HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
A client who is experiencing a severe level of anxiety and reports a racing heartbeat, dizziness, and expresses a sense that something dreadful will happen. The nurse observes the client pacing and waving hands rapidly. Which action should the nurse take?
Correct Answer: A
Rationale: Speaking calmly and reassuring safety de-escalates acute anxiety and provides immediate support. Distraction, identifying triggers, or exploring past behaviors are less effective in a severe anxiety episode.
Question 2 of 5
The nurse is planning the care for a client who is hospitalized with a bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? Select all that apply.
Correct Answer: A,C,D
Rationale:
A) Clear, concise instructions help maintain structure and reduce impulsivity.
C) A single room reduces stimulation and promotes rest.
D) Inviting the client for a walk channels excess energy appropriately. Competitive activities (
B) may increase agitation, and suspenseful programs (E) may exacerbate symptoms.
Question 3 of 5
The nurse is providing teaching to a client and family about schizophrenia before discharge from an inpatient facility. The nurse should instruct the family to notify the healthcare provider when which behavior is observed?
Correct Answer: C
Rationale: Social withdrawal can indicate a potential relapse or worsening of schizophrenia symptoms, requiring prompt attention. Other behaviors are less specific or not directly linked to relapse.
Question 4 of 5
A client with a history of anxiety and depression presents to the emergency department with a headache, nausea, and vomiting. The client's vital signs are temperature 100.9°F (38.3°C), heart rate 115 beats/minute, respirations 21 breaths/minute, and blood pressure 216/108 mm Hg. When reviewing the client's medications, which information is of most concern to the nurse?
Correct Answer: B
Rationale: Phenelzine, an MAOI, can cause a hypertensive crisis when combined with tyramine-rich foods, explaining the elevated blood pressure. Other medications are less likely to cause this acute presentation.
Question 5 of 5
When preparing to administer a domestic violence screening tool to a female client, which statement should the nurse provide?
Correct Answer: C
Rationale: Explaining that screening is routine due to the prevalence of domestic abuse normalizes the process and encourages disclosure. Other statements may assume abuse or feel coercive.