HESI PSYCH/MENTAL HEALTH
NEWEST 2026 TEST BANK| 3
VERSIONS WITH COMPLETE 80 REAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
(MOST RECENT!!)
Am35-year-
oldmmalemclientmwhomhasmbeenmhospitalizedmformtwomweeksmformchronicmparanoiamcontinuesmtoms
tatemthatmsomeonemismtryingmtomstealmhismclothing-mWhichmactionmshouldmthemnursemimplement?
A-mEncouragemthemclientmtomactivelymparticipateminmassignedmactivitiesmonmthemunit
B-mPlacemamlockmonmthemclient'smcloset
C-mIgnoremthemclient'smparanoidmideationmtomextinguishmthesembehaviors
D-mExplainmtomthemclientmthatmhismsuspicionsmaremfalsem-mCORRECTmANSWERmANSWERmA
Divertingmthemclient'smattentionmfrommparanoidmideationmandmencouragingmhimmtomcompletemassi
gnmentsmcanmbemhelpfulminmassistingmhimmtomdevelopmampositivemself-imagem(A)-
mThemclientsmproblemmismnotmsecurity,mandm(B)mactuallymsupportsmhismparanoidmideation-
m(C)mismnotmcorrectmbecausemignoringmthemclient'smsymptomsmmaymlowermhismself-esteem-
mThemnursemshouldmnotmarguemwithmthemclientmaboutmhismdelusionsm(D),mandmshouldmnotmtrymtomre
asonmwithmthemclientmregardingmhismparanoidmideation
Ammalemclientmwithmmentalmillnessmandmsubstancemdependencymtellsmthemmentalmhealthmnursemth
atmhemhasmstartedmusingmillegalmdrugsmagainmandmwantsmtomseekmtreatment.mSincemhemhasmamdualm
diagnosis,mwhichmpersonmismbestmformthemnursemtomrefermthismclientmtomfirst?
A.mThememergencymroommnurse.
B.mHismcasemmanager.
C.mThemclinicmhealthcaremprovider.
D.mHismsupportmgroupmsponsor.m-mCORRECTmANSWERmANSWERmB
,Themcasemmanagerm(B)mismresponsiblemformcoordinatingmcommunitymservices,mandmsincemthismclie
ntmhasmamdualmdiagnosis,mthismismthembestmpersonmtomdescribemavailablemtreatmentmoptions.m(A)mis
munnecessary,munlessmthemclientmexperiencesmbehaviorsmthatmthreatenmhismsafetymormthemsafetymo
fmothers.m(CmandmD)mmightmalsombemuseful,mbutmitmismmostmimportantmatmthismtimemthatmamtreatme
ntmprogrammbemcoordinatedmtommeetmthismclient'smneeds.
Basedmonmnon-
compliancemwithmthemmedicationmregimen,manmadultmclientmwithmammedicalmdiagnosismofmsubstan
cemabusemandmschizophreniamwasmrecentlymswitchedmfrommoralmfluphenazinemHCIm(Prolixin)mtomI
Mmfluphenazinemdecanoatem(ProlixinmDecanoate)-
mWhatmismmostmimportantmtomteachmthemclientmandmfamilymaboutmthismchangeminmmedicationmregi
men?
A-mSignsmandmsymptomsmofmextrapyramidalmeffectsm(EPS)-
B-mInformationmaboutmsubstancemabusemandmschizophrenia-
C-mThemeffectsmofmalcoholmandmdrugminteraction-
D-mThemavailabilitymofmsupportmgroupsmformthosemwithmdualmdiagnoses-m-
mCORRECTmANSWERmANSWERmC
AlcoholmenhancesmthemEPSmsidemeffectsmofmProlixin.mThemhalf-
lifemofmProlixinmPOmism8mhours,mwhereasmthemhalf-
lifemofmthemProlixinmDecanoatemIMmism2mtom4mweeks-
mThatmmeansmthemsidemeffectsmofmdrinkingmalcoholmaremfarmmoremseveremwhenmthemclientmdrinksma
lcoholmaltermtakingmthemlong-actingmProlixinmDecanoatemIM-
m(A,mB,mandmD)mprovidemvaluableminformationmandmshouldmbemincludedminmthemclient/familymteach
ing,mbutmtheymdomnotmhavemthemprioritymofm(C).
Am38-year-oldmfemalemclientmismadmittedmwithmamdiagnosismofmparanoidmschizophrenia-
mWhenmhermtraymismbroughtmtomher,mshemrefusesmtomeatmandmtellsmthemnurse,m"Imknowmyoumaremtryi
ngmtompoisonmmemwithmthatmfood-
"mWhichmresponsemismmostmappropriatemformthemnursemtommake?
A-mI'llmleavemyourmtraymhere-mImammavailablemifmyoumneedmanythingmelse-
B-mYou'remnotmbeingmpoisoned-mWhymdomyoumthinkmsomeonemismtryingmtompoisonmyou?
C-mNomonemonmthismunitmhasmevermdiedmfrommpoisoning-mYou'remsafemhere-
,D-mImwillmtalkmtomyourmhealthcaremprovidermaboutmthempossibilitymofmchangingmyourmdiet-m-
mCORRECTmANSWERmANSWERmA
(A)mismthembestmchoicemcited-
mThemnursemdoesmnotmarguemwithmthemclientmnormdemandmthatmshemeat,mbutmoffersmsupportmbymag
reeingmtom"bemtheremifmneeded",me-g-,mtomwarmmthemfood-
m(BmandmC)maremarguingmwithmthemclient'smdelusions,mandm(B)masksm"why"mwhichmismusuallymnotmam
goodmquestionmformampsychoticmclient-m(D)mhasmnothingmtomdomwithmthemactualmproblem;mi.e.-
,mthemproblemmismnotmthemdietm(shemthinksmanymfoodmgivenmtomhermismpoisoned-)
AmwomanmarrivesminmthemEmergencymCentermandmtellsmthemnursemshemthinksmshemhasmbeenmraped
-
mThemclientmismsobbingmandmexpressesmdisbeliefmthatmamrapemcouldmhappenmbecausemthemmanmism
hermbestmfriend-
mAftermacknowledgingmthemclient'smfearmandmanxiety,mhowmshouldmthemnursemrespond?
A-m"Imwouldmbemverymupsetmandmmadmifmmymbestmfriendmdidmthatmtomme"
B-m"Yoummustmfeelmbetrayed,mbutmmaybemyoummightmhavemledmhimmon?"
C-
m"Rapemismnotmlimitedmtomstrangersmandmfrequentlymoccursmbymsomeonemwhomismknownmtomthemvi
ctim"
D-m"Thismdoesmnotmsoundmlikemrape-
mDidmyoumchangemyourmmindmaboutmhavingmsexmaftermthemfact?"m-
mCORRECTmANSWERmANSWERmC
Amvictimmofmdatemrapemormacquaintancemrapemismlessmpronemtomrecognizemwhatmismhappeningmbec
ausemthemincidentmusuallyminvolvesmpersonsmwhomknowmeachmothermandmthemdynamicsmaremdiffer
entmthanmrapembymamstranger.m(C)mprovidesmconfrontationmformthemclient'smdenialmbecausemthemvic
timmfrequentlymknowsmandmtrustsmthemperpetrator.mNursesmshouldmnotmexpressmpersonalmfeelings
m(A)mwhenmdealingmwithmvictims-
mSuggestingmthatmthemclientmledmonmthemrapistm(B)mindicatesmthatmthemsexualmassaultmwasmsomeho
wmthemvictim'smfault-
m(D)mismjudgmentalmandmdoesmnotmdisplaymcompassionmormestablishmtrustmbetweenmthemnurseman
dmthemclient
, Amchildmismbroughtmtomthememergencymroommwithmambrokenmarm-
mBecausemofmotherminjuries,mthemnursemsuspectsmthemchildmmaymbemamvictimmofmabuse-
mWhenmthemnursemtriesmtomgivemthemchildmanminjection,mthemchild'smmothermbecomesmverymloudma
ndmshouts,m"Imwon'tmleavemmymson!mDon'tmyoumtouchmhim!mYou'llmhurtmmymchild!"mWhatmismthemb
estminterpretationmofmthemmother'smstatements?mThemmothermism
A-mregressingmtomanmearliermbehaviormpattern-
B-msublimatingmhermanger-
C-mprojectingmhermfeelingsmontomthemnurse-
D-msuppressingmhermfear-m-mCORRECTmANSWERmANSWERmC
Projectionmismattributingmone'smownmthoughts,mimpulses,mormbehaviorsmontomanother-
itmismthemmothermwhomismprobablymharmingmthemchildmandmshemismattributingmhermactionsmtomthem
nursem(C)-
mThemmothermmaymbemimmature,mbutm(A)mismnotmthembestmdescriptionmofmhermbehavior.m(B)mismsub
stitutingmamsociallymacceptablemfeelingmformanmunacceptablemone-
mThesemaremnotmsociallymacceptablemfeelings-
mThemmothermmaymbemsuppressingmhermfearm(D)mbymdisplayingmanger,mbutmsuchmanminterpretation
mcannotmbemconcludedmfrommthemdatampresented
Themwifemofmammalemclientmrecentlymdiagnosedmwithmschizophreniamasksmthemnurse,m'Whatmexactl
ymismschizophrenia?mIsmmymhusbandmallmright?"mWhichmresponsemismbestmformthemnursemtomprovide
mtomthismfamilymmember?
A-mItmsoundsmlikemyou'remworriedmaboutmyourmhusband-mLet'smsitmdownmandmtalk
B-mItmismamchemicalmimbalanceminmthembrainmthatmcausesmdisorganizedmthinking
C-mYourmhusbandmwillmbemjustmfinemifmhemtakesmhismmedicationsmregularly
D-mImthinkmyoumshouldmtalkmtomyourmhusband'smpsychologistmaboutmthismquestionm-
mCORRECTmANSWERmANSWERmB
Themnursemshouldmanswermthemclient'smquestionmwithmfactualminformationmandmexplainmthatmschiz
ophreniamismamchemicalmimbalanceminmthembrainm(B)
m(A)mismamtherapeuticmresponsembutmdoesmnotmanswermthemquestion,mandmmaymbemanmappropriate
mresponsemaftermthemnursemanswersmthemquestionmaskedmAlthoughm(C)mismlikelymtruemtomsomemdeg
NEWEST 2026 TEST BANK| 3
VERSIONS WITH COMPLETE 80 REAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
(MOST RECENT!!)
Am35-year-
oldmmalemclientmwhomhasmbeenmhospitalizedmformtwomweeksmformchronicmparanoiamcontinuesmtoms
tatemthatmsomeonemismtryingmtomstealmhismclothing-mWhichmactionmshouldmthemnursemimplement?
A-mEncouragemthemclientmtomactivelymparticipateminmassignedmactivitiesmonmthemunit
B-mPlacemamlockmonmthemclient'smcloset
C-mIgnoremthemclient'smparanoidmideationmtomextinguishmthesembehaviors
D-mExplainmtomthemclientmthatmhismsuspicionsmaremfalsem-mCORRECTmANSWERmANSWERmA
Divertingmthemclient'smattentionmfrommparanoidmideationmandmencouragingmhimmtomcompletemassi
gnmentsmcanmbemhelpfulminmassistingmhimmtomdevelopmampositivemself-imagem(A)-
mThemclientsmproblemmismnotmsecurity,mandm(B)mactuallymsupportsmhismparanoidmideation-
m(C)mismnotmcorrectmbecausemignoringmthemclient'smsymptomsmmaymlowermhismself-esteem-
mThemnursemshouldmnotmarguemwithmthemclientmaboutmhismdelusionsm(D),mandmshouldmnotmtrymtomre
asonmwithmthemclientmregardingmhismparanoidmideation
Ammalemclientmwithmmentalmillnessmandmsubstancemdependencymtellsmthemmentalmhealthmnursemth
atmhemhasmstartedmusingmillegalmdrugsmagainmandmwantsmtomseekmtreatment.mSincemhemhasmamdualm
diagnosis,mwhichmpersonmismbestmformthemnursemtomrefermthismclientmtomfirst?
A.mThememergencymroommnurse.
B.mHismcasemmanager.
C.mThemclinicmhealthcaremprovider.
D.mHismsupportmgroupmsponsor.m-mCORRECTmANSWERmANSWERmB
,Themcasemmanagerm(B)mismresponsiblemformcoordinatingmcommunitymservices,mandmsincemthismclie
ntmhasmamdualmdiagnosis,mthismismthembestmpersonmtomdescribemavailablemtreatmentmoptions.m(A)mis
munnecessary,munlessmthemclientmexperiencesmbehaviorsmthatmthreatenmhismsafetymormthemsafetymo
fmothers.m(CmandmD)mmightmalsombemuseful,mbutmitmismmostmimportantmatmthismtimemthatmamtreatme
ntmprogrammbemcoordinatedmtommeetmthismclient'smneeds.
Basedmonmnon-
compliancemwithmthemmedicationmregimen,manmadultmclientmwithmammedicalmdiagnosismofmsubstan
cemabusemandmschizophreniamwasmrecentlymswitchedmfrommoralmfluphenazinemHCIm(Prolixin)mtomI
Mmfluphenazinemdecanoatem(ProlixinmDecanoate)-
mWhatmismmostmimportantmtomteachmthemclientmandmfamilymaboutmthismchangeminmmedicationmregi
men?
A-mSignsmandmsymptomsmofmextrapyramidalmeffectsm(EPS)-
B-mInformationmaboutmsubstancemabusemandmschizophrenia-
C-mThemeffectsmofmalcoholmandmdrugminteraction-
D-mThemavailabilitymofmsupportmgroupsmformthosemwithmdualmdiagnoses-m-
mCORRECTmANSWERmANSWERmC
AlcoholmenhancesmthemEPSmsidemeffectsmofmProlixin.mThemhalf-
lifemofmProlixinmPOmism8mhours,mwhereasmthemhalf-
lifemofmthemProlixinmDecanoatemIMmism2mtom4mweeks-
mThatmmeansmthemsidemeffectsmofmdrinkingmalcoholmaremfarmmoremseveremwhenmthemclientmdrinksma
lcoholmaltermtakingmthemlong-actingmProlixinmDecanoatemIM-
m(A,mB,mandmD)mprovidemvaluableminformationmandmshouldmbemincludedminmthemclient/familymteach
ing,mbutmtheymdomnotmhavemthemprioritymofm(C).
Am38-year-oldmfemalemclientmismadmittedmwithmamdiagnosismofmparanoidmschizophrenia-
mWhenmhermtraymismbroughtmtomher,mshemrefusesmtomeatmandmtellsmthemnurse,m"Imknowmyoumaremtryi
ngmtompoisonmmemwithmthatmfood-
"mWhichmresponsemismmostmappropriatemformthemnursemtommake?
A-mI'llmleavemyourmtraymhere-mImammavailablemifmyoumneedmanythingmelse-
B-mYou'remnotmbeingmpoisoned-mWhymdomyoumthinkmsomeonemismtryingmtompoisonmyou?
C-mNomonemonmthismunitmhasmevermdiedmfrommpoisoning-mYou'remsafemhere-
,D-mImwillmtalkmtomyourmhealthcaremprovidermaboutmthempossibilitymofmchangingmyourmdiet-m-
mCORRECTmANSWERmANSWERmA
(A)mismthembestmchoicemcited-
mThemnursemdoesmnotmarguemwithmthemclientmnormdemandmthatmshemeat,mbutmoffersmsupportmbymag
reeingmtom"bemtheremifmneeded",me-g-,mtomwarmmthemfood-
m(BmandmC)maremarguingmwithmthemclient'smdelusions,mandm(B)masksm"why"mwhichmismusuallymnotmam
goodmquestionmformampsychoticmclient-m(D)mhasmnothingmtomdomwithmthemactualmproblem;mi.e.-
,mthemproblemmismnotmthemdietm(shemthinksmanymfoodmgivenmtomhermismpoisoned-)
AmwomanmarrivesminmthemEmergencymCentermandmtellsmthemnursemshemthinksmshemhasmbeenmraped
-
mThemclientmismsobbingmandmexpressesmdisbeliefmthatmamrapemcouldmhappenmbecausemthemmanmism
hermbestmfriend-
mAftermacknowledgingmthemclient'smfearmandmanxiety,mhowmshouldmthemnursemrespond?
A-m"Imwouldmbemverymupsetmandmmadmifmmymbestmfriendmdidmthatmtomme"
B-m"Yoummustmfeelmbetrayed,mbutmmaybemyoummightmhavemledmhimmon?"
C-
m"Rapemismnotmlimitedmtomstrangersmandmfrequentlymoccursmbymsomeonemwhomismknownmtomthemvi
ctim"
D-m"Thismdoesmnotmsoundmlikemrape-
mDidmyoumchangemyourmmindmaboutmhavingmsexmaftermthemfact?"m-
mCORRECTmANSWERmANSWERmC
Amvictimmofmdatemrapemormacquaintancemrapemismlessmpronemtomrecognizemwhatmismhappeningmbec
ausemthemincidentmusuallyminvolvesmpersonsmwhomknowmeachmothermandmthemdynamicsmaremdiffer
entmthanmrapembymamstranger.m(C)mprovidesmconfrontationmformthemclient'smdenialmbecausemthemvic
timmfrequentlymknowsmandmtrustsmthemperpetrator.mNursesmshouldmnotmexpressmpersonalmfeelings
m(A)mwhenmdealingmwithmvictims-
mSuggestingmthatmthemclientmledmonmthemrapistm(B)mindicatesmthatmthemsexualmassaultmwasmsomeho
wmthemvictim'smfault-
m(D)mismjudgmentalmandmdoesmnotmdisplaymcompassionmormestablishmtrustmbetweenmthemnurseman
dmthemclient
, Amchildmismbroughtmtomthememergencymroommwithmambrokenmarm-
mBecausemofmotherminjuries,mthemnursemsuspectsmthemchildmmaymbemamvictimmofmabuse-
mWhenmthemnursemtriesmtomgivemthemchildmanminjection,mthemchild'smmothermbecomesmverymloudma
ndmshouts,m"Imwon'tmleavemmymson!mDon'tmyoumtouchmhim!mYou'llmhurtmmymchild!"mWhatmismthemb
estminterpretationmofmthemmother'smstatements?mThemmothermism
A-mregressingmtomanmearliermbehaviormpattern-
B-msublimatingmhermanger-
C-mprojectingmhermfeelingsmontomthemnurse-
D-msuppressingmhermfear-m-mCORRECTmANSWERmANSWERmC
Projectionmismattributingmone'smownmthoughts,mimpulses,mormbehaviorsmontomanother-
itmismthemmothermwhomismprobablymharmingmthemchildmandmshemismattributingmhermactionsmtomthem
nursem(C)-
mThemmothermmaymbemimmature,mbutm(A)mismnotmthembestmdescriptionmofmhermbehavior.m(B)mismsub
stitutingmamsociallymacceptablemfeelingmformanmunacceptablemone-
mThesemaremnotmsociallymacceptablemfeelings-
mThemmothermmaymbemsuppressingmhermfearm(D)mbymdisplayingmanger,mbutmsuchmanminterpretation
mcannotmbemconcludedmfrommthemdatampresented
Themwifemofmammalemclientmrecentlymdiagnosedmwithmschizophreniamasksmthemnurse,m'Whatmexactl
ymismschizophrenia?mIsmmymhusbandmallmright?"mWhichmresponsemismbestmformthemnursemtomprovide
mtomthismfamilymmember?
A-mItmsoundsmlikemyou'remworriedmaboutmyourmhusband-mLet'smsitmdownmandmtalk
B-mItmismamchemicalmimbalanceminmthembrainmthatmcausesmdisorganizedmthinking
C-mYourmhusbandmwillmbemjustmfinemifmhemtakesmhismmedicationsmregularly
D-mImthinkmyoumshouldmtalkmtomyourmhusband'smpsychologistmaboutmthismquestionm-
mCORRECTmANSWERmANSWERmB
Themnursemshouldmanswermthemclient'smquestionmwithmfactualminformationmandmexplainmthatmschiz
ophreniamismamchemicalmimbalanceminmthembrainm(B)
m(A)mismamtherapeuticmresponsembutmdoesmnotmanswermthemquestion,mandmmaymbemanmappropriate
mresponsemaftermthemnursemanswersmthemquestionmaskedmAlthoughm(C)mismlikelymtruemtomsomemdeg