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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.
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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.
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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.
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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.
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