2026 HESI RN MENTAL HEALTH HESI REVIEW - MULTIPLE CHOICE
ACTUAL EXAM, REALISTIC QUESTIONS AND VERIFIED ANSWERS|
COMPLETE SOLUTIONS WITH LATEST VERSION.
Male who was found sitting in the middle of a busy street is brought to the
emergency department. Confused and has difficulty answering questions. After
ruling out a physiological etiology for the client's behavior. When admitting the
client to the unit, which action is most important for the nurse to take?
A. Ask the client about his recent substance use
B. Perform a mental status exam
C. Determine the number of previous
hospitalizations
D. Assess the client from head-to-toe - ANSWER: B. Perform a mental status exam
An adolescent male client is hospitalized after he threatened a teacher at school.
He admits feeling angry because his mother tricked him and brought him to the
hospital. The client states that when his mother visits, he plans to get his
belongings from her, but he is not going to talk to her. Which activity is most
important for the nurse to complete before the mother arrives?
A. Assess the client's self-esteem needs.
B. Determine the client's expectations fortreatment.
C. Discuss methods for clearly communicating.
D. Identify ways to develop support systems. - ANSWER: C. Discuss methods for
clearly communicating.
A client with borderline personality disorder tells the nurse, "You are the best nurse
on the unit! The other nurses don't care about me the way you do." Which response
is best for the nurse to provide this client?
a.) "I am not the best nurse. All the nurses are good."
b.) "The other nurses and I are here to help you get better"
c.) "You don't think the other nurses care about you?"
d.) "I do care about you as a person but nothing more." - ANSWER: b.) "The other
nurses and I are here to help you get better"
,An older man with a hx of falls at home tells the clinic nurse that his son, who was
incarcerated last year for assault and battery, has become abusive since his
release from prison. Which intervention is most important for the nurse to
implement?
A. Tell the client to call Adult Protective Services if his son's abuse continues.
B. Refer the client to a program for victims of domestic violence
C. Verify the client's report by determining if there is physical evidence of abuse
D. Assist the client in developing an emergency safety plan - ANSWER: C. Verify the
client's report by determining if there is physical evidence of abuse
A young female client is admitted to the emergency room because she was raped
that evening by her date. How should the nurse record the client's chief complaint
in the medical record?
a.) Client reported that she had sexual relations against her will.
b.) Client claims that she was forced to participate in sexual
intercourse.
c.) Client has been sexually assaulted.
d.) Client states, "my date raped me tonight." - ANSWER: d.) Client states, "my date
raped me tonight."
A female client with obsessive compulsive disorder complains that she is feels
"driven" to check the locks on her front door at.. Which response is best for the
nurse toprovide?
A. have you had a bad experience related to unlocked doors?
B. What are your thoughts when you are checking the locks?
C. feelings of being drive to do something are related to anxiety
D. repeating the same behavior helps you to diminish your anxiety - ANSWER: D.
repeating the same behavior helps you to diminish your anxiety
What is the most important goal for a client with major depression who has been
receiving an antidepressant medication for two weeks?
A. ventilate feelings of sadness
B. eats three meals a day
, C. participates in group meetings
D. does not attempt to commit suicide - ANSWER: D. does not attempt to commit
suicide
After meeting with a healthcare provider, a client who is diagnosed with bipolar
disorder is screaming and stomping. Which action should the nurse take?
A. instruct the client to reduce the volume of his voice
B. administer a PRN sedative by injection
C. accompany the client to a quiet area of the unit
D. encourage the client to attend a support group - ANSWER: C. accompany the
client to a quiet area of the unit
A client with depression is not attentive to personal hygiene, uses television
watching as a means of escape from...inability to enjoy the things that once gave
them pleasure. Which coping strategy should the nurse include in the plan of care?
A. Relax and reduce the amount of effort to solve the
problem
B. Recall methods that were most successful in the past
C. reach out to family and friends about feelings of abandonment
D. turn to other activities to take one's mind off of the issues - ANSWER: B. Recall
methods that were most successful in the past
A young male who was recently diagnosed with bipolar disorder takes lithium
carbonate daily. He is graduating...he tells the school nurse that wants to live away
from home for college. What information is most important for...family?
A. Despite his illness, the client should be able to live away from home
B. his serum lithium levels should be routinely evaluated
C. he should plan to participate in group or individual therapy while at college D. he
should be aware of the symptoms of his illness - ANSWER: B. his serum lithium
levels should be routinely evaluated
A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase.
Based on which assessment finding will the RN withhold the clonidine (Catapres)
prescription?
ACTUAL EXAM, REALISTIC QUESTIONS AND VERIFIED ANSWERS|
COMPLETE SOLUTIONS WITH LATEST VERSION.
Male who was found sitting in the middle of a busy street is brought to the
emergency department. Confused and has difficulty answering questions. After
ruling out a physiological etiology for the client's behavior. When admitting the
client to the unit, which action is most important for the nurse to take?
A. Ask the client about his recent substance use
B. Perform a mental status exam
C. Determine the number of previous
hospitalizations
D. Assess the client from head-to-toe - ANSWER: B. Perform a mental status exam
An adolescent male client is hospitalized after he threatened a teacher at school.
He admits feeling angry because his mother tricked him and brought him to the
hospital. The client states that when his mother visits, he plans to get his
belongings from her, but he is not going to talk to her. Which activity is most
important for the nurse to complete before the mother arrives?
A. Assess the client's self-esteem needs.
B. Determine the client's expectations fortreatment.
C. Discuss methods for clearly communicating.
D. Identify ways to develop support systems. - ANSWER: C. Discuss methods for
clearly communicating.
A client with borderline personality disorder tells the nurse, "You are the best nurse
on the unit! The other nurses don't care about me the way you do." Which response
is best for the nurse to provide this client?
a.) "I am not the best nurse. All the nurses are good."
b.) "The other nurses and I are here to help you get better"
c.) "You don't think the other nurses care about you?"
d.) "I do care about you as a person but nothing more." - ANSWER: b.) "The other
nurses and I are here to help you get better"
,An older man with a hx of falls at home tells the clinic nurse that his son, who was
incarcerated last year for assault and battery, has become abusive since his
release from prison. Which intervention is most important for the nurse to
implement?
A. Tell the client to call Adult Protective Services if his son's abuse continues.
B. Refer the client to a program for victims of domestic violence
C. Verify the client's report by determining if there is physical evidence of abuse
D. Assist the client in developing an emergency safety plan - ANSWER: C. Verify the
client's report by determining if there is physical evidence of abuse
A young female client is admitted to the emergency room because she was raped
that evening by her date. How should the nurse record the client's chief complaint
in the medical record?
a.) Client reported that she had sexual relations against her will.
b.) Client claims that she was forced to participate in sexual
intercourse.
c.) Client has been sexually assaulted.
d.) Client states, "my date raped me tonight." - ANSWER: d.) Client states, "my date
raped me tonight."
A female client with obsessive compulsive disorder complains that she is feels
"driven" to check the locks on her front door at.. Which response is best for the
nurse toprovide?
A. have you had a bad experience related to unlocked doors?
B. What are your thoughts when you are checking the locks?
C. feelings of being drive to do something are related to anxiety
D. repeating the same behavior helps you to diminish your anxiety - ANSWER: D.
repeating the same behavior helps you to diminish your anxiety
What is the most important goal for a client with major depression who has been
receiving an antidepressant medication for two weeks?
A. ventilate feelings of sadness
B. eats three meals a day
, C. participates in group meetings
D. does not attempt to commit suicide - ANSWER: D. does not attempt to commit
suicide
After meeting with a healthcare provider, a client who is diagnosed with bipolar
disorder is screaming and stomping. Which action should the nurse take?
A. instruct the client to reduce the volume of his voice
B. administer a PRN sedative by injection
C. accompany the client to a quiet area of the unit
D. encourage the client to attend a support group - ANSWER: C. accompany the
client to a quiet area of the unit
A client with depression is not attentive to personal hygiene, uses television
watching as a means of escape from...inability to enjoy the things that once gave
them pleasure. Which coping strategy should the nurse include in the plan of care?
A. Relax and reduce the amount of effort to solve the
problem
B. Recall methods that were most successful in the past
C. reach out to family and friends about feelings of abandonment
D. turn to other activities to take one's mind off of the issues - ANSWER: B. Recall
methods that were most successful in the past
A young male who was recently diagnosed with bipolar disorder takes lithium
carbonate daily. He is graduating...he tells the school nurse that wants to live away
from home for college. What information is most important for...family?
A. Despite his illness, the client should be able to live away from home
B. his serum lithium levels should be routinely evaluated
C. he should plan to participate in group or individual therapy while at college D. he
should be aware of the symptoms of his illness - ANSWER: B. his serum lithium
levels should be routinely evaluated
A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase.
Based on which assessment finding will the RN withhold the clonidine (Catapres)
prescription?
