HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
A client with a history of schizophrenia is admitted to the psychiatric care unit for aggressive behavior, auditory hallucinations, and potential for self harm. The client has not been taking medications as prescribed and insists that the food has been poisoned and refuses to eat. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Providing food in unopened containers addresses the client's paranoia, increasing trust and willingness to eat. Other interventions may not alleviate concerns or are premature.
Question 2 of 5
An 18-year-old client is brought to the emergency department with a suspected drug overdose. Which information is most important for the nurse to obtain from the family?
Correct Answer: A
Rationale: Identifying the specific drug ingested is critical for determining appropriate treatment, as different drugs require specific interventions. Other information is important but secondary.
Question 3 of 5
During the initial nursing interview, a client tells the nurse, 'Sometimes my thoughts go so fast. Wonder if I can sell my fast car. Work is so boring. I wonder if I can get a transfer. Is it time to eat yet?' Which documentation should the nurse enter in the electronic medical record to describe the client's statements?
Correct Answer: B
Rationale: Tangential thinking involves moving between unrelated topics without conclusion, as seen in the client's statements. Thought-blocking, word salad, and incoherent speech do not apply.
Question 4 of 5
A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells the nurse that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for the nurse to provide?
Correct Answer: D
Rationale: This response acknowledges the distress from the sister's comments while exploring other stressors, promoting therapeutic dialogue. Other responses may invalidate feelings or escalate distress.
Question 5 of 5
After several days of being despondent and nonverbal, a female client with depression begins to talk and exhibit energy. Which action should the nurse implement?
Correct Answer: C
Rationale: Sudden behavioral changes in depression may indicate agitation or impulsivity, requiring continuous observation to assess safety and sustainability. Other actions are premature without assessment.