HESI MENTAL HEALTH LATEST 2024-2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|
READY GRADED A+
Study online at https://quizlet.com/_g12u8m
1. While interviewing a client, the nurse takes A
notes to assist with accurate documentation
later. Which statement is most accurate re-
garding note-taking during an interview?
A. The nurse' ability to directly observe the
client's nonverbal communication is limited
with note taking.
B. Taking notes during an interview is a legal
obligation of the examining nurse.
C. The client's comfort level is increased when
the nurse breaks eye contact to take note to
take note.
D. The interview process is enhanced with
note taking and allows the client speak at nor-
mal pace.
2. An adolescent male receives a prescription B
for an antidepressant drug because he is ex-
hibiting a depressed affect. While the client is
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.
3. A nurse is providing education about strate- B C D
gies for a safety plan for a female client who
is a victim of intimate partner violence. Which
strategies should be included in the safety
plan? Select all that apply.
A. Purchase a gun to use for protection
B. Establish a code with family and friends to
signify violence.
C. Plan an escape route to use if the abuser
blocks the main exit.
, HESI MENTAL HEALTH LATEST 2024-2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|
READY GRADED A+
Study online at https://quizlet.com/_g12u8m
D. Have a bag ready that has extra clothes for
self and children
4. While sitting in the dayroom of the mental B
health unit, a male adolescent avoids eye con-
tact, looks at the floor, and talks softly when
interacting verbally with the nurse. The two
trade places, and the nurse demonstrate the
client's behavior. What is the main goal of this
therapeutic techniques?
A. Discuss the client's feeling when he re-
sponds.
B. Allow the client to identify the way he inter-
acts.
C. Initiate a non-threatening conversation with
the client.
D. Dialog about the ineffectiveness of his in-
teractions.)
5. A client with depression remains in bed most C
of the day, and declines activities. Which nurs-
ing problem has the greatest priority for this
client?
A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
6. The RN is preparing medications for a client B
with bipolar disorder and notices that the
client discontinued antipsychotic medication
for several days. Which medication should
also be discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).
, HESI MENTAL HEALTH LATEST 2024-2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|
READY GRADED A+
Study online at https://quizlet.com/_g12u8m
7. A female client requests that her husband be A
allowed to stay in the room during the ad-
mission assessment. When interviewing the
client, the RN notes a discrepancy between
the client's verbal and nonverbal communica-
tion. What action does the RN take?
A. Pay close attention and document the non-
verbal messages.
B. Ask the client's husband to interpret the
discrepancy.
C. Ignore the nonverbal behavior and focus on
the client's verbal messages.
D. Integrate the verbal and nonverbal mes-
sages and interpret them as one.
8. A male client approaches the RN with an an- B
gry expression on his face and raises his
voice, saying "My roommate is the most self-
ish, self-centered, angry person I have ever
met. If he loses his temper one more time
with me, I am going to punch him out!" The
RN recognizes that the client is using which
defense mechanism?
A. Denial.
B. Projection.
C. Rationalization.
D. Splitting.
9. A male client with bipolar disorder who began A
taking lithium carbonate five days ago is com-
plaining of excessive thirst, and the RN finds
him attempting to drink water from the bath-
room sink faucet. Which intervention should
the RN implement?
A. Report the client's serum lithium level to the
HCP.
B. Encourage the client to suck on hard candy
to relieve the symptoms.
, HESI MENTAL HEALTH LATEST 2024-2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|
READY GRADED A+
Study online at https://quizlet.com/_g12u8m
C. No action is needed since polydipsia is a
common side effect.
D. Tell the client that drinking from the faucet
is not allowed.
10. The RN is teaching a client about the initia- B
tion of the prescribed abstinence therapy us-
ing disulfiram (Antabuse). What information
should the client acknowledge understand-
ing?
A. Completely abstain from heroin or cocaine
use.
B. Remain alcohol free for 12 hours prior to the
first dose.
C. Attend monthly meetings of alcoholics
anonymous.
D. Admit to others that he is a substance user.
11. A male client with schizophrenia is admitted to D
the mental health unit after abruptly stopping
his prescription for ziprasidone (Geodon) one
month ago. Which question is most important
for the RN to ask the client?
A. Have you lost interest in the things that you
used to enjoy?
B. Is your ability to think or concentrate de-
creased?
C. How many continuous hours do you sleep
at night?
D. Do you hear sounds or voices that others
do not hear?
12. During an annual physical by the occupational D
RN working in a corporate clinic, a male em-
ployee tells the RN that is high-stress job is
causing trouble in his personal life. He further
explains that he often gets so angry while dri-
ving to and from work that he has considered
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|
READY GRADED A+
Study online at https://quizlet.com/_g12u8m
1. While interviewing a client, the nurse takes A
notes to assist with accurate documentation
later. Which statement is most accurate re-
garding note-taking during an interview?
A. The nurse' ability to directly observe the
client's nonverbal communication is limited
with note taking.
B. Taking notes during an interview is a legal
obligation of the examining nurse.
C. The client's comfort level is increased when
the nurse breaks eye contact to take note to
take note.
D. The interview process is enhanced with
note taking and allows the client speak at nor-
mal pace.
2. An adolescent male receives a prescription B
for an antidepressant drug because he is ex-
hibiting a depressed affect. While the client is
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.
3. A nurse is providing education about strate- B C D
gies for a safety plan for a female client who
is a victim of intimate partner violence. Which
strategies should be included in the safety
plan? Select all that apply.
A. Purchase a gun to use for protection
B. Establish a code with family and friends to
signify violence.
C. Plan an escape route to use if the abuser
blocks the main exit.
, HESI MENTAL HEALTH LATEST 2024-2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|
READY GRADED A+
Study online at https://quizlet.com/_g12u8m
D. Have a bag ready that has extra clothes for
self and children
4. While sitting in the dayroom of the mental B
health unit, a male adolescent avoids eye con-
tact, looks at the floor, and talks softly when
interacting verbally with the nurse. The two
trade places, and the nurse demonstrate the
client's behavior. What is the main goal of this
therapeutic techniques?
A. Discuss the client's feeling when he re-
sponds.
B. Allow the client to identify the way he inter-
acts.
C. Initiate a non-threatening conversation with
the client.
D. Dialog about the ineffectiveness of his in-
teractions.)
5. A client with depression remains in bed most C
of the day, and declines activities. Which nurs-
ing problem has the greatest priority for this
client?
A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
6. The RN is preparing medications for a client B
with bipolar disorder and notices that the
client discontinued antipsychotic medication
for several days. Which medication should
also be discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).
, HESI MENTAL HEALTH LATEST 2024-2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|
READY GRADED A+
Study online at https://quizlet.com/_g12u8m
7. A female client requests that her husband be A
allowed to stay in the room during the ad-
mission assessment. When interviewing the
client, the RN notes a discrepancy between
the client's verbal and nonverbal communica-
tion. What action does the RN take?
A. Pay close attention and document the non-
verbal messages.
B. Ask the client's husband to interpret the
discrepancy.
C. Ignore the nonverbal behavior and focus on
the client's verbal messages.
D. Integrate the verbal and nonverbal mes-
sages and interpret them as one.
8. A male client approaches the RN with an an- B
gry expression on his face and raises his
voice, saying "My roommate is the most self-
ish, self-centered, angry person I have ever
met. If he loses his temper one more time
with me, I am going to punch him out!" The
RN recognizes that the client is using which
defense mechanism?
A. Denial.
B. Projection.
C. Rationalization.
D. Splitting.
9. A male client with bipolar disorder who began A
taking lithium carbonate five days ago is com-
plaining of excessive thirst, and the RN finds
him attempting to drink water from the bath-
room sink faucet. Which intervention should
the RN implement?
A. Report the client's serum lithium level to the
HCP.
B. Encourage the client to suck on hard candy
to relieve the symptoms.
, HESI MENTAL HEALTH LATEST 2024-2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|
READY GRADED A+
Study online at https://quizlet.com/_g12u8m
C. No action is needed since polydipsia is a
common side effect.
D. Tell the client that drinking from the faucet
is not allowed.
10. The RN is teaching a client about the initia- B
tion of the prescribed abstinence therapy us-
ing disulfiram (Antabuse). What information
should the client acknowledge understand-
ing?
A. Completely abstain from heroin or cocaine
use.
B. Remain alcohol free for 12 hours prior to the
first dose.
C. Attend monthly meetings of alcoholics
anonymous.
D. Admit to others that he is a substance user.
11. A male client with schizophrenia is admitted to D
the mental health unit after abruptly stopping
his prescription for ziprasidone (Geodon) one
month ago. Which question is most important
for the RN to ask the client?
A. Have you lost interest in the things that you
used to enjoy?
B. Is your ability to think or concentrate de-
creased?
C. How many continuous hours do you sleep
at night?
D. Do you hear sounds or voices that others
do not hear?
12. During an annual physical by the occupational D
RN working in a corporate clinic, a male em-
ployee tells the RN that is high-stress job is
causing trouble in his personal life. He further
explains that he often gets so angry while dri-
ving to and from work that he has considered
