HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
A 16-year-old female client is admitted to the psychiatric unit and states that she is depressed and anxious. The client appears frail and is wearing baggy clothes. When it is time for lunch, the client states, 'I can't eat, I'm already overweight.' What is the best response by the nurse?
Correct Answer: C
Rationale: Encouraging the client to express feelings about eating promotes therapeutic communication and explores underlying concerns, likely related to body image. Other responses may escalate distress or invalidate feelings.
Question 2 of 5
After several days of being despondent and nonverbal, a female client with depression begins to talk and exhibit energy. Which action should the nurse implement?
Correct Answer: C
Rationale: Sudden behavioral changes in depression may indicate agitation or impulsivity, requiring continuous observation to assess safety and sustainability. Other actions are premature without assessment.
Question 3 of 5
The nurse is reviewing an intake mental health assessment with a client who is seeking services for depression. The client reports feeling dizzy, excessively tired, experiencing headaches, and back pain. Which symptom should the nurse suspect is related to the client's feelings of depression?
Correct Answer: D
Rationale: Excessive tiredness (fatigue) is a common symptom of depression. While headaches, back pain, and dizziness may be associated, tiredness is more specifically linked to depressive episodes.
Question 4 of 5
Two days after being admitted with alcohol withdrawal, a client has constant liquid stools and abdominal cramping. The emesis and stool are hemoccult positive. The client is confused and refusing to take oral medication. Which action should the nurse implement first?
Correct Answer: C
Rationale: Inserting an IV catheter allows for fluid and electrolyte replacement and medication administration, addressing the client's immediate needs due to dehydration and refusal of oral intake. Other actions are less urgent.
Question 5 of 5
A female client reports feeling hopeless and is unable to stop crying. She explains that she is worried about losing her job. Since the client's husband recently lost his job, she feels her employment is essential to the family's survival. To evaluate the effectiveness of cognitive-behavioral techniques, which client outcome should the nurse include in the plan of care?
Correct Answer: A
Rationale: Cognitive-behavioral techniques focus on altering negative thought patterns, making this the primary outcome for evaluating effectiveness. Other outcomes are less directly related to CBT.