HESI RN
RN HESI Mental Health with NGN 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 assuring the client of safety is a therapeutic intervention for managing severe anxiety and panic, providing reassurance during an acute episode.
Question 2 of 5
A client is completing an admission assessment for a client with a known history of depression and multiple, unexplained fractures. Which action should the nurse delegate to the unlicensed assistive personnel (UAP)?
Correct Answer: D
Rationale: Obtaining a baseline set of vital signs is a routine task that can be delegated to the UAP, as it is non-complex and standard.
Question 3 of 5
A client is discussing feelings related to a recent loss with the nurse. The nurse remains silent when the client says, 'I don't know how I will go on.' What is the reason for the nurse's behavior?
Correct Answer: C
Rationale: Silence is therapeutic, allowing the client time to reflect on and explore their thoughts and feelings, promoting self-discovery and expression.
Question 4 of 5
During a high school class on substance abuse, a student tells the group, 'If I tried cocaine, I know I could handle it. I know when to stop.' Which response is best for the nurse to provide?
Correct Answer: D
Rationale: This response directly challenges the student's confidence in controlling cocaine use, explaining that it impairs judgment, making it harder to stop.
Question 5 of 5
The nurse is assessing a client with postpartum depression for changes in the mood and cognitive state. Which subjective finding(s) should the nurse identify that are consistent with postpartum depression? Select all that apply.
Correct Answer: A,C,E
Rationale: Disrupted sleep, poor concentration, and sadness are hallmark symptoms of postpartum depression, reflecting common mood and cognitive changes.