HESI RN
Mental Health HESI Quizlet Questions
Question 1 of 5
A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and lack of motivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?
Correct Answer: B
Rationale: Teaching the client to develop a plan for daily structured activities is the most effective intervention in this scenario. This intervention helps address psychomotor retardation and enhances motivation and functioning. By structuring the client's day, it can provide a sense of purpose, routine, and accomplishment. Option A, providing education on methods to enhance sleep, may be helpful but does not directly address the client's overall functioning. Option C, suggesting the client develop a list of pleasurable activities, may provide temporary relief but may not address the core symptoms of major depressive disorder. Option D, encouraging the client to exercise, can be beneficial, but in this case, addressing the lack of structure and motivation through a daily plan is more appropriate.
Question 2 of 5
A female client, who is wearing dirty clothes and has a foul body odor, comes to the clinic reporting feeling scared because she is being stalked. What should the nurse do first?
Correct Answer: A
Rationale: When a client presents with signs of distress and potential safety concerns, the priority is to provide a safe environment. Offering a safe place to relax can help the client feel secure and ready for further assessment and support. This action allows the nurse to establish rapport, ensure the client's immediate safety, and create a trusting relationship before delving into the details of the situation. Asking the client to describe why she is being stalked (
Choice
B) may exacerbate her distress and should come after ensuring her safety. Recommending that the client talk with a social worker (
Choice
C) is important but should follow immediate safety measures. Assuring the client that the healthcare provider will see her today (
Choice
D) is less critical than addressing her safety concerns and emotional state.
Question 3 of 5
A client on the mental health unit is becoming more agitated, shouting at the staff, and pacing in the hallway. When a PRN medication is offered, the client refuses the medication and defiantly sits on the floor in the middle of the unit hallway. What nursing intervention should the nurse implement first?
Correct Answer: B
Rationale: In situations where a client is agitated and refusing medication, a non-confrontational approach with additional staff can help de-escalate the situation and address the client's behavior safely. Transporting the client to the seclusion room (
Choice
A) should not be the initial intervention unless the client poses an immediate risk of harm to themselves or others. Taking other clients to the client lounge (
Choice
C) does not directly address the agitated client's behavior. Administering medication to chemically restrain the client (
Choice
D) should only be considered after other de-escalation attempts have been made and if there is a significant safety concern.
Question 4 of 5
During admission to the psychiatric unit, a female client is extremely anxious and states that she is worried about the sun coming up the next day. What intervention is most important for the RN to implement during the admission process?
Correct Answer: B
Rationale: During admission to a psychiatric unit, it is crucial for the registered nurse to remain calm and use a matter-of-fact approach when addressing a client who is extremely anxious. By staying composed and adopting a matter-of-fact demeanor, the nurse can help establish trust and promote a sense of calm in the client. This approach can also convey a sense of reassurance and stability, which can be beneficial in managing the client's anxiety. Assisting the client in developing alternative coping skills (
Choice
A) may be important in the long term but is not the most immediate priority during the admission process. Asking the client why she is anxious (
Choice
C) may not be helpful at this moment as the client may not be able to articulate the specific reasons due to her heightened anxiety. Administering a PRN sedative (
Choice
D) should not be the initial intervention as it does not address the underlying cause of the anxiety and should be considered only if other non-pharmacological interventions are ineffective.
Question 5 of 5
Child protective services have removed 10-year-old Christopher from his parents' home due to neglect. Christopher reveals to the nurse that he considers the woman next door his 'nice' mom, that he loves school, and gets above-average grades. The strongest explanation of this response is:
Correct Answer: C
Rationale: Resilience is the ability to adapt and cope with adverse situations. In this case, Christopher's positive outlook, love for school, and good academic performance despite experiencing neglect demonstrate resilience.
Choice A, 'Temperament,' refers to an individual's natural behavioral style and would not fully explain Christopher's response. Genetic factors (
Choice
B) are not directly related to his ability to cope with neglect.
Choice D, 'Paradoxical effects of neglect,' does not fit the situation as Christopher's positive response is more indicative of resilience than paradoxical effects.