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HESI Mental Health Final Exam | 2025/2026 Latest Edition Real Exam Questions and Verified Answers | 100% Correct | Nursing Exams Introduction This resource presents 50 verified questions and correct answers from the latest HESI Mental Health Final Exam for the 2025/2026 testing cycle. Designed to reflect current psychiatric nursing standards, it helps learners master key mental health principles essential for NCLEX success and clinical performance.Answer Format All correct answers are clearly marked in bold and green for efficient and effective study.
HESI Mental Health Final Exam Question 1 A client with major depressive disorder reports suicidal thoughts. Which action should the nurse take first?
- Encourage positive thinking
- Assess the suicide risk and ensure safety
- Ignore as attention-seeking
- Allow the client privacy
- Administer an antipsychotic immediately
- Ensure client safety and notify the provider
- Ignore the hallucinations
- Encourage following the commands
Rationale: Assessing suicide risk and ensuring safety is the priority for suicidal thoughts to prevent harm. Encouraging positivity, ignoring, or allowing privacy is unsafe.Question 2 A client with schizophrenia reports auditory hallucinations commanding harm. Which action should the nurse prioritize?
Rationale: Ensuring safety and notifying the provider is critical for command
hallucinations. Medicating without assessment, ignoring, or encouraging commands is unsafe.Question 3 A client with bipolar disorder in a manic phase is hyperactive. Which intervention should the nurse implement?
- Encourage high-energy activities 1 / 2
- Provide a low-stimulus environment
- Allow unlimited visitors
- Promote competitive tasks
- Administer a sedative
- Assess for medical causes
- Encourage hyperventilation
- Ignore as anxiety-related
- Fluoxetine
- Prazosin
- Lithium
- Risperidone
- Demand the client stop washing
- Teach coping skills and set time limits
- Allow unlimited washing
- Ignore the behavior
- Mild anxiety
- Confusion and disorientation
- Nausea
- Heart rate 85 bpm
- / 2
Rationale: A low-stimulus environment reduces agitation in mania. High-energy activities, unlimited visitors, or competition may escalate symptoms.Question 4 A client with panic disorder reports chest tightness. Which action should the nurse take first?
Rationale: Assessing for medical causes rules out cardiac or respiratory issues for chest tightness in panic disorder. Sedatives, hyperventilation, or ignoring are not appropriate.Question 5 A client with PTSD reports nightmares. Which medication should the nurse anticipate?
Rationale: Prazosin reduces nightmares in PTSD. Fluoxetine, lithium, and risperidone are not indicated for this symptom.Question 6 A client with OCD reports compulsive handwashing. Which intervention should the nurse implement?
Rationale: Teaching coping skills and setting time limits reduces compulsive behaviors in OCD. Demanding cessation, allowing unlimited washing, or ignoring is not therapeutic.Question 7 A client with alcohol withdrawal reports delirium. Which symptom requires immediate intervention?
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