HESI MENTAL HEALTH ACTUAL EXAM WITH NGN FORMAT NEWEST 2025
TUAL EXAM ALL QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFI
ANSWERS) |ALREADY GRADED A+||NEWEST VERSIONS
Study online at https://quizlet.com/_gg0rfe
1. A client does not take their medication regularly and is depressed. Which
inference can the nurse make about the client's motivational level?
A. Not motivated
B. Intrinsically motivated
C. Extrinsically motivated with self-determination
D. Extrinsically motivated without self-determination: A. Not motivated
2. Which action would the nurse take for a withdrawn client who suddenly
screams, bursts into tears, and runs from the room to the far end of the
hallway?
A. Walk to the end of the hallway where the client is standing
B. Accept the action as the impulsive behavior of a sick person
C. Ask another client in the dayroom why the client acted in this way
D. Document objectively the incident in the client's record immediately: A. Walk
to the end of the hallway where the client is standing
This lets the client know that the nurse is available. It also demonstrates an accep-
tance of the client.
3. Which consistent approach would the nurse use for a client diagnosed with
an antisocial personality disorder?
A. Warm and firm without being punitive
B. Indifferent and detached but nonjudgemental
C. Confidentiality acquiescent to client demands
D. Clearly communicative of personal disapproval: A. Warm and firm without
being punitive
4. Which technique would be appropriate for clients who exhibit mild neu-
rocognitive impairment?
A. Reality orientation
B. Behavioral confrontation
C. Reflective communication
D. Reminiscence group therapy: A. Reality orientation
5. Which characteristic is most essential for the nurse to have in caring for
clients with mental health disorders?
A. Empathy
B. Sympathy
C. Organization
D. Authoritarianism: A. Empathy
, HESI MENTAL HEALTH ACTUAL EXAM WITH NGN FORMAT NEWEST 2025
TUAL EXAM ALL QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFI
ANSWERS) |ALREADY GRADED A+||NEWEST VERSIONS
Study online at https://quizlet.com/_gg0rfe
Empathy - understanding and, to some extent, sharing the emotions of another-
encourages the expression of feelings. Sympathy, or feeling sorry for someone, may
further decrease the client's feelings of self-worth.
6. Which stage is a terminally ill client displaying by gradually moving towards
resolution of feelings about impending death according to Kubler-Ross' the-
ory of death and dying?
A. Anger stage
B. Denial stage
C. Bargaining stage
D. Acceptance stage: D. Acceptance stage
When acceptance is reached. the individual is beginning to withdraw from life;
communication is simple, concise, and most often nonverbal. Kubler-Ross' research
has shown that at this stage, verbal communication is typically less important, and
touch and presence are most important. The client has moved past the anger, denial,
and bargaining stages.
7. Which action would the nurse take for a client with an obsessive-compulsive
disorder who continually walks up and down the hall, touching every other
and becomes upset if interrupted?
A. Distract the client, which will help the client forget about touching the
chairs.
B. Encourage the client to continue touching the chairs as long as the client
wants until fatigue sets in
C. Remove chairs from the hall, thereby relieving the client of the necessity of
touching every other one
D. Allow the behavior to continue for a specified time, letting the client help
set the time limits to be imposed: D. Allow the behavior to continue for a specified
time, letting the client help set the time limits to be imposed
8. Place the five stages of grievingidentified and described by Elisabeth
Kubler-Ross in order of progression from first to last.
1. Anger
2. Denial
3. Depression
4. Acceptance
5. Bargaining: 2. Denial
1. Anger
5. Bargaining
, HESI MENTAL HEALTH ACTUAL EXAM WITH NGN FORMAT NEWEST 2025
TUAL EXAM ALL QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFI
ANSWERS) |ALREADY GRADED A+||NEWEST VERSIONS
Study online at https://quizlet.com/_gg0rfe
3. Depression
4. Acceptance
9. Which assessment finding would the nurse observe in a client with bipolar
disorder, manic phase?
A. Constant singing
B. Ritualistic behavior
C. Flat affect
D. Apathetic demeanor: A. Constant singing
10. Which reason would be likely for a client's anger and acting out when the
nurse interrupts the hand-washing ritual of a client with obsessive-compul-
sive disorder?
A. Has overwhelming feelings of anxiety
B. Resents the nurse's authoritarian manner
C. Is clashing with the nurse's personality
D. Reflects and aggressive characteristic: A. Has overwhelming feelings of anx-
iety
11. Which response would the nurse make to a client who says, 'I feel so guilty.
None of this makes any sense. Everyone must really think I'm crazy,' after
performing a complex ritual?
A. 'Your behavior is bizarre, but it serves a useful purpose.'
B. 'You're concerned about what other people are thinking about you.'
C. 'I am sure people understand that you can't help this behavior right now.'
D. 'Guilt serves no useful purpose. It just helps you stay stuck where you
are.': B. 'You're concerned about what other people are thinking about you.'
12. Which characteristic of clients with antisocial personality disorder would
the nurse consider when planning care?
A. Engages in many rituals
B. Is a perfectionist
C. Exhibits lack of empathy for others
D. Possesses limited communication skills: C. Exhibits lack of empathy for others
13. At which stage of Kohlberg's theory does an individual want to fulfill the
expectations of one's immediate group?
A. Good boy-nice orientation
B. Society-maintaining orientation
C. Instrumental relativist orientation
D. Universal ethical principle orientation: A. Good boy-nice orientation
, HESI MENTAL HEALTH ACTUAL EXAM WITH NGN FORMAT NEWEST 2025
TUAL EXAM ALL QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFI
ANSWERS) |ALREADY GRADED A+||NEWEST VERSIONS
Study online at https://quizlet.com/_gg0rfe
The good boy-good girl orientation stage involves an individual who wants to win the
approval and maintain the expectations of one's immediate group. During the soci-
ety-maintaining orientation stage, an individual expands focus from a relationship
with others to societal concerns. The instrumental relativist orientation stage involves
a child who wants to follow parental rules. the universal ethical principle orientation
stage defines "right" by the decision of conscience according to self-chosen ethical
principles.
14. Which side effect would the nurse monitor for in a severely depressed
client who received electroconvulsive therapy (ECT)?
A. Loss of appetite
B. Postural hypotension
C. Total memory loss
D. Confusion immediately after the treatment: D. Confusion immediately after the
treatment
15. A client is diagnosed with Alzheimer disease and is exhibiting hyperorality.
Which parameter would the nurse closely monitor to keep this client safe?
A. For choking at meal times
B. For the presence of mouth ulcers
C. For injuries from touching hot foods
D. For attempts at eating inedible objects: D. For attempts at eating inedible
objects
16. Which period of Piaget's theory covers the prevalence of egocentrism in
adolescents?
A. Sensorimotor
B. Preoperational
C. Formal operations
D. Concrete operations: C. Formal operations
17. Which explanation, when providing a change-of-shift report, would the
nurse use to describe a client diagnosed with schizophrenia who is experi-
encing opposing emotions simultaneously?
A. Double bind
B. Ambivalence
C. Loose association
D. Inappropriate affect: B. Ambivalence
18. Which response would the nurse use when a client diagnosed with ac-
quired immunodeficiency syndrome (AIDS) states, "I'm not worried because
they have a cure for AIDS"?
TUAL EXAM ALL QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFI
ANSWERS) |ALREADY GRADED A+||NEWEST VERSIONS
Study online at https://quizlet.com/_gg0rfe
1. A client does not take their medication regularly and is depressed. Which
inference can the nurse make about the client's motivational level?
A. Not motivated
B. Intrinsically motivated
C. Extrinsically motivated with self-determination
D. Extrinsically motivated without self-determination: A. Not motivated
2. Which action would the nurse take for a withdrawn client who suddenly
screams, bursts into tears, and runs from the room to the far end of the
hallway?
A. Walk to the end of the hallway where the client is standing
B. Accept the action as the impulsive behavior of a sick person
C. Ask another client in the dayroom why the client acted in this way
D. Document objectively the incident in the client's record immediately: A. Walk
to the end of the hallway where the client is standing
This lets the client know that the nurse is available. It also demonstrates an accep-
tance of the client.
3. Which consistent approach would the nurse use for a client diagnosed with
an antisocial personality disorder?
A. Warm and firm without being punitive
B. Indifferent and detached but nonjudgemental
C. Confidentiality acquiescent to client demands
D. Clearly communicative of personal disapproval: A. Warm and firm without
being punitive
4. Which technique would be appropriate for clients who exhibit mild neu-
rocognitive impairment?
A. Reality orientation
B. Behavioral confrontation
C. Reflective communication
D. Reminiscence group therapy: A. Reality orientation
5. Which characteristic is most essential for the nurse to have in caring for
clients with mental health disorders?
A. Empathy
B. Sympathy
C. Organization
D. Authoritarianism: A. Empathy
, HESI MENTAL HEALTH ACTUAL EXAM WITH NGN FORMAT NEWEST 2025
TUAL EXAM ALL QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFI
ANSWERS) |ALREADY GRADED A+||NEWEST VERSIONS
Study online at https://quizlet.com/_gg0rfe
Empathy - understanding and, to some extent, sharing the emotions of another-
encourages the expression of feelings. Sympathy, or feeling sorry for someone, may
further decrease the client's feelings of self-worth.
6. Which stage is a terminally ill client displaying by gradually moving towards
resolution of feelings about impending death according to Kubler-Ross' the-
ory of death and dying?
A. Anger stage
B. Denial stage
C. Bargaining stage
D. Acceptance stage: D. Acceptance stage
When acceptance is reached. the individual is beginning to withdraw from life;
communication is simple, concise, and most often nonverbal. Kubler-Ross' research
has shown that at this stage, verbal communication is typically less important, and
touch and presence are most important. The client has moved past the anger, denial,
and bargaining stages.
7. Which action would the nurse take for a client with an obsessive-compulsive
disorder who continually walks up and down the hall, touching every other
and becomes upset if interrupted?
A. Distract the client, which will help the client forget about touching the
chairs.
B. Encourage the client to continue touching the chairs as long as the client
wants until fatigue sets in
C. Remove chairs from the hall, thereby relieving the client of the necessity of
touching every other one
D. Allow the behavior to continue for a specified time, letting the client help
set the time limits to be imposed: D. Allow the behavior to continue for a specified
time, letting the client help set the time limits to be imposed
8. Place the five stages of grievingidentified and described by Elisabeth
Kubler-Ross in order of progression from first to last.
1. Anger
2. Denial
3. Depression
4. Acceptance
5. Bargaining: 2. Denial
1. Anger
5. Bargaining
, HESI MENTAL HEALTH ACTUAL EXAM WITH NGN FORMAT NEWEST 2025
TUAL EXAM ALL QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFI
ANSWERS) |ALREADY GRADED A+||NEWEST VERSIONS
Study online at https://quizlet.com/_gg0rfe
3. Depression
4. Acceptance
9. Which assessment finding would the nurse observe in a client with bipolar
disorder, manic phase?
A. Constant singing
B. Ritualistic behavior
C. Flat affect
D. Apathetic demeanor: A. Constant singing
10. Which reason would be likely for a client's anger and acting out when the
nurse interrupts the hand-washing ritual of a client with obsessive-compul-
sive disorder?
A. Has overwhelming feelings of anxiety
B. Resents the nurse's authoritarian manner
C. Is clashing with the nurse's personality
D. Reflects and aggressive characteristic: A. Has overwhelming feelings of anx-
iety
11. Which response would the nurse make to a client who says, 'I feel so guilty.
None of this makes any sense. Everyone must really think I'm crazy,' after
performing a complex ritual?
A. 'Your behavior is bizarre, but it serves a useful purpose.'
B. 'You're concerned about what other people are thinking about you.'
C. 'I am sure people understand that you can't help this behavior right now.'
D. 'Guilt serves no useful purpose. It just helps you stay stuck where you
are.': B. 'You're concerned about what other people are thinking about you.'
12. Which characteristic of clients with antisocial personality disorder would
the nurse consider when planning care?
A. Engages in many rituals
B. Is a perfectionist
C. Exhibits lack of empathy for others
D. Possesses limited communication skills: C. Exhibits lack of empathy for others
13. At which stage of Kohlberg's theory does an individual want to fulfill the
expectations of one's immediate group?
A. Good boy-nice orientation
B. Society-maintaining orientation
C. Instrumental relativist orientation
D. Universal ethical principle orientation: A. Good boy-nice orientation
, HESI MENTAL HEALTH ACTUAL EXAM WITH NGN FORMAT NEWEST 2025
TUAL EXAM ALL QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFI
ANSWERS) |ALREADY GRADED A+||NEWEST VERSIONS
Study online at https://quizlet.com/_gg0rfe
The good boy-good girl orientation stage involves an individual who wants to win the
approval and maintain the expectations of one's immediate group. During the soci-
ety-maintaining orientation stage, an individual expands focus from a relationship
with others to societal concerns. The instrumental relativist orientation stage involves
a child who wants to follow parental rules. the universal ethical principle orientation
stage defines "right" by the decision of conscience according to self-chosen ethical
principles.
14. Which side effect would the nurse monitor for in a severely depressed
client who received electroconvulsive therapy (ECT)?
A. Loss of appetite
B. Postural hypotension
C. Total memory loss
D. Confusion immediately after the treatment: D. Confusion immediately after the
treatment
15. A client is diagnosed with Alzheimer disease and is exhibiting hyperorality.
Which parameter would the nurse closely monitor to keep this client safe?
A. For choking at meal times
B. For the presence of mouth ulcers
C. For injuries from touching hot foods
D. For attempts at eating inedible objects: D. For attempts at eating inedible
objects
16. Which period of Piaget's theory covers the prevalence of egocentrism in
adolescents?
A. Sensorimotor
B. Preoperational
C. Formal operations
D. Concrete operations: C. Formal operations
17. Which explanation, when providing a change-of-shift report, would the
nurse use to describe a client diagnosed with schizophrenia who is experi-
encing opposing emotions simultaneously?
A. Double bind
B. Ambivalence
C. Loose association
D. Inappropriate affect: B. Ambivalence
18. Which response would the nurse use when a client diagnosed with ac-
quired immunodeficiency syndrome (AIDS) states, "I'm not worried because
they have a cure for AIDS"?
