HERZING UNIVERSITY HESI MENTAL HEALTH
CERTIFICATION EVALUATION EXAMS 2026
SOLVED QUESTIONS UPDATED 2026
◉ Which medication should be discontinued if a client with bipolar
disorder has stopped taking antipsychotic medication? Answer: Lithium
(Lithotabs).
◉ What should the RN do when noticing a discrepancy between a
client's verbal and nonverbal communication during an admission
assessment? Answer: Pay close attention and document the nonverbal
messages.
◉ What defense mechanism is a male client using when he expresses
anger towards his roommate? Answer: Projection.
◉ What intervention should the RN implement for a male client with
bipolar disorder experiencing excessive thirst after starting lithium
carbonate? Answer: Encourage the client to suck on hard candy to
relieve the symptoms.
◉ What should a client understand about disulfiram (Antabuse) therapy?
Answer: Remain alcohol free for 12 hours prior to the first dose.
,◉ What is the most important question for the RN to ask a client with
schizophrenia who stopped taking ziprasidone? Answer: Do you hear
sounds or voices that others do not hear?
◉ How should the RN respond to a male employee who expresses anger
while driving due to job stress? Answer: It sounds as if there are many
situations that make you feel angry.
◉ What intervention has the highest priority for a client with
agoraphobia beginning desensitization therapy? Answer: Establish trust
by providing a calm, safe environment.
◉ Which nursing actions can help promote self-esteem in a male client
with depression? Answer: Include the client in determining treatment
protocol.
◉ What is one way to help a client with depression set long-term goals?
Answer: Ask the client what his long term goals are.
◉ How can the RN encourage a client with depression to engage in
therapy? Answer: Encourage the client to engage in recreational therapy.
◉ What is an effective way to provide support for a client with
depression? Answer: Provide opportunities for the client to discuss his
concerns.
,◉ What should the RN do if a client with bipolar disorder exhibits
polydipsia after starting lithium? Answer: No action is needed since
polydipsia is a common side effect.
◉ What should the RN focus on when a client expresses anger towards
another individual? Answer: Encourage the client to express feelings in a
safe manner.
◉ What is the most appropriate response for a client experiencing anger
during stressful situations? Answer: Try not to let your anger cause you
to act impulsively.
◉ What is a common side effect of lithium carbonate that clients may
experience? Answer: Excessive thirst.
◉ What is the significance of documenting nonverbal messages during
client assessments? Answer: It helps to understand the client's true
feelings and intentions.
◉ What is a potential outcome of ignoring a client's nonverbal
communication? Answer: Misinterpretation of the client's feelings.
, ◉ What is the role of the RN in reinforcing desensitization therapy for
agoraphobia? Answer: Support the client through gradual exposure to
anxiety-provoking situations.
◉ How can the RN assist a client in recognizing their feelings of anger?
Answer: Encourage reflection on the situations that trigger their anger.
◉ What is an important aspect of the therapeutic relationship in mental
health nursing? Answer: Establishing trust and safety for the client.
◉ What should the RN administer for a client with dystonia caused by
Risperidone? Answer: Administer the prescribed anticholinergic
benztropine (Cogentin).
◉ What action by a mental health worker requires immediate
intervention by the RN during a crisis? Answer: Attempting to
physically restrain the patient.
◉ What is the first nursing intervention for an agitated client refusing
PRN medication? Answer: Quietly approach the client with additional
staff members.
◉ Why should the RN plan one-on-one observation for a client taking
extra antianxiety medication? Answer: The client expressed feelings of
hopelessness and a desire to sleep excessively.
CERTIFICATION EVALUATION EXAMS 2026
SOLVED QUESTIONS UPDATED 2026
◉ Which medication should be discontinued if a client with bipolar
disorder has stopped taking antipsychotic medication? Answer: Lithium
(Lithotabs).
◉ What should the RN do when noticing a discrepancy between a
client's verbal and nonverbal communication during an admission
assessment? Answer: Pay close attention and document the nonverbal
messages.
◉ What defense mechanism is a male client using when he expresses
anger towards his roommate? Answer: Projection.
◉ What intervention should the RN implement for a male client with
bipolar disorder experiencing excessive thirst after starting lithium
carbonate? Answer: Encourage the client to suck on hard candy to
relieve the symptoms.
◉ What should a client understand about disulfiram (Antabuse) therapy?
Answer: Remain alcohol free for 12 hours prior to the first dose.
,◉ What is the most important question for the RN to ask a client with
schizophrenia who stopped taking ziprasidone? Answer: Do you hear
sounds or voices that others do not hear?
◉ How should the RN respond to a male employee who expresses anger
while driving due to job stress? Answer: It sounds as if there are many
situations that make you feel angry.
◉ What intervention has the highest priority for a client with
agoraphobia beginning desensitization therapy? Answer: Establish trust
by providing a calm, safe environment.
◉ Which nursing actions can help promote self-esteem in a male client
with depression? Answer: Include the client in determining treatment
protocol.
◉ What is one way to help a client with depression set long-term goals?
Answer: Ask the client what his long term goals are.
◉ How can the RN encourage a client with depression to engage in
therapy? Answer: Encourage the client to engage in recreational therapy.
◉ What is an effective way to provide support for a client with
depression? Answer: Provide opportunities for the client to discuss his
concerns.
,◉ What should the RN do if a client with bipolar disorder exhibits
polydipsia after starting lithium? Answer: No action is needed since
polydipsia is a common side effect.
◉ What should the RN focus on when a client expresses anger towards
another individual? Answer: Encourage the client to express feelings in a
safe manner.
◉ What is the most appropriate response for a client experiencing anger
during stressful situations? Answer: Try not to let your anger cause you
to act impulsively.
◉ What is a common side effect of lithium carbonate that clients may
experience? Answer: Excessive thirst.
◉ What is the significance of documenting nonverbal messages during
client assessments? Answer: It helps to understand the client's true
feelings and intentions.
◉ What is a potential outcome of ignoring a client's nonverbal
communication? Answer: Misinterpretation of the client's feelings.
, ◉ What is the role of the RN in reinforcing desensitization therapy for
agoraphobia? Answer: Support the client through gradual exposure to
anxiety-provoking situations.
◉ How can the RN assist a client in recognizing their feelings of anger?
Answer: Encourage reflection on the situations that trigger their anger.
◉ What is an important aspect of the therapeutic relationship in mental
health nursing? Answer: Establishing trust and safety for the client.
◉ What should the RN administer for a client with dystonia caused by
Risperidone? Answer: Administer the prescribed anticholinergic
benztropine (Cogentin).
◉ What action by a mental health worker requires immediate
intervention by the RN during a crisis? Answer: Attempting to
physically restrain the patient.
◉ What is the first nursing intervention for an agitated client refusing
PRN medication? Answer: Quietly approach the client with additional
staff members.
◉ Why should the RN plan one-on-one observation for a client taking
extra antianxiety medication? Answer: The client expressed feelings of
hopelessness and a desire to sleep excessively.
