Hesi Mental Health Exam Test Bank 1 Latest 2025-

pg. 1 Hesi Mental Health Exam Test Bank 1 Latest 2025- 2026 With 400 Real Exam Prep Questions and Correct Answers with Rationales | Mental Health Hesi Latest Exam Prep Test Bank 2025 (brand new!)

Which problem is potentially present for a patient diagnosed with severe obsessive-compulsive disorder (OCD)?

• Sleep disturbance
• Excessive socialization
• Command hallucinations
• Altered state of consciousness
• Sleep disturbance

Rationale:

Patients who must engage in compulsive rituals for anxiety relief rarely are afforded relief for any prolonged period. The high anxiety level and need to perform the ritual may interfere with normal routines such as sleep. Excessive socialization is not a likely feature of OCD because patients feel shame and humiliation regarding behavior. Command hallucinations are a feature of schizophrenia. Patients with OCD do not have an altered state of consciousness.Which question is to ask during the assessment of a patient diagnosed with anxiety disorder?

• "How often do you hear voices?"
• "Have you ever considered suicide?"
• "How long has your memory been bad?"
• "Do your thoughts always seem jumbled?"
• "Have you ever considered suicide?"

Rationale:

The presence of anxiety may cause an individual to consider suicide as a means of finding comfort and peace. Suicide assessment is appropriate for any patient with higher levels of anxiety. Hearing voices is associated with psychosis. Memory loss 1 / 4

pg. 2 is associated with various types of dementia. Jumbled thoughts are associated with thought disorders or dementia.Which statement is true regarding normal anxiety? Select all that apply. One, some, or all responses may be correct.

• A degree of anxiety is necessary and healthy.
• Unlike fear, it is a reaction to a specific danger.
• It is a factor in the achievement of personal goals.
• It motivates people to make and survive change in their lives.
• It provides the energy needed to achieve tasks related to living.
• A degree of anxiety is necessary and healthy.
• It is a factor in the achievement of personal goals.
• It motivates people to make and survive change in their lives.
• It provides the energy needed to achieve tasks related to living.

Rationale:

Normal anxiety is a healthy reaction necessary for survival. It provides the energy needed to carry out the tasks involved in living and striving toward goals. Anxiety motivates people to make and survive change. Fear is a reaction to a specific danger, whereas anxiety is a vague sense of dread related to an unspecified or unknown danger.As a part of group therapy, a patient with anxiety disorder was asked to deliver a speech to the group. However, the patient was unable to perform the given task and started avoiding the nurse. Which action would the nurse take to relieve the anxiety of the patient? Select all that apply. One, some, or all responses may be correct.

• The nurse leaves the patient alone in a room.
• The nurse talks slowly and calmly with the patient.
• The nurse asks the patient to write a list of their strength
• The nurse talks slowly and calmly with the patient.
• The nurse asks the patient to write a list of their strengths.
• The nurse encourages the patient to discuss the reason for fear.

Rationale:

The symptoms of generalized anxiety disorder include inability to perform a given task and avoiding interacting with others. The nurse should make the patient feel 2 / 4

pg. 3 safe by talking slowly and calmly. The nurse can increase the self-esteem of the patient by giving them the task of writing and assessing their strengths. The nurse encourages the patient to discuss the reason for fear. It helps the nurse to identify possible stressors and to eliminate them from the patient's surroundings. The nurse should not leave the patient alone but stay with the patient to convey acceptance.The nurse should avoid giving strict instructions to the patient as it may hinder nurse-patient communication. Brief instructions enable the patient to respond in a healthy manner.Just before the guests arrive for Thanksgiving dinner, the host discovers the turkey is burned and inedible. Which behavior by the host indicates adaptive coping?

• Going to bed and leaving the guests unattended
• Telephoning all the guests and canceling the invitation for dinner
• Telling the guests, "My oven malfunctioned. You will have to eat burned

turkey."

• Saying to the guests, "We are having a vegetarian Thanksgiving dinner this

year."

• Saying to the guests, "We are having a vegetarian Thanksgiving dinner this

year."

Rationale:

Anxiety is a part of everyday life. Normal anxiety is a healthy reaction necessary for survival. It provides the energy needed to carry out the tasks involved in living and striving toward goals. Anxiety motivates people to make and survive change.It prompts constructive behaviors. In this scenario, announcing a vegetarian dinner indicates the adult has adapted to the anxiety-producing situation. Canceling the dinner and leaving guests unattended are dysfunctional responses. Saying the oven malfunctioned demonstrates maladaptive use of displacement.A male client is admitted to the psychiatric unit with a medical diagnosis of paranoid schizophrenia. During the admission procedure, the client looks up and states, "No, it's not MY fault. You can't blame me. I didn't kill him, you did." What action is best for the nurse to take?

• Reassure the client by telling him that his fear of the admission procedure is to

be expected.

• Tell the client that no one is accusing him of murder and remind him that the 3 / 4

pg. 4 hospital is a safe place.

• Assess the
• Assess the content of the hallucinations by asking the client what he is hearing.

Rationale Further assessment is indicated and the nurse should obtain information about what the client believes the voices are telling him--they may be telling him to kill himself or the nurse. The other actions are not indicated.A woman arrives in the Emergency Center and tells the nurse she thinks she has been raped. The client is sobbing and expresses disbelief that a rape could happen because the man is her best friend. After acknowledging the client's fear and anxiety, how should the nurse respond?

• I would be very upset and mad if my best friend did that to me.
• You must feel betrayed, but maybe you might have led him on?
• Rape is not limited to strangers and frequently occurs by someone who is known

to the victim

• Rape is not limited to strangers and frequently occurs by someone who is known

to the victim.

Rationale:

A victim of date rape, or acquaintance rape, is less prone to recognize what is happening when the incident involves persons who know each other, so the dynamics are different than rape by a stranger. Explaining that rape can and often occurs by a perpetrator that the victim frequently knows and trusts provides confrontation for the client's denial. The other responses are not therapeutic and are not indicated.A young adult male client, diagnosed with paranoid schizophrenia, believes that world is trying to poison him. What intervention should the nurse include in this client's plan of care?

• Remind the client that his suspicions are not true.
• Ask one nurse to spend time with the client daily.
• Encourage the client to participate in group activities.
• Assign the client to a room closest to the activity room.
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