Mental Health Hesi/test Bank

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Sample questions from Mental Health Hesi/test Bank

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A client whose partner recently died says, "I don't know how I can go on." Which response by the nurse is most therapeutic?

   • A."Your partner would want you to be strong."
   • B."Tell me what is making today feel especially difficult."
   • C."You will feel better if you keep busy."
   • D."At least your partner is no longer suffering."

   Rationale: Inviting the client to describe the immediate difficulty communicates presence and encourages expression without assuming what the client needs. Advising the client to keep busy or be strong offers premature solutions and may discourage grieving. Pointing to the partner's relief can minimize the client's loss; the exam takeaway is to use open-ended, nonjudgmental responses.

2. 2.A client asks the nurse to explain a newly prescribed medication. Which response best demonstrates therapeutic communication?

   • A."You need to trust your prescriber on this."
   • B."The medication is safe, so you should take it."
   • C."What have you been told about the medication so far?"
   • D."Most people take it without asking questions."

   Rationale: Asking what the client already knows identifies information needs and invites participation in care. Telling the client simply to take the medication or trust the prescriber discourages informed discussion. Comparing the client with other people can feel judgmental and does not address the question.

3. 3.A client says, "I am scared about the biopsy results." Which response uses reflection?

   • A."You should ask your provider when the results will be ready."
   • B."Why are you so worried about a routine test?"
   • C."The results are probably going to be fine."
   • D."You are feeling frightened while you wait for the results."

   Rationale: Reflection identifies and returns the feeling the client has expressed, encouraging further discussion. Predicting a reassuring result may provide false reassurance, and asking why can sound challenging. Advising the client to ask the provider may be practical later but does not respond to the emotion expressed.

4. 4.During an interview, a client becomes silent and looks down after discussing a recent loss. What is the nurse's best action?

   • A.Allow a quiet pause and remain present.
   • B.Change the subject to something more cheerful.
   • C.Tell the client that silence makes it hard to help.
   • D.Ask several questions quickly to keep the interview moving.

   Answer and rationale are in the full material.

5. 5.A client says, "I feel like a failure because I can't manage everything at home." Which nurse response is an example of exploring?

   • A."You are not a failure; you are doing your best."
   • B."Everyone feels overwhelmed sometimes."
   • C."Tell me more about what feels hardest to manage."
   • D."You should ask your family to do more."

   Answer and rationale are in the full material.