HESI MENTAL HEALTH LATEST 2025-2026 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|
READY GRADED A+
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 2025-2026 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|
READY GRADED A+
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 2025-2026 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|
READY GRADED A+
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 fclient fwith fbipolar fdisorder fwho fbegan fA
ftaking flithium fcarbonate ffive fdays fago fis fcom-
fplaining fof fexcessive fthirst, fand fthe fRN ffinds
fhim fattempting fto fdrink fwater ffrom fthe fbath-
froom fsink ffaucet. fWhich fintervention fshould
fthe fRN fimplement?
A. Report fthe fclient's fserum flithium flevel fto fthe
fHCP.
B. Encourage fthe fclient fto fsuck fon fhard fcandy
fto frelieve fthe fsymptoms.
, HESI MENTAL HEALTH LATEST 2025-2026 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|
READY GRADED A+
C. No faction fis fneeded fsince fpolydipsia fis fa
fcommon fside feffect.
D. Tell fthe fclient fthat fdrinking ffrom fthe ffaucet
fis fnot fallowed.
10. The fRN fis fteaching fa fclient fabout fthe finitia- B
ftion fof fthe fprescribed fabstinence ftherapy fus-
fing fdisulfiram f(Antabuse). fWhat finformation
fshould fthe fclient facknowledge funderstand-
fing?
A. Completely fabstain ffrom fheroin for fcocaine
fuse.
B. Remain falcohol ffree ffor f12 fhours fprior fto fthe
ffirst fdose.
C. Attend fmonthly fmeetings fof falcoholics
fanonymous.
D. Admit fto fothers fthat fhe fis fa fsubstance fuser.
11. A fmale fclient fwith fschizophrenia fis fadmitted fto fD
fthe fmental fhealth funit fafter fabruptly fstopping
fhis fprescription ffor fziprasidone f(Geodon) fone
fmonth fago. fWhich fquestion fis fmost fimportant
ffor fthe fRN fto fask fthe fclient?
A. Have fyou flost finterest fin fthe fthings fthat fyou
fused fto fenjoy?
B. Is fyour fability fto fthink for fconcentrate fde-
fcreased?
C. How fmany fcontinuous fhours fdo fyou fsleep
fat fnight?
D. Do fyou fhear fsounds for fvoices fthat fothers
fdo fnot fhear?
12. During fan fannual fphysical fby fthe foccupational f D
fRN fworking fin fa fcorporate fclinic, fa fmale fem-
fployee ftells fthe fRN fthat fis fhigh-stress fjob fis
fcausing ftrouble fin fhis fpersonal flife. fHe ffurther
fexplains fthat fhe foften fgets fso fangry fwhile fdri-
fving fto fand ffrom fwork fthat fhe fhas fconsidered
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|
READY GRADED A+
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 2025-2026 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|
READY GRADED A+
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 2025-2026 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|
READY GRADED A+
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 fclient fwith fbipolar fdisorder fwho fbegan fA
ftaking flithium fcarbonate ffive fdays fago fis fcom-
fplaining fof fexcessive fthirst, fand fthe fRN ffinds
fhim fattempting fto fdrink fwater ffrom fthe fbath-
froom fsink ffaucet. fWhich fintervention fshould
fthe fRN fimplement?
A. Report fthe fclient's fserum flithium flevel fto fthe
fHCP.
B. Encourage fthe fclient fto fsuck fon fhard fcandy
fto frelieve fthe fsymptoms.
, HESI MENTAL HEALTH LATEST 2025-2026 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|
READY GRADED A+
C. No faction fis fneeded fsince fpolydipsia fis fa
fcommon fside feffect.
D. Tell fthe fclient fthat fdrinking ffrom fthe ffaucet
fis fnot fallowed.
10. The fRN fis fteaching fa fclient fabout fthe finitia- B
ftion fof fthe fprescribed fabstinence ftherapy fus-
fing fdisulfiram f(Antabuse). fWhat finformation
fshould fthe fclient facknowledge funderstand-
fing?
A. Completely fabstain ffrom fheroin for fcocaine
fuse.
B. Remain falcohol ffree ffor f12 fhours fprior fto fthe
ffirst fdose.
C. Attend fmonthly fmeetings fof falcoholics
fanonymous.
D. Admit fto fothers fthat fhe fis fa fsubstance fuser.
11. A fmale fclient fwith fschizophrenia fis fadmitted fto fD
fthe fmental fhealth funit fafter fabruptly fstopping
fhis fprescription ffor fziprasidone f(Geodon) fone
fmonth fago. fWhich fquestion fis fmost fimportant
ffor fthe fRN fto fask fthe fclient?
A. Have fyou flost finterest fin fthe fthings fthat fyou
fused fto fenjoy?
B. Is fyour fability fto fthink for fconcentrate fde-
fcreased?
C. How fmany fcontinuous fhours fdo fyou fsleep
fat fnight?
D. Do fyou fhear fsounds for fvoices fthat fothers
fdo fnot fhear?
12. During fan fannual fphysical fby fthe foccupational f D
fRN fworking fin fa fcorporate fclinic, fa fmale fem-
fployee ftells fthe fRN fthat fis fhigh-stress fjob fis
fcausing ftrouble fin fhis fpersonal flife. fHe ffurther
fexplains fthat fhe foften fgets fso fangry fwhile fdri-
fving fto fand ffrom fwork fthat fhe fhas fconsidered
