Alterations Questions and Answers

1

HESI NCLEX - Mod 4 - Psychosocial Alterations Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

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

• “The FBI is not watching you.”
• “I don’t see cameras, but I know you feel afraid.”

✔✔C. “That sounds very real to you. Let’s talk about how you’re feeling.”

• “You shouldn’t believe that.”

A client with panic disorder is hyperventilating and trembling. What is the nurse’s priority action?✔✔A. Stay with the client and encourage slow breathing

• Leave the client alone to calm down
• Tell the client the symptoms are not serious
• Offer a caffeinated drink

A client with bipolar disorder in mania refuses to sit still for meals. Which food choice is best? 1 / 4

2

• Salad with dressing
• Grilled chicken breast

✔✔C. Peanut butter sandwich

• Spaghetti with sauce

A client with obsessive-compulsive disorder spends hours arranging books. Which nursing action is most appropriate initially?

• Remove all the books from the client’s room

✔✔B. Allow the ritual while planning to set limits gradually

• Confront the client about the behavior
• Ignore the client’s actions completely

A client with depression reports sleeping 14 hours a day. Which intervention is most therapeutic?✔✔A. Encourage participation in short, structured activities during the day

• Allow the client to rest without interruption
• Force the client into group games
• Tell the client sleep will resolve on its own
• / 4

3

A client prescribed clozapine reports sore throat and fever. Which action is priority?✔✔A. Report findings to the healthcare provider immediately

• Offer acetaminophen and fluids
• Encourage more rest
• Suggest relaxation techniques

A client with generalized anxiety disorder asks, “What can I do to calm myself when I feel

nervous?” The nurse should teach:

• “Drink a cup of coffee.”
• “Talk nonstop to distract yourself.”

✔✔C. “Practice deep-breathing and relaxation exercises.”

• “Ignore the feelings and focus on work.”

A nurse cares for a client with alcohol use disorder. Which finding is most concerning during withdrawal?

• Nausea and sweating
• Tremors in hands

✔✔C. Seizures 3 / 4

4

• Irritability

A client says, “I plan to overdose on sleeping pills tonight.” What is the nurse’s priority action?

• Ask the client why they feel suicidal

✔✔B. Implement suicide precautions and ensure safety

• Tell the client suicide is not the answer
• Suggest the client write down feelings in a journal

A client with schizophrenia has not bathed in a week. Which intervention is best?✔✔A. Assist the client step-by-step with hygiene tasks

• Ignore the poor hygiene
• Criticize the client for lack of care
• Restrict the client from social activities

A client taking fluoxetine (SSRI) reports restlessness, sweating, and confusion. Which condition is suspected?✔✔A. Serotonin syndrome

• Neuroleptic malignant syndrome
• / 4