Page 1 of 95
HESI MENTAL HEALTH EXAM ACTUAL EXAM ALL 300
QUESTIONS and CORRECT ANSWERS LATEST UPDATE
THIS YEAR
QUESTION: Which technique would be appropriate for clients who exhibit mild neurocognitive
impairment?
A. Reality orientation
B. Behavioral confrontation
C. Reflective communication
D. Reminiscence group therapy - ANSWER-A. Reality orientation
QUESTION: Which characteristic is most essential for the nurse to have in caring for clients with
mental health disorders?
A. Empathy
B. Sympathy
C. Organization
D. Authoritarianism - ANSWER-A. Empathy
Empathy - understanding and, to some extent, sharing the emotions of another- encourages
the expression of feelings. Sympathy, or feeling sorry for someone, may further decrease the
client's feelings of self-worth.
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QUESTION: Which stage is a terminally ill client displaying by gradually moving towards
resolution of feelings about impending death according to Kubler-Ross' theory of death and
dying?
A. Anger stage
B. Denial stage
C. Bargaining stage
D. Acceptance stage - ANSWER-D. Acceptance stage
When acceptance is reached. the individual is beginning to withdraw from life; communication
is simple, concise, and most often nonverbal. Kubler-Ross' research has shown that at this
stage, verbal communication is typically less important, and touch and presence are most
important. The client has moved past the anger, denial, and bargaining stages.
QUESTION: Which action would the nurse take for a client with an obsessive-compulsive
disorder who continually walks up and down the hall, touching every other and becomes upset
if interrupted?
A. Distract the client, which will help the client forget about touching the chairs.
B. Encourage the client to continue touching the chairs as long as the client wants until fatigue
sets in
C. Remove chairs from the hall, thereby relieving the client of the necessity of touching every
other one
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D. Allow the behavior to continue for a specified time, letting the client help set the time limits
to be imposed - ANSWER-D. Allow the behavior to continue for a specified time, letting the
client help set the time limits to be imposed
QUESTION: Place the five stages of grievingidentified and described by Elisabeth Kubler-Ross in
order of progression from first to last.
1. Anger
2. Denial
3. Depression
4. Acceptance
5. Bargaining - ANSWER-2. Denial
1. Anger
5. Bargaining
3. Depression
4. Acceptance
QUESTION: Which assessment finding would the nurse observe in a client with bipolar disorder,
manic phase?
A. Constant singing
B. Ritualistic behavior
C. Flat affect
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D. Apathetic demeanor - ANSWER-A. Constant singing
Which characteristic is commonly associated with adolescent depression? (Select all that
apply.)
A. Exercising daily
B. Having suicidal ideation
C. Exhibiting tearfulness
D. Having poor muscle tone
E. Avoiding previously enjoyed activities and relationships - ANSWER-B. Having suicidal ideation
C. Exhibiting tearfulness
E. Avoiding previously enjoyed activities and relationships
QUESTION: Which characteristic of adolescence is exemplified by risk-taking behavior without
fear of consequences?
A. Animism
B. Personal fable
C. Imaginery audience
D. Sense of invulnerability - ANSWER-D. Sense of invulnerability
4
HESI MENTAL HEALTH EXAM ACTUAL EXAM ALL 300
QUESTIONS and CORRECT ANSWERS LATEST UPDATE
THIS YEAR
QUESTION: Which technique would be appropriate for clients who exhibit mild neurocognitive
impairment?
A. Reality orientation
B. Behavioral confrontation
C. Reflective communication
D. Reminiscence group therapy - ANSWER-A. Reality orientation
QUESTION: Which characteristic is most essential for the nurse to have in caring for clients with
mental health disorders?
A. Empathy
B. Sympathy
C. Organization
D. Authoritarianism - ANSWER-A. Empathy
Empathy - understanding and, to some extent, sharing the emotions of another- encourages
the expression of feelings. Sympathy, or feeling sorry for someone, may further decrease the
client's feelings of self-worth.
1
, Page 2 of 95
QUESTION: Which stage is a terminally ill client displaying by gradually moving towards
resolution of feelings about impending death according to Kubler-Ross' theory of death and
dying?
A. Anger stage
B. Denial stage
C. Bargaining stage
D. Acceptance stage - ANSWER-D. Acceptance stage
When acceptance is reached. the individual is beginning to withdraw from life; communication
is simple, concise, and most often nonverbal. Kubler-Ross' research has shown that at this
stage, verbal communication is typically less important, and touch and presence are most
important. The client has moved past the anger, denial, and bargaining stages.
QUESTION: Which action would the nurse take for a client with an obsessive-compulsive
disorder who continually walks up and down the hall, touching every other and becomes upset
if interrupted?
A. Distract the client, which will help the client forget about touching the chairs.
B. Encourage the client to continue touching the chairs as long as the client wants until fatigue
sets in
C. Remove chairs from the hall, thereby relieving the client of the necessity of touching every
other one
2
, Page 3 of 95
D. Allow the behavior to continue for a specified time, letting the client help set the time limits
to be imposed - ANSWER-D. Allow the behavior to continue for a specified time, letting the
client help set the time limits to be imposed
QUESTION: Place the five stages of grievingidentified and described by Elisabeth Kubler-Ross in
order of progression from first to last.
1. Anger
2. Denial
3. Depression
4. Acceptance
5. Bargaining - ANSWER-2. Denial
1. Anger
5. Bargaining
3. Depression
4. Acceptance
QUESTION: Which assessment finding would the nurse observe in a client with bipolar disorder,
manic phase?
A. Constant singing
B. Ritualistic behavior
C. Flat affect
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, Page 4 of 95
D. Apathetic demeanor - ANSWER-A. Constant singing
Which characteristic is commonly associated with adolescent depression? (Select all that
apply.)
A. Exercising daily
B. Having suicidal ideation
C. Exhibiting tearfulness
D. Having poor muscle tone
E. Avoiding previously enjoyed activities and relationships - ANSWER-B. Having suicidal ideation
C. Exhibiting tearfulness
E. Avoiding previously enjoyed activities and relationships
QUESTION: Which characteristic of adolescence is exemplified by risk-taking behavior without
fear of consequences?
A. Animism
B. Personal fable
C. Imaginery audience
D. Sense of invulnerability - ANSWER-D. Sense of invulnerability
4
