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Menatal Health/BH Hesi V2 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client taking clozapine develops a fever and sore throat. What is the nurse’s priority action?
- Administer acetaminophen.
- Encourage oral fluids.
- Reassure the client.
✔✔B. Obtain a white blood cell count.
A client with bipolar disorder is admitted in a manic state. What is the nurse’s most appropriate intervention?
- Encourage group discussions.
- Teach detailed coping strategies.
- Offer large, elaborate meals.
✔✔B. Provide a quiet, low-stimulation environment.
A client on lithium reports increased tremors and excessive thirst. What should the nurse do first?
- Encourage relaxation techniques. 1 / 4
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✔✔B. Assess for lithium toxicity.
- Tell the client to drink less water.
- Continue with the current dosage.
A client withdrawing from alcohol begins to tremble and sweat. What should the nurse do first?
- Offer fluids.
- Encourage exercise.
- Begin discharge teaching.
✔✔B. Monitor for withdrawal seizures.
A client reports seeing snakes on the floor, but none are present. What is the nurse’s best documentation?
- Delusion
- Illusion
- Obsession
- / 4
✔✔B. Hallucination
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A client with schizophrenia states, “The television is sending me secret messages.” How should the nurse respond?
- “That’s not true.”
- “Ignore the television and it will stop.”
- “Tell me why you think that is happening.”
✔✔B. “It sounds like you are feeling frightened.”
A depressed client says, “I don’t want to live anymore.” What is the nurse’s priority action?
- Encourage positive thinking.
- Ask the family to visit more often.
- Suggest group therapy sessions.
✔✔B. Assess the level of suicide risk.
A client experiencing a panic attack reports chest pain and palpitations. What is the nurse’s priority intervention?
- Leave the client alone.
- Encourage detailed explanations of feelings. 3 / 4
✔✔B. Stay with the client and speak calmly.
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- Teach relaxation skills immediately.
A client with OCD spends hours washing hands. What is the nurse’s best intervention?
- Stop the ritual immediately.
- Distract the client during the ritual.
- Ignore the behavior completely.
✔✔B. Allow the ritual but set time limits.
A client with schizophrenia refuses to eat, saying food is poisoned. What should the nurse do?
- Convince the client the food is safe.
- Withhold meals until the client eats.
- Ask security to enforce eating.
✔✔B. Offer sealed, packaged foods.
A client on sertraline reports improvement. Which statement shows effective teaching?
- “I can stop the medication when I feel fine.”
- “This drug will cure my depression.”
- / 4
✔✔B. “It may take weeks before I feel full effects.”