HESI EXIT MENTAL HEALTH NURSING EXAM 2025 WITH 100%
ACCURATE SOLUTION
1. Which medication is specifically indicated for assisting in the maintenance of
sobriety in clients with alcohol abuse problems?
Clonidine (Catapres)
Chlordiazepoxide hydrochloride (Librium)
Pyridoxine hydrochloride (vitamin B6)
Disulfiram (Antabuse)
2. A nurse is caring for a client who is experiencing psychomotor agitation.
Which activity is most appropriate for the nurse to plan for the client?
Playing ping-pong
Reading magazines
Playing chess
Playing simple card games
3. Why is admitting to having a problem considered the first step in the 12-
step program?
It allows individuals to blame others for their gambling behavior.
It is essential for acknowledging the addiction and beginning the
recovery process.
It helps individuals to identify friends who also have gambling issues.
It encourages individuals to stop gambling immediately.
,4. Which nursing statement is most effective when the nurse is trying to
defuse a client's impending violent behavior?
"This is a good time for you to play cards with me."
"The crisis team and I will escort you to the seclusion room."
"Let's talk about what happened to make you this angry."
"Do you feel you need to be alone in your room?"
5. When prescribed disulfiram (Antabuse) alcohol should not be consumed
within how many hours of starting the medication?
24 hours
8 hours
12 hours
48 hours
6. After an upsetting divorce, a client who threatens to commit suicide with a
handgun is involuntarily admitted to the psychiatric unit with major
depression. What nursing action takes highest priority for the client?
evaluating coping
providing a safe environment
promoting communication
consulting a spiritual leader
7. The nurse is monitoring a hospitalized client who abuses alcohol. Which
findings should alert the nurse to the potential for alcohol withdrawal
delirium (delirium tremens or the "DTs") ?
Stupor, lethargy, muscular rigidity
, Hypertension, changes in level of consciousness, hallucinations
Severe body aches, agitation, irritability, tearing eyes and nose,
severe thirst
Hypotension, coarse hand tremors, lethargy
Hypotension, ataxia, hunger
8. What therapeutic communication technique is demonstrated by the nurse's
response, 'You're having difficulty sleeping?'
Empathy
Clarification
Reflection
Restatement
9. If a nurse encounters a client who is hyperventilating and unable to calm
down after an assault, what should the nurse do to ensure the client's
safety?
Leave the client alone in a quiet room to reduce stimulation.
Remain with the client and provide reassurance until their anxiety
decreases.
Teach the client breathing exercises right away.
Encourage the client to talk about the assault immediately.
10. A nurse in a mental health practitioner's office is communicating with a
client. The client states, "I can't sleep. I stay up all night." The nurse
responds, "You are having difficulty sleeping?" Which of the following
therapeutic communicator techniques is the nurse demonstrating?
, Focusing
Offering general leads
Restating
Summarizing
11. A 19 yo client is brought to the ED because the client slashed both wrists.
What is the nurse's first action?
determination of antecedent, casual factors relevant to the wrist
slashing
reduction of anxiety
obtaining a detailed nursing hx
stabilization of physical condition
12. A client in therapy is struggling with self-awareness and understanding
their emotions in the present moment. Which therapeutic approach would
be most beneficial for this client?
Cognitive-behavioral therapy
Interpersonal group therapy
Gestalt therapy
Rational emotive therapy
13. A nurse is conducting a session with a client who is experiencing anxiety.
Which approach should the nurse prioritize to ensure effective therapeutic
communication?
Asking the client, 'Why do you feel this way?'
Maintaining silence without engaging with the client.
ACCURATE SOLUTION
1. Which medication is specifically indicated for assisting in the maintenance of
sobriety in clients with alcohol abuse problems?
Clonidine (Catapres)
Chlordiazepoxide hydrochloride (Librium)
Pyridoxine hydrochloride (vitamin B6)
Disulfiram (Antabuse)
2. A nurse is caring for a client who is experiencing psychomotor agitation.
Which activity is most appropriate for the nurse to plan for the client?
Playing ping-pong
Reading magazines
Playing chess
Playing simple card games
3. Why is admitting to having a problem considered the first step in the 12-
step program?
It allows individuals to blame others for their gambling behavior.
It is essential for acknowledging the addiction and beginning the
recovery process.
It helps individuals to identify friends who also have gambling issues.
It encourages individuals to stop gambling immediately.
,4. Which nursing statement is most effective when the nurse is trying to
defuse a client's impending violent behavior?
"This is a good time for you to play cards with me."
"The crisis team and I will escort you to the seclusion room."
"Let's talk about what happened to make you this angry."
"Do you feel you need to be alone in your room?"
5. When prescribed disulfiram (Antabuse) alcohol should not be consumed
within how many hours of starting the medication?
24 hours
8 hours
12 hours
48 hours
6. After an upsetting divorce, a client who threatens to commit suicide with a
handgun is involuntarily admitted to the psychiatric unit with major
depression. What nursing action takes highest priority for the client?
evaluating coping
providing a safe environment
promoting communication
consulting a spiritual leader
7. The nurse is monitoring a hospitalized client who abuses alcohol. Which
findings should alert the nurse to the potential for alcohol withdrawal
delirium (delirium tremens or the "DTs") ?
Stupor, lethargy, muscular rigidity
, Hypertension, changes in level of consciousness, hallucinations
Severe body aches, agitation, irritability, tearing eyes and nose,
severe thirst
Hypotension, coarse hand tremors, lethargy
Hypotension, ataxia, hunger
8. What therapeutic communication technique is demonstrated by the nurse's
response, 'You're having difficulty sleeping?'
Empathy
Clarification
Reflection
Restatement
9. If a nurse encounters a client who is hyperventilating and unable to calm
down after an assault, what should the nurse do to ensure the client's
safety?
Leave the client alone in a quiet room to reduce stimulation.
Remain with the client and provide reassurance until their anxiety
decreases.
Teach the client breathing exercises right away.
Encourage the client to talk about the assault immediately.
10. A nurse in a mental health practitioner's office is communicating with a
client. The client states, "I can't sleep. I stay up all night." The nurse
responds, "You are having difficulty sleeping?" Which of the following
therapeutic communicator techniques is the nurse demonstrating?
, Focusing
Offering general leads
Restating
Summarizing
11. A 19 yo client is brought to the ED because the client slashed both wrists.
What is the nurse's first action?
determination of antecedent, casual factors relevant to the wrist
slashing
reduction of anxiety
obtaining a detailed nursing hx
stabilization of physical condition
12. A client in therapy is struggling with self-awareness and understanding
their emotions in the present moment. Which therapeutic approach would
be most beneficial for this client?
Cognitive-behavioral therapy
Interpersonal group therapy
Gestalt therapy
Rational emotive therapy
13. A nurse is conducting a session with a client who is experiencing anxiety.
Which approach should the nurse prioritize to ensure effective therapeutic
communication?
Asking the client, 'Why do you feel this way?'
Maintaining silence without engaging with the client.
