HESI RN MENTAL HEALTH NGN
FORMAT NEWEST 2025 ACTUAL
EXAM ALL 120 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST VERSIONS
Akmental khealthkworkerkiskcaringkforkakclientkwithkescalatingkaggressivekbehavior.kWhichkactionkbykthekMH
WkwarrantkimmediatekinterventionkbykthekRN?
A.kIskattemptingktokphysicallykrestrainkthekpatient.
B.kTellskthe kclientktokgoktokthe kquietkareakofkthekunit.
C.kIskusingkakloudkvoicektoktalkktokthe kclient.
D.kRemainskatkakdistance kof k4kfeetkfromkthekclient.k-kCORRECTkANSWER-
A.kIskattemptingktokphysicallykrestrainkthekpatient.
Akclientkiskadmittedktokthekmentalkhealthkunitkandkreportsktakingkextrakantianxietykmedicationkbecause,k"I'
mksokstressedkout.kIkjustkwantktokgoktoksleep."kThekRNkshouldkplankone-on-
one kobservationkofkthekclientkbasedkonkwhichkstatement?
A.k"WhatkshouldkIkdo?kNothingkseemsktokhelp."
B.k"Ikhave kbeenksoktiredklatelykandkneededktoksleep."
C.k"IkreallykthinkkthatkIkdon'tkneedktokbekhere."
D.k"Ikdon'tkwantktokwalk.kNothingkmatterskanymore."k-kCORRECTkANSWER-
D.k"Ikdon'tkwantktokwalk.kNothingkmatterskanymore."
The kRNkiskperformingkintakekinterviewskatkakpsychiatrickclinic.kAkfemale kclientkwithkakknownkhistorykofkdrug
kabuse kreports kthatkshe khadkakheartkattack kfourkyearskago.kUseofkwhichksubstance kplaceskthekclientkatkhigh
estkriskkforkmyocardialkinfarction?
A.kBenzodiazepine
B.kAlcohol
C.kMethamphetamine
,D.kMarijuanak-kCORRECTkANSWER-C.kMethamphetamine
Akmale kclientkcomesktokthekemergencykcenterkbecausekhekhaskankerectionkthatkwillknotkresolve.kThekclientk
reportskthatkhe kisktakingktrazodonek(Desyrel) kforkinsomnia.kWhichkinformationkiskmostkimportantkforkthekn
urse kaskkthe kclient?
A.kWhenkwasktheklastktime kyoukdrankkalcoholickbeverage?
B.kHave kyouktakenkanykmedicationskforkerectilekdysfunction?
C.kAre kyoukhavingkanykotherksexual kdysfunctionskorkproblems?
D.kDokyoukhave kakhistorykof kanginakorkhighkbloodkpressure?k-kCORRECTkANSWER-
B.kHave kyouktakenkanykmedicationskforkerectilekdysfunction?
Akfemale kclientkadmittedktokthekmentalkhealthkunitkstartsktokshoutkandkscreamkatkthekRN.kWhatkiskthekbestk
approachkforkthe kRNktoktake?
A.kStaykquietlykwithkthekpatient
B.kTell kherkthatkshekiskoutkofkcontrol.
C.kDistractkherkbykofferingkherkfingerkfoods.
D.kIgnore kthe kclient'skactingkoutkbehavior.k-kCORRECTkANSWER-A.kStaykquietlykwithkthe kpatient
Whenkdevelopingkakplankof kcarekforkakclientkadmittedktokthekpsychiatrickunitkfollowingkaspirationkofkakcaus
tickmaterial krelatedktokaksuicidekattempt,kwhichknursingkproblemkhaskthekhighestkpriority?
A.kImpairedkcomfort.
B.kRiskkforkinjury.
C.kIneffectivekbreathingkpattern.
D.kIneffectivekcoping.k-kCORRECTkANSWER-C.kIneffectivekbreathingkpattern.
Akfemale kclientkonkakpsychiatrickunitkisksweatingkprofuselykwhile kshekvigorouslykdoeskpush-
upskandkthenkrunskthe klengthkof kthe kcorridorkseveralktimeskbeforekcrashingkintokfurniturekinktheksittingkroo
m.kPickingkherselfkup,kshekbeginsktoktosskchairskaside,klookingkforkakredkone ktoksitkin.kWhenkanotherkclientko
bjectsktokthe kdisturbance,kthekclientkshouts,k"Ikamkthe kbosskhere.kIkdokwhatkIkwant."kWhichknursingkproble
mkbestksupportskthesekobservations?
A.kDeficientkdiversionalkactivitykrelatedktokexcesskenergyklevel.
B.kRiskkforkotherkrelatedkviolencekrelatedktokdisruptivekbehavior.
,C.kRiskkforkactivitykintolerance krelatedktokhyperactivity.
D.kDisturbedkpersonalkidentitykrelatedktokgrandiosity.k-kCORRECTkANSWER-
B.kRiskkforkotherkrelatedkviolencekrelatedktokdisruptivekbehavior.
AkRNkiskpreparingkthekphysical kenvironmentktokinterviewkaknewkclientkforkadmissionktokthe kmental khealthk
unit.kWhichkenvironmentalksettingkfacilitateskthe kbestkoutcome kofkthekinterview?
A.kDimkthe klightskinkthekroomktokhelpkthe kpatientkfeelkcalm.
B.kSitkwithinktwokfeetkof kthe kclientktokenhanceklevelkofksafetykandksecurity.
C.kReduce kthe knoise klevel kinkthe kroomkbykturningkoff kthe ktelevisionkandkradio.
D.kPositionktablekbetweenkthekclientkandkthekRNkforkextrakpersonal kspace.k-kCORRECTkANSWER-
C.kReduce kthe knoise klevel kinkthe kroomkbykturningkoff kthe ktelevisionkandkradio.
The kRNkiskprovidingkeducationkaboutkstrategieskforkaksafetykplankforkakfemalekclientkwhokiskakvictimkof kinti
mate kpartnerkviolence.kWhichkstrategieskshouldkbe kincludedkinktheksafetykplan?k(Selectkall kthatkapply)
A.kPurchase kakgunktokuse kforkprotection.
B.kEstablishkakcode kwithkfamilykandkfriendsktoksignifykviolence.
C.kTake kakself-defense kcourse kthatkretaliateskthekabuserkwithkinjury.k
D.kHave kakbagkreadykthatkhaskextrakclotheskforkself kandkchildren.
E.kPlankankescape kroutektokusekif kthe kabuserkblockskthekmainkexit.k-kCORRECTkANSWER-
B.kEstablishkakcode kwithkfamilykandkfriendsktoksignifykviolence.
D.kHave kakbagkreadykthatkhaskextrakclotheskforkself kandkchildren.
E.kPlankankescape kroutektokusekif kthe kabuserkblockskthekmainkexit.
The kRNkiskadmittingkakmalekclientkwhoktakesklithiumkcarbonatek(Eskalith)ktwice kakday.kWhichkinformationks
houldkthe kRNkreportktokthekHCPkimmediately?
A.kShortktermkmemorykloss.
B.kFive kpoundkweightkgain
C.kDecreasedkaffect.
D.kNauseakandkvomiting.k-kCORRECTkANSWER-D.kNauseakandkvomiting.
, Akhomelesskclientkwhokreportskfeelingksadkandkdepressedktellskthekmental khealthknurse kthatkinkthe kpastk2k
dayskshe khaskonlykhadk4khourskofksleep.kWhichkactionkiskmostkimportantkforkthekRNktokimplementkwithinkth
e kfirstk24khourskafterktreatmentkiskinitiated?
A.kAllowkthe kclientktokrestkandksleep.
B.kEnsure kclientkattendkgroupskaddressingkcopingkskillskforkdealingkwithkdepression.
C.kBeginkplanningkforkthe kclientskdischarge.
D.kEncourage kverbalizationkofkfeelings.k-kCORRECTkANSWER-A.kAllowkthekclientktokrestkandksleep.
AkRNkiskteachingkakclientkaboutkinitiationkofkakprescribedkabstinence ktherapykusingkDisulfiramk(Antabuse).k
Whatkinformationkshouldkthe kclientkacknowledgekunderstanding?
A.kAdmitktokotherskthatkhekiskaksubstance kabuser.
B.kRemainkalcoholkfreekfork12khourskpriorktokfirstkdose.
C.kAttendkmonthlykmeetingskofkalcoholicskanonymous.
D.kCompletelyksustainkfromkheroinkorkcocainekuse.k-kCORRECTkANSWER-
B.kRemainkalcoholkfreekfork12khourskpriorktokfirstkdose.
WhichkclientkstatementksuggestskthekRNkthatkthekclientkiskusingkakdefense kmechanismkofkprojectionktokdea
l kwithkanxietykrelatedktokadmissionktokakpsychiatricunit?
A.kAtkleastkIkhitkthe kwallkinsteadkofkhittingkthekpsychiatrickaide.
B.kIkamkhere kbecause kthe kpolicekthoughtkIkwaskdoingksomethingkwrong.k
C.kIkwantktokbe khere kbecause kIkknowkitkiskthekbestkpsychiatrickfacility.k
D.kDon'tkbelievekeverythingkmykfamilyktellskyou,kIkamknotkcrazy.k-kCORRECTkANSWER-
B.kIkamkhere kbecause kthe kpolicekthoughtkIkwaskdoingksomethingkwrong.
The kRNkdocumentskthekmentalkstatuskofkakfemalekclientkwhokhaskbeenkhospitalizedkforkseveralkdayskbykcou
rtkorder.kThe kclientkstates"kIkdon'tkneedktokbekhere,"kandktellskthekRNkthatkshekbelieveskthatkthe kT.V.ktalkskt
okher.kThe kRNkshouldkdocumentkthesekassessmentkstatementskinkwhichksectionkofkthekmental kstatuskexam
?
A.kInsightkandkjudgement.
B.kMoodkandkaffect.
C.kRemote kmemory.
D.kLevel kof kconcentration.k-kCORRECTkANSWER-A.kInsightkandkjudgement.
FORMAT NEWEST 2025 ACTUAL
EXAM ALL 120 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST VERSIONS
Akmental khealthkworkerkiskcaringkforkakclientkwithkescalatingkaggressivekbehavior.kWhichkactionkbykthekMH
WkwarrantkimmediatekinterventionkbykthekRN?
A.kIskattemptingktokphysicallykrestrainkthekpatient.
B.kTellskthe kclientktokgoktokthe kquietkareakofkthekunit.
C.kIskusingkakloudkvoicektoktalkktokthe kclient.
D.kRemainskatkakdistance kof k4kfeetkfromkthekclient.k-kCORRECTkANSWER-
A.kIskattemptingktokphysicallykrestrainkthekpatient.
Akclientkiskadmittedktokthekmentalkhealthkunitkandkreportsktakingkextrakantianxietykmedicationkbecause,k"I'
mksokstressedkout.kIkjustkwantktokgoktoksleep."kThekRNkshouldkplankone-on-
one kobservationkofkthekclientkbasedkonkwhichkstatement?
A.k"WhatkshouldkIkdo?kNothingkseemsktokhelp."
B.k"Ikhave kbeenksoktiredklatelykandkneededktoksleep."
C.k"IkreallykthinkkthatkIkdon'tkneedktokbekhere."
D.k"Ikdon'tkwantktokwalk.kNothingkmatterskanymore."k-kCORRECTkANSWER-
D.k"Ikdon'tkwantktokwalk.kNothingkmatterskanymore."
The kRNkiskperformingkintakekinterviewskatkakpsychiatrickclinic.kAkfemale kclientkwithkakknownkhistorykofkdrug
kabuse kreports kthatkshe khadkakheartkattack kfourkyearskago.kUseofkwhichksubstance kplaceskthekclientkatkhigh
estkriskkforkmyocardialkinfarction?
A.kBenzodiazepine
B.kAlcohol
C.kMethamphetamine
,D.kMarijuanak-kCORRECTkANSWER-C.kMethamphetamine
Akmale kclientkcomesktokthekemergencykcenterkbecausekhekhaskankerectionkthatkwillknotkresolve.kThekclientk
reportskthatkhe kisktakingktrazodonek(Desyrel) kforkinsomnia.kWhichkinformationkiskmostkimportantkforkthekn
urse kaskkthe kclient?
A.kWhenkwasktheklastktime kyoukdrankkalcoholickbeverage?
B.kHave kyouktakenkanykmedicationskforkerectilekdysfunction?
C.kAre kyoukhavingkanykotherksexual kdysfunctionskorkproblems?
D.kDokyoukhave kakhistorykof kanginakorkhighkbloodkpressure?k-kCORRECTkANSWER-
B.kHave kyouktakenkanykmedicationskforkerectilekdysfunction?
Akfemale kclientkadmittedktokthekmentalkhealthkunitkstartsktokshoutkandkscreamkatkthekRN.kWhatkiskthekbestk
approachkforkthe kRNktoktake?
A.kStaykquietlykwithkthekpatient
B.kTell kherkthatkshekiskoutkofkcontrol.
C.kDistractkherkbykofferingkherkfingerkfoods.
D.kIgnore kthe kclient'skactingkoutkbehavior.k-kCORRECTkANSWER-A.kStaykquietlykwithkthe kpatient
Whenkdevelopingkakplankof kcarekforkakclientkadmittedktokthekpsychiatrickunitkfollowingkaspirationkofkakcaus
tickmaterial krelatedktokaksuicidekattempt,kwhichknursingkproblemkhaskthekhighestkpriority?
A.kImpairedkcomfort.
B.kRiskkforkinjury.
C.kIneffectivekbreathingkpattern.
D.kIneffectivekcoping.k-kCORRECTkANSWER-C.kIneffectivekbreathingkpattern.
Akfemale kclientkonkakpsychiatrickunitkisksweatingkprofuselykwhile kshekvigorouslykdoeskpush-
upskandkthenkrunskthe klengthkof kthe kcorridorkseveralktimeskbeforekcrashingkintokfurniturekinktheksittingkroo
m.kPickingkherselfkup,kshekbeginsktoktosskchairskaside,klookingkforkakredkone ktoksitkin.kWhenkanotherkclientko
bjectsktokthe kdisturbance,kthekclientkshouts,k"Ikamkthe kbosskhere.kIkdokwhatkIkwant."kWhichknursingkproble
mkbestksupportskthesekobservations?
A.kDeficientkdiversionalkactivitykrelatedktokexcesskenergyklevel.
B.kRiskkforkotherkrelatedkviolencekrelatedktokdisruptivekbehavior.
,C.kRiskkforkactivitykintolerance krelatedktokhyperactivity.
D.kDisturbedkpersonalkidentitykrelatedktokgrandiosity.k-kCORRECTkANSWER-
B.kRiskkforkotherkrelatedkviolencekrelatedktokdisruptivekbehavior.
AkRNkiskpreparingkthekphysical kenvironmentktokinterviewkaknewkclientkforkadmissionktokthe kmental khealthk
unit.kWhichkenvironmentalksettingkfacilitateskthe kbestkoutcome kofkthekinterview?
A.kDimkthe klightskinkthekroomktokhelpkthe kpatientkfeelkcalm.
B.kSitkwithinktwokfeetkof kthe kclientktokenhanceklevelkofksafetykandksecurity.
C.kReduce kthe knoise klevel kinkthe kroomkbykturningkoff kthe ktelevisionkandkradio.
D.kPositionktablekbetweenkthekclientkandkthekRNkforkextrakpersonal kspace.k-kCORRECTkANSWER-
C.kReduce kthe knoise klevel kinkthe kroomkbykturningkoff kthe ktelevisionkandkradio.
The kRNkiskprovidingkeducationkaboutkstrategieskforkaksafetykplankforkakfemalekclientkwhokiskakvictimkof kinti
mate kpartnerkviolence.kWhichkstrategieskshouldkbe kincludedkinktheksafetykplan?k(Selectkall kthatkapply)
A.kPurchase kakgunktokuse kforkprotection.
B.kEstablishkakcode kwithkfamilykandkfriendsktoksignifykviolence.
C.kTake kakself-defense kcourse kthatkretaliateskthekabuserkwithkinjury.k
D.kHave kakbagkreadykthatkhaskextrakclotheskforkself kandkchildren.
E.kPlankankescape kroutektokusekif kthe kabuserkblockskthekmainkexit.k-kCORRECTkANSWER-
B.kEstablishkakcode kwithkfamilykandkfriendsktoksignifykviolence.
D.kHave kakbagkreadykthatkhaskextrakclotheskforkself kandkchildren.
E.kPlankankescape kroutektokusekif kthe kabuserkblockskthekmainkexit.
The kRNkiskadmittingkakmalekclientkwhoktakesklithiumkcarbonatek(Eskalith)ktwice kakday.kWhichkinformationks
houldkthe kRNkreportktokthekHCPkimmediately?
A.kShortktermkmemorykloss.
B.kFive kpoundkweightkgain
C.kDecreasedkaffect.
D.kNauseakandkvomiting.k-kCORRECTkANSWER-D.kNauseakandkvomiting.
, Akhomelesskclientkwhokreportskfeelingksadkandkdepressedktellskthekmental khealthknurse kthatkinkthe kpastk2k
dayskshe khaskonlykhadk4khourskofksleep.kWhichkactionkiskmostkimportantkforkthekRNktokimplementkwithinkth
e kfirstk24khourskafterktreatmentkiskinitiated?
A.kAllowkthe kclientktokrestkandksleep.
B.kEnsure kclientkattendkgroupskaddressingkcopingkskillskforkdealingkwithkdepression.
C.kBeginkplanningkforkthe kclientskdischarge.
D.kEncourage kverbalizationkofkfeelings.k-kCORRECTkANSWER-A.kAllowkthekclientktokrestkandksleep.
AkRNkiskteachingkakclientkaboutkinitiationkofkakprescribedkabstinence ktherapykusingkDisulfiramk(Antabuse).k
Whatkinformationkshouldkthe kclientkacknowledgekunderstanding?
A.kAdmitktokotherskthatkhekiskaksubstance kabuser.
B.kRemainkalcoholkfreekfork12khourskpriorktokfirstkdose.
C.kAttendkmonthlykmeetingskofkalcoholicskanonymous.
D.kCompletelyksustainkfromkheroinkorkcocainekuse.k-kCORRECTkANSWER-
B.kRemainkalcoholkfreekfork12khourskpriorktokfirstkdose.
WhichkclientkstatementksuggestskthekRNkthatkthekclientkiskusingkakdefense kmechanismkofkprojectionktokdea
l kwithkanxietykrelatedktokadmissionktokakpsychiatricunit?
A.kAtkleastkIkhitkthe kwallkinsteadkofkhittingkthekpsychiatrickaide.
B.kIkamkhere kbecause kthe kpolicekthoughtkIkwaskdoingksomethingkwrong.k
C.kIkwantktokbe khere kbecause kIkknowkitkiskthekbestkpsychiatrickfacility.k
D.kDon'tkbelievekeverythingkmykfamilyktellskyou,kIkamknotkcrazy.k-kCORRECTkANSWER-
B.kIkamkhere kbecause kthe kpolicekthoughtkIkwaskdoingksomethingkwrong.
The kRNkdocumentskthekmentalkstatuskofkakfemalekclientkwhokhaskbeenkhospitalizedkforkseveralkdayskbykcou
rtkorder.kThe kclientkstates"kIkdon'tkneedktokbekhere,"kandktellskthekRNkthatkshekbelieveskthatkthe kT.V.ktalkskt
okher.kThe kRNkshouldkdocumentkthesekassessmentkstatementskinkwhichksectionkofkthekmental kstatuskexam
?
A.kInsightkandkjudgement.
B.kMoodkandkaffect.
C.kRemote kmemory.
D.kLevel kof kconcentration.k-kCORRECTkANSWER-A.kInsightkandkjudgement.
