Evolve Hesi Mental Health Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

Evolve Hesi Mental Health Questions and Answers | Latest Version | 2025/2026 | Correct & Verified A client reports hearing a voice telling them they are worthless. What is the nurse’s best response? “I understand the voices feel real to you, but I do not hear them. Let’s talk about how you are feeling.” A client with depression says, “I don’t want to live anymore.” What is the nurse’s priority action? Directly ask the client if they have a plan for suicide. A client with bipolar disorder is pacing rapidly and shouting at staff. What is the nurse’s first action? Ensure safety by reducing environmental stimulation. A client taking lithium reports nausea, tremors, and excessive thirst. What should the nurse suspect? Possible lithium toxicity. 2 A client states, “I see insects crawling on the walls,” but none are present. What is the nurse observing? A visual hallucination. A client with schizophrenia refuses food, stating it is poisoned. What should the nurse do? Offer foods in sealed packages to reduce suspicion. A client with generalized anxiety disorder says they feel worried “all the time.” What is the best nursing intervention? Teach relaxation and deep-breathing exercises. A client with PTSD is startled by loud noises and has nightmares. What intervention should the nurse prioritize? Provide a calm environment and encourage grounding techniques. A client in acute mania interrupts staff repeatedly and speaks rapidly. What is the priority nursing action? Set firm, consistent limits on behavior. 3 A client on antipsychotics suddenly develops high fever and muscle rigidity. What should the nurse suspect? Neuroleptic malignant syndrome. A client taking fluoxetine reports loss of sexual interest. How should the nurse respond? Acknowledge that this is a common side effect of SSRIs. A client with dementia attempts to leave the unit at night. What is the nurse’s priority action? Gently redirect the client and ensure safety. A client with OCD repeatedly washes hands for hours. What is the best nursing approach? Allow the ritual but set reasonable time limits. A client says, “I don’t deserve to live, I’m a failure.” What is the nurse’s therapeutic response? “You sound very hopeless right now. Can you tell me more about what you’re feeling?” A client withdrawing from alcohol develops tremors, sweating, and anxiety. What should the nurse monitor for next? 4 Seizures and delirium tremens.