MENTAL HEALTH HESI-2025 ACTUAL EXAM 300+ QUESTIONS AND
ANSWERS| WELL STRUCTURED AND EASY TO FOLLOW| A+ GRADED|
While interviewing a client, the nurse takes notes to assist with
accurate documentation later. Which statement is most accurate
regarding note-taking during an interview?
A. The nurse' ability to directly observe the client's nonverbal
communication is limited
with note taking.
A
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 normal pace.
An adolescent male receives a prescription for an antidepressant
drug because he is exhibiting 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? B
A. His appetite.
B. The emotional quality of his attitude
C. His level of activity.
D. The interactions he has with others.
A nurse is providing education about strategies 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 BCD
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.
D. Have a bag ready that has extra clothes for self and children
While sitting in the dayroom of the mental health unit, a male
adolescent avoids eye contact, 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? B
A. Discuss the client's feeling when he responds.
B. Allow the client to identify the way he interacts.
C. Initiate a non-threatening conversation with the client.
D. Dialog about the ineffectiveness of his interactions.)
A client with depression remains in bed most of the day, and
declines activities.Which nursing problem has the greatest priority
for this client?
A. Loss of interest in diversional activity. C
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
The RN is preparing medications for a client with bipolar disorder
and notices that the client discontinued antipsychotic medication
for several days. Which medication should also be discontinued?
a. Lithium. (Lithotabs) B
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).
A female client requests that her husband be allowed to stay in
the room during the admission assessment. When interviewing
the client, the RN notes a discrepancy between the client's verbal
and nonverbal communication. What action does the RN take?
, MENTAL HEALTH HESI-2025 ACTUAL EXAM 300+ QUESTIONS AND
ANSWERS| WELL STRUCTURED AND EASY TO FOLLOW| A+ GRADED|
A. Pay close attention and document the nonverbal messages.
B. Ask the client's husband to interpret the discrepancy.
C. Ignore the nonverbal behavior and focus on the client's verbal
A
messages.
D. Integrate the verbal and nonverbal messages and interpret
them as one.
A male client approaches the RN with an angry expression on
his face and raises his voice, saying "My roommate is the most
selfish, 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? B
A. Denial.
B. Projection.
C. Rationalization.
D. Splitting.
A male client with bipolar disorder who began taking lithium car-
bonate five days ago is complaining of excessive thirst, and the
RN finds him attempting to drink water from the bathroom sink
faucet. Which intervention should the RN implement?
A. Report the client's serum lithium level to the HCP. A
B. Encourage the client to suck on hard candy to relieve the
symptoms.
C. No action is needed since polydipsia is a common side effect.
D. Tell the client that drinking from the faucet is not allowed.
The RN is teaching a client about the initiation of the prescribed
abstinence therapy using disulfiram (Antabuse). What information
should the client acknowledge understanding?
A. Completely abstain from heroin or cocaine use. B
B. Remain alcohol free for 12 hours prior to the first dose.
C. Attend monthly meetings of alcoholics anonymous.
D. Admit to others that he is a substance user.
A male client with schizophrenia is admitted to the mental health
unit after abruptly stopping his prescription for ziprasidone (Ge-
odon) one month ago. Which question is most important for the
RN to ask the client?
D
A. Have you lost interest in the things that you used to enjoy?
B. Is your ability to think or concentrate decreased?
C. How many continuous hours do you sleep at night?
D. Do you hear sounds or voices that others do not hear?
During an annual physical by the occupational RN working in a
corporate clinic, a male employee tells the RN that is high-stress
job is causing trouble in his personal life. He further explains that
he often gets so angry while driving to and from work that he has
considered "getting even" with other drivers. How should the RN
respond?
D
A. "Anger is contagious and could result in major confrontation."
B. "Try not to let your anger cause you to act impulsively."
C. "Expressing your anger to a stranger could result in an unsafe
situation."
D. "It sounds as if there are many situations that make you feel
angry."
A client who has agoraphobia (a fear of crowds) is beginning
desensitization with the therapist, and the RN is reinforcing the
process. Which intervention has the highest priority for this client's
B
plan of care?
A. Encourage substitution of positive thoughts and negative ones.
B. Establish trust by providing a calm, safe environment.
, MENTAL HEALTH HESI-2025 ACTUAL EXAM 300+ QUESTIONS AND
ANSWERS| WELL STRUCTURED AND EASY TO FOLLOW| A+ GRADED|
C. Progressively expose the client to larger crowds.
D. Encourage deep breathing when anxiety escalates in a crowd.
Which nursing actions are likely to help promote the self-esteem
of a male client with modern depression?
A. Ask the client what his long term goals are.
B. Discuss the challenges of his medical condition. ADE
C. Include the client in determining treatment protocol.
D. Encourage the client to engage in recreational therapy.
E. Provide opportunities for the client to discuss his concerns.
A male client is admitted to the psychiatric unit for recurrent
negative symptoms of chronic schizophrenia and medication ad-
justment of Risperidone (Risperdal). When the client walks to the
nurse's station in a laterally contracted position, he states that
something has made his body contort into a monster. What action
should the RN take?
A. Medicate the client with the prescribed antipsychotic thiori-
D
dazine (Mellaril).
B. Offer the client a prescribed physical therapy hot pack for
muscle spasms.
C. Direct client to occupational therapy to distract him from somat-
ic complaints.
D. Administer the prescribed anticholinergic benztropine (Co-
gentin) for dystonia.
A mental health worker is caring for a client with escalating ag-
gressive behavior. Which action by the MHW warrant immediate
intervention by the RN?
A. Is attempting to physically restrain the patient. A
B. Tells the client to go to the quiet area of the unit.
C. Is using a loid voice to talk to the client.
D. Remains at a distance of 4 feet from the client.
A client on the mental health unit is becoming more agitated,
shouting at the staff, and pacing in the hallway. When the PRN
medication is offered, the client refuses the medication and defi-
antly sits on the floor in the middle of the unit hallway. What nursing
intervention should the RN implement first? C
A. Transport of the client to the seclusion room.
B. Quietly approach the client with additional staff members.
C. Take other clients in the area to the client lounge.
D. Administer medication to chemically restrain the patient.
A client is admitted to the mental health unit and reports taking
extra antianxiety medication because, "I'm so stressed out. I just
want to go to sleep." The RN should plan one-on-one observation
of the client based on which statement?
A. "What should I do? Nothing seems to help." D
B. "I have been so tired lately and needed to sleep."
C. "I really think that I don't need to be here."
D. "I don't want to walk. Nothing matters anymore."
A male hospital employee is pushed out the way by a female
employee because of an oncoming gurney. The pushed employee
becomes very angry and swings at the female employee. Both
employees are referred for counseling with the staff psychiatric
RN. Which factor in the pushed employee's history is most related
C
to the reaction that occurred?
A. Is worried about losing his job to a woman.
B. Tortured animals as a child.
C. Was physically abused by his mother.
D. Hates to be touched by anyone.
ANSWERS| WELL STRUCTURED AND EASY TO FOLLOW| A+ GRADED|
While interviewing a client, the nurse takes notes to assist with
accurate documentation later. Which statement is most accurate
regarding note-taking during an interview?
A. The nurse' ability to directly observe the client's nonverbal
communication is limited
with note taking.
A
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 normal pace.
An adolescent male receives a prescription for an antidepressant
drug because he is exhibiting 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? B
A. His appetite.
B. The emotional quality of his attitude
C. His level of activity.
D. The interactions he has with others.
A nurse is providing education about strategies 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 BCD
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.
D. Have a bag ready that has extra clothes for self and children
While sitting in the dayroom of the mental health unit, a male
adolescent avoids eye contact, 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? B
A. Discuss the client's feeling when he responds.
B. Allow the client to identify the way he interacts.
C. Initiate a non-threatening conversation with the client.
D. Dialog about the ineffectiveness of his interactions.)
A client with depression remains in bed most of the day, and
declines activities.Which nursing problem has the greatest priority
for this client?
A. Loss of interest in diversional activity. C
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
The RN is preparing medications for a client with bipolar disorder
and notices that the client discontinued antipsychotic medication
for several days. Which medication should also be discontinued?
a. Lithium. (Lithotabs) B
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).
A female client requests that her husband be allowed to stay in
the room during the admission assessment. When interviewing
the client, the RN notes a discrepancy between the client's verbal
and nonverbal communication. What action does the RN take?
, MENTAL HEALTH HESI-2025 ACTUAL EXAM 300+ QUESTIONS AND
ANSWERS| WELL STRUCTURED AND EASY TO FOLLOW| A+ GRADED|
A. Pay close attention and document the nonverbal messages.
B. Ask the client's husband to interpret the discrepancy.
C. Ignore the nonverbal behavior and focus on the client's verbal
A
messages.
D. Integrate the verbal and nonverbal messages and interpret
them as one.
A male client approaches the RN with an angry expression on
his face and raises his voice, saying "My roommate is the most
selfish, 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? B
A. Denial.
B. Projection.
C. Rationalization.
D. Splitting.
A male client with bipolar disorder who began taking lithium car-
bonate five days ago is complaining of excessive thirst, and the
RN finds him attempting to drink water from the bathroom sink
faucet. Which intervention should the RN implement?
A. Report the client's serum lithium level to the HCP. A
B. Encourage the client to suck on hard candy to relieve the
symptoms.
C. No action is needed since polydipsia is a common side effect.
D. Tell the client that drinking from the faucet is not allowed.
The RN is teaching a client about the initiation of the prescribed
abstinence therapy using disulfiram (Antabuse). What information
should the client acknowledge understanding?
A. Completely abstain from heroin or cocaine use. B
B. Remain alcohol free for 12 hours prior to the first dose.
C. Attend monthly meetings of alcoholics anonymous.
D. Admit to others that he is a substance user.
A male client with schizophrenia is admitted to the mental health
unit after abruptly stopping his prescription for ziprasidone (Ge-
odon) one month ago. Which question is most important for the
RN to ask the client?
D
A. Have you lost interest in the things that you used to enjoy?
B. Is your ability to think or concentrate decreased?
C. How many continuous hours do you sleep at night?
D. Do you hear sounds or voices that others do not hear?
During an annual physical by the occupational RN working in a
corporate clinic, a male employee tells the RN that is high-stress
job is causing trouble in his personal life. He further explains that
he often gets so angry while driving to and from work that he has
considered "getting even" with other drivers. How should the RN
respond?
D
A. "Anger is contagious and could result in major confrontation."
B. "Try not to let your anger cause you to act impulsively."
C. "Expressing your anger to a stranger could result in an unsafe
situation."
D. "It sounds as if there are many situations that make you feel
angry."
A client who has agoraphobia (a fear of crowds) is beginning
desensitization with the therapist, and the RN is reinforcing the
process. Which intervention has the highest priority for this client's
B
plan of care?
A. Encourage substitution of positive thoughts and negative ones.
B. Establish trust by providing a calm, safe environment.
, MENTAL HEALTH HESI-2025 ACTUAL EXAM 300+ QUESTIONS AND
ANSWERS| WELL STRUCTURED AND EASY TO FOLLOW| A+ GRADED|
C. Progressively expose the client to larger crowds.
D. Encourage deep breathing when anxiety escalates in a crowd.
Which nursing actions are likely to help promote the self-esteem
of a male client with modern depression?
A. Ask the client what his long term goals are.
B. Discuss the challenges of his medical condition. ADE
C. Include the client in determining treatment protocol.
D. Encourage the client to engage in recreational therapy.
E. Provide opportunities for the client to discuss his concerns.
A male client is admitted to the psychiatric unit for recurrent
negative symptoms of chronic schizophrenia and medication ad-
justment of Risperidone (Risperdal). When the client walks to the
nurse's station in a laterally contracted position, he states that
something has made his body contort into a monster. What action
should the RN take?
A. Medicate the client with the prescribed antipsychotic thiori-
D
dazine (Mellaril).
B. Offer the client a prescribed physical therapy hot pack for
muscle spasms.
C. Direct client to occupational therapy to distract him from somat-
ic complaints.
D. Administer the prescribed anticholinergic benztropine (Co-
gentin) for dystonia.
A mental health worker is caring for a client with escalating ag-
gressive behavior. Which action by the MHW warrant immediate
intervention by the RN?
A. Is attempting to physically restrain the patient. A
B. Tells the client to go to the quiet area of the unit.
C. Is using a loid voice to talk to the client.
D. Remains at a distance of 4 feet from the client.
A client on the mental health unit is becoming more agitated,
shouting at the staff, and pacing in the hallway. When the PRN
medication is offered, the client refuses the medication and defi-
antly sits on the floor in the middle of the unit hallway. What nursing
intervention should the RN implement first? C
A. Transport of the client to the seclusion room.
B. Quietly approach the client with additional staff members.
C. Take other clients in the area to the client lounge.
D. Administer medication to chemically restrain the patient.
A client is admitted to the mental health unit and reports taking
extra antianxiety medication because, "I'm so stressed out. I just
want to go to sleep." The RN should plan one-on-one observation
of the client based on which statement?
A. "What should I do? Nothing seems to help." D
B. "I have been so tired lately and needed to sleep."
C. "I really think that I don't need to be here."
D. "I don't want to walk. Nothing matters anymore."
A male hospital employee is pushed out the way by a female
employee because of an oncoming gurney. The pushed employee
becomes very angry and swings at the female employee. Both
employees are referred for counseling with the staff psychiatric
RN. Which factor in the pushed employee's history is most related
C
to the reaction that occurred?
A. Is worried about losing his job to a woman.
B. Tortured animals as a child.
C. Was physically abused by his mother.
D. Hates to be touched by anyone.
