sthirst, sand sthe
sRN sfinds shim sattempting sto sdrink swater sfrom
sthe sbath- sroom ssink sfaucet. sWhich
sintervention sshould sthe sRN simplement?
A. Report sthe sclient's sserum slithium slevel sto
sthe sHCP.
B. Encourage sthe sclient sto ssuck son shard
scandy sto srelieve sthe ssymptoms.
, HESI MENTAL HEALTH LATEST 2025-2026 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|
READY GRADED A+
C. No saction sis sneeded ssince spolydipsia sis
sa scommon sside seffect.
D. Tell sthe sclient sthat sdrinking sfrom sthe
sfaucet sis snot sallowed.
10. The sRN sis steaching sa sclient sabout sthe sinitia- B
stion sof sthe sprescribed sabstinence stherapy sus-
sing sdisulfiram s(Antabuse). sWhat sinformation
sshould sthe sclient sacknowledge sunderstand-
sing?
A. Completely sabstain sfrom sheroin sor
scocaine suse.
B. Remain salcohol sfree sfor s12 shours sprior sto
sthe sfirst sdose.
C. Attend smonthly smeetings sof
salcoholics sanonymous.
D. Admit sto sothers sthat she sis sa ssubstance suser.
11. A smale sclient swith sschizophrenia sis sadmitted sto
sD sthe smental shealth sunit safter sabruptly
sstopping shis sprescription sfor sziprasidone
s(Geodon) sone smonth sago. sWhich squestion sis
smost simportant sfor sthe sRN sto sask sthe sclient?
A. Have syou slost sinterest sin sthe sthings sthat
syou sused sto senjoy?
B. Is syour sability sto sthink sor sconcentrate
sde- screased?
C. How smany scontinuous shours sdo syou
ssleep sat snight?
D. Do syou shear ssounds sor svoices sthat
sothers sdo snot shear?
12. During san sannual sphysical sby sthe soccupational
s D sRN sworking sin sa scorporate sclinic, sa smale
sem- sployee stells sthe sRN sthat sis shigh-stress
sjob sis scausing strouble sin shis spersonal slife. sHe
sfurther sexplains sthat she soften sgets sso sangry
swhile sdri- sving sto sand sfrom swork sthat she shas