Latest NR 326 MENTAL HESI 70+
Questions And Correct Answers
(With Rationales) 2025-2026
|Latest Update |Graded A+|| NR
326 MENTAL HESI(70 Plus QS &
AS With Rationales) Best For
Practice
Practice exam
1. A young adult male client, diagnosed with paranoid schizophrenia,
believes that world is trying poison him. What intervention should the
nurse include in this client's plan of care?
A. Remind the client that his suspicions are not true.
B. Ask one nurse to spend time with the client daily. Correct
C. Encourage the client to participate in group activities.
D. Assign the client to a room closest to the activity room.
A client with paranoid schizophrenia has difficulty with trust and developing a trusting
relationship with one nurse (B) is likely to be therapeutic for this client. (A) is
argumentative. Stress increases anxiety, and anxiety increases paranoid ideation; (C)
would be too stressful and anxiety-promoting for a client who is experiencing
pathological suspicions. (D) also might increase anxiety and stress.
,2. The community health nurse talks to a male client who has bipolar
disorder. The client explains that he sleeps 4 to 5 hours a night and is
working with his partner to start two new businesses and build an empire.
The client stopped taking his medications several days ago. What nursing
problem has the highest priority?
A. Excessive work activity.
B. Decreased need for sleep.
C. Medication management. Correct
D. Inflated self-esteem.
The most important nursing problem is medication management (C) because
compliance with the medication regimen will help prevent hospitalization. The client is
also exhibiting signs of (A, B, and C); however, these problems do not have the priority
of medication management.
3. A female client with obsessive-compulsive disorder (OCD) is describing
her obsessions and compulsions and asks the nurse why these make her
feel safer. What information should the nurse include in this client's
teaching plan? (Select all that apply.)
A. Compulsions relieve anxiety. Correct
B. Anxiety is the key reason for OCD. Correct
C. Obsessions cause compulsions.
D. Obsessive thoughts are linked to levels of neurochemicals. Correct
E. Antidepressant medications increase serotonin levels. Correct
Correct choices are (A, B, D, and E). To promote client understanding and compliance,
the teaching plan should include explanations about the origin and treatment options of
OCD symptomology. Compulsions are behaviors that help relieve anxiety (A), which is a
vague feeling related to unknown fears, that motivate behavior (B) to help the client
cope and feel secure. All obsessions (C) do not result in compulsive behavior. OCD is
supported by the neurophysiology theory, which attributes a diminished level of
,neurochemicals (D), particularly serotonin, and responds to selective serotonin
reuptake inhibitors (SSRI).
4. The nurse observes a female client with schizophrenia watching the
news on TV. She begins to laugh softly and says, "Yes, my love, I'll do it."
When the nurse questions the client about her comment she states, "The
news commentator is my lover and he speaks to me each evening. Only I can
understand what he says." What is the best response for the nurse to
make?
A. What do you believe the news commentator said to you? Correct
B. Let's watch news on a different television channel.
C. Does the news commentator have plans to harm you or others?
D. The news commentator is not talking to you.
It is imperative that the nurse determine what the client believes she heard (A). The idea
of reference may be to hurt herself or someone else, and the main function of a
psychiatric nurse is to maintain safety. (B) is acceptable, but it is best to determine the
client's beliefs. (C) is validating the idea of reference, while (D) is challenging the client.
5. A 40-year-old male client diagnosed with schizophrenia and alcohol
dependence has not had any visitors or phone calls since admission. He
reports he has no family that cares about him and was living on the streets
prior to this admission. According to Erikson's theory of psychosocial
development, which stage is the client in at this time?
A. Isolation.
B. Stagnation. Correct
C. Despair.
D. Role confusion.
The client is in Erikson's "Generativity vs. Stagnation" stage (age 24 to 45), and meeting
the task includes maintaining intimate relationships and moving toward developing a
family (B). (A) occurs in young adulthood (age 18 to 25), (C) occurs in maturity (age 45
, to death), and (D) occurs in adolescence (age 12 to 20). These are all stages that occur if
individuals are not successfully coping with their psychosocial developmental stage.
6. The parents of a 14-year-old boy bring their son to the hospital. He is
lethargic, but responsive. The mother states, "I think he took some of my
pain pills." During initial assessment of the teenager, what information is
most important for the nurse to obtain from the parents?
A. If he has seemed depressed recently.
B. If a drug overdose has ever occurred before.
C. If he might have taken any other drugs. Correct
D. If he has a desire to quit taking drugs.
Knowledge of all substances taken (C) will guide further treatment, such as
administration of antagonists, so obtaining this information has the highest priority. (A
and B) are also valuable in planning treatment. (D) is not appropriate during the acute
management of a drug overdose.
7. A male client with mental illness and substance dependency tells the
mental health nurse that he has started using illegal drugs again and wants
to seek treatment. Since he has a dual diagnosis, which person is best for
the nurse to refer this client to first?
A. The emergency room nurse.
B. His case manager.
C. The clinic healthcare provider.
D. His support group sponsor.
The case manager (B) is responsible for coordinating community services, and since this
client has a dual diagnosis, this is the best person to describe available treatment
options. (A) is unnecessary, unless the client experiences behaviors that threaten his
safety or the safety of others. (C and D) might also be useful, but it is most important at
this time that a treatment program be coordinated to meet this client's needs.
8. A male client is admitted to a mental health unit on Friday afternoon
and is very upset on Sunday because he has not had the opportunity to talk
with the healthcare provider. Which response is best for the nurse to
Questions And Correct Answers
(With Rationales) 2025-2026
|Latest Update |Graded A+|| NR
326 MENTAL HESI(70 Plus QS &
AS With Rationales) Best For
Practice
Practice exam
1. A young adult male client, diagnosed with paranoid schizophrenia,
believes that world is trying poison him. What intervention should the
nurse include in this client's plan of care?
A. Remind the client that his suspicions are not true.
B. Ask one nurse to spend time with the client daily. Correct
C. Encourage the client to participate in group activities.
D. Assign the client to a room closest to the activity room.
A client with paranoid schizophrenia has difficulty with trust and developing a trusting
relationship with one nurse (B) is likely to be therapeutic for this client. (A) is
argumentative. Stress increases anxiety, and anxiety increases paranoid ideation; (C)
would be too stressful and anxiety-promoting for a client who is experiencing
pathological suspicions. (D) also might increase anxiety and stress.
,2. The community health nurse talks to a male client who has bipolar
disorder. The client explains that he sleeps 4 to 5 hours a night and is
working with his partner to start two new businesses and build an empire.
The client stopped taking his medications several days ago. What nursing
problem has the highest priority?
A. Excessive work activity.
B. Decreased need for sleep.
C. Medication management. Correct
D. Inflated self-esteem.
The most important nursing problem is medication management (C) because
compliance with the medication regimen will help prevent hospitalization. The client is
also exhibiting signs of (A, B, and C); however, these problems do not have the priority
of medication management.
3. A female client with obsessive-compulsive disorder (OCD) is describing
her obsessions and compulsions and asks the nurse why these make her
feel safer. What information should the nurse include in this client's
teaching plan? (Select all that apply.)
A. Compulsions relieve anxiety. Correct
B. Anxiety is the key reason for OCD. Correct
C. Obsessions cause compulsions.
D. Obsessive thoughts are linked to levels of neurochemicals. Correct
E. Antidepressant medications increase serotonin levels. Correct
Correct choices are (A, B, D, and E). To promote client understanding and compliance,
the teaching plan should include explanations about the origin and treatment options of
OCD symptomology. Compulsions are behaviors that help relieve anxiety (A), which is a
vague feeling related to unknown fears, that motivate behavior (B) to help the client
cope and feel secure. All obsessions (C) do not result in compulsive behavior. OCD is
supported by the neurophysiology theory, which attributes a diminished level of
,neurochemicals (D), particularly serotonin, and responds to selective serotonin
reuptake inhibitors (SSRI).
4. The nurse observes a female client with schizophrenia watching the
news on TV. She begins to laugh softly and says, "Yes, my love, I'll do it."
When the nurse questions the client about her comment she states, "The
news commentator is my lover and he speaks to me each evening. Only I can
understand what he says." What is the best response for the nurse to
make?
A. What do you believe the news commentator said to you? Correct
B. Let's watch news on a different television channel.
C. Does the news commentator have plans to harm you or others?
D. The news commentator is not talking to you.
It is imperative that the nurse determine what the client believes she heard (A). The idea
of reference may be to hurt herself or someone else, and the main function of a
psychiatric nurse is to maintain safety. (B) is acceptable, but it is best to determine the
client's beliefs. (C) is validating the idea of reference, while (D) is challenging the client.
5. A 40-year-old male client diagnosed with schizophrenia and alcohol
dependence has not had any visitors or phone calls since admission. He
reports he has no family that cares about him and was living on the streets
prior to this admission. According to Erikson's theory of psychosocial
development, which stage is the client in at this time?
A. Isolation.
B. Stagnation. Correct
C. Despair.
D. Role confusion.
The client is in Erikson's "Generativity vs. Stagnation" stage (age 24 to 45), and meeting
the task includes maintaining intimate relationships and moving toward developing a
family (B). (A) occurs in young adulthood (age 18 to 25), (C) occurs in maturity (age 45
, to death), and (D) occurs in adolescence (age 12 to 20). These are all stages that occur if
individuals are not successfully coping with their psychosocial developmental stage.
6. The parents of a 14-year-old boy bring their son to the hospital. He is
lethargic, but responsive. The mother states, "I think he took some of my
pain pills." During initial assessment of the teenager, what information is
most important for the nurse to obtain from the parents?
A. If he has seemed depressed recently.
B. If a drug overdose has ever occurred before.
C. If he might have taken any other drugs. Correct
D. If he has a desire to quit taking drugs.
Knowledge of all substances taken (C) will guide further treatment, such as
administration of antagonists, so obtaining this information has the highest priority. (A
and B) are also valuable in planning treatment. (D) is not appropriate during the acute
management of a drug overdose.
7. A male client with mental illness and substance dependency tells the
mental health nurse that he has started using illegal drugs again and wants
to seek treatment. Since he has a dual diagnosis, which person is best for
the nurse to refer this client to first?
A. The emergency room nurse.
B. His case manager.
C. The clinic healthcare provider.
D. His support group sponsor.
The case manager (B) is responsible for coordinating community services, and since this
client has a dual diagnosis, this is the best person to describe available treatment
options. (A) is unnecessary, unless the client experiences behaviors that threaten his
safety or the safety of others. (C and D) might also be useful, but it is most important at
this time that a treatment program be coordinated to meet this client's needs.
8. A male client is admitted to a mental health unit on Friday afternoon
and is very upset on Sunday because he has not had the opportunity to talk
with the healthcare provider. Which response is best for the nurse to
