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Mental Health Final Exam Questions, Hesi RN Mental Health Hesi Review - Multiple Choice Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client with major depression refuses to get out of bed in the morning. What is the nurse’s best initial action?
- Encourage the client to rest longer.
- Ask the client to explain why they feel tired.
- Offer the client the option to skip breakfast.
✔✔B. Assist the client with getting up and starting morning care.
A client with generalized anxiety disorder reports constant restlessness. What is the most appropriate nursing intervention?
- Encourage drinking coffee for energy.
- Advise the client to avoid expressing worries.
- Promote isolation to reduce stress.
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✔✔B. Teach deep breathing and relaxation techniques.
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A client diagnosed with schizophrenia begins to laugh inappropriately and mutters to themselves.What should the nurse suspect?
- Delusional thoughts.
- Illusionary experiences.
- Flight of ideas.
✔✔B. Auditory hallucinations.
A client with bipolar disorder in mania is pacing and not eating meals. What should the nurse provide?
- Large family-style dinners.
- Only three meals per day.
- Full trays of hot food.
✔✔B. High-calorie finger foods.
A client taking sertraline states, “I feel worse and think life isn’t worth living.” What is the nurse’s priority action?
- Encourage positive thinking.
- Offer to distract the client. 2 / 4
✔✔B. Assess suicide risk immediately.
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- Suggest attending a group activity.
A client with schizophrenia states, “The FBI has cameras in my room.” What is the nurse’s best response?
- “That is not true.”
- “Why do you believe that?”
- “Ignore those thoughts and they’ll go away.”
✔✔B. “I understand this feels real for you.”
A client reports hand tremors, thirst, and confusion while taking lithium. What is the nurse’s first action?
- Encourage fluids.
- Suggest relaxation techniques.
- Offer the next scheduled dose.
✔✔B. Assess for lithium toxicity.
A client with borderline personality disorder tells the nurse, “You’re the only nurse who cares about me. The others are terrible.” What is this behavior called?
- Projection. 3 / 4
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✔✔B. Splitting.
- Regression.
- Rationalization.
A nurse observes a client suddenly developing muscle rigidity, high fever, and confusion after receiving haloperidol. What should the nurse suspect?
- Serotonin syndrome.
- Tardive dyskinesia.
- Akathisia.
✔✔B. Neuroleptic malignant syndrome.
A client prescribed clozapine reports sore throat and fever. What is the nurse’s priority?
- Provide warm fluids.
- Reassure the client it is a mild side effect.
- Encourage rest and relaxation.
✔✔B. Notify the provider and obtain a WBC count.
A client with panic disorder is hyperventilating and trembling. What should the nurse do first?
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