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HESI Mental Health Exam Review Questions with Detailed Verified Answers – Graded A+

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Prepare for your HESI Mental Health exam with this comprehensive review featuring realistic questions and detailed verified answers. Covers schizophrenia, bipolar disorder, depression, anxiety, substance abuse, crisis intervention, therapeutic communication, psychotropic medications, and patient safety. Perfect for nursing students aiming to pass HESI, finals, and NCLEX with confidence.

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HESI MENTAL HEALTH EXAM REVIEW;
QUESTIONS WITH DETAILED VERIFIED
ANSWERS; ALREADY GRADED A; 2026


2 days after admission from alcohol withdrawal what should the
nurse do? - correct answer- Monitor HR and BP


A 26-year-old female client has been particularly restless and the
nurse finds her trying to leave the psychiatric unit. She tells her
the nurse," please let me leave because the secret police are
after me." Which response is best for the nurse - correct
answer- come with me to your room and I will sit with you


A 35-year-old male client on the psychiatric ward of a general
hospital believes that someone is trying to poison him. The
nurse understands that a client's delusions are most likely
related to his
A) early childhood experiences involving authority issues.
B) anger about being hospitalized.
C) low self-esteem.
D) phobic fear of food. - correct answer- C

,A 35-year-old male client who has been hospitalized for two
weeks for chronic paranoia continues to state that someone is
trying to steal his clothing. Which action should the nurse
implement?
A) Encourage the client to actively participate in assigned
activities on the unit.
B) Place a lock on the client's closet.
C) Ignore the client's paranoid ideation to extinguish these
behaviors.
D) Explain to the client that his suspicions are false. - correct
answer- A


A 65-year-old female client complains to the nurse that recently
she has been hearing voices. What question should the nurse
ask this client first?
A) Do you have problems with hallucinations?
B) Are you ever alone when you hear the voices?
C) Has anyone in your family had hearing problems?
D) Do you see things that others cannot see? - correct
answer- B


A bipolar client comes into the clinic and tells the nurse that the
next time she sees her

,sister I'm going to kill her. What should the nurse do? -
correct answer- Inform the sister.


a bipolar patient has stopped taking an antipsychotic. What
other medication should the nurse expect to be D/C - correct
answer- benzotropine (Congentin)


A business man is stressed about his finances, has anxiety and
sleeplessness. - correct answer- Limit intake of sugar
and caffeine.


A child is brought to the emergency room with a broken arm.
Because of other injuries, the nurse suspects the child may be a
victim of abuse. When the nurse tries to give the child an
injection, the child's mother becomes very loud and shouts, "I
won't leave my son! Don't you touch him! You'll hurt my child!"
What is the best interpretation of the mother's statements? The
mother is
A) regressing to an earlier behavior pattern. B) sublimating her
anger.
C) projecting her feelings onto the nurse. D) suppressing her
fear. - correct answer- C

, 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? - correct answer- The parent is
exhibiting tolerance to alcohol


A chronic depressed older man refuses to leave his room. His
family moved away to a further location so they're not able to
visit him as much. What approach should the nurse take with
this man? - correct answer- May I lay with you for a
little?


A client admitted with a closed head injury after a fall has a
blood alcohol level of 0.28 (28%) and is difficult to arouse. Which
intervention during the first 6 hours following admission should
the RN identify as the priority?
A. Give lorazepam (Ativan) PRN for signs of withdrawal.
B. Administer disulfiram (Antabuse) immediately.
C. Place in a side lying position with head of bed elevated.
D. Provide thiamine and folate supplements as prescribed. -
correct answer- C


A client becomes agitated when the nurse is talking to his wife.
He has not eaten in 3 days. What should the nurse do? -

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