MENTAL HEALTH HESI RN testbank Question
and Answer (2026/2027) | Newest Version |
A+ Verified
An adolescent male client is hospitalized after he threatened a teacher at school. He
admits feeling angry because his mother tricked him and brought him to the hospital.
The client states that when his mother visits, he plans to get his belongings from her,
but he is not going to talk to her. Which activity is most important for the nurse to
complete before the mother arrives?
A. Assess the client's self-esteem needs.
B. Determine the client's expectations fortreatment.
C. Discuss methods for clearly communicating.
D. Identify ways to develop support systems. -✓✓ C. Discuss methods for clearly
communicating.
A client with borderline personality disorder tells the nurse, "You are the best nurse on
the unit! The other nurses don't care about me the way you do." Which response is best
for the nurse to provide this client?
a.) "I am not the best nurse. All the nurses are good."
b.) "The other nurses and I are here to help you get better"
c.) "You don't think the other nurses care about you?"
d.) "I do care about you as a person but nothing more." -✓✓ b.) "The other nurses and I
are here to help you get better"
An older man with a hx of falls at home tells the clinic nurse that his son, who was
incarcerated last year for assault and battery, has become abusive since his release
from prison. Which intervention is most important for the nurse to implement?
A. Tell the client to call Adult Protective Services if his son's abuse continues.
B. Refer the client to a program for victims of domestic violence
C. Verify the client's report by determining if there is physical evidence of abuse
D. Assist the client in developing an emergency safety plan -✓✓ C. Verify the client's
report by determining if there is physical evidence of abuse
A young female client is admitted to the emergency room because she was raped that
evening by her date. How should the nurse record the client's chief complaint in the
medical record?
a.) Client reported that she had sexual relations against her will.
b.) Client claims that she was forced to participate in sexual
intercourse.
c.) Client has been sexually assaulted.
d.) Client states, "my date raped me tonight." -✓✓ d.) Client states, "my date raped me
tonight."
,A female client with obsessive compulsive disorder complains that she is feels "driven"
to check the locks on her front door at.. Which response is best for the nurse toprovide?
A. have you had a bad experience related to unlocked doors?
B. What are your thoughts when you are checking the locks?
C. feelings of being drive to do something are related to anxiety
D. repeating the same behavior helps you to diminish your anxiety -✓✓ D. repeating the
same behavior helps you to diminish your anxiety
What is the most important goal for a client with major depression who has been
receiving an antidepressant medication for two weeks?
A. ventilate feelings of sadness
B. eats three meals a day
C. participates in group meetings
D. does not attempt to commit suicide -✓✓ D. does not attempt to commit suicide
After meeting with a healthcare provider, a client who is diagnosed with bipolar disorder
is screaming and stomping. Which action should the nurse take?
A. instruct the client to reduce the volume of his voice
B. administer a PRN sedative by injection
C. accompany the client to a quiet area of the unit
D. encourage the client to attend a support group -✓✓ C. accompany the client to a
quiet area of the unit
A client with depression is not attentive to personal hygiene, uses television watching as
a means of escape from...inability to enjoy the things that once gave them pleasure.
Which coping strategy should the nurse include in the plan of care?
A. Relax and reduce the amount of effort to solve the
problem
B. Recall methods that were most successful in the past
C. reach out to family and friends about feelings of abandonment
D. turn to other activities to take one's mind off of the issues -✓✓ B. Recall methods that
were most successful in the past
A young male who was recently diagnosed with bipolar disorder takes lithium carbonate
daily. He is graduating...he tells the school nurse that wants to live away from home for
college. What information is most important for...family?
A. Despite his illness, the client should be able to live away from home
B. his serum lithium levels should be routinely evaluated
C. he should plan to participate in group or individual therapy while at college D. he
should be aware of the symptoms of his illness -✓✓ B. his serum lithium levels should
be routinely evaluated
A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase.
Based on which assessment finding will the RN withhold the clonidine (Catapres)
prescription?
A. Pulse rate 68-78 bpm
, B. BP readings of 90/62 mmHg to 92/58
C. Temperature of 99.5-99.7 F
D. Respiration rate of 24 bpm -✓✓ B. BP readings of 90/62 mmHg to 92/58
The RN on the evening shift receives report that a client is scheduled for
Electroconvulsive Therapy in the morning. Which intervention should the RN implement
the evening before the scheduled ECT?
A. Keep client NPO after midnight
B. Hold all bedtime meds
C. Implement elopement precautions
D. Give the client an enema at bedtime -✓✓ A. Keep client NPO after midnight
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 -✓✓ 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 -✓✓
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 -✓✓ 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
and Answer (2026/2027) | Newest Version |
A+ Verified
An adolescent male client is hospitalized after he threatened a teacher at school. He
admits feeling angry because his mother tricked him and brought him to the hospital.
The client states that when his mother visits, he plans to get his belongings from her,
but he is not going to talk to her. Which activity is most important for the nurse to
complete before the mother arrives?
A. Assess the client's self-esteem needs.
B. Determine the client's expectations fortreatment.
C. Discuss methods for clearly communicating.
D. Identify ways to develop support systems. -✓✓ C. Discuss methods for clearly
communicating.
A client with borderline personality disorder tells the nurse, "You are the best nurse on
the unit! The other nurses don't care about me the way you do." Which response is best
for the nurse to provide this client?
a.) "I am not the best nurse. All the nurses are good."
b.) "The other nurses and I are here to help you get better"
c.) "You don't think the other nurses care about you?"
d.) "I do care about you as a person but nothing more." -✓✓ b.) "The other nurses and I
are here to help you get better"
An older man with a hx of falls at home tells the clinic nurse that his son, who was
incarcerated last year for assault and battery, has become abusive since his release
from prison. Which intervention is most important for the nurse to implement?
A. Tell the client to call Adult Protective Services if his son's abuse continues.
B. Refer the client to a program for victims of domestic violence
C. Verify the client's report by determining if there is physical evidence of abuse
D. Assist the client in developing an emergency safety plan -✓✓ C. Verify the client's
report by determining if there is physical evidence of abuse
A young female client is admitted to the emergency room because she was raped that
evening by her date. How should the nurse record the client's chief complaint in the
medical record?
a.) Client reported that she had sexual relations against her will.
b.) Client claims that she was forced to participate in sexual
intercourse.
c.) Client has been sexually assaulted.
d.) Client states, "my date raped me tonight." -✓✓ d.) Client states, "my date raped me
tonight."
,A female client with obsessive compulsive disorder complains that she is feels "driven"
to check the locks on her front door at.. Which response is best for the nurse toprovide?
A. have you had a bad experience related to unlocked doors?
B. What are your thoughts when you are checking the locks?
C. feelings of being drive to do something are related to anxiety
D. repeating the same behavior helps you to diminish your anxiety -✓✓ D. repeating the
same behavior helps you to diminish your anxiety
What is the most important goal for a client with major depression who has been
receiving an antidepressant medication for two weeks?
A. ventilate feelings of sadness
B. eats three meals a day
C. participates in group meetings
D. does not attempt to commit suicide -✓✓ D. does not attempt to commit suicide
After meeting with a healthcare provider, a client who is diagnosed with bipolar disorder
is screaming and stomping. Which action should the nurse take?
A. instruct the client to reduce the volume of his voice
B. administer a PRN sedative by injection
C. accompany the client to a quiet area of the unit
D. encourage the client to attend a support group -✓✓ C. accompany the client to a
quiet area of the unit
A client with depression is not attentive to personal hygiene, uses television watching as
a means of escape from...inability to enjoy the things that once gave them pleasure.
Which coping strategy should the nurse include in the plan of care?
A. Relax and reduce the amount of effort to solve the
problem
B. Recall methods that were most successful in the past
C. reach out to family and friends about feelings of abandonment
D. turn to other activities to take one's mind off of the issues -✓✓ B. Recall methods that
were most successful in the past
A young male who was recently diagnosed with bipolar disorder takes lithium carbonate
daily. He is graduating...he tells the school nurse that wants to live away from home for
college. What information is most important for...family?
A. Despite his illness, the client should be able to live away from home
B. his serum lithium levels should be routinely evaluated
C. he should plan to participate in group or individual therapy while at college D. he
should be aware of the symptoms of his illness -✓✓ B. his serum lithium levels should
be routinely evaluated
A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase.
Based on which assessment finding will the RN withhold the clonidine (Catapres)
prescription?
A. Pulse rate 68-78 bpm
, B. BP readings of 90/62 mmHg to 92/58
C. Temperature of 99.5-99.7 F
D. Respiration rate of 24 bpm -✓✓ B. BP readings of 90/62 mmHg to 92/58
The RN on the evening shift receives report that a client is scheduled for
Electroconvulsive Therapy in the morning. Which intervention should the RN implement
the evening before the scheduled ECT?
A. Keep client NPO after midnight
B. Hold all bedtime meds
C. Implement elopement precautions
D. Give the client an enema at bedtime -✓✓ A. Keep client NPO after midnight
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 -✓✓ 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 -✓✓
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 -✓✓ 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
