HESI RN
Quizlet HESI Mental Health Questions
Question 1 of 5
Which statement made by a patient prescribed bupropion (Wellbutrin) demonstrates that the medication education the patient received was effective? Select all that apply.
Correct Answer: A
Rationale: Choice A is the correct answer. The patient expressing a desire for Wellbutrin to address both depression and smoking cessation indicates an understanding of the medication's dual benefits. This demonstrates effective medication education as the patient comprehends the drug's purposes. Choice B is incorrect because weight gain is a common side effect of bupropion, so the statement contradicts this fact. Choice C is incorrect as a history of seizures is a contraindication for bupropion, so this statement shows a misunderstanding of the medication's safety profile. Choice D is incorrect because bupropion is not typically associated with sedation, so the concern about drowsiness is not directly related to this medication.
Question 2 of 5
Which factors tend to increase the difficulty of diagnosing young children who demonstrate behaviors associated with mental illness? Select all that apply.
Correct Answer: B
Rationale: The level of cognitive development is a crucial factor that can complicate the diagnosis of mental illness in young children. Young children may not have fully developed cognitive abilities to express their symptoms or understand diagnostic procedures, making it challenging for healthcare providers to assess their mental health accurately. Limited language skills (choice A) can hinder communication but are not as significant as cognitive development in diagnosing mental illness. Emotional development (choice C) is important but may not be as directly linked to the diagnostic challenges as cognitive development. Parental denial (choice D), although a potential barrier, is not a factor inherent to the child's characteristics affecting the diagnostic process.
Question 3 of 5
The occupational health nurse is working with a female employee who was just notified that her child was involved in a MVA 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: In a crisis situation where the female employee's child is involved in a motor vehicle accident (MVA) and taken to the hospital, the most appropriate response for the nurse is to provide immediate practical assistance. Calling for transportation to the hospital ensures that the employee can quickly reach her child in need of urgent medical attention. The other options (A, B, and C) do not address the immediate need for assistance and may not provide the necessary support required in such a critical situation.
Question 4 of 5
An antidepressant medication is prescribed for a client who reports sleeping only 4 hours in the past 2 days and weight loss of 9 lbs within the last month. Which client goal is most important to achieve within the first three days of treatment?
Correct Answer: B
Rationale: The most important goal to achieve within the first three days of treatment is to ensure the client can sleep at least 6 hours a night. Adequate sleep is essential for stabilizing mood and improving overall functioning. Choice A is not as urgent as improving sleep patterns. Choice C is important but not as immediate as addressing the sleep deficit. Choice D is unrelated to the immediate treatment goal of improving sleep and managing symptoms of depression.
Question 5 of 5
A male client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. What intervention is best for the RN to implement?
Correct Answer: C
Rationale: In this scenario, the most appropriate intervention for the RN to implement is option C: Avoid recognizing the behavior. Echolalia is a common symptom of schizophrenia where the individual involuntarily repeats words or phrases spoken by others. By avoiding recognition of this behavior, the RN can help prevent reinforcing it, as giving attention to the behavior may inadvertently reinforce its continuation. Option A, isolating the client, is not the best choice as it may lead to increased feelings of alienation and exacerbate the client's symptoms. Administering a sedative (option B) should not be the first-line intervention for echolalia, as it does not address the underlying cause of the behavior. Escorting the client to his room (option D) may not be necessary if the behavior is not posing a threat to himself or others. Educationally, it is important for nursing students to understand the principles of managing behaviors associated with mental health disorders. By choosing the correct intervention of avoiding recognition of echolalia, students learn the importance of non-reinforcement of maladaptive behaviors and promoting a therapeutic environment for clients with schizophrenia. This approach aligns with person-centered care and supports the client's dignity and autonomy in the treatment process.