Page 1 of 76
“HESI RN MENTAL HEALTH “ NEWEST UPDATED EXAM
2025 – 2026 SOLVED QUESTIONS & ANSWERS VERIFIED
100% GRADED A+ (LATEST VERSION)
Mental Health Final Exam Questions, HESI RN MENTAL HEALTH HESI REVIEW -
MULTIPLE CHOICE
A nurse is caring for an older client who begins to cry and states, "I knew God
would punish me and I deserve this horrible sickness!" Which of the following
responses should the nurse make?
A. Why do you think you deserve this punishment?
B. Don't worry about being punished by God.
C. Let's talk about what is upsetting you
D. You shouldn't say things that will upset you so much
C. Let's talk about what is upsetting you
Which food choice are best for a bipolar client in the manic phase? (Select all
that apply)
A. Roast beef and asparagus
B. Spaghetti and meatballs
C. Cheeseburger
D. Ham and eggs
E. Peanut butter and Jelly sandwich
C. Cheeseburger
E. Peanut Butter and Jelly Sandwich
, Page 2 of 76
Which nursing charting entry is documentation of a behavioral symptom of
mania?
A. thoughts granted, flight of ideas noted
B. Mood euphoric and expansive. Rates mood 10/10
C. Pacing halls throughout the day. Exhibits poor impulse control.
D. Easily distracted, unable to focus on goals
C. "Pacing halls throughout the day. Exhibits poor impulse control."
A nurse on an in-patient psychiatric unit receives report at 1500 hours. Which
client would need be assessed first?
A. A client on a one to one status because of active suicidal ideations
B. A client pacing the hall and experiencing irritability and flight of ideas.
C. A client diagnosed with hypomania monopolizing time in the milieu.
D. A client with a history of mania who is to be discharged in the morning.
B. A client pacing the hall and experiencing irritability and flight of ideas.
A client states to a nurse, "I feel as though I am the only one in the world
feeling so depressed." The nurse responds, "I know what you mean." The
nurse is obstructing communication in which of the following ways?
A. Making value judgements
B. Falsely reassuring the client
C. Minimizing feelings
D. Disapproving/Disagreeing
C. Minimizing Feelings
A newly admitted client diagnosed with bipolar I disorder is experiencing a
manic episode. Which nursing diagnosis is a priority at the time?
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A. Risk for violence: Other-directed R/T poor impulse control
B. Altered Thought process R/T hallucinations.
C. Social isolation R/T manic excitement.
D. Low self-esteem R/T guilt about promiscuity
A. Risk for violence: Other-directed R/T poor impulse control
A client has been hospitalized for a manic episode. Which behavior would
suggest that the treatment has been effective?
A. The client is no longer loud hostile to others.
B. The client directs anger verbally to the person who annoys her.
C. The client presents a list of grievances to the nurse manger.
D. The client attempt to involve other clients in her situation
A. The client is no longer loud and hospital to others.
Nadia has been diagnosed with bipolar disorder. Which is an outcome for
Nadia in the continuation of treatment phase of bipolar disorder?
A. Patient will avoid involvement in self-help groups.
B. Patient will adhere to medication regimen
C. Patient will demonstrate euphoric mood.
D. Patient will maintain normal weight
B. Patient will adhere to medication regimen
Which symptom related to communication is likely to be present in a patient
experiencing mania?
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A. Mutism
B. Verbosity
C. Poverty of ideas
D. Confabulation
B. Verbosity
A Client who is diagnosed with bipolar disorder is admitted to an inpatient
mental health unit in the manic phase. What is the priority in the initial plan of
care?
A. Place the client in seclusion
B. Place the client on one-to-one supervision
C. Ensure a clam and quiet environment
D. Medicate the client with a sedative
C. Ensure a calm and quiet environment
One of the reasons depression is more common in women than in men include
what?
A. Hormonal changes
B. Lack advanced education
C. Increased use of mood altering substances
D. The presences of autoimmune disorder
A. Hormonal Changes
Men have a higher risk of completed suicide because:
A. They attempt Suicide more often than women.
“HESI RN MENTAL HEALTH “ NEWEST UPDATED EXAM
2025 – 2026 SOLVED QUESTIONS & ANSWERS VERIFIED
100% GRADED A+ (LATEST VERSION)
Mental Health Final Exam Questions, HESI RN MENTAL HEALTH HESI REVIEW -
MULTIPLE CHOICE
A nurse is caring for an older client who begins to cry and states, "I knew God
would punish me and I deserve this horrible sickness!" Which of the following
responses should the nurse make?
A. Why do you think you deserve this punishment?
B. Don't worry about being punished by God.
C. Let's talk about what is upsetting you
D. You shouldn't say things that will upset you so much
C. Let's talk about what is upsetting you
Which food choice are best for a bipolar client in the manic phase? (Select all
that apply)
A. Roast beef and asparagus
B. Spaghetti and meatballs
C. Cheeseburger
D. Ham and eggs
E. Peanut butter and Jelly sandwich
C. Cheeseburger
E. Peanut Butter and Jelly Sandwich
, Page 2 of 76
Which nursing charting entry is documentation of a behavioral symptom of
mania?
A. thoughts granted, flight of ideas noted
B. Mood euphoric and expansive. Rates mood 10/10
C. Pacing halls throughout the day. Exhibits poor impulse control.
D. Easily distracted, unable to focus on goals
C. "Pacing halls throughout the day. Exhibits poor impulse control."
A nurse on an in-patient psychiatric unit receives report at 1500 hours. Which
client would need be assessed first?
A. A client on a one to one status because of active suicidal ideations
B. A client pacing the hall and experiencing irritability and flight of ideas.
C. A client diagnosed with hypomania monopolizing time in the milieu.
D. A client with a history of mania who is to be discharged in the morning.
B. A client pacing the hall and experiencing irritability and flight of ideas.
A client states to a nurse, "I feel as though I am the only one in the world
feeling so depressed." The nurse responds, "I know what you mean." The
nurse is obstructing communication in which of the following ways?
A. Making value judgements
B. Falsely reassuring the client
C. Minimizing feelings
D. Disapproving/Disagreeing
C. Minimizing Feelings
A newly admitted client diagnosed with bipolar I disorder is experiencing a
manic episode. Which nursing diagnosis is a priority at the time?
, Page 3 of 76
A. Risk for violence: Other-directed R/T poor impulse control
B. Altered Thought process R/T hallucinations.
C. Social isolation R/T manic excitement.
D. Low self-esteem R/T guilt about promiscuity
A. Risk for violence: Other-directed R/T poor impulse control
A client has been hospitalized for a manic episode. Which behavior would
suggest that the treatment has been effective?
A. The client is no longer loud hostile to others.
B. The client directs anger verbally to the person who annoys her.
C. The client presents a list of grievances to the nurse manger.
D. The client attempt to involve other clients in her situation
A. The client is no longer loud and hospital to others.
Nadia has been diagnosed with bipolar disorder. Which is an outcome for
Nadia in the continuation of treatment phase of bipolar disorder?
A. Patient will avoid involvement in self-help groups.
B. Patient will adhere to medication regimen
C. Patient will demonstrate euphoric mood.
D. Patient will maintain normal weight
B. Patient will adhere to medication regimen
Which symptom related to communication is likely to be present in a patient
experiencing mania?
, Page 4 of 76
A. Mutism
B. Verbosity
C. Poverty of ideas
D. Confabulation
B. Verbosity
A Client who is diagnosed with bipolar disorder is admitted to an inpatient
mental health unit in the manic phase. What is the priority in the initial plan of
care?
A. Place the client in seclusion
B. Place the client on one-to-one supervision
C. Ensure a clam and quiet environment
D. Medicate the client with a sedative
C. Ensure a calm and quiet environment
One of the reasons depression is more common in women than in men include
what?
A. Hormonal changes
B. Lack advanced education
C. Increased use of mood altering substances
D. The presences of autoimmune disorder
A. Hormonal Changes
Men have a higher risk of completed suicide because:
A. They attempt Suicide more often than women.
