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

Hesi Mental Health Questions and Answers | Latest Version | 2025/2026 | Correct & Verified A client states, “I feel worthless and I don’t see a reason to go on living.” What is the nurse’s priority action? Assess the client for suicide risk. A client is pacing, clenching fists, and breathing rapidly. What should the nurse do first? Ensure the environment is safe and attempt to de-escalate. A client with schizophrenia says, “The radio is sending me secret codes.” How should the nurse respond? Acknowledge the client’s feelings without agreeing with the delusion. A client taking lithium reports nausea, vomiting, and hand tremors. What should the nurse suspect? Lithium toxicity. 2 A client with OCD spends hours checking the door lock. What is the best nursing approach? Allow the ritual but gradually set reasonable limits. A client in alcohol withdrawal begins to experience tremors and sweating. What is the nurse’s priority? Monitor for seizures and administer prescribed benzodiazepines. A client says, “I hear a voice telling me I should die.” What should the nurse do first? Assess the content of the hallucination and ensure safety. A client with depression has stopped eating and drinking fluids. What is the priority nursing intervention? Monitor nutrition and hydration status closely. A client with bipolar disorder is unable to sit still and talks rapidly. What phase is the client likely experiencing? A manic episode. 3 A nurse observes a client suddenly becoming mute and immobile for several hours. What condition is suspected? Catatonia. A client reports “bugs crawling under my skin” but none are present. What type of hallucination is this? Tactile hallucination. A client with anorexia nervosa is found to have a pulse of 42 bpm. What is the priority action? Notify the healthcare provider due to bradycardia. A client taking clozapine develops a fever and sore throat. What should the nurse do? Obtain a white blood cell count immediately. A client with depression starts attending group therapy after weeks of refusal. What does this indicate? Improvement in social engagement. 4 A client with schizophrenia begins to laugh suddenly though nothing is funny. How should the nurse document this? Labile affect. A client being treated with SSRIs suddenly develops muscle rigidity and high fever. What should the nurse suspect? Serotonin syndrome. A client states, “I can’t stop worrying about everything all the time.” What disorder does this describe? Generalized anxiety disorder. A client expresses belief that the government is monitoring their thoughts. What is this symptom called? Delusion of control. A nurse observes a client speaking rapidly, jumping from topic to topic. What is this called? Flight of ideas. 5 A client with schizophrenia has difficulty expressing thoughts and their words seem loosely connected. What is this called? Loose associations. A client with major depression says, “I will never