HESI RN
RN HESI Mental Health with NGN Questions
Extract:
Question 1 of 5
A client with opioid dependence makes a statement to the nurse about desiring to lead a healthier lifestyle by making changes in the next 2 weeks. How should the nurse respond?
Correct Answer: C
Rationale: Supporting the client to list small behavioral changes needed aligns with the client's expressed desire for a healthier lifestyle and is consistent with motivational interviewing techniques.
Question 2 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: Avoiding all alcohol-containing products while on disulfiram is crucial to prevent a severe reaction called the disulfiram-alcohol reaction.
Question 3 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: This response shows empathy and curiosity and invites the client to explore their cognitive processes behind their compulsive behavior, helping identify and challenge irrational thoughts.
Question 4 of 5
The nurse is preparing a client for discharge who has been taking alprazolam long-term for generalized anxiety disorder (GAD). When evaluating the client's grasp of the discharge teaching, which statement made by the client shows an understanding of the most important self-care goal?
Correct Answer: A
Rationale: Abrupt discontinuation of alprazolam can lead to withdrawal symptoms, including rebound anxiety, insomnia, and potentially seizures, making this the most critical self-care goal.
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 assuring the client of safety is a therapeutic intervention for managing severe anxiety and panic, providing reassurance during an acute episode.