HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 of 5
A client with depression does not want to communicate with friends, uses television watching as a means of escaping responsibilities, and describes the inability to handle personal circumstances. Which coping strategy should the nurse include in the plan of care?
Correct Answer: C
Rationale: Focusing on small achievable tasks helps in breaking down overwhelming problems into manageable parts, aiding in a sense of accomplishment. Shifting attention to others may strain the client further, relaxation without addressing issues may worsen depression, and solely ventilating emotions does not address handling responsibilities.
Question 2 of 5
A client with depression does not want to communicate with friends, uses television watching as a means of escaping responsibilities, and describes the inability to handle personal circumstances. Which coping strategy should the nurse include in the plan of care?
Correct Answer: C
Rationale: Focusing on small achievable tasks helps in breaking down overwhelming problems into manageable parts, aiding in a sense of accomplishment. Shifting attention to others may strain the client further, relaxation without addressing issues may worsen depression, and solely ventilating emotions does not address handling responsibilities.
Question 3 of 5
In conducting the initial assessment of a preoperative client, the nurse notes that the client's home medications include the monoamine oxidase (MAO) inhibitor phenelzine. Because of this client's medication history, which assessment finding is most important for the nurse to monitor?
Correct Answer: B
Rationale: MAO inhibitors like phenelzine can cause hypertensive crisis, making blood pressure monitoring critical. Other parameters are less directly affected.
Question 4 of 5
The nurse is admitting a male client who takes lithium carbonate twice a day. Which information should the nurse report to the healthcare provider immediately?
Correct Answer: C
Rationale: Nausea and vomiting could indicate lithium toxicity, a serious side effect requiring immediate attention. Weight gain, depressed affect, or memory loss are concerning but less urgent.
Question 5 of 5
Prior to initiating a treatment regimen with the antidepressant sertraline, it is most important for the nurse to obtain which information?
Correct Answer: B
Rationale: Medication history is critical to identify potential drug interactions, especially with other antidepressants or serotonergic drugs, to prevent serotonin syndrome. Other information is relevant but secondary.