(Complete) HESI RN Exam Mental Health| Most Recent Versions|Questions and Answers Included | Passed | A+ Rated Guide | New Full Exam Actual| Guarantee A+ Score Guide 2023-2024

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HESI RN EXAM MENTAL HEALTH
HESI RN Exam Mental Health |TEST BANK|
Questions and Answers Included | Passed | A+ Rated
Guide | New Full Exam Actual| latest 2022-2024
A male client in the mental health unit is guarded and vaguely answers the nurse’s questions. He
isolates in his room and sometimes opens the door to peek into the hall. Which problem can the RN
anticipate?
A. Visual hallucinations.
B. Auditory hallucinations.
C. Excessive motor activity.
D. Delusions of persecution.
A female client with obsessive compulsive personality disorder is admitted to the hospital for a
cardiac catheterization. The afternoon before the procedure, the client begins to keep detailed notes of
the nursing care she is receiving, and reports her findings to the RN at bedtime. What action should
the nurse implement?
A. Explain to the client that her behaviour invades the rights of the nursing staff.
B. Ask the client to explain why she is keeping a detailed record of her nursing care.
C. Teach the client strategies to control her obsessive-compulsive behaviour.
D. Encourage the client to express her feelings regarding the upcoming procedure.
During admission to the psychiatric unit, a female client is extremely anxious and states that she is
worried about the sun coming up the next day. What intervention is most important for the RN to
implement during the admission process?
A. Assist the client in developing alternative coping skills.
B. Remain calm and use a matter-of-fact approach.
C. Ask the client why she is so anxious
D. Administer a PRN sedative to help relieve her anxiety.
A female client is brought to the emergency department after police officers found her disoriented,
disorganized, and confused. The RN also determines that the client is homeless and is exhibiting
suspiciousness. The client’s plan of care should include what priority problem?
A. Acute confusion.
B. Ineffective community coping
C. Disturbed sensory perception.
D. Self-care deficit.
The occupational health nurse is working with a female employee who was just notified that her child
was involved in a MVA and taken to the hospital. The employee states, “I can’t believe this. What
should I do?” Which response is best for the RN to provide in this crisis?
A. Tell me what you think should happen.
B. How serious was the collision?

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HESI RN EXAM MENTAL HEALTH
C. What do you think you should do?
D. Call for transportation to the hospital.
A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He also reports that he
is married to a female movie star and thinks that his brother wants a sexual relationship with her.
What is the priority nursing problem for admission to the psychiatric unit?
A. Ineffective sexual patterns.
B. Impaired environmental interpretation.
C. Disturbed sensory perception.
D. Compromised family coping.
The RN is providing care for a client diagnosed with borderline personality disorder who has selfinflicted lacerations on the abdomen. Which approach should the RN use when changing this client’s
dressing?
A. Provide detailed thorough explanations when cleansing wound.
B. Perform the dressing change in a non-judgmental manner.
C. Ask in a non-threatening manner why the client cut own abdomen.
D. Request another staff member assist with the dressing change.
While sitting in the day room of the mental health unit, a male adolescent avoids eye contact, looks at
the floor, and talks softly when interacting verbally with the RN. The two trade places, and the RN
demonstrates the client’s behaviours. What is the main goal of this therapeutic technique?
A. Initiate a non-threatening conversation with the client.
B. Dialog about the ineffectiveness of his interactions.
C. Allow the client to identify the way he interacts.
D. Discuss the client’s feelings when he responds.
An antidepressant medication is prescribed for a client who reports sleeping only 4 hours in the past 2
days and weight loss of 9 lbs within the last month. Which client goal is most important to achieve
within the first three days of treatment?
A. Meet scheduled appointment with dietitian.
B. Sleep at least 6 hours a night.
C. Understands the purpose of the medication regimen.
D. Describes the reasons for hospitalization.
When preparing to administer to domestic violence screening tool to a female client, which statement
should the RN provide?
A. If your partner is abusing you, I need to ask these questions.
B. State law mandates that I ask if you are a victim of domestic violence.
C. The HCP provider needs to know if you are experiencing any domestic abuse.
D. All clients are screened for domestic abuse because it is common in our society.

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HESI RN EXAM MENTAL HEALTH
A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle
aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the
physical assessment, the client tells the RN that her sister thinks she is neurotic and calls her a
hypochondriac. Which response is best for the RN to provide?
A. Unless your sister has a medical education, ignore her comments.
B. I can hear that your sister comments are over-whelming you.
C. Do you think it’s possible that you might be a hypochondriac?
D. Besides your sister’s comments, what in your life is troubling you?
The RN is leading a group on the inpatient psychiatric unit. Which approach should the RN use
during the working phase of group development?
A. Establishing a rapport with group members.
B. Clarifying the nurse’s role and clients’ responsibilities.
C. Discussing ways to use new coping skills learned.
D. Helping clients identify areas of problem in their lives.
A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other
clients on the unit. What intervention is best for the RN to implement?
A. Isolate the client from the other clients.
B. Administer PRN sedative.
C. Avoid recognizing the behaviour.
D. Escort the client to his room.
A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase. Based on which
assessment finding will the RN withhold the clonidine (Catapres) prescription?
A. Blood pressure readings of 90/62 mmHg to 92/58 mmHg.
B. Pulse rate of 68-78 BPM.
C. Temperature of 99.5-99.7 F.
D. Respiration rate of 24 breaths per minute.
The RN on the evening shift receives report that a client is scheduled for electroconvulsive treatment
(ECT) in the morning. Which intervention should the Rn implement the evening before the scheduled
ECT?
A. Hold all bedtime medications.
B. Keep the client NPO after mid-night.
C. Implement elopement precautions.
D. Give the client an enema at bedtime.

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HESI RN EXAM MENTAL HEALTH
A client with Bulimia and depression who is taking phenelzine (Nardil) 90 mg daily is admitted to an
acute care hospital for uncontrolled hypertension. What dietary choices should the RN instruct the
client to avoid?
A. Pan-seared catfish.
B. Peperoni pizza.
C. Deep fried shrimp.
D. Beef trips with gravy.
A mental health worker is caring for a client with escalating aggressive behavior. Which action by the
mental health worker warrants immediate intervention by the RN?
A. Is attempting the physically restrain the patient.
B. Remains at a distance of 4 feet from the client.
C. Tells the client to go to the quiet area of the unit.
A. Is using a load voice to talk to the client.
A client who recently experienced the death of a significant other arrives at the mental health center.
The client reports loss of interest in usual activities, expresses a wish to be with the decreased
significant other, has been eating very little, and has not slept in several days. Which client statement
is most important for the RN to explore at this time?
A. Not sleeping for several days.
B. Wishing to be with spouse.
C. Lack of interest in usual activities.
D. Eating very little.
A middle-aged adult with major depressive disorder suffers from psychomotor retardation,
hypersomnia, and motivation. Which intervention is likely to be most effective in returning this client
to a normal level of functioning?
A. Provide education on methods to enhance sleep.
B. Teach the client to develop a plan for daily structured activities.
C. Suggest that the client develop a list of pleasurable activities.
D. Encourage the client to exercise.
When developing a plan of care for a client admitted to the psychiatric unit following aspiration of a
caustic material related to a suicide attempt, which nursing problem has the highest priority?
A. Impaired comfort.
B. Risk for injury.
C. Ineffective breathing pattern.
D. Ineffective coping.
A female client on a psychiatric unit is sweating profusely while she vigorously does push-ups and
then runs the length of the corridor several times before crashing into furniture in the sitting room.

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HESI RN EXAM MENTAL HEALTH
Latest 2023| HESI RN Exam Mental Health
|TEST BANK| V2| Questions and Answers
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A young female client is admitted to the emergency room because she was raped
that evening by her date. How should the nurse record the client’s chief complaint
in the medical record?
a.) Client reported that she had sexual relations against her will.
b.) Client claims that she was forced to participate in sexual
intercourse.
c.) Client has been sexually assaulted.
d.) Client states, “my date raped me tonight.”
A female client with obsessive compulsive disorder complains that she is feels
“driven” to check the locks on her front door at.. Which response is best for the
nurse to provide?
A. have you had a bad experience related to unlocked doors?
B. What are your thoughts when you are checking the locks?
C. feelings of being drive to do something are related to anxiety
D. repeating the same behaviour helps you to diminish your anxiety
What is the most important goal for a client with major depression who has been
receiving an antidepressant medication for two weeks?
A. ventilate feelings of sadness
B. eats three meals a day
C. participates in group meetings
D. does not attempt to commit suicide
After meeting with a healthcare provider, a client who is diagnosed with bipolar
disorder is screaming and stomping. Which action should the nurse take?
A. instruct the client to reduce the volume of his voice

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HESI RN EXAM MENTAL HEALTH
B. administer a PRN sedative by injection
C. accompany the client to a quiet area of the unit
D. encourage the client to attend a support group
A client with depression is not attentive to personal hygiene, uses television
watching as a means of escape from…inability to enjoy the things that once gave
them pleasure. Which coping strategy should the nurse include in the plan of care?
A. Relax and reduce the amount of effort to solve the problem
B. Recall methods that were most successful in the past
C. reach out to family and friends about feelings of abandonment
D. turn to other activities to take one’s mind off of the issues
A male college student visits the student health center for his annual physical
examination. His vital signs and blood glucose…range. His height is 6 feet and 1
inch (185.4 cm), and he weighs 135 pounds (61.36kg). What additional information
is most…obtain?
A. 24-hour nutritional history
B. body mass index
C. basal metabolic rate
D. complete blood count
A young male who was recently diagnosed with bipolar disorder takes lithium
carbonate daily. He is graduating…he tells the school nurse that wants to live away
from home for college. What information is most important for…family?
A. Despite his illness, the client should be able to live away from home
B. his serum lithium levels should be routinely evaluated
C. he should plan to participate in group or individual therapy while at college D. he
should be aware of the symptoms of his illness
A female client is brought to the emergency department after police officers found
her disoriented, disorganized, and confused. The RN also determines that the client
is homeless and is exhibiting suspiciousness. The client’s plan of care should
include what priority problem.
A. Acute confusion
B. Ineffective community coping

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HESI RN EXAM MENTAL HEALTH
C. Disturbed sensory perception
D. Self-care deficit
The occupational health nurse is working with a female employee who was just
notified that her child was involved in a motor vehicle accident and taken to the
hospital. The employee states, “I can’t believe this. What should I do?” Which
response is best for the RN to provide in this crisis?
A. “Tell me what you think should happen.”
B. “How serious was the collision?”
C. “What do you think you should do?”
D. Call for transportation to the hospital
A client tells the RN that he has an IQ of 400+ and is a genius and an inventor. He
also reports that he is married to a female movie star and thinks that his brother
wants a sexual relationship with her. What is the priority nursing problem
admission to the psychiatric unit?
A. Ineffective sexual patterns
B. Impaired environmental interpretation
C. Disturbed sensory perception
D. Compromised Family Coping
The RN is providing care for a client diagnosed with borderline personality disorder
who has self-inflicted lacerations on the abdomen. Which approach should the RN
use when changing this client’s dressing?
A. Provide detailed thorough explanations when cleansing wound.
B. Perform the dressing change in a non-judgmental manner.
C. Ask in a non-threatening manner why the client cut own abdomen.
D. Request another staff member assist with the dressing change.
While sitting in the day room of the mental health unit, a male adolescent avoids
eye contact, looks at the floor, and talks softly when interacting verbally with the
RN. The two trade places, and the RN demonstrates the client’s behaviors. What is
the main goal of this therapeutic technique?
a. Initiate a non-threatening conversation with the client.
b. Dialogue about the ineffectiveness of his interactions

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HESI RN EXAM MENTAL HEALTH
c. Allow the client to identify the way he interacts.
d. Discuss the client’s feelings when he responds.
An antidepressant medication is prescribed for a client who reports sleeping only 4
hours in the past 2 days and weight loss of 9 lbs within the last month. Which client
goal is most important to achieve within the first three days of treatment?
A. Meet scheduled appointment with dietitian
B. Sleep at least 6 hours a night
C. Understands the purpose of the medication regimen
D. Describes the reason for hospitalization
When preparing to administer to domestic violence screening tool to a female
client, which statement should the RN provide?
A. “If your partner is abusing you, I need to ask these questions.”
B. “State law mandates that I ask if you are a victim of domestic violence”
C. “The HCP provider needs to know if you are experiencing any domestic abuse”
D. “All clients are screened for domestic abuse because it is common in our society”
A young adult female visits the mental health clinic complaining of diarrhea,
headache, and muscle aches. She is afebrile, denies chills, and all laboratory
findings are within normal limits. During the physical assessment, the client tells
the RN that her sister thinks she is neurotic and calls her a hypochondriac. Which
response is best for the RN to provide?
A. “Unless your sister has a medical education, ignore her comments.”
B. “I can hear that your sister’s comments are overwhelming you.”
C. “Do you think it’s possible that you might be a hypochondriac?”
D. “Besides your sister’s comments, what in life is troubling you?”
The RN is leading a group on the inpatient psychiatric unit. Which approach should
the RN use during the working phase of group development?
A. Establishing a rapport with group members
B. Helping clients identify areas of problem in their lives
C. Discussing ways to use new coping skills learned
D. Clarifying the nurse’s role and clients’ responsibilities

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HESI RN EXAM MENTAL HEALTH
Latest 2023| HESI RN Exam Mental Health
|TEST BANK| V3| Questions and Answers
Included | Passed | A+ Rated Guide | New
Full Exam Actual
A male client who recently lost a loved one arrives at the mental health center and
tells the RN he is no longer interested is his usual activities and has not slept for
several days. Which priority nursing problem should the RN include in the client’s
plan of care?
A. Risk for suicide.
B. Sleep deprivation.
C. Situational low self-esteem.
D. Social isolation.
A male client with long history of alcohol dependency arrives in the emergency
department describing the feelings of bugs crawling on his body. His blood
pressure is 170/102, his pulse rate is 110 bpm, and is blood alcohol level is
0mg/dL. Which prescription should the RN administer?
A. Haloperidol (Haldol).
B. Thiamine (Vitamin B1).
C. Diphenhydramine (Benadryl).
D. Lorazepam (Ativan).
A client who refuses antipsychotic medications disrupts group activities, talks with
nonsensical words and wanders into client’s rooms. The RN decides that the client
needs constant observation based on which of these assessment findings?
A. Wanders into the client’s rooms.
B. Refuses antipsychotic medications.
C. Talks with nonsensical words.
D. Disrupts group activities.
A client with schizophrenia explains that she has 20 children and then very
seriously points to the RN and explains that she is one of them. What is the most
therapeutic response for the RN to provide/?
A. “Let’s go ask another RN is this is true.”

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HESI RN EXAM MENTAL HEALTH
B. “My name tag shows that I am a RN here.”
C. “I can’t possibly be one if your children.”
D. “I know that you don’t have 20 children.”
A high school girl reveals to the high school RN that she has been engaging in selfinduced vomiting as weight-control measure. Which initial assessment should the
RN focus on with this adolescent?
A. National percentile of weight and height.
B. Frequency of bingeing and purging behaviours.
C. Perceptions of family and social relationships.
D. School grades and extracurricular activities.
Narcan was administered to an adult client following a suicide attempt with an
overdose of hydrocodone bitartrate (Vicodin). Within 15 minutes, the client is alert
and oriented. In planning nursing care, which intervention has the highest priority
at this time?
A. Encourage the client to increase fluid intake.
B. Obtain the client’s serum Vicodin level.
C. Observe the client for further narcotic effects.
D. Determine the client’s reason for attempting suicide.
Following surgery, a male client with antisocial personality disorder frequently
requests that a specific RN be assigned to is care and is belligerent when another
RN is assigned. What action should the charge RN implement?
A. Reassure the client that his request will be met whenever possible.
B. Advise the client that assignments are not based on the client’s request.
C. Ask the client to explain why he constantly requests the RN.
D. Encourage the client to verbalize his feelings about the RN.
When preparing to administer a prescribed medication to a homeless male at a
community clinic, the client tells the RN that he usually takes a different dosage.
What action should the RN take?
A. Tell him to take the medication then verify the dosage at the next healthcare
team meeting.
B. Withhold the medication until the dosage can be confirmed.

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HESI RN EXAM MENTAL HEALTH
C. Inform him that he may refuse the medication and document whether or not he
takes it.
D. Explain to the client that the dosage has been changed.
The nurse orients a female client with depression to the new room on the mental
health unit. The client states “It seems strange that I don’t have a T.V in my room.”
Which statement would be best for the RN to provide?
A. “You can watch T.V as much as you want outside of your room.”
B. “Sometimes clients feel like the T.V is sending them messages.”
C. “It’s important to be out of you room and talking to others.”
D. “Watching T.V is a passive activity and we want you to be active.”
A client admitted with a closed head injury after a fall has a blood alcohol level of
0.28 (28%) and is difficult to arouse. Which intervention during the first 6 hours
following admission should the RN identify as the priority?
A. Give lorazepam (Ativan) PRN for signs of withdrawal.
B. Administer disulfiram (Antabuse) immediately.
C. Place in a side lying position with head of bed elevated.
D. Provide thiamine and folate supplements as prescribed.
The RN is completing the admission assessment of an underweight adolescent who
is admitted to a psychiatric unit with a diagnosis of depression. Which finding
requires notification to the HCP?
A. Potassium level of 2.9 mEq/dl.
B. Blood pressure of 110/70 mmHg.
C. WBCof10,000mm^3.
D. Body mass index of 21.
The Rn is planning client teaching for a 35-year-old client with alcoholic cirrhosis.
Which self-care measure should the RN emphasize for the client’s recovery?
A. Support group meetings.
B. Vitamin B and multivitamin supplements.
C. Diet with adequate calories and protein.
D. Alcohol abstinence.

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HESI RN EXAM MENTAL HEALTH
A teenager has lost 20 pounds in the last three months is admitted to the hospital
with hypotension and tachycardia. The client reports irregular menses and hair
loss. Which intervention is most important for the RN to include in the clients plan
of care?
A. Implement behavioural modification therapy.
B. Initiate caloric and nutritional therapy.
C. Evaluate the client for low self-esteem.
D. Record daily weights and graft trend.
While interviewing a client, the nurse takes notes to assist with accurate
documentation later. Which statement is most accurate regarding note-taking
during an interview?
A. The client’s comfort level is increased when the RN breaks eye contact to take
notes.
B. The interview process is enhanced with note taking and allows the client to speak
at a normal pace.
C. Taking notes during an interview is a legal obligation of examining RN.
D. The RN’s ability to directly observe the client’s non-verbal communication is
limited with note taking.
A client is receiving substitution therapy during withdrawal from benzodiazepines.
Which expected outcome statement has the highest priority when planning nursing
care?
a. Client will not demonstrate cross addiction.
b. Co-dependent behaviours will be decreased.
c. CNS stimulation will be reduced.
d. Client’s level of consciousness will increase.
A client who is being treated with lithium carbonate for manic depression begins to
develop diarrhoea, vomiting, and drowsiness. What action should the nurse take?
a. Notify the physician immediately and force fluids.
b. Prior to giving the next dose, notify the physician of the symptoms.
c. Record the symptoms and continue medication as prescribed.
d. Hold the medication and refuse to administer additional amounts of the

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HESI RN EXAM MENTAL HEALTH
Latest 2023| HESI RN Exam Mental Health
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Actual
A male adult is admitted because of an acetaminophen (Tylenol) overdose. After
transfer to mental health unit the client is told he has liver damage. Which
information is most important for the nurse to include in the client’s a discharge
plan?
A) Eat a high carbohydrate, low fat, low protein diet.
B) Do not take any over the counter medication.
C) Call the crisis hot line if feeling lonely.
D) Avoid exposure to large crowds
After receiving treatment for anorexia, a student asks the school nurse for
permission to work in the school cafeterias part of the school’s work study
program. What action should the nurse take?
A) Refer the student to a psychiatrist for further discussion.
B) Recommend assignment to the receptionist’s office.
C) Suggest that the student work in the athletic department.
D) Determine the parents’ opinion of the work assignment.
The nurse accepts a transfer to the mental health unit and understands that the
client is distractible and is exhibiting a decreased ability to concentrate. The nurse
has only 15 min to talk with the client. To develop a treatment plan for this client,
wich assessment is most important for the nurse to obtain?
A) Motivation for treatment
B) History of substance use
C) Medication compliance
D) Mental status examination

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HESI RN EXAM MENTAL HEALTH
A client who is known to abuse drugs is admitted to the psychiatric unit. With
medication should the nurse anticipate administering to a client who is exhibiting
benzodiazepine withdrawal symptoms?
A) Diphenhydramine (Benadryl)
B) Perphenazine (trilafon)
C) Isocarboxazid (marplan)
D) Clordiazepoxide (Librium)
A male client who recently lost a loved one arrives at the mental health center and
tells the nurse he is no longer interested in his usual activities and has not slept for
several days. Which priority nursing problem should the nurse conclude in this
client’s plan of care?
A) Risk for suicide
B) Sleep deprivation
C) Situational low self-esteem.
D) Social isolation
A woman brings her 48-years -old husband to the outpatient psychiatric unit and
describes his behavior to the admitting nurse. She state that he has been
sleepwalking, cannot remember who he is, and exhibits multiple personalities. The
nurse knows that these behaviors are often associated with:
A) Post-traumatic stress syndrome.
B) Panic disorder.
C) Dissociative disorder.
D) Obsessive-compulsive disorder
A male client with a long history of alcohol dependency arrives in the emergency
department describing the feeling of bugs crawling on his body. His BP is 170/102.
Pulse rate is 110b/min, and his blood alcohol level (BAL)is 0 mg/dl. Which
prescription should the nurse administer?

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HESI RN EXAM MENTAL HEALTH
A) Haloperidol (Haldol)
B) Thiamine (Vit B1)
C) Diphenhydramine (Benadryl)
D) Lorazepan (Ativan) 30.
The nurse on the day shift receives report about a client with depression who w the
weekend. The nurse walks into the client’s room in the morning and finds the what
intervention is best for the nurse to implement?
A) Assist the client to get out bed and involved in an activity.
B) Monitor the client’s appetite and pattern of sleep.
C) Assess the client’s feelings about the hospital stay.
D) Explain that staff will check on the client every 30 min
A client who refuses antipsychotic medications disrupts group activities, talks with
nonsensical words wanders into client’s room. The nurse decides that the client
needs constant observation based on which of these assessment findings?
A) Wanders into client’s rooms.
B) Refuse antipsychotic medication.
C) Talks with nonsensical words.
D) Disrupts group activities
Which client statement suggests to the nurse that the client is using the defense
mechanism of projection to deal with anxiety related to admission to a psychiatric
unit?
A) I am here because the police thought I was doing something wrong”
B) I want to be here because I know it is the best psychiatric facility”
C) At least I hit the wall instead of hitting the psychiatric aide”
D) Don’t believe everything my family tells you, I am not crazy
A client with schizophrenia explains that she has 20 children and then very
seriously points to the nurse and explains that she is one of them. What is the most
therapeutic response for the nurse to provide?

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HESI RN EXAM MENTAL HEALTH
A) Let’s go ask another nurse if this true.”
B) My name tag shows that I am a nurse here.”
C) I cannot possibly be one of your children”
D) I know that you don’t have 9 children”
A middle-aged adult with major depressive disorder suffers from psychomotor
retardation, hypersomnia, and amotivation. Which intervention is likely to be most
effective in returning this client to a normal level of functioning?
A) Encourage the client to exercise
B) Suggest that the client to develop a list of pleasurable activities
C) Teach the client to develop a plan for daily structured activities
D) Provide education on methods to enhance sleep
A high school girl reveals to the school nurse that she has been engaging in selfinduced vomiting as a weight-control measure. Which initial assessment should the
nurse focus on with this adolescent?
A) National percentile of weight and height.
B) Frequency of bingeing and purging behaviours
C) Perceptions of family and social relationships
D) School grades and extracurricular activities.
A client is receiving substitution therapy during withdrawal from benzodiazepines.
Which expected outcome statement has the highest priority when planning nursing
care?
A) Excessive CNS stimulation will be reduced
B) Co-dependent behaviours will be decreased
C) Client’s level of consciousness will increase.
D) Client will not demonstrate cross-addiction
A female client on a psychiatric unit is sweating profusely while she vigorously does
push-ups and then runs the length of the corridor several times before crashing

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