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HESI LPN · HESI LPN Mental Health Nursing · HESI Behavioral Health Nursing Care Plans

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is caring for a patient diagnosed with bipolar disorder who is in the manic phase. The patient states, 'I don't need to sleep. I feel great!' Which of the following is the priority nursing diagnosis for this patient?

A. Disturbed sleep pattern related to excessive energy and restlessness.
B. Risk for injury related to impulsive and reckless behavior.
C. Imbalanced nutrition: More than body requirements related to excessive eating.
D. Ineffective coping related to lack of insight into the consequences of manic behavior.

Expert Explanatory Rationale

Correct Answer: Risk for injury related to impulsive and reckless behavior.

Question 2 of 5

A nurse is teaching a patient diagnosed with anorexia nervosa about healthy eating habits. Which of the following statements by the patient indicates the need for further education?

A. I will start by eating small meals throughout the day.
B. I plan to eliminate all fats from my diet to lose weight.
C. I will gradually increase my caloric intake to restore my weight.
D. I understand that my diet should include a variety of foods to improve my health.

Expert Explanatory Rationale

Correct Answer: I plan to eliminate all fats from my diet to lose weight.

Question 3 of 5

A patient states, 'I'm not worth anything. I have negative thoughts about myself. I feel anxious and shaky all the time. Sometimes I feel so sad that I want to go to sleep and never wake up.' Which nursing intervention should have the highest priority?

A. Self-esteem-building activities
B. Anxiety self-control measures
C. Sleep enhancement activities
D. Suicide precautions

Expert Explanatory Rationale

Correct Answer: Suicide precautions

Question 4 of 5

A nurse is caring for a patient diagnosed with schizophrenia. The patient says, 'The voices in my head tell me to harm myself.' What is the nurse's first priority action?

A. Ask the patient about their suicidal thoughts and plan.
B. Encourage the patient to talk about their delusions and hallucinations.
C. Ensure the patient's safety by removing potential means of self-harm.
D. Administer an antipsychotic medication to address the symptoms.

Expert Explanatory Rationale

Correct Answer: Ensure the patient's safety by removing potential means of self-harm.

Question 5 of 5

A nurse is working with a patient diagnosed with generalized anxiety disorder. The patient states, 'I can't stop worrying about everything, even things that don't matter.' Which of the following interventions is most appropriate?

A. Encourage the patient to confront their anxieties head-on.
B. Teach the patient relaxation techniques to help manage anxiety.
C. Reassure the patient that their worries are unfounded and unimportant.
D. Encourage the patient to avoid stressful situations whenever possible.

Expert Explanatory Rationale

Correct Answer: Teach the patient relaxation techniques to help manage anxiety.

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