HESI RN · HESI Mental Health · Adult Behavioral Health Nursing
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
A nurse is assessing a patient diagnosed with bipolar disorder during the manic phase. Which of the following interventions is most appropriate?
Expert Explanatory Rationale
Correct Answer: Provide a quiet, low-stimulation environment to reduce agitation.
A nurse is assessing a patient diagnosed with major depressive disorder. The patient states, 'I'm so tired all the time. I don't even want to get out of bed.' Which nursing diagnosis is most appropriate for this patient?
Expert Explanatory Rationale
Correct Answer: Fatigue
The client stated, 'I was so upset about my sister ignoring me when I was talking about being ashamed.' Which nontherapeutic communication technique would the nurse be using if the nurse would state, 'How are your stress reduction classes going?'
Expert Explanatory Rationale
Correct Answer: Changing the subject
The telephone rings at the nurses’ station of an inpatient psychiatric facility. The caller asks to speak with Ms. Honey. Which nursing response protects the patient’s rights and confidentiality?
Expert Explanatory Rationale
Correct Answer: I cannot confirm or deny that Ms. Honey was admitted here.
A patient experiencing panic suddenly began running and shouting, 'I'm going to explode!' Select the nurse's best action.
Expert Explanatory Rationale
Correct Answer: Tell the patient, 'Stop running and take a deep breath. I will help you.'
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