HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
A client, who is wearing dirty clothes and has a foul body odor, comes to the clinic reporting feeling scared because of a stalker. Which action is most important for the nurse to take?
Correct Answer: B
Rationale: Offering a safe place addresses the client's immediate fear and facilitates effective communication. Other actions are secondary to ensuring safety and comfort.
Question 2 of 5
The nurse is providing care for a client diagnosed with a borderline personality disorder who has self-inflicted lacerations on the abdomen. Which approach should the nurse use when changing this client's dressings?
Correct Answer: D
Rationale: A non-judgmental approach prioritizes the client's comfort and builds trust, essential for those with borderline personality disorder. Other actions may distress or are less relevant during dressing changes.
Question 3 of 5
A client with schizoaffective disorder and type 2 diabetes mellitus who receives a prescription for a second generation antipsychotic. The client expresses concern to the nurse about the effect of this antipsychotic on blood glucose levels. Which response should the nurse make?
Correct Answer: D
Rationale: Acknowledging the client's concern and inviting further discussion addresses the specific worry about blood glucose levels while maintaining a supportive dialogue. Other responses dismiss or sidestep the concern.
Question 4 of 5
A college student is admitted to the mental health unit following a drug overdose. The student tells the nurse about the overdose following the end of a romantic relationship. Which is the primary goal for hospitalization that should be included in this client's plan of care?
Correct Answer: C
Rationale: Returning to the previous level of functioning addresses the overdose and underlying issues, making it the primary goal. Other options are supportive but not the main focus.
Question 5 of 5
A 16-year-old female client is admitted to the psychiatric unit and states that she is depressed and anxious. The client appears frail and is wearing baggy clothes. When it is time for lunch, the client states, 'I can't eat, I'm already overweight.' What is the best response by the nurse?
Correct Answer: C
Rationale: Encouraging the client to express feelings about eating promotes therapeutic communication and explores underlying concerns, likely related to body image. Other responses may escalate distress or invalidate feelings.