Hesi Mental Health Exam Test Bank 2 Latest 2025-

pg. 1 Hesi Mental Health Exam Test Bank 2 Latest 2025- 2026 With 350 Real Exam Prep Questions and Correct Answers with Rationales | Mental Health Hesi Latest Exam Prep Test Bank 2025 (brand new!)

A young woman is preparing to be discharged from the psychiatric unit. Which nursing intervention is most important for the nurse to Include in this phase of the nurse-client relationship?

• Provide information about available community resources.
• Explore the client's feelings related to discharge.
• Ask the client to describe alternative coping mechanisms.
• Discuss potential medication side effects.

Correct Answer: A

Providing information about community resources ensures continuity of care and supports the client's transition back into the community.During a high school class on substance abuse, a student tells the group, "If I tried cocaine, I know I could handle it. I know when to stop." Which response is best for the nurse to provide?

• An overdose of cocaine can be lethal.
• Addiction affects all aspects of one's life and one's family.
• Denial of an addiction problem is often the first response to the behavior.
• Mind altering drugs take away one's ability to make good decisions.

Correct Answer: D

This response challenges the student's belief in their ability to control cocaine use by highlighting the impairing effects of the drug on decision-making, potentially leading to a more impactful conversation about the risks of substance abuse.The nurse is assessing a client with postpartum depression for changes in the mood and cognitive state. Which subjective finding(s) should the nurse identify that are 1 / 4

pg. 2 consistent with postpartum depression? Select all that apply.

• Disrupted sleep
• Grandiosity
• Poor concentration
• Compulsive behavior
• Sadness

Correct Answers: A, C, E

• Disrupted sleep is a common symptom of postpartum depression, often

manifesting as difficulty falling asleep, frequent awakenings, or early morning awakening.

• Grandiosity, characterized by an inflated sense of self-importance or abilities, is

not typically associated with postpartum depression.

• Poor concentration is a common cognitive symptom of postpartum

depression, making it difficult for the individual to focus or make decisions.

• Compulsive behavior, while it can occur in various mental health conditions, is

not a hallmark symptom of postpartum depression.

• Sadness or feelings of emptiness are classic symptoms of postpartum

depression and are often accompanied by tearfulness or a sense of hopelessness.The nurse is caring for a client with schizoaffective disorder and type 2 diabetes mellitus who receives a prescription for a second generation antipsychotic. The client expresses concern to the nurse about the effect of this antipsychotic on blood glucose levels. Which response should the nurse make?

• "This medication may cause watery eyes and diarrhea. These will go away

within 2 weeks."

• "Side effects are not likely with this type of medication. There should be no

need to worry."

• "I can provide an education sheet with your discharge papers. What is your

primary language?"

• "This type of medication is generally well tolerated. Tell me more about your

concerns." 2 / 4

pg. 3

Correct Answer: D

This response acknowledges the client's concerns and provides reassurance about the general tolerability of the medication, while also inviting further discussion to address the specific concern about blood glucose levels.The nurse is completing the admission assessment of an adolescent client who is underweight and admitted to a psychiatric unit with a diagnosis of depression.Which finding requires notification to the healthcare provider?

Reference Range:

Potassium (K+) [3.5 to 5.0 mEq/L or 3.5 to 5.0 mmol/L] White Blood Cell (WBC) [5000 to 10,000/mm3 or 5 to 10 x 109/L]

• Body mass index of 21
• Blood pressure of 110/70 mm Hg
• Potassium level of 2.9 mEq/dl (2.9 mmol/L)
• WBC of 10,000/mm3 (10 x 109/L)

Correct Answer : C

A potassium level of 2.9 mEq/dl (2.9 mmol/L) is below the reference range (hypokalemia) and requires notification to the healthcare provider due to potential cardiac and metabolic complications.A client with a history of anxiety and depression presents to the emergency department with a headache, nausea, and vomiting. The client's vital signs are temperature 100.9°F (38.3°C), heart rate 115 beats/minute, respirations 21 breaths/minute, and blood pressure 216/108 mm Hg. When reviewing the client's medications, which information is of most concern to the nurse?

• Hydrochlorothiazide 12.5 mg PO daily.
• Phenelzine 60 mg PO daily.
• Losartan 50 mg PO daily.
• Aspirin 81 milligrams PO daily.

Correct Answer: B

Phenelzine is a monoamine oxidase inhibitor (MAOI) antidepressant. It can 3 / 4

pg. 4 interact with tyramine-containing foods and precipitate a hypertensive crisis, especially if the client consumes foods rich in tyramine, which could explain the elevated blood pressure.The healthcare provider prescribes lithium carbonate for a client diagnosed with bipolar, manic depression. It is most important for the nurse to review which laboratory finding prior to beginning the drug therapy?

• Alkaline phosphatase.
• Blood glucose.
• White blood count.
• Serum creatinine.

Correct Answer : D

Serum creatinine levels should be monitored before initiating lithium therapy and periodically thereafter due to the risk of lithium-induced nephrotoxicity.A homeless male who was found sitting in the middle of a busy street is brought to the emergency department (ED). On admission, the client is confused and has difficulty answering questions. After ruling out a physiological etiology for the client's behavior, he is transferred to the mental health unit. When admitting the client to the unit, which action is most important for the nurse to take?

• Ask the client about his recent substance use.
• Perform a mental status exam.
• Assess the client from head-to-toe.
• Determine the number of previous hospitalizations.

Correct Answer: B

This is the most important action as it allows the nurse to assess the client's cognitive functioning, emotional state, and overall mental health status, which is essential for planning appropriate care and interventions.Which goal has the highest priority for an adolescent client who is hospitalized for weight loss related to anorexia nervosa?

• The client will eat nutritious meals in the hospital cafeteria.
• The client will verbalize feelings of a positive self-esteem.
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