BSN 346 HESI PRACTICE /MENTAL HEALTH | QUESTIONS AND
ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTION.
The nurse completes an emergency admission of a male client with
schizophrenia who has not been taking his antipsychotic medications. The
client is pacing, is extremely irritable, and has a blood pressure of 146/96.
What is the priority nursing action? Answer - Reevaluate the client's blood
pressure in an hour.
A young adult female client with panic disorder arrives in the Emergency
Center with a 4-day history of chest pain that began when her boyfriend left
her. Initial assessment reveals normal cardiopulmonary findings. Which
information is most important for the nurse to obtain? Answer - Drugs taken in
last 7 days.
A female client comes to an outpatient therapy appointment intoxicated. The
spouse tells the nurse, "There wasn't anything I could do to stop her drinking
this morning." What intervention should the nurse take at this time? Answer -
Tell the client that therapy cannot take place while she is intoxicated.
The nurse is planning care for a client with major depression who is admitted
to the unit after a recent suicide attempt. Which intervention has the highest
priority for inclusion in this client's plan of care? Answer - Search the client's
personal belongings.
A male client is brought to the emergency department by a police officer, who
reports the client was "disturbing the peace" by running naked in the street,
striking out at others, and smashing car windows. Which behaviors should the
, client demonstrate to determine if he should be evaluated for involuntary
commitment? (Choose all that apply.) Answer - Threats to kill his friend, hears
voices telling him to kill himself, reports he has not needed a bath in 4 months
and says he has not eaten in 3 days.
The nurse is caring for an adult male client with catatonic schizophrenia who is
mute and motionless. What is the priority nursing problem? Answer - High risk
for fluid and electrolyte imbalance.
At the end of a group therapy session, a client who is hospitalized for psychosis
falls to the floor when attempting to stand. What intervention should the nurse
implement first? Answer - Ask a group member to seek help.
Which nursing intervention should the nurse implement with parents who
experience a fetal demise and express the wish not to see the baby? Answer -
Keep the body available for a few hours in case they change their minds.
An adult female who is married and works full-time in a factory has been
absent from work for three days at a time on several occasions. Each time she
returns to work, she wears dark glasses to cover facial bruising. Her supervisor
refers her to the occupational health nurse. What assessment question should
the nurse use? Answer - How did this happen to you?
A client on the mental health unit reports concerns about weight gain as a
result of taking divalproex (Depakote) and requests assistance to fill out a
menu. The nurse should initiate a referral to which healthcare team member?
Answer - Dietician.
The nurse is planning the care for a client based on the psychoanalytical model.
Which intervention should the nurse include in the plan of care? Answer -
Focus on the client's positive or negative feelings toward the nurse.
ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTION.
The nurse completes an emergency admission of a male client with
schizophrenia who has not been taking his antipsychotic medications. The
client is pacing, is extremely irritable, and has a blood pressure of 146/96.
What is the priority nursing action? Answer - Reevaluate the client's blood
pressure in an hour.
A young adult female client with panic disorder arrives in the Emergency
Center with a 4-day history of chest pain that began when her boyfriend left
her. Initial assessment reveals normal cardiopulmonary findings. Which
information is most important for the nurse to obtain? Answer - Drugs taken in
last 7 days.
A female client comes to an outpatient therapy appointment intoxicated. The
spouse tells the nurse, "There wasn't anything I could do to stop her drinking
this morning." What intervention should the nurse take at this time? Answer -
Tell the client that therapy cannot take place while she is intoxicated.
The nurse is planning care for a client with major depression who is admitted
to the unit after a recent suicide attempt. Which intervention has the highest
priority for inclusion in this client's plan of care? Answer - Search the client's
personal belongings.
A male client is brought to the emergency department by a police officer, who
reports the client was "disturbing the peace" by running naked in the street,
striking out at others, and smashing car windows. Which behaviors should the
, client demonstrate to determine if he should be evaluated for involuntary
commitment? (Choose all that apply.) Answer - Threats to kill his friend, hears
voices telling him to kill himself, reports he has not needed a bath in 4 months
and says he has not eaten in 3 days.
The nurse is caring for an adult male client with catatonic schizophrenia who is
mute and motionless. What is the priority nursing problem? Answer - High risk
for fluid and electrolyte imbalance.
At the end of a group therapy session, a client who is hospitalized for psychosis
falls to the floor when attempting to stand. What intervention should the nurse
implement first? Answer - Ask a group member to seek help.
Which nursing intervention should the nurse implement with parents who
experience a fetal demise and express the wish not to see the baby? Answer -
Keep the body available for a few hours in case they change their minds.
An adult female who is married and works full-time in a factory has been
absent from work for three days at a time on several occasions. Each time she
returns to work, she wears dark glasses to cover facial bruising. Her supervisor
refers her to the occupational health nurse. What assessment question should
the nurse use? Answer - How did this happen to you?
A client on the mental health unit reports concerns about weight gain as a
result of taking divalproex (Depakote) and requests assistance to fill out a
menu. The nurse should initiate a referral to which healthcare team member?
Answer - Dietician.
The nurse is planning the care for a client based on the psychoanalytical model.
Which intervention should the nurse include in the plan of care? Answer -
Focus on the client's positive or negative feelings toward the nurse.
