MENTAL HEALTH HESI RN LATEST UPDATE 2025| ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) | GRADED A+
1.A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of
excessive thirst, and the RN finds him attempting to drink water from the bathroom 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.
C. No action is needed since polydipsia is a common side effect.
D. Tell the client that drinking from the faucet is not allowed. - ANSWER A. Report the client's serum
lithium level to the HCP.
2.A mental health worker is caring for a client with escalating aggressive behavior. Which action by the
MHW warrant immediate intervention by the RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loud voice to talk to the client.
D. Remains at a distance of 4 feet from the client. - ANSWER A. Is attempting to physically restrain the
patient.
3.A nurse is preforming a follow-up teaching session with a client discharged 1 month ago. The client is
taking fluoxetine (Prozac). What information would be important for the nurse to obtain during this
client visit regarding the side effects of the medication?
A) Cardiovascular symptoms
B) Gastrointestinal dysfunctions
C) Problems with mouth dryness
D) Problems with excessive sweating - ANSWER B) Gastrointestinal dysfunctions
4.A nurse is caring for a client with anorexia nervosa. The nurse is monitoring the behavior of the client
and understands that a client with anorexia nervosa manages anxiety by:
A) Engaging in immoral acts
B) Always reinforcing self-approval
,C) Observing rigid rules and regulations
D) Having the need always to make the right decision - ANSWER C) Observing rigid rules and regulations
5.A nurse is caring for a suicidal client. The appropriate nursing intervention in dealing with this client is
to:
A) Demonstrate confidence in the client's ability to deal with stressors
B) Provide hope and reassurance that the problems will resolve themselves
C) Display an attitude of detachment, confrontation, and efficiency
D) Provide authority, action, and participation - ANSWER D) Provide authority, action, and participation
6.A client in a long-term care facility who has multiple sclerosis is embarrassed about the need to use a
wheelchair and the muscle spasms that are readily visible in her legs. Which approach is therapeutic in
assisting the client to cope?
A) Keep the client in her room as much as possible
B) Assist the client with all activities of daily living
C) Tell the client that many of the people in the facility have these same sorts of problems
D) Encourage and praise perseverance in performing ADLs, and assist the client to dress and groom daily
- ANSWER D) Encourage and praise perseverance in performing ADLs, and assist the client to dress and
groom daily
7.On admission assessment, the nurse is obtaining subjective data about a client's sexual and
reproductive status. The client states, "I don't want to discuss this; it's private and personal." Which
response by the nurse is the most therapeutic?
A) "I'd hate being asked these sorts of questions too, but it's a necessary part of providing you with the
best care."
B) "This is difficult for you to speak about, but I need this information from you in order to perform a
complete assessment."
C) "I am a professional registered nurse, and, as such, I'll have you know that all your information is
certainly kept confidential."
D) "I know that some of these questions are difficult for you, but, as a professional nurse, I am obligated
to respect your confidentiality." - ANSWER D) "I know that some of these questions are difficult for you,
but, as a professional nurse, I am obligated to respect your confidentiality."
,8.The nurse should include which information in the nursing plan of care for a client with obsessive-
compulsive disorder (OCD)? Select all that apply.
A) The medical diagnosis of the client
B) Individualized goals and objectives
C) Attendance at group therapy sessions
D) Self-care measures to improve hygiene
E) Interruption of all compulsive behaviors - ANSWER B) Individualized goals and objectives
9.A client in the mental health unit believes that the food is being poisoned. What intervention(s) would
be helpful when attempting to encourage the client to eat? Select all that apply.
A) Use open-ended questions to encourage client dialogue
B) Offer opinions about the necessity for adequate nutrition
C) Focus on the client's self-disclosure about food preferences
D) Identify the reasons the client has for not wanting to eat
E) Offer the client food in closed containers, such as in cans that have to be opened - ANSWER A) Use
open-ended questions to encourage client dialogue
10.A client with a leg amputation is upset about his appearance. The nurse intends to address which
most closely associated psychosocial problem?
A) Inability to be mobile
B) Isolating self from others
C) Inability to tolerate activity
D) Concern about body persona - ANSWER D) Concern about body persona
11.A client with an eating disorder is planning to attend group meetings with Overeaters Anonymous.
The nurse describes this group to the client, knowing that which finding(s) are characteristic of this form
of self-help group? Select all that apply.
A) A common goal is shared by all members
B) Members are required to remain anonymous
C) The leader is a professional mental health care provider
D) Attendance must be prescribed by the health care provider
, E) The program is designed to provide support and bring about personal change
F) The group is composed of individuals who are experiencing similar problems - ANSWER A) A common
goal is shared by all members
12.A client with schizophrenia is experiencing distressful thoughts secondary to paranoia. Which
intervention(s) should the nurse include in the plan of care? Select all that apply.
A) Avoid laughing when near the client
B) Whisper when communicating near the client
C) Increase socialization of the client among his peers
D) Have the client sign a written release of information form
E) Provide food items that are in containers that need to be opened
F) Begin to educate the client about social supports in the community - ANSWER A) Avoid laughing when
near the client
13.A client is preparing to attend at Gamblers Anonymous meeting for the first time. The prototype used
by this group is the 12-step program developed by Alcoholics Anonymous. Number in order of priority
how the steps would be addressed.
1) Admitting to oneself and to another human being the exact nature of one's wrongs
2) Acknowledging that one is entirely ready to have his or her defects of character removed
3) Admitting that oneself is powerless over gambling and that one's life has become unmanageable
4) Making an effort to practice the 12-step principles in all affairs, and to carry out this message to other
compulsive gamblers
5) Making direct amends wherever possible to all people that have been hurt, expect when to do so
would further harm them or others - ANSWER 3, 1, 2, 5, 4
14.An outpatient clinic who has been receiving haloperidol (Haldol) for 2 days develops muscular rigidity,
altered consciousness, a temperature of 103, and trouble breathing on day 3. The nurse interest these
findings as indicating which of the following.
A) Neuroleptic Malignant Syndrome
B) Tardive dyskinesia
C) Extrapyramidal adverse effects
D) Drug-induced parksonism - ANSWER A) Neuroleptic Malignant Syndrome
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) | GRADED A+
1.A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of
excessive thirst, and the RN finds him attempting to drink water from the bathroom 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.
C. No action is needed since polydipsia is a common side effect.
D. Tell the client that drinking from the faucet is not allowed. - ANSWER A. Report the client's serum
lithium level to the HCP.
2.A mental health worker is caring for a client with escalating aggressive behavior. Which action by the
MHW warrant immediate intervention by the RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loud voice to talk to the client.
D. Remains at a distance of 4 feet from the client. - ANSWER A. Is attempting to physically restrain the
patient.
3.A nurse is preforming a follow-up teaching session with a client discharged 1 month ago. The client is
taking fluoxetine (Prozac). What information would be important for the nurse to obtain during this
client visit regarding the side effects of the medication?
A) Cardiovascular symptoms
B) Gastrointestinal dysfunctions
C) Problems with mouth dryness
D) Problems with excessive sweating - ANSWER B) Gastrointestinal dysfunctions
4.A nurse is caring for a client with anorexia nervosa. The nurse is monitoring the behavior of the client
and understands that a client with anorexia nervosa manages anxiety by:
A) Engaging in immoral acts
B) Always reinforcing self-approval
,C) Observing rigid rules and regulations
D) Having the need always to make the right decision - ANSWER C) Observing rigid rules and regulations
5.A nurse is caring for a suicidal client. The appropriate nursing intervention in dealing with this client is
to:
A) Demonstrate confidence in the client's ability to deal with stressors
B) Provide hope and reassurance that the problems will resolve themselves
C) Display an attitude of detachment, confrontation, and efficiency
D) Provide authority, action, and participation - ANSWER D) Provide authority, action, and participation
6.A client in a long-term care facility who has multiple sclerosis is embarrassed about the need to use a
wheelchair and the muscle spasms that are readily visible in her legs. Which approach is therapeutic in
assisting the client to cope?
A) Keep the client in her room as much as possible
B) Assist the client with all activities of daily living
C) Tell the client that many of the people in the facility have these same sorts of problems
D) Encourage and praise perseverance in performing ADLs, and assist the client to dress and groom daily
- ANSWER D) Encourage and praise perseverance in performing ADLs, and assist the client to dress and
groom daily
7.On admission assessment, the nurse is obtaining subjective data about a client's sexual and
reproductive status. The client states, "I don't want to discuss this; it's private and personal." Which
response by the nurse is the most therapeutic?
A) "I'd hate being asked these sorts of questions too, but it's a necessary part of providing you with the
best care."
B) "This is difficult for you to speak about, but I need this information from you in order to perform a
complete assessment."
C) "I am a professional registered nurse, and, as such, I'll have you know that all your information is
certainly kept confidential."
D) "I know that some of these questions are difficult for you, but, as a professional nurse, I am obligated
to respect your confidentiality." - ANSWER D) "I know that some of these questions are difficult for you,
but, as a professional nurse, I am obligated to respect your confidentiality."
,8.The nurse should include which information in the nursing plan of care for a client with obsessive-
compulsive disorder (OCD)? Select all that apply.
A) The medical diagnosis of the client
B) Individualized goals and objectives
C) Attendance at group therapy sessions
D) Self-care measures to improve hygiene
E) Interruption of all compulsive behaviors - ANSWER B) Individualized goals and objectives
9.A client in the mental health unit believes that the food is being poisoned. What intervention(s) would
be helpful when attempting to encourage the client to eat? Select all that apply.
A) Use open-ended questions to encourage client dialogue
B) Offer opinions about the necessity for adequate nutrition
C) Focus on the client's self-disclosure about food preferences
D) Identify the reasons the client has for not wanting to eat
E) Offer the client food in closed containers, such as in cans that have to be opened - ANSWER A) Use
open-ended questions to encourage client dialogue
10.A client with a leg amputation is upset about his appearance. The nurse intends to address which
most closely associated psychosocial problem?
A) Inability to be mobile
B) Isolating self from others
C) Inability to tolerate activity
D) Concern about body persona - ANSWER D) Concern about body persona
11.A client with an eating disorder is planning to attend group meetings with Overeaters Anonymous.
The nurse describes this group to the client, knowing that which finding(s) are characteristic of this form
of self-help group? Select all that apply.
A) A common goal is shared by all members
B) Members are required to remain anonymous
C) The leader is a professional mental health care provider
D) Attendance must be prescribed by the health care provider
, E) The program is designed to provide support and bring about personal change
F) The group is composed of individuals who are experiencing similar problems - ANSWER A) A common
goal is shared by all members
12.A client with schizophrenia is experiencing distressful thoughts secondary to paranoia. Which
intervention(s) should the nurse include in the plan of care? Select all that apply.
A) Avoid laughing when near the client
B) Whisper when communicating near the client
C) Increase socialization of the client among his peers
D) Have the client sign a written release of information form
E) Provide food items that are in containers that need to be opened
F) Begin to educate the client about social supports in the community - ANSWER A) Avoid laughing when
near the client
13.A client is preparing to attend at Gamblers Anonymous meeting for the first time. The prototype used
by this group is the 12-step program developed by Alcoholics Anonymous. Number in order of priority
how the steps would be addressed.
1) Admitting to oneself and to another human being the exact nature of one's wrongs
2) Acknowledging that one is entirely ready to have his or her defects of character removed
3) Admitting that oneself is powerless over gambling and that one's life has become unmanageable
4) Making an effort to practice the 12-step principles in all affairs, and to carry out this message to other
compulsive gamblers
5) Making direct amends wherever possible to all people that have been hurt, expect when to do so
would further harm them or others - ANSWER 3, 1, 2, 5, 4
14.An outpatient clinic who has been receiving haloperidol (Haldol) for 2 days develops muscular rigidity,
altered consciousness, a temperature of 103, and trouble breathing on day 3. The nurse interest these
findings as indicating which of the following.
A) Neuroleptic Malignant Syndrome
B) Tardive dyskinesia
C) Extrapyramidal adverse effects
D) Drug-induced parksonism - ANSWER A) Neuroleptic Malignant Syndrome
