1|Page
PSYCH MENTAL HEALTH HESI EXIT EXAM V1, V2 &
V3 NEWEST 2026 TEST BANK| 3 VERSIONS WITH
COMPLETE 450 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (MOST RECENT!!)
HESI PSYCH MENTAL HEALTH EXIT EXAM V1
A 35-year-old client admitted to the psychiatric unit of an acute care
hospital tells the nurse that someone is trying to poison her. The client's
delusions are most likely related to which factor?
A.Authority issues in childhood
B.Anger about being hospitalized
C.Low self-esteem
D.Phobia of food - Correct Answer - C
Delusional clients have difficulty with trust and have low self-esteem
(C). Nursing care should be directed at building trust and promoting
positive self-esteem. Activities with limited concentration and no
competition should be encouraged to build self-esteem. (A, B, and D)
are not specifically related to the development of delusions.
On admission, a highly anxious client is described as delusional.
Delusions are most likely to occur with which disorder?
A.Dissociative disorders
B.Personality disorders
C.Anxiety disorders
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D.Psychotic disorders - Correct Answer - D
Delusions are false beliefs characteristic of psychosis (D). Delusions are
generally not characteristic of (A, B, and C).
A client is admitted with a diagnosis of depression. Which of the
following characteristics is most indicative of depression?
A.Grandiose ideation
B.Self-destructive thoughts
C.Suspiciousness of others
D.Negative self-image - Correct Answer - D
A negative self-image (D) is a specific indicator for depression. (A)
occurs with paranoia or paranoid ideation (C). (B) may be seen in
depressed clients, but not always.
An 8-year-old child is seen in the clinic with a green vaginal discharge.
Which action is most important for the nurse to implement?
A.Assess the child's blood pressure.
B.Counsel the child to wear cotton underwear.
C.Report as suspected child abuse.
D.Determine if the child takes bubble baths. - Correct Answer -C
A green vaginal discharge is indicative of gonorrhea, a sexually
transmitted disease. Because the child is 8 years old, the nurse should
suspect child abuse and report the incident to the proper authorities (C).
(A) is usually not related to infection. (B and D) are helpful in
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preventing bladder infections, but a green vaginal discharge is not a
symptom of a bladder infection.
Which ego defense mechanism is exhibited by a client with a phobia
related to refusal to leave home?
A.Denial
B.Symbolization
C.Fantasy
D.Intellectualization - Correct Answer -B
Symbolization (B) allows external objects to carry the internal emotional
feeling through some act such as refusing to leave a safe harbor. (A) is
the unconscious failure to acknowledge an event, thought, or feeling. (C)
is pretending, usually of a more desirable situation. (D) is using reason
to avoid emotional conflicts.
The nurse reviews the laboratory findings for a client's urine drug screen
that is positive for cocaine. Which client behavior should be expected
during cocaine withdrawal?
A.Psychomotor impairment
B.Agitation and hyperactivity
C.Detachment from reality and drowsiness
D.Distorted perceptions and hallucinations - Correct Answer -A
During cocaine withdrawal, the nurse should expect (A) and a pattern of
withdrawal symptoms similar to those of one who uses amphetamines.
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(B, C, and D) are signs and symptoms of a person who is high on
cocaine rather than one who is experiencing withdrawal from cocaine.
A client believes that his health care provider is an FBI agent and that
his apartment is a site for slave trading. The client believes that the FBI
has cameras in the apartment, so it is not safe to return there. Based on
these symptoms, which class of medication is most likely to find to be
prescribed for this client?
A.Antianxiety medication
B.Mood stabilizer
C.Antipsychotic
D.Sedative-hypnotic - Correct Answer - C
An antipsychotic (C) will be most likely prescribed because the client's
thoughts are delusional. The client needs an antipsychotic medication to
promote rational thoughts. (A) may lessen anxiety associated with the
delusions, but is not the treatment of choice for altered thoughts. (B) will
manage mood swings, and (D) will be prescribed for sleep.
The nurse is caring for a client who is taking the mood stabilizer
divalproex sodium (Depakote). Which laboratory finding is most
important to include in this client's record?
A.Liver function test results
B.Creatinine clearance
C.Complete blood count
D.Chemistry panel - Correct Answer -A
pg. 4
PSYCH MENTAL HEALTH HESI EXIT EXAM V1, V2 &
V3 NEWEST 2026 TEST BANK| 3 VERSIONS WITH
COMPLETE 450 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (MOST RECENT!!)
HESI PSYCH MENTAL HEALTH EXIT EXAM V1
A 35-year-old client admitted to the psychiatric unit of an acute care
hospital tells the nurse that someone is trying to poison her. The client's
delusions are most likely related to which factor?
A.Authority issues in childhood
B.Anger about being hospitalized
C.Low self-esteem
D.Phobia of food - Correct Answer - C
Delusional clients have difficulty with trust and have low self-esteem
(C). Nursing care should be directed at building trust and promoting
positive self-esteem. Activities with limited concentration and no
competition should be encouraged to build self-esteem. (A, B, and D)
are not specifically related to the development of delusions.
On admission, a highly anxious client is described as delusional.
Delusions are most likely to occur with which disorder?
A.Dissociative disorders
B.Personality disorders
C.Anxiety disorders
pg. 1
,2|Page
D.Psychotic disorders - Correct Answer - D
Delusions are false beliefs characteristic of psychosis (D). Delusions are
generally not characteristic of (A, B, and C).
A client is admitted with a diagnosis of depression. Which of the
following characteristics is most indicative of depression?
A.Grandiose ideation
B.Self-destructive thoughts
C.Suspiciousness of others
D.Negative self-image - Correct Answer - D
A negative self-image (D) is a specific indicator for depression. (A)
occurs with paranoia or paranoid ideation (C). (B) may be seen in
depressed clients, but not always.
An 8-year-old child is seen in the clinic with a green vaginal discharge.
Which action is most important for the nurse to implement?
A.Assess the child's blood pressure.
B.Counsel the child to wear cotton underwear.
C.Report as suspected child abuse.
D.Determine if the child takes bubble baths. - Correct Answer -C
A green vaginal discharge is indicative of gonorrhea, a sexually
transmitted disease. Because the child is 8 years old, the nurse should
suspect child abuse and report the incident to the proper authorities (C).
(A) is usually not related to infection. (B and D) are helpful in
pg. 2
,3|Page
preventing bladder infections, but a green vaginal discharge is not a
symptom of a bladder infection.
Which ego defense mechanism is exhibited by a client with a phobia
related to refusal to leave home?
A.Denial
B.Symbolization
C.Fantasy
D.Intellectualization - Correct Answer -B
Symbolization (B) allows external objects to carry the internal emotional
feeling through some act such as refusing to leave a safe harbor. (A) is
the unconscious failure to acknowledge an event, thought, or feeling. (C)
is pretending, usually of a more desirable situation. (D) is using reason
to avoid emotional conflicts.
The nurse reviews the laboratory findings for a client's urine drug screen
that is positive for cocaine. Which client behavior should be expected
during cocaine withdrawal?
A.Psychomotor impairment
B.Agitation and hyperactivity
C.Detachment from reality and drowsiness
D.Distorted perceptions and hallucinations - Correct Answer -A
During cocaine withdrawal, the nurse should expect (A) and a pattern of
withdrawal symptoms similar to those of one who uses amphetamines.
pg. 3
, 4|Page
(B, C, and D) are signs and symptoms of a person who is high on
cocaine rather than one who is experiencing withdrawal from cocaine.
A client believes that his health care provider is an FBI agent and that
his apartment is a site for slave trading. The client believes that the FBI
has cameras in the apartment, so it is not safe to return there. Based on
these symptoms, which class of medication is most likely to find to be
prescribed for this client?
A.Antianxiety medication
B.Mood stabilizer
C.Antipsychotic
D.Sedative-hypnotic - Correct Answer - C
An antipsychotic (C) will be most likely prescribed because the client's
thoughts are delusional. The client needs an antipsychotic medication to
promote rational thoughts. (A) may lessen anxiety associated with the
delusions, but is not the treatment of choice for altered thoughts. (B) will
manage mood swings, and (D) will be prescribed for sleep.
The nurse is caring for a client who is taking the mood stabilizer
divalproex sodium (Depakote). Which laboratory finding is most
important to include in this client's record?
A.Liver function test results
B.Creatinine clearance
C.Complete blood count
D.Chemistry panel - Correct Answer -A
pg. 4
