HESI RN MENTAL HEALTH FINAL EXAM QUESTIONS AND ANSWERS 2025
LATEST|WELL STRUTURED| A+ GRADED|
A nurse performed these actions while caring for patients in an in-
patient psychiatric setting. Which action violated patients' rights?
A. Prohibited a patient from using the telephone
B. In patient's presence, opened a package mailed to patient A. Prohibited a patient from using telephone
C. Remained within arm's length of patient with homicidal ideation
D. Permitted a patient with psychosis to refuse oral psychotropic
medication.
A psychiatric nurse discusses rules of the therapeutic milieu and
patient's rights with a newly admitted patient. Which rights should
be included? (Select all that apply)
A. Have visitors
The right to:
B. Confidentiality
A. Have visitors
D. Complain about inadequate care
B. confidentiality
C. A private Room
D. complain about inadequate care
E. select the nurse assigned to their care
A nurse prepares to administer a scheduled injection of haloperi-
dol to a patient with schizophrenia. As the nurse swabs the site, the
patient shouts, "Stop! I don't want to take that medicine anymore.
I hate the side effects." Select the nurse's best action.
A. Assemble other stuff for a show of force and proceed with
injection, using restrains if necessary.
B. Stop the medication administration procedure and say to the B. Stop the medication administration procedure and say to the
patient, "Tell me more about the side effects you've been having."
patient, "Tell me more about the side effects you've been having."
C. Proceed with the injection but explain to the patient that here
are medications that will help reduce the unpleasant side effects.
D. Say to the patient, "Since i've already drawn the medication in
the syringe, I'm required to give it, but let's talk to the doctor about
delaying next month's dose."
An Adolescent hospitalized after a violent physical outburst tells
the nurse, "i'm going to kill my father, but you can't tell anyone."
Select the nurse's best response
A. "you are right. Federal law requires me to keep clinical informa-
tion private."
B. "I Am obligated to share that information with the treatment
team."
B. "I Am obligated to share that information with the treatment
team."
C. "Those kinds of thoughts will make your hospitalization longer."
D. "You should share this thought with your psychiatrist."
A voluntary hospitalized patient tells the nurse, "Get me the forms
for discharge. I want to leave now." Select the nurse's best re-
sponse.
C. "I will get them for you, but lets talk about your decision to leave
A. "I Will get the form for you right now and bring them to your treatment."
room."
B. "Since you signed your consent for treatment, you may leave if
,you desire."
C. "I will get them for you, but let's talk about your decision to leave
treatment."
D. "I cannot give you those forms without your healthcare
provider's permission."
Which individual diagnosed with mental illness needs psychiatric
hospitalization the most? An individual:
A. Who has a panic attack after her child gets lost in a shopping
mall.
B. With visions of demons emerging from cemetery plots through- C. Who take 38 acetaminophen tablets after the person's stock
out the community portfolio becomes worthless
C. Who takes 38 acetaminophen tablets after the person's stock
portfolio becomes worthless.
D. Diagnosed with major depression who stops taking prescribed
antidepressant medication
During which phase of the nurse-patient relationship can the
nurse anticipate that identified patient issues will be explored and
resolved?
A. Preorientation C. Working
B. Orientation
C. Working
D. Termination
A staff nurse completes orientation to a psychiatric unit. The
nurse may expert an advanced practice nurse to perform which
additional intervention?
A. Conduct mental health assessments.
B. Prescribed psychotropic medication
B. Prescribed psychotropic medication
C. Established therapeutic relationships.
D. Individualize nursing care plans.
Which finding best indicates that the goal "Demonstrate mentally
healthy behavior" was achieved? A patient:
A. Sees self as capable of achieving ideals and meeting demands
B. Behaves without considering the consequences of personal
action A. Sees self as capable of achieving ideals and meeting demands
C. Aggressively meets own needs without considering the rights
of others.
D. Seeks help from others when assuming responsibility for major
areas of own life.
A nurse uses Maslow's Hierarchy of needs to plan care for a
patient with mental illness. Which problem will receive priority?
A. Refuses to eat or bathe
A. Refuses to eat or bathe
B. Reports feelings of alienation from family
, C. Is reluctant to participate in unti social activities.
D. Is unaware of medication action and side effects
Inpatient hospitalization for persons with mental illness is gener-
ally reserved for patients who:
A. Present a clear danger to self or others A. Present a clear danger to self or others
B. are noncompliant with medication at home
C. Have limited support system in the community.
D. Develop new symptoms during the course of an illness
A nurse inspects an inpatient psychiatric unit and finds that exits
are free of obstructions, no one is smoking, and the janitor's close
is locked. These observations relate to:
B. Management of milieu safety.
A. Coordinating care of patients
B. Management of milieu safety
C. Management of interpersonal climate
D. Use of therapeutic intervention strategies
An adolescent client is admitted to an acute care unity following an
attempt to commit suicide. He hasn't said a word to anyone. Which
of the following interventions should the nurse plan to implement
first?
A. Arrange one-to-one observation of the client.
A. Arrange one-to one observation of the client.
B. Encourage the client to interact with peers
C. Teach the client about medication for depression.
D. Obtain a medical history from the client and family.
A nurse is told during change-of shift report that a client is stu-
porous. When assessing the client, which of the following findings
should the nurse expect?
A. the client arouses briefly in response to a sternal rub
A. The client arouses briefly in response to a sternal rub
B. The client has a Glasgow coma scale score less than 5
C. The client exhibits decorticate rigidity.
D. The client is alert but disoriented to time and place
Which statement about diagnosis of a mental disorder is true?
A. The symptoms of each disorder are common among all cul-
tures.
B. Culture may cause variation in symptoms for each clinical
B. Culture may cause variations in symptoms for each clinical
disorder.
disorder.
C. All mental disorders listed in the DSM-5 seen in all other
cultures
D. Psychiatric diagnoses are listed in separately from other phys-
ical disorders in gives axes system.
A cognitive therapist would help a client restructure the thought "I
am stupid!" to
A. "What I did was stupid."
A. "What i did was stupid."
B. "I am not as smart as others."
, C. "Things usually go wrong for me."
D. "Things like this should not happen to anyone."
The premise underlying behavioral therapy is
A. Behavior is learned and can be modified
B. Behavior is a product of unconscious drives.
A. Behavior is learned and can be modified
C. Motives must change before behavior changes
D. Behavior is determined by a cognitions; change in conniptions
produce new behavior
Which of the following is the most vital element of therapeutic
inpatient milieu?
A. It creates an environment for safety and success
A. It creates and environment for safety and sccess
B. It creates and environment for rest and recuperation
C. It creates a structure that is easier for staff to manage
D. It creates a structure that rewards the well-behaved
A client is admired for the third time to a psychiatric hospital with a
diagnosis of schizophrenia. During the admission procedure, the
nurse notices that the client is limping, quite dirty and unkempt,
and seem to be actively hallucinating. Which of the following
should the nurse's priority nursing assessment be?
C. Physical Needs
A. Perception of reality
B. Support system/ Emergency contacts
C. Physical Needs
D. Mental Status
Which of the following are documentation of client's affect? (Select
all that apply)
A. Crying A: Crying C:
B. Worthless Frowning E:
C. Frowning Blunted
D. Euphoric
E. Blunted
A patient asks, "What are neurotransmitters? The doctor said
mine are imbalanced." Select the nurse's best response.
A. "What medications are you taking, are you experiencing side
effects?"
B. "They proceed us from harmful effects of free radicals, much D. "Neurotransmitters are natural chemicals that pass messages
like our nerves and white matter." between brain cells."
C. "Neurotransmitters are substances we consume that influence
memory and mood.
D. "Neurotransmitters are natural chemicals that pass messages
between brain cells."
The nurse administers a medication that potentiates the action of
gamma-aminobutyric acid (GABA). Which effect would be expect-
ed? A. Reduce Anxiety
A. Reduce Anxiety
LATEST|WELL STRUTURED| A+ GRADED|
A nurse performed these actions while caring for patients in an in-
patient psychiatric setting. Which action violated patients' rights?
A. Prohibited a patient from using the telephone
B. In patient's presence, opened a package mailed to patient A. Prohibited a patient from using telephone
C. Remained within arm's length of patient with homicidal ideation
D. Permitted a patient with psychosis to refuse oral psychotropic
medication.
A psychiatric nurse discusses rules of the therapeutic milieu and
patient's rights with a newly admitted patient. Which rights should
be included? (Select all that apply)
A. Have visitors
The right to:
B. Confidentiality
A. Have visitors
D. Complain about inadequate care
B. confidentiality
C. A private Room
D. complain about inadequate care
E. select the nurse assigned to their care
A nurse prepares to administer a scheduled injection of haloperi-
dol to a patient with schizophrenia. As the nurse swabs the site, the
patient shouts, "Stop! I don't want to take that medicine anymore.
I hate the side effects." Select the nurse's best action.
A. Assemble other stuff for a show of force and proceed with
injection, using restrains if necessary.
B. Stop the medication administration procedure and say to the B. Stop the medication administration procedure and say to the
patient, "Tell me more about the side effects you've been having."
patient, "Tell me more about the side effects you've been having."
C. Proceed with the injection but explain to the patient that here
are medications that will help reduce the unpleasant side effects.
D. Say to the patient, "Since i've already drawn the medication in
the syringe, I'm required to give it, but let's talk to the doctor about
delaying next month's dose."
An Adolescent hospitalized after a violent physical outburst tells
the nurse, "i'm going to kill my father, but you can't tell anyone."
Select the nurse's best response
A. "you are right. Federal law requires me to keep clinical informa-
tion private."
B. "I Am obligated to share that information with the treatment
team."
B. "I Am obligated to share that information with the treatment
team."
C. "Those kinds of thoughts will make your hospitalization longer."
D. "You should share this thought with your psychiatrist."
A voluntary hospitalized patient tells the nurse, "Get me the forms
for discharge. I want to leave now." Select the nurse's best re-
sponse.
C. "I will get them for you, but lets talk about your decision to leave
A. "I Will get the form for you right now and bring them to your treatment."
room."
B. "Since you signed your consent for treatment, you may leave if
,you desire."
C. "I will get them for you, but let's talk about your decision to leave
treatment."
D. "I cannot give you those forms without your healthcare
provider's permission."
Which individual diagnosed with mental illness needs psychiatric
hospitalization the most? An individual:
A. Who has a panic attack after her child gets lost in a shopping
mall.
B. With visions of demons emerging from cemetery plots through- C. Who take 38 acetaminophen tablets after the person's stock
out the community portfolio becomes worthless
C. Who takes 38 acetaminophen tablets after the person's stock
portfolio becomes worthless.
D. Diagnosed with major depression who stops taking prescribed
antidepressant medication
During which phase of the nurse-patient relationship can the
nurse anticipate that identified patient issues will be explored and
resolved?
A. Preorientation C. Working
B. Orientation
C. Working
D. Termination
A staff nurse completes orientation to a psychiatric unit. The
nurse may expert an advanced practice nurse to perform which
additional intervention?
A. Conduct mental health assessments.
B. Prescribed psychotropic medication
B. Prescribed psychotropic medication
C. Established therapeutic relationships.
D. Individualize nursing care plans.
Which finding best indicates that the goal "Demonstrate mentally
healthy behavior" was achieved? A patient:
A. Sees self as capable of achieving ideals and meeting demands
B. Behaves without considering the consequences of personal
action A. Sees self as capable of achieving ideals and meeting demands
C. Aggressively meets own needs without considering the rights
of others.
D. Seeks help from others when assuming responsibility for major
areas of own life.
A nurse uses Maslow's Hierarchy of needs to plan care for a
patient with mental illness. Which problem will receive priority?
A. Refuses to eat or bathe
A. Refuses to eat or bathe
B. Reports feelings of alienation from family
, C. Is reluctant to participate in unti social activities.
D. Is unaware of medication action and side effects
Inpatient hospitalization for persons with mental illness is gener-
ally reserved for patients who:
A. Present a clear danger to self or others A. Present a clear danger to self or others
B. are noncompliant with medication at home
C. Have limited support system in the community.
D. Develop new symptoms during the course of an illness
A nurse inspects an inpatient psychiatric unit and finds that exits
are free of obstructions, no one is smoking, and the janitor's close
is locked. These observations relate to:
B. Management of milieu safety.
A. Coordinating care of patients
B. Management of milieu safety
C. Management of interpersonal climate
D. Use of therapeutic intervention strategies
An adolescent client is admitted to an acute care unity following an
attempt to commit suicide. He hasn't said a word to anyone. Which
of the following interventions should the nurse plan to implement
first?
A. Arrange one-to-one observation of the client.
A. Arrange one-to one observation of the client.
B. Encourage the client to interact with peers
C. Teach the client about medication for depression.
D. Obtain a medical history from the client and family.
A nurse is told during change-of shift report that a client is stu-
porous. When assessing the client, which of the following findings
should the nurse expect?
A. the client arouses briefly in response to a sternal rub
A. The client arouses briefly in response to a sternal rub
B. The client has a Glasgow coma scale score less than 5
C. The client exhibits decorticate rigidity.
D. The client is alert but disoriented to time and place
Which statement about diagnosis of a mental disorder is true?
A. The symptoms of each disorder are common among all cul-
tures.
B. Culture may cause variation in symptoms for each clinical
B. Culture may cause variations in symptoms for each clinical
disorder.
disorder.
C. All mental disorders listed in the DSM-5 seen in all other
cultures
D. Psychiatric diagnoses are listed in separately from other phys-
ical disorders in gives axes system.
A cognitive therapist would help a client restructure the thought "I
am stupid!" to
A. "What I did was stupid."
A. "What i did was stupid."
B. "I am not as smart as others."
, C. "Things usually go wrong for me."
D. "Things like this should not happen to anyone."
The premise underlying behavioral therapy is
A. Behavior is learned and can be modified
B. Behavior is a product of unconscious drives.
A. Behavior is learned and can be modified
C. Motives must change before behavior changes
D. Behavior is determined by a cognitions; change in conniptions
produce new behavior
Which of the following is the most vital element of therapeutic
inpatient milieu?
A. It creates an environment for safety and success
A. It creates and environment for safety and sccess
B. It creates and environment for rest and recuperation
C. It creates a structure that is easier for staff to manage
D. It creates a structure that rewards the well-behaved
A client is admired for the third time to a psychiatric hospital with a
diagnosis of schizophrenia. During the admission procedure, the
nurse notices that the client is limping, quite dirty and unkempt,
and seem to be actively hallucinating. Which of the following
should the nurse's priority nursing assessment be?
C. Physical Needs
A. Perception of reality
B. Support system/ Emergency contacts
C. Physical Needs
D. Mental Status
Which of the following are documentation of client's affect? (Select
all that apply)
A. Crying A: Crying C:
B. Worthless Frowning E:
C. Frowning Blunted
D. Euphoric
E. Blunted
A patient asks, "What are neurotransmitters? The doctor said
mine are imbalanced." Select the nurse's best response.
A. "What medications are you taking, are you experiencing side
effects?"
B. "They proceed us from harmful effects of free radicals, much D. "Neurotransmitters are natural chemicals that pass messages
like our nerves and white matter." between brain cells."
C. "Neurotransmitters are substances we consume that influence
memory and mood.
D. "Neurotransmitters are natural chemicals that pass messages
between brain cells."
The nurse administers a medication that potentiates the action of
gamma-aminobutyric acid (GABA). Which effect would be expect-
ed? A. Reduce Anxiety
A. Reduce Anxiety
