HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 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 2 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 3 of 5
The occupational health nurse is working with an employee who was just notified that their child was involved in a motor vehicle collision and taken to the hospital. The employee states, 'I can't believe this. What should I do?' Which response is best for the nurse to provide in this crisis?
Correct Answer: D
Rationale: Providing clear, actionable guidance by suggesting transportation to the hospital addresses the urgent need to be with the child. Other responses shift focus to the employee's thoughts or seek information that is less immediately relevant in a crisis.
Question 4 of 5
A young adult female client is admitted to the emergency department after being raped in a shopping center parking lot. The client expresses no suicidal ideation, but expresses feelings of self-blame for not taking precautions when going to her car. According to theorists, such as Maslow and Erikson, this client is struggling with which issue?
Correct Answer: C
Rationale: Self-blame suggests a struggle with self-esteem, as the client internalizes fault for the assault, impacting her sense of worth. Other issues are less relevant to her current feelings.
Question 5 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.