HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
A client who refuses antipsychotic medications disrupts group activities, talks with nonsensical words, and wanders into client's rooms. The nurse decides that the client needs constant observation based on which of these assessment findings?
Correct Answer: C
Rationale: Wandering into others' rooms poses a risk to privacy and safety, warranting constant observation. Other findings are concerning but less immediately risky.
Question 2 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 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 middle-aged female client with no previous psychiatric history is seen in the mental health clinic because her family describes her as having paranoid thoughts. On assessment, she tells the nurse, 'I want to find out why these people are stalking me!' Which response should the nurse provide?
Correct Answer: B
Rationale: Encouraging elaboration on the client's beliefs provides insight into her delusions without confrontation, aiding assessment. Other responses may escalate distress or invalidate feelings.
Question 5 of 5
A female client reports feeling hopeless and is unable to stop crying. She explains that she is worried about losing her job. Since the client's husband recently lost his job, she feels her employment is essential to the family's survival. To evaluate the effectiveness of cognitive-behavioral techniques, which client outcome should the nurse include in the plan of care?
Correct Answer: A
Rationale: Cognitive-behavioral techniques target dysfunctional thought patterns, so changing thought patterns related to problem-solving is the key outcome. Other options are less directly tied to CBT effectiveness.