HESI RN
RN Hesi Mental Health Exam 1 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 aligns with the stages of change model, encouraging achievable goals. Other responses may discourage motivation or be premature.
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
An older homeless client visits the psychiatric clinic to obtain a prescription renewal for alprazolam. During the health assessment, the client reports experiencing of chest pain. Which action should the nurse take first?
Correct Answer: B
Rationale: Obtaining blood pressure assesses cardiovascular status, critical for evaluating chest pain urgency. Other actions are secondary to immediate assessment.
Question 4 of 5
The nurse is providing teaching to a client and family about schizophrenia before discharge from an inpatient facility. The nurse should instruct the family to notify the healthcare provider when which behavior is observed?
Correct Answer: C
Rationale: Social withdrawal can indicate a potential relapse or worsening of schizophrenia symptoms, requiring prompt attention. Other behaviors are less specific or not directly linked to relapse.
Question 5 of 5
A client with schizoaffective disorder and type 2 diabetes mellitus who receives a prescription for a second generation antipsychotic. The client expresses concern to the nurse about the effect of this antipsychotic on blood glucose levels. Which response should the nurse make?
Correct Answer: D
Rationale: Acknowledging the client's concern and inviting further discussion addresses the specific worry about blood glucose levels while maintaining a supportive dialogue. Other responses dismiss or sidestep the concern.