HESI RN MENTAL HEALTH EXIT TEST BANK 3
Exam 2025–2026 Accurate Real Exam Questions
and Verified Correct Answers JUST RELEASED
A client who is admitted to the mental health unit reports shortness of breath and
dizziness. The client tells the nurse, "I feel like I am going to die," which nursing problem
should the nurse include in this client's plan of care?
A. Mood disturbance
B. Moderate anxiety
C. Altered thoughts
D. Social isolation - answer>>>B. Moderate anxiety
An adolescent male receives a prescription for an antidepressant drug because he is
exhibiting a depressed affect. While the client taking the antidepressant, which
comparison of the client's behavior before and after taking the drug is most important for
the nurse to obtain?
A. His appetite
B. The emotional quality of his attitude
C. His level of activity
D. The interactions he has with others - answer>>>B. The emotional quality of his attitude
The LPN/LVN calls security and has physical restraints applied when a client who was
admitted voluntarily becomes both physically and verbally abusive while demanding to be
discharged from the hospital. Which represents the possible legal ramifications for the
nurse associated with these interventions? (Select all that apply)
A. Libel
B. Battery
C. Assault
D. Slander
E. False Imprisonment - answer>>>B. Battery
C. Assault
E. False Imprisonment
,A nurse is working with a client who has sought counseling after trying to rescue a
neighbor involved in a house fire. Despite the client's efforts, the neighbor died. Which
action does the nurse engage in with the client during the working phase of the nurse-
client relationship?
A. Exploring the client's ability to function
B. Exploring the client's potential for self-harm
C. Inquiring about the client's perception of appraisal of the neighbor's death
D. Inquiring about and examine the client's feelings that may block adaptive coping -
answer>>>D. Inquiring about and examine the client's feelings that may block adaptive
coping
A client who has just been sexually assaulted is calm and quiet. The nurse analyzes this
behavior as indicating which defense mechanism?
A. Denial
B. Projection
C. Rationalization
D. Intellectualization - answer>>>A. Denial
Unresolved feelings related to loss most likely may be recognized during which phase of
the therapeutic nurse-client relationship?
A. Working
B. Trusting
C. Orientation
D. Termination - answer>>>D. Termination
Which statement demonstrates the best understanding of the nurse's role regarding
ensuring that each client's rights are respected?
A. "Autonomy is the fundamental right of each and every client"
B. "A client's rights are guaranteed by both state and federal laws"
C. "Being respectful and concerned will ensure that I'm attentive to my client's rights"
,D. "Regardless of the client's condition, all nurses have the duty to respect client rights" -
answer>>>C. "Being respectful and concerned will ensure that I'm attentive to my client's
rights"
A LPN/LVN employed in a mental health unit of a hospital is the leader of a group
psychotherapy session. The nurse's role in the termination stage of group development is
to:
A. Encourage problem solving
B. Encourage accomplishment of the group's work
C. Acknowledge the contributions of each group member
D. Encourage members to become acquainted with one another - answer>>>C.
Acknowledge the contributions of each group member
A male client with delirium becomes disoriented and confused in his room at night. The
best initial nursing intervention is to:
A. Move the client next to the nurse's station
B. Use an indirect light source and turn off the television
C. Keep the television and a soft light on during the night
D. Play soft music during the night and maintain a well-lit room - answer>>>B. Use an
indirect light source and turn off the television
A client is admitted to a medical nursing unit with a diagnosis of acute blindness, many
tests are performed, and there seems to be no organic reason why this client cannot see.
The client became blind after witnessing a hit-and-run car accident, when a family of
three was killed. A LPN/LVN suspects that the client may be experiencing:
A. Psychosis
B. Repression
C. Conversion Disorder
D. Dissociative Disorder - answer>>>C. Conversion Disorder
A manic client announces to everyone in the day room that a stripper is coming to
perform this evening. When a nurse firmly state that this is inappropriate and will not
happen, the client becomes verbally abusive and threatens physical violence to the nurse.
, Based on the analysis of the situation, the LPN/LVN determines that the appropriate
action would be to:
A. Orient the client to time, person, and place
B. Tell the client that behavior is inappropriate.
C. Escort the manic client to her room with assistance
D. Tell the client that smoking privileges are revoked for 24 hours - answer>>>C. Escort
the manic client to her room with assistance
A LPN/LVN observes that a client is pacing, agitated, and presenting aggressive gestures.
The client's speech pattern is rapid and affect is belligerent. Based on these observations,
the nurse's immediate priority of care is to:
A. Provide safety for the client and other clients on the unit
B. Provide the clients on the unit with a sense of comfort and safety
C. Assist the staff in caring for the client in a controlled environment
D. Offer the client a less stimulated area to calm down and gain control - answer>>>A.
Provide safety for the client and other clients on the unit
A patient with a diagnosis of major depression who has attempted suicide says to the
nurse, "I should have died! I've always been a failure. Nothing ever goes right for me."
Which response demonstrates therapeutic communication?
A. "You have everything to live for."
B. "Why do you see yourself as a failure?"
C. "Feeling like this is all part of being depressed."
D. "You've been feeling like a failure for a while?" - answer>>>D. "You've been feeling like
a failure for a while?"
When the community health nurse visits a patient at home, the patient states, "I haven't
slept the last couple of nights." Which response by the nurse illustrates a therapeutic
communication response to this patient?
A. "I see."
B. "Really?"
C. "You're having difficulty sleeping?"
Exam 2025–2026 Accurate Real Exam Questions
and Verified Correct Answers JUST RELEASED
A client who is admitted to the mental health unit reports shortness of breath and
dizziness. The client tells the nurse, "I feel like I am going to die," which nursing problem
should the nurse include in this client's plan of care?
A. Mood disturbance
B. Moderate anxiety
C. Altered thoughts
D. Social isolation - answer>>>B. Moderate anxiety
An adolescent male receives a prescription for an antidepressant drug because he is
exhibiting a depressed affect. While the client taking the antidepressant, which
comparison of the client's behavior before and after taking the drug is most important for
the nurse to obtain?
A. His appetite
B. The emotional quality of his attitude
C. His level of activity
D. The interactions he has with others - answer>>>B. The emotional quality of his attitude
The LPN/LVN calls security and has physical restraints applied when a client who was
admitted voluntarily becomes both physically and verbally abusive while demanding to be
discharged from the hospital. Which represents the possible legal ramifications for the
nurse associated with these interventions? (Select all that apply)
A. Libel
B. Battery
C. Assault
D. Slander
E. False Imprisonment - answer>>>B. Battery
C. Assault
E. False Imprisonment
,A nurse is working with a client who has sought counseling after trying to rescue a
neighbor involved in a house fire. Despite the client's efforts, the neighbor died. Which
action does the nurse engage in with the client during the working phase of the nurse-
client relationship?
A. Exploring the client's ability to function
B. Exploring the client's potential for self-harm
C. Inquiring about the client's perception of appraisal of the neighbor's death
D. Inquiring about and examine the client's feelings that may block adaptive coping -
answer>>>D. Inquiring about and examine the client's feelings that may block adaptive
coping
A client who has just been sexually assaulted is calm and quiet. The nurse analyzes this
behavior as indicating which defense mechanism?
A. Denial
B. Projection
C. Rationalization
D. Intellectualization - answer>>>A. Denial
Unresolved feelings related to loss most likely may be recognized during which phase of
the therapeutic nurse-client relationship?
A. Working
B. Trusting
C. Orientation
D. Termination - answer>>>D. Termination
Which statement demonstrates the best understanding of the nurse's role regarding
ensuring that each client's rights are respected?
A. "Autonomy is the fundamental right of each and every client"
B. "A client's rights are guaranteed by both state and federal laws"
C. "Being respectful and concerned will ensure that I'm attentive to my client's rights"
,D. "Regardless of the client's condition, all nurses have the duty to respect client rights" -
answer>>>C. "Being respectful and concerned will ensure that I'm attentive to my client's
rights"
A LPN/LVN employed in a mental health unit of a hospital is the leader of a group
psychotherapy session. The nurse's role in the termination stage of group development is
to:
A. Encourage problem solving
B. Encourage accomplishment of the group's work
C. Acknowledge the contributions of each group member
D. Encourage members to become acquainted with one another - answer>>>C.
Acknowledge the contributions of each group member
A male client with delirium becomes disoriented and confused in his room at night. The
best initial nursing intervention is to:
A. Move the client next to the nurse's station
B. Use an indirect light source and turn off the television
C. Keep the television and a soft light on during the night
D. Play soft music during the night and maintain a well-lit room - answer>>>B. Use an
indirect light source and turn off the television
A client is admitted to a medical nursing unit with a diagnosis of acute blindness, many
tests are performed, and there seems to be no organic reason why this client cannot see.
The client became blind after witnessing a hit-and-run car accident, when a family of
three was killed. A LPN/LVN suspects that the client may be experiencing:
A. Psychosis
B. Repression
C. Conversion Disorder
D. Dissociative Disorder - answer>>>C. Conversion Disorder
A manic client announces to everyone in the day room that a stripper is coming to
perform this evening. When a nurse firmly state that this is inappropriate and will not
happen, the client becomes verbally abusive and threatens physical violence to the nurse.
, Based on the analysis of the situation, the LPN/LVN determines that the appropriate
action would be to:
A. Orient the client to time, person, and place
B. Tell the client that behavior is inappropriate.
C. Escort the manic client to her room with assistance
D. Tell the client that smoking privileges are revoked for 24 hours - answer>>>C. Escort
the manic client to her room with assistance
A LPN/LVN observes that a client is pacing, agitated, and presenting aggressive gestures.
The client's speech pattern is rapid and affect is belligerent. Based on these observations,
the nurse's immediate priority of care is to:
A. Provide safety for the client and other clients on the unit
B. Provide the clients on the unit with a sense of comfort and safety
C. Assist the staff in caring for the client in a controlled environment
D. Offer the client a less stimulated area to calm down and gain control - answer>>>A.
Provide safety for the client and other clients on the unit
A patient with a diagnosis of major depression who has attempted suicide says to the
nurse, "I should have died! I've always been a failure. Nothing ever goes right for me."
Which response demonstrates therapeutic communication?
A. "You have everything to live for."
B. "Why do you see yourself as a failure?"
C. "Feeling like this is all part of being depressed."
D. "You've been feeling like a failure for a while?" - answer>>>D. "You've been feeling like
a failure for a while?"
When the community health nurse visits a patient at home, the patient states, "I haven't
slept the last couple of nights." Which response by the nurse illustrates a therapeutic
communication response to this patient?
A. "I see."
B. "Really?"
C. "You're having difficulty sleeping?"
