MENTAL HEALTH HESI EXAM 2026 UPDATE
QUESTIONS AND CORRECT VEIFIED ANSWERS
ALREADY GRADED A+ (BRAND NEW VISION)
patient with schizophrenia, drug and alcohol abuse in hospital for hepatitis, contact healthcare
provider before giving - ANS-acetaminophen
teenaged girl self-induced vomiting - ANS-frequency of binging and purging behaviors
antidepressant side effects - ANS-dry mouth, blurred vision, constipation
no TV in room tell patient - ANS-it is important to be out of your room and talking to others
A woman who started chemotherapy three days ago for cancer of the breast calls the clinic
reporting that she is so upset she cannot sleep. The client has several PRN medications
available. Which drug should the nurse instruct her to take? - ANS-Lorazepam (Ativan) 8 mg PO
HS
A male adult is admitted because of an acetaminophen (Tylenol) overdose. After transfer to the
mental health unit, the client is told he has liver damage. Which information is most important
for the nurse to include in the client's discharge plan? - ANS-do not take any over the counter
meds
patient being discharged - ANS-discuss feelings of discharge
A client who has agoraphobia (a fear of crowds) is beginning desensitization with the therapist,
and the nurse is reinforcing the process. Which intervention has the highest priority for this
client's plan of care? - ANS-establish trust by providing a calm, safe environment
,When a male client is asked about his reason for coming to the mental health clinic he replies,
"It all started because I work in a hostile work environment. My boss would not let me go to a
religious service, so I went to human resources, and they didn't want to do anything. It has been
a really difficult time for me." Which response should the nurse provide? - ANS-"Have the
feelings associated with these events brought you to the clinic?"
ECT therapy non responsive - ANS-have you taken erectile dysfunction meds
A female client with a history of drinking who was admitted 8 hours ago after receiving
treatment for minor abrasions occurred from a fall at home. The nurse determines the client's
blood alcohol level (BAL) was not analyzed on administration action should the nurse take? -
ANS-Ask client about alcohol quantity, frequency, and time of last drink
A male client is admitted to the psychiatric inpatient unit with a bandaged flesh wound after
attempting to shoot himself. he is recently divorced one year ago, lost his job four months ago,
and suffered a break up of his current relationship last week. What is the most likely source of
this client's current feelings of depression? - ANS-a sense of loss
What is the most important goal for a client diagnosed with major depression who has been
receiving an antidepressant medication for two weeks? - ANS-not attempt to commit suicide
A male adult comes to the mental health clinic and walks back and forth in front of the office
door, but does not enter the office. He then walks around a chair that is in the hallway several
times before sitting down in the chair. What action should the nurse take first - ANS-observe the
client in the chair
A male client in the mental health unit is guarded and vaguely answers the nurse's questions.
He isolates to his room and sometimes opens the door to peek into the hall. Which problem can
the nurse anticipate? - ANS-delusions of persecution
,A male client who is seen in the mental health clinic monthly reports feeling very stressed and
nervous and further describes becoming angry increasingly more often during the last month.
What action should the nurse take first? - ANS-ask the client to identify problems that have
occurred during the last month
A young woman is preparing to be discharged from the psychiatric unit. Which nursing
intervention is most important for the nurse to include in this phase of the nurse client
relationship? ( - ANS-explore the client's feelings related to discharge
A female high school teacher who was a child of alcoholic parents seeks counseling at the
community health clinic because of depression over a student who was killed by adrunk driver.
After several weeks of counseling, which behavior is the best indicator that the client is coping
well with the anxiety related to the student's death? - ANS-becomes the faculty sponsor for
students against drunk driving (SADD)
A male client arrives at the mental health clinic and asks the nurse for more lithium and the
antidepressant (Elavil) that he uses to help him sleep. After reviewing his assessment findings
with the healthcare provider, a serum creatinine is obtained. What information supports the
reason for this laboratory test? - ANS-Lithium is excreted by the kidneys and creatinine is
related to kidney functioning
When preparing to administer a domestic violence screening tool to a female client, which
statement should the nurse provide? - ANS-all clients are screened for domestic abuse because
it is common in our society
A client with schizophrenia who is taking Haldol begins exhibiting tremors of the extremities.
Which intervention should the nurse implement? - ANS-consult with the healthcare provider
about reducing the dosage
A client comes in and is 5'5, 75lbs.. what should the nurse do - ANS-Start an IV for IV
resuscitation
, A child states "My dad used to drink a beer a day, now he drinks at least a six-pack a day." What
can the nurse determine from this statement? - ANS-The parent is exhibiting tolerance to
alcohol
2 days after admission from alcohol withdrawal what should the nurse do? - ANS-Monitor HR
and BP
Something about a male client threatening a teacher or becomes upset with teacher - ANS-
Methods of clearly communicating (If you see this answer.. pick it!)
History of alcoholism admitted for detoxification; 6mg of Ativan what additional prescription
administer immediately - ANS-Vitamin B1(thiamine)
PTSD admitted to psychiatric unit, which intervention is most important for plan of care - ANS-
Provide a quiet rook, away from the recreational area
Chronically depressed older male client of a long term care facility becomes more reclusive and
today refuses to leave room - ANS-May I sit with for you a while
Male client on atypical antipsychotic drug olanzapine(Zyprexa) - ANS-Adverse reaction is weight
gain
Client sitting in corner of day room during admission assessment, what nursing action - ANS-Ask
client simple questions
How do you take Antabuse - ANS-Each morning beginning 48 hours after your last drink of
alcohol
QUESTIONS AND CORRECT VEIFIED ANSWERS
ALREADY GRADED A+ (BRAND NEW VISION)
patient with schizophrenia, drug and alcohol abuse in hospital for hepatitis, contact healthcare
provider before giving - ANS-acetaminophen
teenaged girl self-induced vomiting - ANS-frequency of binging and purging behaviors
antidepressant side effects - ANS-dry mouth, blurred vision, constipation
no TV in room tell patient - ANS-it is important to be out of your room and talking to others
A woman who started chemotherapy three days ago for cancer of the breast calls the clinic
reporting that she is so upset she cannot sleep. The client has several PRN medications
available. Which drug should the nurse instruct her to take? - ANS-Lorazepam (Ativan) 8 mg PO
HS
A male adult is admitted because of an acetaminophen (Tylenol) overdose. After transfer to the
mental health unit, the client is told he has liver damage. Which information is most important
for the nurse to include in the client's discharge plan? - ANS-do not take any over the counter
meds
patient being discharged - ANS-discuss feelings of discharge
A client who has agoraphobia (a fear of crowds) is beginning desensitization with the therapist,
and the nurse is reinforcing the process. Which intervention has the highest priority for this
client's plan of care? - ANS-establish trust by providing a calm, safe environment
,When a male client is asked about his reason for coming to the mental health clinic he replies,
"It all started because I work in a hostile work environment. My boss would not let me go to a
religious service, so I went to human resources, and they didn't want to do anything. It has been
a really difficult time for me." Which response should the nurse provide? - ANS-"Have the
feelings associated with these events brought you to the clinic?"
ECT therapy non responsive - ANS-have you taken erectile dysfunction meds
A female client with a history of drinking who was admitted 8 hours ago after receiving
treatment for minor abrasions occurred from a fall at home. The nurse determines the client's
blood alcohol level (BAL) was not analyzed on administration action should the nurse take? -
ANS-Ask client about alcohol quantity, frequency, and time of last drink
A male client is admitted to the psychiatric inpatient unit with a bandaged flesh wound after
attempting to shoot himself. he is recently divorced one year ago, lost his job four months ago,
and suffered a break up of his current relationship last week. What is the most likely source of
this client's current feelings of depression? - ANS-a sense of loss
What is the most important goal for a client diagnosed with major depression who has been
receiving an antidepressant medication for two weeks? - ANS-not attempt to commit suicide
A male adult comes to the mental health clinic and walks back and forth in front of the office
door, but does not enter the office. He then walks around a chair that is in the hallway several
times before sitting down in the chair. What action should the nurse take first - ANS-observe the
client in the chair
A male client in the mental health unit is guarded and vaguely answers the nurse's questions.
He isolates to his room and sometimes opens the door to peek into the hall. Which problem can
the nurse anticipate? - ANS-delusions of persecution
,A male client who is seen in the mental health clinic monthly reports feeling very stressed and
nervous and further describes becoming angry increasingly more often during the last month.
What action should the nurse take first? - ANS-ask the client to identify problems that have
occurred during the last month
A young woman is preparing to be discharged from the psychiatric unit. Which nursing
intervention is most important for the nurse to include in this phase of the nurse client
relationship? ( - ANS-explore the client's feelings related to discharge
A female high school teacher who was a child of alcoholic parents seeks counseling at the
community health clinic because of depression over a student who was killed by adrunk driver.
After several weeks of counseling, which behavior is the best indicator that the client is coping
well with the anxiety related to the student's death? - ANS-becomes the faculty sponsor for
students against drunk driving (SADD)
A male client arrives at the mental health clinic and asks the nurse for more lithium and the
antidepressant (Elavil) that he uses to help him sleep. After reviewing his assessment findings
with the healthcare provider, a serum creatinine is obtained. What information supports the
reason for this laboratory test? - ANS-Lithium is excreted by the kidneys and creatinine is
related to kidney functioning
When preparing to administer a domestic violence screening tool to a female client, which
statement should the nurse provide? - ANS-all clients are screened for domestic abuse because
it is common in our society
A client with schizophrenia who is taking Haldol begins exhibiting tremors of the extremities.
Which intervention should the nurse implement? - ANS-consult with the healthcare provider
about reducing the dosage
A client comes in and is 5'5, 75lbs.. what should the nurse do - ANS-Start an IV for IV
resuscitation
, A child states "My dad used to drink a beer a day, now he drinks at least a six-pack a day." What
can the nurse determine from this statement? - ANS-The parent is exhibiting tolerance to
alcohol
2 days after admission from alcohol withdrawal what should the nurse do? - ANS-Monitor HR
and BP
Something about a male client threatening a teacher or becomes upset with teacher - ANS-
Methods of clearly communicating (If you see this answer.. pick it!)
History of alcoholism admitted for detoxification; 6mg of Ativan what additional prescription
administer immediately - ANS-Vitamin B1(thiamine)
PTSD admitted to psychiatric unit, which intervention is most important for plan of care - ANS-
Provide a quiet rook, away from the recreational area
Chronically depressed older male client of a long term care facility becomes more reclusive and
today refuses to leave room - ANS-May I sit with for you a while
Male client on atypical antipsychotic drug olanzapine(Zyprexa) - ANS-Adverse reaction is weight
gain
Client sitting in corner of day room during admission assessment, what nursing action - ANS-Ask
client simple questions
How do you take Antabuse - ANS-Each morning beginning 48 hours after your last drink of
alcohol
