HESI PN Mental
Health Nursing |
Latest Edition |
Complete Test
Bank | MULTIPLE
CHOICE Questions |
Latest 2025/2026
,Table of Contents
HESI PN Mental Health Nursing | Latest Edition | Complete Test Bank | MULTIPLE CHOICE
Questions | Latest 2025/2026 ................................................................................................................ 1
Domain 1: Foundations of Mental Health Nursing ......................................................................... 2
Domain 1 Key Takeaways ........................................................................................................ 11
Domain 2: Anxiety & Trauma-Related Disorders ......................................................................... 12
Domain 2 Key Takeaways ........................................................................................................ 20
Domain 3: Depressive Disorders & Suicide (continued) ............................................................. 21
Domain 3 Key Takeaways ........................................................................................................ 30
Domain 4: Bipolar & Related Disorders ......................................................................................... 30
Domain 4 Key Takeaways ........................................................................................................ 39
Domain 5: Psychotic Disorders & Schizophrenia ......................................................................... 39
Domain 5 Key Takeaways ........................................................................................................ 48
Domain 6: Substance Use & Addictive Disorders.......................................................................... 48
Domain 6 Key Takeaways ........................................................................................................ 57
Domain 7: Eating Disorders .............................................................................................................. 57
Domain 7 Key Takeaways ........................................................................................................ 65
Domain 8: Personality Disorders ..................................................................................................... 66
Domain 8 Key Takeaways ........................................................................................................ 74
Domain 9: Neurocognitive Disorders.............................................................................................. 74
Domain 9 Key Takeaways ........................................................................................................ 83
Domain 10: Legal & Ethical Issues in Mental Health .................................................................... 83
Domain 10 Key Takeaways ...................................................................................................... 91
Domain 1: Foundations of Mental Health Nursing
Question 1
A practical nurse is assisting in the care of a client on a mental health unit.
,Which action by the LPN demonstrates an understanding of the therapeutic
nurse-client relationship?
A) Sharing personal problems with the client to build trust
B) Accepting a gift from the client to show appreciation
C) Maintaining professional boundaries while showing empathy
D) Socializing with the client during off-duty hours
Correct Answer: C
Rationale:
Correct (C): The therapeutic relationship requires maintaining professional
boundaries while demonstrating genuine empathy and caring. This balance
promotes client growth and safety.
Incorrect (A): Sharing personal problems is inappropriate and blurs
boundaries; it shifts focus from client to nurse.
Incorrect (B): Accepting gifts violates professional boundaries except for
small, non-monetary tokens in some settings.
Incorrect (D): Socializing off-duty is a dual relationship and is unethical.
Study Tip: "Therapeutic relationship = professional + empathetic. NO gifts,
NO socializing, NO self-disclosure."
Question 2
A client tells the LPN, "I don't want to take my medication. You can't make
me." Which response by the LPN demonstrates the therapeutic technique of
"restating"?
A) "Why don't you want to take your medication?"
B) "You don't want to take your medication."
C) "You sound angry about your treatment."
D) "Let's talk about what happens if you don't take it."
, Correct Answer: B
Rationale:
Correct (B): Restating involves repeating the client's message in the nurse's
own words to show active listening and confirm understanding.
Incorrect (A): Asking "why" can make the client defensive and is not
restating.
Incorrect (C): This is reflecting feelings, not restating content.
Incorrect (D): This is exploring/informing, not restating.
Study Tip: "Restating = mirroring the message. Reflecting = naming the
emotion."
Question 3
A client on the mental health unit tells the LPN, "The other clients are all
plotting against me." The LPN's best response is:
A) "You're being paranoid. No one is plotting against you."
B) "That must feel frightening. Tell me more about what makes you think
that."
C) "Let's focus on something else. What would you like for lunch?"
D) "I don't believe anyone is plotting against you."
Correct Answer: B
Rationale:
Correct (B): This response validates the client's feeling (frightening)
without agreeing with the delusional content. It also encourages the client to
elaborate for further assessment.
Incorrect (A): Telling the client "you're being paranoid" is judgmental and
damages rapport.
Health Nursing |
Latest Edition |
Complete Test
Bank | MULTIPLE
CHOICE Questions |
Latest 2025/2026
,Table of Contents
HESI PN Mental Health Nursing | Latest Edition | Complete Test Bank | MULTIPLE CHOICE
Questions | Latest 2025/2026 ................................................................................................................ 1
Domain 1: Foundations of Mental Health Nursing ......................................................................... 2
Domain 1 Key Takeaways ........................................................................................................ 11
Domain 2: Anxiety & Trauma-Related Disorders ......................................................................... 12
Domain 2 Key Takeaways ........................................................................................................ 20
Domain 3: Depressive Disorders & Suicide (continued) ............................................................. 21
Domain 3 Key Takeaways ........................................................................................................ 30
Domain 4: Bipolar & Related Disorders ......................................................................................... 30
Domain 4 Key Takeaways ........................................................................................................ 39
Domain 5: Psychotic Disorders & Schizophrenia ......................................................................... 39
Domain 5 Key Takeaways ........................................................................................................ 48
Domain 6: Substance Use & Addictive Disorders.......................................................................... 48
Domain 6 Key Takeaways ........................................................................................................ 57
Domain 7: Eating Disorders .............................................................................................................. 57
Domain 7 Key Takeaways ........................................................................................................ 65
Domain 8: Personality Disorders ..................................................................................................... 66
Domain 8 Key Takeaways ........................................................................................................ 74
Domain 9: Neurocognitive Disorders.............................................................................................. 74
Domain 9 Key Takeaways ........................................................................................................ 83
Domain 10: Legal & Ethical Issues in Mental Health .................................................................... 83
Domain 10 Key Takeaways ...................................................................................................... 91
Domain 1: Foundations of Mental Health Nursing
Question 1
A practical nurse is assisting in the care of a client on a mental health unit.
,Which action by the LPN demonstrates an understanding of the therapeutic
nurse-client relationship?
A) Sharing personal problems with the client to build trust
B) Accepting a gift from the client to show appreciation
C) Maintaining professional boundaries while showing empathy
D) Socializing with the client during off-duty hours
Correct Answer: C
Rationale:
Correct (C): The therapeutic relationship requires maintaining professional
boundaries while demonstrating genuine empathy and caring. This balance
promotes client growth and safety.
Incorrect (A): Sharing personal problems is inappropriate and blurs
boundaries; it shifts focus from client to nurse.
Incorrect (B): Accepting gifts violates professional boundaries except for
small, non-monetary tokens in some settings.
Incorrect (D): Socializing off-duty is a dual relationship and is unethical.
Study Tip: "Therapeutic relationship = professional + empathetic. NO gifts,
NO socializing, NO self-disclosure."
Question 2
A client tells the LPN, "I don't want to take my medication. You can't make
me." Which response by the LPN demonstrates the therapeutic technique of
"restating"?
A) "Why don't you want to take your medication?"
B) "You don't want to take your medication."
C) "You sound angry about your treatment."
D) "Let's talk about what happens if you don't take it."
, Correct Answer: B
Rationale:
Correct (B): Restating involves repeating the client's message in the nurse's
own words to show active listening and confirm understanding.
Incorrect (A): Asking "why" can make the client defensive and is not
restating.
Incorrect (C): This is reflecting feelings, not restating content.
Incorrect (D): This is exploring/informing, not restating.
Study Tip: "Restating = mirroring the message. Reflecting = naming the
emotion."
Question 3
A client on the mental health unit tells the LPN, "The other clients are all
plotting against me." The LPN's best response is:
A) "You're being paranoid. No one is plotting against you."
B) "That must feel frightening. Tell me more about what makes you think
that."
C) "Let's focus on something else. What would you like for lunch?"
D) "I don't believe anyone is plotting against you."
Correct Answer: B
Rationale:
Correct (B): This response validates the client's feeling (frightening)
without agreeing with the delusional content. It also encourages the client to
elaborate for further assessment.
Incorrect (A): Telling the client "you're being paranoid" is judgmental and
damages rapport.
