HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 of 5
A client is admitted to the hospital with suicidal ideation. When completing the health history and admission assessment interview, which client comment is most important for the nurse to document?
Correct Answer: A
Rationale: Access to firearms is a significant risk factor for suicidal behavior and must be documented. Other comments are concerning but less immediately critical.
Question 2 of 5
The mother of an 8-month-old infant with profound mental and physical disabilities tells the nurse how depressed she is because she realizes that her child will never achieve normal growth and development milestones. How should the nurse respond to this mother?
Correct Answer: B
Rationale: Asking about thoughts of harming herself or her child assesses the severity of her depression and risk of harm, a critical first step. Other options are less urgent.
Question 3 of 5
During the admission assessment to the mental health unit, a client reports that the people at the office, where the client works, are antagonistic, and the client is thinking of shooting the supervisor. The client asks the nurse not to reveal this to anyone else. The nurse immediately notifies the client's therapist and other team members of the client's thoughts. The therapist then calls the client's supervisor and shares the client's thoughts about shooting the supervisor. Which outcome is best based on the action of the nurse?
Correct Answer: B
Rationale: Educating the team on appropriate information sharing balances safety and confidentiality. The nurse's action was safety-driven, but the therapist's disclosure to the supervisor may breach confidentiality.
Question 4 of 5
A young female client is admitted to the emergency room because she was raped that evening by her date. Which computer documentation should the nurse enter in the electronic medical record as the client's chief complaint?
Correct Answer: D
Rationale: Client states, 'My date raped me tonight' is documented in the client's own words and is descriptive enough to be the presenting complaint capturing the urgency and trauma of the incident."
Question 5 of 5
A client with a history of alcoholism is admitted for detoxification. Based on treatment protocol, the nurse gives the client a dose of lorazepam 6 mg. Which additional prescription should the nurse administer immediately?
Correct Answer: D
Rationale: Vitamin B1 (thiamine) supplementation is crucial during alcohol detoxification to prevent Wernicke-Korsakoff syndrome or other neurological complications. Other medications are not immediately indicated.