Mental Health Final Exam Questions,
Hesi RN Mental Health Hesi Review -
Multiple Choice Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A client with major depression refuses to get out of bed in the morning. What is the nurse’s best
initial action?
A. Encourage the client to rest longer.
✔✔B. Assist the client with getting up and starting morning care.
C. Ask the client to explain why they feel tired.
D. Offer the client the option to skip breakfast.
A client with generalized anxiety disorder reports constant restlessness. What is the most
appropriate nursing intervention?
A. Encourage drinking coffee for energy.
✔✔B. Teach deep breathing and relaxation techniques.
C. Advise the client to avoid expressing worries.
D. Promote isolation to reduce stress.
1
,A client diagnosed with schizophrenia begins to laugh inappropriately and mutters to themselves.
What should the nurse suspect?
A. Delusional thoughts.
✔✔B. Auditory hallucinations.
C. Illusionary experiences.
D. Flight of ideas.
A client with bipolar disorder in mania is pacing and not eating meals. What should the nurse
provide?
A. Large family-style dinners.
✔✔B. High-calorie finger foods.
C. Only three meals per day.
D. Full trays of hot food.
A client taking sertraline states, “I feel worse and think life isn’t worth living.” What is the
nurse’s priority action?
A. Encourage positive thinking.
✔✔B. Assess suicide risk immediately.
C. Offer to distract the client.
2
,D. Suggest attending a group activity.
A client with schizophrenia states, “The FBI has cameras in my room.” What is the nurse’s best
response?
A. “That is not true.”
✔✔B. “I understand this feels real for you.”
C. “Why do you believe that?”
D. “Ignore those thoughts and they’ll go away.”
A client reports hand tremors, thirst, and confusion while taking lithium. What is the nurse’s first
action?
A. Encourage fluids.
✔✔B. Assess for lithium toxicity.
C. Suggest relaxation techniques.
D. Offer the next scheduled dose.
A client with borderline personality disorder tells the nurse, “You’re the only nurse who cares
about me. The others are terrible.” What is this behavior called?
A. Projection.
3
, ✔✔B. Splitting.
C. Regression.
D. Rationalization.
A nurse observes a client suddenly developing muscle rigidity, high fever, and confusion after
receiving haloperidol. What should the nurse suspect?
A. Serotonin syndrome.
✔✔B. Neuroleptic malignant syndrome.
C. Tardive dyskinesia.
D. Akathisia.
A client prescribed clozapine reports sore throat and fever. What is the nurse’s priority?
A. Provide warm fluids.
✔✔B. Notify the provider and obtain a WBC count.
C. Reassure the client it is a mild side effect.
D. Encourage rest and relaxation.
A client with panic disorder is hyperventilating and trembling. What should the nurse do first?
4
Hesi RN Mental Health Hesi Review -
Multiple Choice Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A client with major depression refuses to get out of bed in the morning. What is the nurse’s best
initial action?
A. Encourage the client to rest longer.
✔✔B. Assist the client with getting up and starting morning care.
C. Ask the client to explain why they feel tired.
D. Offer the client the option to skip breakfast.
A client with generalized anxiety disorder reports constant restlessness. What is the most
appropriate nursing intervention?
A. Encourage drinking coffee for energy.
✔✔B. Teach deep breathing and relaxation techniques.
C. Advise the client to avoid expressing worries.
D. Promote isolation to reduce stress.
1
,A client diagnosed with schizophrenia begins to laugh inappropriately and mutters to themselves.
What should the nurse suspect?
A. Delusional thoughts.
✔✔B. Auditory hallucinations.
C. Illusionary experiences.
D. Flight of ideas.
A client with bipolar disorder in mania is pacing and not eating meals. What should the nurse
provide?
A. Large family-style dinners.
✔✔B. High-calorie finger foods.
C. Only three meals per day.
D. Full trays of hot food.
A client taking sertraline states, “I feel worse and think life isn’t worth living.” What is the
nurse’s priority action?
A. Encourage positive thinking.
✔✔B. Assess suicide risk immediately.
C. Offer to distract the client.
2
,D. Suggest attending a group activity.
A client with schizophrenia states, “The FBI has cameras in my room.” What is the nurse’s best
response?
A. “That is not true.”
✔✔B. “I understand this feels real for you.”
C. “Why do you believe that?”
D. “Ignore those thoughts and they’ll go away.”
A client reports hand tremors, thirst, and confusion while taking lithium. What is the nurse’s first
action?
A. Encourage fluids.
✔✔B. Assess for lithium toxicity.
C. Suggest relaxation techniques.
D. Offer the next scheduled dose.
A client with borderline personality disorder tells the nurse, “You’re the only nurse who cares
about me. The others are terrible.” What is this behavior called?
A. Projection.
3
, ✔✔B. Splitting.
C. Regression.
D. Rationalization.
A nurse observes a client suddenly developing muscle rigidity, high fever, and confusion after
receiving haloperidol. What should the nurse suspect?
A. Serotonin syndrome.
✔✔B. Neuroleptic malignant syndrome.
C. Tardive dyskinesia.
D. Akathisia.
A client prescribed clozapine reports sore throat and fever. What is the nurse’s priority?
A. Provide warm fluids.
✔✔B. Notify the provider and obtain a WBC count.
C. Reassure the client it is a mild side effect.
D. Encourage rest and relaxation.
A client with panic disorder is hyperventilating and trembling. What should the nurse do first?
4
