HESI PSYCH MENTAL HEALTH EXAM
STUDY GUIDE 2026 300 REAL QUESTIONS
AND VERIFIED SOLUTIONS
⩥ A 35-year-old male client who has been hospitalized for two weeks
for chronic paranoia continues to state that someone is trying to steal his
clothing. The most appropriate action for the nurse to take is to? Answer:
encourage the client to actively participate in assigned activities on the
unit.
⩥ On admission, a highly anxious client is described as delusional. The
nurse understands that delusions are most likely to occur with which
class of disorder? Answer: Psychotic
⩥ A client is admitted with a diagnosis of depression. The nurse knows
that which characteristic is most indicative of depression? Answer: A
negative view of self and the future.
⩥ A 45-year-old female client is admitted to the psychiatric unit for
evaluation. Her husband states that she has been reluctant to leave home
for the last six months. The client has not gone to work in a month and
has been terminated from her job. She has not left the house since that
time. The client is displaying symptoms of what condition? Answer:
Agoraphobia
, ⩥ A client who has been admitted to the psychiatric unit tells the nurse,
"My problems are so bad that no one can help me." Which response is
best for the nurse to make? Answer: "How can I help?"
⩥ A woman brings her 48-year-old husband to the outpatient psychiatric
unit and describes his behavior to the admitting nurse. She states that he
has been sleepwalking, cannot remember who he is, and exhibits
multiple personalities. The nurse knows these behaviors are often
associated with... Answer: Dissociative Disorder
⩥ A 27-year-old female client is admitted to the psychiatric hospital with
a diagnosis of bipolar disorder, manic phase. She is demanding and
active. Which intervention should the nurse include in this client's plan
of care? Answer: Provide a structured environment with little stimuli.
⩥ The nurse plans to help an 18-year-old female intellectually disabled
client ambulate the first postoperative day after an appendectomy. When
the nurse tells the client, it is time to get out of bed. the client becomes
angry and tells the nurse, "Get out of here! I'll get up when I'm ready!"
Which response is best for the nurse to make? Answer: "I'll be back in
30 minutes to help you get out of bed and walk around the room."
⩥ A 46-year-old female client has been on antipsychotic neuroleptic
medication for the past three days. She has had a decrease in psychotic
behavior and appears to be responding well to the medication. On the
fourth day, the client's blood pressure increases, she becomes pale and
STUDY GUIDE 2026 300 REAL QUESTIONS
AND VERIFIED SOLUTIONS
⩥ A 35-year-old male client who has been hospitalized for two weeks
for chronic paranoia continues to state that someone is trying to steal his
clothing. The most appropriate action for the nurse to take is to? Answer:
encourage the client to actively participate in assigned activities on the
unit.
⩥ On admission, a highly anxious client is described as delusional. The
nurse understands that delusions are most likely to occur with which
class of disorder? Answer: Psychotic
⩥ A client is admitted with a diagnosis of depression. The nurse knows
that which characteristic is most indicative of depression? Answer: A
negative view of self and the future.
⩥ A 45-year-old female client is admitted to the psychiatric unit for
evaluation. Her husband states that she has been reluctant to leave home
for the last six months. The client has not gone to work in a month and
has been terminated from her job. She has not left the house since that
time. The client is displaying symptoms of what condition? Answer:
Agoraphobia
, ⩥ A client who has been admitted to the psychiatric unit tells the nurse,
"My problems are so bad that no one can help me." Which response is
best for the nurse to make? Answer: "How can I help?"
⩥ A woman brings her 48-year-old husband to the outpatient psychiatric
unit and describes his behavior to the admitting nurse. She states that he
has been sleepwalking, cannot remember who he is, and exhibits
multiple personalities. The nurse knows these behaviors are often
associated with... Answer: Dissociative Disorder
⩥ A 27-year-old female client is admitted to the psychiatric hospital with
a diagnosis of bipolar disorder, manic phase. She is demanding and
active. Which intervention should the nurse include in this client's plan
of care? Answer: Provide a structured environment with little stimuli.
⩥ The nurse plans to help an 18-year-old female intellectually disabled
client ambulate the first postoperative day after an appendectomy. When
the nurse tells the client, it is time to get out of bed. the client becomes
angry and tells the nurse, "Get out of here! I'll get up when I'm ready!"
Which response is best for the nurse to make? Answer: "I'll be back in
30 minutes to help you get out of bed and walk around the room."
⩥ A 46-year-old female client has been on antipsychotic neuroleptic
medication for the past three days. She has had a decrease in psychotic
behavior and appears to be responding well to the medication. On the
fourth day, the client's blood pressure increases, she becomes pale and
