HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
A client with obsessive compulsive disorder (OCD) reports feeling 'driven' to check the locks on the front door at least six times every night. Which response is best for the nurse to provide?
Correct Answer: B
Rationale: Asking about thoughts during compulsive behavior helps understand cognitive processes, aiding cognitive-behavioral therapy for OCD. Other responses do not facilitate this exploration as effectively.
Question 2 of 5
The nurse is providing care for a client diagnosed with a borderline personality disorder who has self-inflicted lacerations on the abdomen. Which approach should the nurse use when changing this client's dressings?
Correct Answer: D
Rationale: A non-judgmental approach prioritizes the client's comfort and builds trust, essential for those with borderline personality disorder. Other actions may distress or are less relevant during dressing changes.
Question 3 of 5
A client with chronic alcoholism receives a prescription for disulfiram. Which client statement indicates that this medication teaching has been effective?
Correct Answer: B
Rationale: Disulfiram causes severe reactions if alcohol is consumed, so avoiding all alcohol-containing products is essential, indicating effective teaching. Other statements show misunderstandings or are less relevant.
Question 4 of 5
The nurse is completing an admission assessment for a client with a known history of depression and multiple, unexplained fractures. Which action should the nurse delegate to the unlicensed assistive personnel (UAP)?
Correct Answer: D
Rationale: Obtaining vital signs is a task that can be safely delegated to UAP, as it does not require specialized knowledge. Screening for domestic violence, assessing suicide risk, and eliciting chief complaints require professional judgment.
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.