Hesi RN Mental Health Exit Exam Newest
2025
Hesi RN Mental Health Exit Exam 2025/2026
Complete 350 Questions And Correct Detailed
Answers (Verified Rationales)
A client experiencing a great deal of stress and anxiety is being taught to use self-control therapy.
Which statement by the client indicates a need for further teaching about the therapy?
1. "This form of therapy can be applied to new situations."
2. "An advantage of this technique is that change is likely to last."
3. "Talking to oneself is a basic component of this form of therapy."
4. "This form of therapy provides a negative reinforcement when the stimulus is produced."
- Correct Answer :4. "This form of therapy provides a negative reinforcement when the stimulus is
produced."
Rationale:
Negative reinforcement when the stimulus is produced is descriptive of aversion therapy. Options 1,
2, and 3 are characteristics of self-control therapy.
The nurse is caring for a client who is at risk for suicide. What is the priority nursing action for this
client?
1. Provide authority, action, and participation.
2. Display an attitude of detachment, confrontation, and efficiency.
3. Demonstrate confidence in the client's ability to deal with stressors.
4. Provide hope and reassurance that the problems will resolve themselves.
A+ TEST BANK 1
, Hesi RN Mental Health Exit Exam Newest
2025
- Correct Answer :1. Provide authority, action, and participation.
Rationale:
A crisis is an acute, time-limited state of disequilibrium resulting from situational, developmental, or
societal sources of stress. A person in this state is temporarily unable to cope with or adapt to the
stressor by using previous coping mechanisms. The person who intervenes in this situation (the
nurse) "takes over" for the client (authority) who is not in control and devises a plan (action) to
secure and maintain the client's safety. When this has occurred, the nurse works collaboratively with
the client (participates) in developing new coping and problem-solving strategies.
A client comes to the emergency department after an assault and is extremely agitated, trembling,
and hyperventilating. What is the priority nursing action for this client?
1. Begin to teach relaxation techniques.
2. Encourage the client to discuss the assault.
3. Remain with the client until the anxiety decreases.
4. Place the client in a quiet room alone to decrease stimulation.
- Correct Answer :3. Remain with the client until the anxiety decreases.
Rationale:
This client is in a severe state of anxiety. When a client is in a severe or panic state of anxiety, it is
crucial for the nurse to remain with the client. The client in a severe state of anxiety would be unable
to learn relaxation techniques. Discussing the assault at this point would increase the client's level of
anxiety further. Placing the client in a quiet room alone may also increase the anxiety level.
The nurse is developing a plan of care for a client who was experiencing anxiety after the loss of a
job. The client is now verbalizing concerns regarding the ability to meet role expectations and
financial obligations. What is the priority problem for this client?
A+ TEST BANK 2
, Hesi RN Mental Health Exit Exam Newest
2025
1. Anxiety
2. Unrealistic outlook
3. Lack of ability to cope effectively
4. Disturbances in thoughts and ideas –
Correct Answer :3. Lack of ability to cope effectively
Rationale:
Lack of ability to cope effectively may be evidenced by a client's inability to meet basic needs,
inability to meet role expectations, alteration in social participation, use of inappropriate defense
mechanisms, or impairment of usual patterns of communication. Anxiety is a broad description and
can occur as a result of many triggers and although the client was experiencing anxiety, the client's
concern now is the ability to meet role expectations and financial obligations. There is no
information in the question that indicates an unrealistic outlook or disturbances in thoughts and
ideas.
The nurse has developed a plan of care for a client diagnosed with anorexia nervosa. Which client
problem would the nurse select as the priority in the plan of care?
1. Disrupted appearance because of weight
2. Inability to feed self because of weakness
3. Pain because of an inflamed gastric mucosa
4. Nutritional imbalance because of lack of intake
- Correct Answer :4. Nutritional imbalance because of lack of intake
Rationale:
The priority client problem for the client with anorexia nervosa is lack of intake and nutritional
imbalance. Although the problems identified in options 1, 2, and 3 may be considerations in the plan
of care for the client with anorexia nervosa, nutritional imbalance is the priority.
A+ TEST BANK 3
, Hesi RN Mental Health Exit Exam Newest
2025
Which statement made by an unlicensed assistive personnel (UAP) indicates to the registered nurse
that the UAP understands the concepts related to suicide?
1. "Discussing suicide with a client is not harmful."
2. "Those clients who talk about suicide never do it."
3. "Depressed clients are the only persons who commit suicide."
4. "When a person talks about making suicide threats, the only thing the person wants is attention
from family and friends."
- Correct Answer :1. "Discussing suicide with a client is not harmful."
Rationale:
An open discussion of suicide will not encourage a client to make a decision to commit suicide and in
fact often will help to prevent it. Such a discussion offers the health care professional the
opportunity to assess the reality of suicide for the client and take necessary precautions to keep the
client safe. Options 2, 3, and 4 are inaccurate statements regarding suicide.
Which client is most at risk for committing suicide?
1. A 75-year-old client with metastatic cancer
2. A 71-year-old client with a cardiac disorder
3. A 24-year-old client who just had an argument with her roommate
4. A 30-year-old newly divorced client who states she has custody of the children –
Correct Answer :1. A 75-year-old client with metastatic cancer
Rationale:
A+ TEST BANK 4
2025
Hesi RN Mental Health Exit Exam 2025/2026
Complete 350 Questions And Correct Detailed
Answers (Verified Rationales)
A client experiencing a great deal of stress and anxiety is being taught to use self-control therapy.
Which statement by the client indicates a need for further teaching about the therapy?
1. "This form of therapy can be applied to new situations."
2. "An advantage of this technique is that change is likely to last."
3. "Talking to oneself is a basic component of this form of therapy."
4. "This form of therapy provides a negative reinforcement when the stimulus is produced."
- Correct Answer :4. "This form of therapy provides a negative reinforcement when the stimulus is
produced."
Rationale:
Negative reinforcement when the stimulus is produced is descriptive of aversion therapy. Options 1,
2, and 3 are characteristics of self-control therapy.
The nurse is caring for a client who is at risk for suicide. What is the priority nursing action for this
client?
1. Provide authority, action, and participation.
2. Display an attitude of detachment, confrontation, and efficiency.
3. Demonstrate confidence in the client's ability to deal with stressors.
4. Provide hope and reassurance that the problems will resolve themselves.
A+ TEST BANK 1
, Hesi RN Mental Health Exit Exam Newest
2025
- Correct Answer :1. Provide authority, action, and participation.
Rationale:
A crisis is an acute, time-limited state of disequilibrium resulting from situational, developmental, or
societal sources of stress. A person in this state is temporarily unable to cope with or adapt to the
stressor by using previous coping mechanisms. The person who intervenes in this situation (the
nurse) "takes over" for the client (authority) who is not in control and devises a plan (action) to
secure and maintain the client's safety. When this has occurred, the nurse works collaboratively with
the client (participates) in developing new coping and problem-solving strategies.
A client comes to the emergency department after an assault and is extremely agitated, trembling,
and hyperventilating. What is the priority nursing action for this client?
1. Begin to teach relaxation techniques.
2. Encourage the client to discuss the assault.
3. Remain with the client until the anxiety decreases.
4. Place the client in a quiet room alone to decrease stimulation.
- Correct Answer :3. Remain with the client until the anxiety decreases.
Rationale:
This client is in a severe state of anxiety. When a client is in a severe or panic state of anxiety, it is
crucial for the nurse to remain with the client. The client in a severe state of anxiety would be unable
to learn relaxation techniques. Discussing the assault at this point would increase the client's level of
anxiety further. Placing the client in a quiet room alone may also increase the anxiety level.
The nurse is developing a plan of care for a client who was experiencing anxiety after the loss of a
job. The client is now verbalizing concerns regarding the ability to meet role expectations and
financial obligations. What is the priority problem for this client?
A+ TEST BANK 2
, Hesi RN Mental Health Exit Exam Newest
2025
1. Anxiety
2. Unrealistic outlook
3. Lack of ability to cope effectively
4. Disturbances in thoughts and ideas –
Correct Answer :3. Lack of ability to cope effectively
Rationale:
Lack of ability to cope effectively may be evidenced by a client's inability to meet basic needs,
inability to meet role expectations, alteration in social participation, use of inappropriate defense
mechanisms, or impairment of usual patterns of communication. Anxiety is a broad description and
can occur as a result of many triggers and although the client was experiencing anxiety, the client's
concern now is the ability to meet role expectations and financial obligations. There is no
information in the question that indicates an unrealistic outlook or disturbances in thoughts and
ideas.
The nurse has developed a plan of care for a client diagnosed with anorexia nervosa. Which client
problem would the nurse select as the priority in the plan of care?
1. Disrupted appearance because of weight
2. Inability to feed self because of weakness
3. Pain because of an inflamed gastric mucosa
4. Nutritional imbalance because of lack of intake
- Correct Answer :4. Nutritional imbalance because of lack of intake
Rationale:
The priority client problem for the client with anorexia nervosa is lack of intake and nutritional
imbalance. Although the problems identified in options 1, 2, and 3 may be considerations in the plan
of care for the client with anorexia nervosa, nutritional imbalance is the priority.
A+ TEST BANK 3
, Hesi RN Mental Health Exit Exam Newest
2025
Which statement made by an unlicensed assistive personnel (UAP) indicates to the registered nurse
that the UAP understands the concepts related to suicide?
1. "Discussing suicide with a client is not harmful."
2. "Those clients who talk about suicide never do it."
3. "Depressed clients are the only persons who commit suicide."
4. "When a person talks about making suicide threats, the only thing the person wants is attention
from family and friends."
- Correct Answer :1. "Discussing suicide with a client is not harmful."
Rationale:
An open discussion of suicide will not encourage a client to make a decision to commit suicide and in
fact often will help to prevent it. Such a discussion offers the health care professional the
opportunity to assess the reality of suicide for the client and take necessary precautions to keep the
client safe. Options 2, 3, and 4 are inaccurate statements regarding suicide.
Which client is most at risk for committing suicide?
1. A 75-year-old client with metastatic cancer
2. A 71-year-old client with a cardiac disorder
3. A 24-year-old client who just had an argument with her roommate
4. A 30-year-old newly divorced client who states she has custody of the children –
Correct Answer :1. A 75-year-old client with metastatic cancer
Rationale:
A+ TEST BANK 4
