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EXAM ELABORATIONS Sep 3, 2025
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Mental Health (PSYCH) HESI Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A client with depression states, “Nothing will ever get better for me.” What is the nurse’s most therapeutic response?

  • “You should not think that way.”
  • ✔✔B. “It sounds like you are feeling hopeless.”

  • “Why do you feel that way?”
  • “Things will improve soon.”

A client with bipolar disorder is seen pacing, talking rapidly, and refusing meals. What is the nurse’s priority action?

  • Allow the client to skip meals.
  • ✔✔B. Offer high-calorie finger foods.

  • Ask the client to stop pacing.
  • Encourage the client to rest.

A client prescribed lithium reports nausea, vomiting, and tremors. What should the nurse suspect? 1 / 4

2

  • Normal medication effects.
  • ✔✔B. Lithium toxicity.

  • Withdrawal symptoms.
  • Depression relapse.

A client says, “The voices tell me to hurt myself.” What is the nurse’s priority action?

  • Distract the client with activities.
  • ✔✔B. Assess the command hallucination further.

  • Ignore the statement.
  • Ask the family to stay with the client.

A nurse notices a client rocking back and forth silently for long periods. This behavior is most

consistent with:

  • Paranoia
  • ✔✔B. Catatonia

  • Delusion of control
  • Flight of ideas
  • / 4

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A client on clozapine reports fever and sore throat. What is the nurse’s priority intervention?

  • Administer acetaminophen.
  • ✔✔B. Obtain a white blood cell count.

  • Encourage rest and fluids.
  • Provide reassurance.

A client with alcohol withdrawal is sweating, anxious, and has tremors. What is the nurse’s priority intervention?

  • Begin teaching about relapse prevention.
  • ✔✔B. Administer prescribed benzodiazepines.

  • Offer caffeinated drinks.
  • Leave the client alone to rest.

A client with schizophrenia states, “The FBI has cameras watching me in this room.” What is the nurse’s best response?

  • “That’s not true.”
  • ✔✔B. “That sounds frightening. I do not see cameras here.”

  • “Why would the FBI be watching you?” 3 / 4

4

  • “Try to ignore those thoughts.”

A client prescribed an SSRI suddenly develops muscle rigidity, fever, and confusion. What should the nurse suspect?

  • Withdrawal syndrome
  • ✔✔B. Serotonin syndrome

  • Catatonia
  • Hallucination

A client in mania is demanding, intrusive, and aggressive toward staff. What should the nurse do?

  • Ignore the behavior.
  • ✔✔B. Set firm, consistent limits.

  • Encourage the client to join group debates.
  • Offer caffeinated drinks for energy.

A client with schizophrenia repeats everything the nurse says. What is this behavior called?

  • Perseveration
  • / 4

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Category: EXAM ELABORATIONS
Added: Sep 3, 2025
Description:

Mental Health (PSYCH) HESI Questions and Answers | Latest Version | | Correct & Verified A client with depression states, “Nothing will ever get better for me.” What is the nurse’s most thera...

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