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Hesi Mental Health Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client reports hearing voices that say, “You are useless, you should die.” What is the nurse’s priority action?
- Tell the client to ignore the voices.
- Distract the client with an activity.
- Reassure the client that voices are harmless.
✔✔B. Assess the content of the hallucination and ensure safety.
A client with schizophrenia believes the nurse is working for the government. What is this symptom called?
- Hallucination
- Obsession
- Illusion
✔✔B. Delusion of persecution
A client with bipolar disorder is pacing and talking loudly. What is the nurse’s priority intervention? 1 / 4
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- Encourage group therapy.
- Ask the client to explain feelings in detail.
- Offer a competitive activity.
✔✔B. Provide a calm, low-stimulation environment.
A client on lithium reports diarrhea and coarse hand tremors. What should the nurse do first?
- Reassure the client these are mild side effects.
- Encourage extra fluids.
- Give the next dose as scheduled.
✔✔B. Notify the healthcare provider of possible toxicity.
A client with PTSD reports nightmares and flashbacks. What is the nurse’s best intervention?
- Encourage alcohol before sleep.
- Discourage talking about trauma.
- Increase daytime naps.
✔✔B. Teach relaxation and grounding techniques.
A client with anorexia nervosa has a heart rate of 40 bpm. What is the priority nursing action? 2 / 4
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- Offer high-calorie snacks.
- Encourage light exercise.
- Reassure the client this is normal.
✔✔B. Notify the healthcare provider immediately.
A client taking clozapine develops fever and sore throat. What is the nurse’s priority?
- Administer antipyretics.
- Encourage oral fluids.
- Provide bed rest.
✔✔B. Obtain white blood cell count.
A client with depression is refusing meals. What should the nurse do?
- Leave food at the bedside.
- Tell the client to eat or face consequences.
- Remove food and return later.
✔✔B. Offer small, frequent meals and monitor intake.
A client in alcohol withdrawal is trembling and diaphoretic. What is the nurse’s best action? 3 / 4
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- Provide coffee to stimulate alertness.
- Restrict fluids.
- Leave the client to rest.
✔✔B. Administer prescribed benzodiazepines.
A nurse notices a client speaking rapidly and changing topics frequently. How should this be documented?
- Clang association
- Tangential speech
- Echolalia
✔✔B. Flight of ideas
A client says, “The rope on the floor is a snake.” What is this symptom called?
- Hallucination
- Delusion
- Obsession
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✔✔B. Illusion