RN HESI Mental Health Exam

Extract:

Question 1 of 5

A client with a history of alcoholism is admitted for detoxification. Based on treatment protocol, the nurse gives the client a dose of lorazepam 6 mg. Which additional prescription should the nurse administer immediately?

Correct Answer: D

Rationale: Vitamin B1 (thiamine) supplementation is crucial during alcohol detoxification to prevent Wernicke-Korsakoff syndrome or other neurological complications. Other medications are not immediately indicated.

Question 2 of 5

A nurse who is co-leading group therapy recognizes that a client is beginning to experience severe levels of anxiety. Which intervention is best for the nurse to implement?

A. Ask the client to describe and identify the source of the feelings. B. Provide education about ways to cope with anxiety. C. Escort the client from the group to reduce stimuli. D. Assist the client with relaxation techniques in the group.

Correct Answer: D

Rationale: Assisting with relaxation techniques in the group provides immediate support and reduces anxiety. Describing feelings or education may escalate anxiety, and escorting may not be necessary.

Question 3 of 5

During the admission assessment to the mental health unit, a client reports that the people at the office, where the client works, are antagonistic, and the client is thinking of shooting the supervisor. The client asks the nurse not to reveal this to anyone else. The nurse immediately notifies the client's therapist and other team members of the client's thoughts. The therapist then calls the client's supervisor and shares the client's thoughts about shooting the supervisor. Which outcome is best based on the action of the nurse?

A. Both the nurse and therapist are reprimanded for divulging confidential patient information to others. B. The nurse and therapist will be asked to educate other team members on appropriate sharing of client information. C. The nurse is reprimanded for divulging confidential patient information without obtaining informed consent. D. The therapist is reprimanded for divulging confidential patient information without obtaining consent.

Correct Answer: B

Rationale: Educating the team on appropriate information sharing balances safety and confidentiality. The nurse's action was safety-driven, but the therapist's disclosure to the supervisor may breach confidentiality.

Question 4 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?

A. A hyperactive 4-year-old who has recently been tested for autism. B. An adolescent who is depressed over not being accepted by peers. C. An older adult resident of a long-term care facility who sometimes takes other residents' belongings. D. An adult with schizophrenia who often refuses to take prescribed antipsychotic medications.

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 5 of 5

A client is admitted to the hospital with suicidal ideation. When completing the health history and admission assessment interview, which client comment is most important for the nurse to document?

A. I have three firearms locked in a safe at home.' B. I just feel like my life is filled with emptiness.' C. My panic attacks happen once every month.' D. My daughter is the only reason I keep trying.'

Correct Answer: A

Rationale: Access to firearms is a significant risk factor for suicidal behavior and must be documented. Other comments are concerning but less immediately critical.

RN HESI Mental Health Exam | Nurselytic

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HESI RN

HESI RN