HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 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: Remaining calm and present helps de-escalate agitation and provides support. Confronting, distracting, or ignoring may escalate the situation or make the client feel unheard.
Question 2 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.
Question 3 of 5
During admission to the psychiatric unit, a client is extremely anxious and reports being worried about the sun coming up the next day. Which intervention is most important for the nurse to implement during the admission process?
Correct Answer: A
Rationale: A calm, matter-of-fact approach reduces anxiety by providing reassurance and stability, building trust during admission. Developing coping skills, administering sedatives, or asking 'why' are less immediate priorities.
Question 4 of 5
The healthcare provider prescribes lithium carbonate for a client diagnosed with bipolar, manic depression. It is most important for the nurse to review which laboratory finding prior to beginning the drug therapy?
Correct Answer: D
Rationale: Serum creatinine assesses renal function, critical before starting lithium due to its renal excretion and risk of nephrotoxicity. Other labs are less directly relevant.
Question 5 of 5
A young woman is preparing to be discharged from the psychiatric unit. Which nursing intervention is most important for the nurse to include in this phase of the nurse-client relationship?
Correct Answer: A
Rationale: Providing community resource information ensures continuity of care, critical during discharge. Exploring feelings, coping mechanisms, and side effects are important but less urgent.