HESI Mental Health Test Bank Exam 3(2025) comprehensive questions
and verified answers ( detailed & elaborated) 2025-2026 TEST
Which client statement suggests the RN that the client is using a defense
mechanism of
projection to deal with anxiety related to admission to a psychiatric unit?
A. At least I hit the wall instead of hitting the psychiatric aide.
B. I am here because the police thought I was doing something wrong.
C. I want to be here because I know it is the best psychiatric facility.
D. Don't believe everything my family tells you, I am not crazy.
B
A male client is admitted to the psychiatric inpatient unit with a bandaged flesh
wound after
attempting to shoot himself. He was divorced one year ago. Lost his job four
months ago, and
suffered a breakup of is current relationship last week. What is most likely
source of this client's
current feelings of depression?
A. Feelings of frustration.
B. A sense of loss
C. Poor self-esteem.
D. A lack of intimate relationships.
B
The RN documents the mental status of a female client who has been
hospitalized for several
days by court order. The client states"I don't need to be here," and tells the RN
that she believes
that the t.v talks to her. The RN should document these assessment
statements in which section
of the mental status exam?
A. Insight and judgement.
B. Mood and affect.
,C. Remote memory.
D. Level of concentration
A
An older ale client with schizophrenia is found smearing feces n the bathroom
walls of the
chronic mental health unit where he resides. What action should the RN
implement?
A. Explain that the feces belong in the toilet.
B. Show the client how to clean the walls.
C. Escort the client out of the bathroom.
D. Assist the client to clean the walls
C
A male client tells the RN that he does not want to take the atypical
antipsychotic drug,
olanzapine (Zypexa), because of the side effects he experienced when he took
the drug for a
year. Which experience is most likely related to taking olanzapine?
A. Weight gain of 75 lbs.
B. Thoughts of wanting to hurt himself.
C. Frequent days with diarrhea.
D. Alerted liver function test.
A
A college student who is a victim of a car-jacking presents to the community
health center and
report increased anxiety. During the interview, what nursing intervention
should take the highest
priority?
A. Identify support systems in the community that may be helpful.
B. Help the client feel safe to decrease anxiety.
C. Ask the client to describe coping strategies that were helpful in the past.
D. Encourage the client to verbalize anxiety related to event.
B
The RN completes an assessment of a client who is experiencing intimate
partner violence (IPV).
,Which finding of the injuries should the RN include in the documentation?
A. A summary of the client's feelings.
B. Photographs.
C. A general description.
D. A client's significant other's statement.
B
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.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem
C
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. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia)
B
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. 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.
B
, A male client with schizophrenia is admitted to the mental health unit after
abruptly stopping his
prescription for ziprasidone (Geodon) one month ago. Which question is most
important for the
RN to ask the client?
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?
D
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?
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 messages.
D. Integrate the verbal and nonverbal messages and interpret them as one.
A
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?
A. Denial.
B. Projection.
C. Rationalization.
D. Splitting.
D
A mental health worker is caring for a client with escalating aggressive
behavior. Which action
and verified answers ( detailed & elaborated) 2025-2026 TEST
Which client statement suggests the RN that the client is using a defense
mechanism of
projection to deal with anxiety related to admission to a psychiatric unit?
A. At least I hit the wall instead of hitting the psychiatric aide.
B. I am here because the police thought I was doing something wrong.
C. I want to be here because I know it is the best psychiatric facility.
D. Don't believe everything my family tells you, I am not crazy.
B
A male client is admitted to the psychiatric inpatient unit with a bandaged flesh
wound after
attempting to shoot himself. He was divorced one year ago. Lost his job four
months ago, and
suffered a breakup of is current relationship last week. What is most likely
source of this client's
current feelings of depression?
A. Feelings of frustration.
B. A sense of loss
C. Poor self-esteem.
D. A lack of intimate relationships.
B
The RN documents the mental status of a female client who has been
hospitalized for several
days by court order. The client states"I don't need to be here," and tells the RN
that she believes
that the t.v talks to her. The RN should document these assessment
statements in which section
of the mental status exam?
A. Insight and judgement.
B. Mood and affect.
,C. Remote memory.
D. Level of concentration
A
An older ale client with schizophrenia is found smearing feces n the bathroom
walls of the
chronic mental health unit where he resides. What action should the RN
implement?
A. Explain that the feces belong in the toilet.
B. Show the client how to clean the walls.
C. Escort the client out of the bathroom.
D. Assist the client to clean the walls
C
A male client tells the RN that he does not want to take the atypical
antipsychotic drug,
olanzapine (Zypexa), because of the side effects he experienced when he took
the drug for a
year. Which experience is most likely related to taking olanzapine?
A. Weight gain of 75 lbs.
B. Thoughts of wanting to hurt himself.
C. Frequent days with diarrhea.
D. Alerted liver function test.
A
A college student who is a victim of a car-jacking presents to the community
health center and
report increased anxiety. During the interview, what nursing intervention
should take the highest
priority?
A. Identify support systems in the community that may be helpful.
B. Help the client feel safe to decrease anxiety.
C. Ask the client to describe coping strategies that were helpful in the past.
D. Encourage the client to verbalize anxiety related to event.
B
The RN completes an assessment of a client who is experiencing intimate
partner violence (IPV).
,Which finding of the injuries should the RN include in the documentation?
A. A summary of the client's feelings.
B. Photographs.
C. A general description.
D. A client's significant other's statement.
B
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.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem
C
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. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia)
B
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. 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.
B
, A male client with schizophrenia is admitted to the mental health unit after
abruptly stopping his
prescription for ziprasidone (Geodon) one month ago. Which question is most
important for the
RN to ask the client?
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?
D
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?
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 messages.
D. Integrate the verbal and nonverbal messages and interpret them as one.
A
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?
A. Denial.
B. Projection.
C. Rationalization.
D. Splitting.
D
A mental health worker is caring for a client with escalating aggressive
behavior. Which action
