HESI RN
RN HESI Mental Health with NGN Questions
Question 1 of 5
A client with obsessive compulsive disorder (OCD) reports feeling 'driven' to check the locks on the front door at least six times every night. Which response is best for the nurse to provide?
Correct Answer: B
Rationale: This response shows empathy and curiosity and invites the client to explore their cognitive processes behind their compulsive behavior, helping identify and challenge irrational thoughts.
Question 2 of 5
During the initial nursing interview, a client tells the nurse, 'Sometimes my thoughts go so fast. Wonder if I can sell my fast car. Work is so boring. I wonder if I can get a transfer. Is it time to eat yet?' Which documentation should the nurse enter in the electronic medical record to describe the client's statements?
Correct Answer: B
Rationale: Tangential thinking describes the client's rapid, loosely connected ideas, jumping from one thought to another without clear connections.
Question 3 of 5
A client admitted to the mental health unit starts to shout and scream at the nurse. Which approach is best for the nurse to take?
Correct Answer: B
Rationale: Staying quietly with the client is a calm, non-confrontational approach that allows expression of emotions while conveying support.
Question 4 of 5
A young adult female client is admitted to the emergency department after being raped in a shopping center parking lot. The client expresses no suicidal ideation, but expresses feelings of self-blame for not taking precautions when going to her car. According to theorists, such as Maslow and Erikson, this client is struggling with which issue?
Correct Answer: C
Rationale: Self-esteem is the primary issue, as the client's self-blame indicates an impact on self-worth, crucial for emotional recovery.
Question 5 of 5
A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells the nurse that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for the nurse to provide?
Correct Answer: D
Rationale: This response encourages the client to express feelings and concerns, providing insight into potential stressors or psychological factors contributing to symptoms.