HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 of 5
A client who is an alcoholic receives a prescription for disulfiram 500 mg by mouth (PO) daily. Which instruction should the nurse provide to this client?
Correct Answer: D
Rationale: Disulfiram should be taken 48 hours after the last drink to prevent adverse reactions and is typically taken in the morning for adherence. Alcohol must be completely avoided.
Question 2 of 5
The nurse plans to use role-playing as a therapeutic measure. Which individual is most likely to benefit from this type of therapeutic intervention?
Correct Answer: B
Rationale: Adolescents often benefit from role-playing to navigate social situations and address feelings of rejection. Role-playing may be less effective for a young child with autism, an older adult with behavioral issues, or an adult with schizophrenia refusing medication.
Question 3 of 5
A client with borderline personality disorder tells the nurse, 'You are the best nurse on the unit! The other nurses don't care about me the way you do.' Which response should the nurse provide to this client?
Correct Answer: C
Rationale: This response acknowledges the client's feelings, reinforces the presence of the nursing team, and emphasizes the collective goal of helping the client get better. Other responses may invalidate feelings, deflect, or question perceptions without providing reassurance.
Question 4 of 5
A female client engages in repeated checks of door and window locks and behavior that prevents her from arriving on time and interfering with her ability to function effectively. Which action should the nurse take?
Correct Answer: C
Rationale: Planning daily activities can help the client manage time effectively and reduce obsessive checking behaviors. Other options do not directly address the underlying issue.
Question 5 of 5
A female client who is a retired school teacher is admitted for a breast biopsy. After being told that the biopsy was positive for cancer, she becomes dependent and asks her family for help with activities of daily living that she is physically capable of performing. Which interpretation of this client's behavior by the nurse is likely to be most accurate?
Correct Answer: A
Rationale: This behavior is a regression to reduce anxiety, a common response to a cancer diagnosis. Encouraging dependency, setting rigid limits, or viewing it solely as grieving may not address the client's emotional needs.