HESI RN
RN Hesi Mental Health Exam 1 Questions
Question 1 of 5
A woman who attends a stress management group reveals to group members that though she recently divorced, she continues to care for her husband's aging parents. Which psychological mechanism should the nurse address in the plan of care?
Correct Answer: A
Rationale: Altruism refers to the selfless concern for the well-being of others. In this scenario, the woman is caring for her husband's aging parents despite her recent divorce, demonstrating a selfless act of caring for others. Regression involves reverting to an earlier stage of development in response to stress or conflict. Compartmentalization involves separating conflicting thoughts or emotions to manage stress. Egocentrism refers to a self-centered perspective.
Question 2 of 5
A client is admitted to the psychiatric inpatient unit with a bandaged flesh wound after attempting self injury by shooting. The client reports going through a divorce one year ago, job loss four months ago, and suffering from a breakup of a current relationship last week. Which is the most likely source of this client's current feelings of depression?
Correct Answer: B
Rationale: The client has experienced multiple losses, including divorce, job loss, and breakup, which are significant sources of grief and depression. Frustration, poor self-esteem, and lack of intimate relationships may contribute but are not the primary source described.
Question 3 of 5
The nurse interacts with a client who is very depressed and slow to respond to questions. The nurse asks the client to describe current feelings, but the client looks down at the table. Which action is best for the nurse to implement?
Correct Answer: A
Rationale: Allowing time for the client to process and respond respects their pace and encourages expression. Asking if the client heard the question may be premature, changing the question might disrupt the therapeutic process, and returning later does not address the immediate opportunity for engagement.
Question 4 of 5
The occupational health nurse is working with an employee who was just notified that their child was involved in a motor vehicle collision and taken to the hospital. The employee states, 'I can't believe this. What should I do?' Which response is best for the nurse to provide in this crisis?
Correct Answer: D
Rationale: Providing clear, actionable guidance by suggesting transportation to the hospital addresses the urgent need to be with the child. Other responses shift focus to the employee's thoughts or seek information that is less immediately relevant in a crisis.
Question 5 of 5
The nurse is preparing a client for discharge after treatment for cocaine abuse. The client is taking home a prescription for a new medication to control cocaine cravings. Which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Educating the client about the purpose and potential side effects of the medication enhances adherence and informed decision-making, which is critical for long-term management. Assessing withdrawal, encouraging adherence, and determining last use are important but secondary to education.