HESI PN MENTAL HEALTH COMPREHENSIVE TEST BANK
FINAL EXAM 2026 -2027 \LATEST UPDATE WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS\VERIFIED
100% ALREADY GRADED A+
The practical nurse (PN) is caring for a male client with schizophrenia who is
exhibiting forgetfulness, disinterest in activities, and difficulty completing tasks. Which
intervention should the PN implement?
A. provide a structured schedule of activities on the unit
B. direct the client to pay his own household bills
C. encourage the client to go to the day room to work a puzzle
D. enroll the client in three therapeutic group sessions each day
A. provide a structured schedule of activities on the unit
rationale:
The cognitive processes of an individual with schizophrenia are affected by disturbed
thought processes that impair memory, ability to focus attention,
judgement, and decision making. A structured schedule of activities (A) provides the
client social engagement without requiring the client to plan or make decisions. (B, C,
and D) are too stimulating or complex for this client.
,The nurse who is leading a group therapy session is called to manage a unit
emergency and assigns the practical nurse (PN) as the leader of the group. During the
therapeutic session, a client challenges the PN as the leader. Which response should
the practical nurse (PN) communicate?
A. You are saying that I should not be the leader?
B. Let's vote and see who should be the leader.
C. So, you do not like me or my leadership style?
D. You will not be the group leader ever.
A. You are saying that I should not be the leader?
rationale:
The nurse leader should provide a safe place for group members to challenge
authority. (A) allows exploration of how the client feels toward the PN's leadership.
Although a democratic leadership style (B) may be used in groups, the leader should
maintain control and not permit disruption of the therapeutic environment. (C and D) are
confrontational and non-therapeutic.
,4/8/26, 9:52 PM hesi mental health questions
A man who has been admitted numerous times for alcohol detoxification is found
wandering in the street and is unable to identify himself or his home address. He is
manifesting ataxia, nystagmus, and confusion and has a blood alcohol level (BAL) of
0.29%. Which prescribed medication should the practical nurse (PN) administer to
prevent Korsakoff's psychosis?
A. Thiamine
B. Benzodiazepines
C. Glucose solution
D. Haloperidol (Haldol)
A. Thiamine Rationale:
A BAL greater than 0.20% depresses the entire motor area of brain causing the client to
stagger, lose conscious control of reason, and react in an unpredictable manner.
The client's confusion and alcohol tolerance causing Wernicke's encephalopathy
places the client at risk for Korsakoff's psychosis, a form of amnesia characterized by
loss of short-term memory and precipitated by acute abstinence. Thiamine deficiency
causes Wernicke-Korsakoff's syndromes, so thiamine (B) should be administered.
(B,C,D) may be indicated during withdrawal but do not prevent
alcoholic encephalopathies.
s/ 3/63
, 4/8/26, 9:52 PM hesi mental health questions
An older client who is hospitalized with pneumonia becomes disoriented and
confused 2 days after admission. Which factor should the practical nurse (PN)
identify to differentiate that the client is experiencing delirium, not dementia?
A. impaired memory
B. clear awareness of surrounding
C. unrelated to specific cause
D. acute onset of symptoms
D. acute onset of symptoms
rationale:
Delirium has an acute onset (D) characterized by a reduced level of consciousness, not
(B), disturbed sleep-wake patterns, disorientation and perceptual problems, and is often
associated with drug cumulative effects, a medical condition, or
hospitalization, not (C). Dementia has a slow, insidious onset of symptoms, which
include impaired memory (A) with loss of abstract thinking, judgment, language and
motor skills and is often not reversible.
Which finding should the practical nurse (PN) report immediately when talking with a new
mother who is diagnosed with postpartum depression with psychotic features?
A. thoughts of harming her infant
B. personal hygiene
C. outbursts of anger
D. disinterest in her husband
A. thoughts of harming her infant
rationale:
thoughts of harming her infant (A) is consistent with postpartum depression and should
be reported immediately. Although (B,C,D) may occur in postpartum
depression, the major concern is the potential of harm to herself or to her infant.
s/ 4/63
FINAL EXAM 2026 -2027 \LATEST UPDATE WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS\VERIFIED
100% ALREADY GRADED A+
The practical nurse (PN) is caring for a male client with schizophrenia who is
exhibiting forgetfulness, disinterest in activities, and difficulty completing tasks. Which
intervention should the PN implement?
A. provide a structured schedule of activities on the unit
B. direct the client to pay his own household bills
C. encourage the client to go to the day room to work a puzzle
D. enroll the client in three therapeutic group sessions each day
A. provide a structured schedule of activities on the unit
rationale:
The cognitive processes of an individual with schizophrenia are affected by disturbed
thought processes that impair memory, ability to focus attention,
judgement, and decision making. A structured schedule of activities (A) provides the
client social engagement without requiring the client to plan or make decisions. (B, C,
and D) are too stimulating or complex for this client.
,The nurse who is leading a group therapy session is called to manage a unit
emergency and assigns the practical nurse (PN) as the leader of the group. During the
therapeutic session, a client challenges the PN as the leader. Which response should
the practical nurse (PN) communicate?
A. You are saying that I should not be the leader?
B. Let's vote and see who should be the leader.
C. So, you do not like me or my leadership style?
D. You will not be the group leader ever.
A. You are saying that I should not be the leader?
rationale:
The nurse leader should provide a safe place for group members to challenge
authority. (A) allows exploration of how the client feels toward the PN's leadership.
Although a democratic leadership style (B) may be used in groups, the leader should
maintain control and not permit disruption of the therapeutic environment. (C and D) are
confrontational and non-therapeutic.
,4/8/26, 9:52 PM hesi mental health questions
A man who has been admitted numerous times for alcohol detoxification is found
wandering in the street and is unable to identify himself or his home address. He is
manifesting ataxia, nystagmus, and confusion and has a blood alcohol level (BAL) of
0.29%. Which prescribed medication should the practical nurse (PN) administer to
prevent Korsakoff's psychosis?
A. Thiamine
B. Benzodiazepines
C. Glucose solution
D. Haloperidol (Haldol)
A. Thiamine Rationale:
A BAL greater than 0.20% depresses the entire motor area of brain causing the client to
stagger, lose conscious control of reason, and react in an unpredictable manner.
The client's confusion and alcohol tolerance causing Wernicke's encephalopathy
places the client at risk for Korsakoff's psychosis, a form of amnesia characterized by
loss of short-term memory and precipitated by acute abstinence. Thiamine deficiency
causes Wernicke-Korsakoff's syndromes, so thiamine (B) should be administered.
(B,C,D) may be indicated during withdrawal but do not prevent
alcoholic encephalopathies.
s/ 3/63
, 4/8/26, 9:52 PM hesi mental health questions
An older client who is hospitalized with pneumonia becomes disoriented and
confused 2 days after admission. Which factor should the practical nurse (PN)
identify to differentiate that the client is experiencing delirium, not dementia?
A. impaired memory
B. clear awareness of surrounding
C. unrelated to specific cause
D. acute onset of symptoms
D. acute onset of symptoms
rationale:
Delirium has an acute onset (D) characterized by a reduced level of consciousness, not
(B), disturbed sleep-wake patterns, disorientation and perceptual problems, and is often
associated with drug cumulative effects, a medical condition, or
hospitalization, not (C). Dementia has a slow, insidious onset of symptoms, which
include impaired memory (A) with loss of abstract thinking, judgment, language and
motor skills and is often not reversible.
Which finding should the practical nurse (PN) report immediately when talking with a new
mother who is diagnosed with postpartum depression with psychotic features?
A. thoughts of harming her infant
B. personal hygiene
C. outbursts of anger
D. disinterest in her husband
A. thoughts of harming her infant
rationale:
thoughts of harming her infant (A) is consistent with postpartum depression and should
be reported immediately. Although (B,C,D) may occur in postpartum
depression, the major concern is the potential of harm to herself or to her infant.
s/ 4/63
