HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 of 5
A client with schizophrenia returns to the clinic two weeks after receiving a prescription for haloperidol. To assess for neuroleptic malignant syndrome (NMS), which information is most important for the nurse to obtain during this visit?
Correct Answer: D
Rationale: Vital signs, such as temperature, blood pressure, heart rate, and respiratory rate, are crucial in assessing for NMS as it typically presents with changes in these parameters. Other options are less specific to NMS.
Question 2 of 5
A client who is an alcoholic receives a prescription for disulfiram 500 mg by mouth (PO) daily. Which instruction should the nurse provide to this client?
Correct Answer: D
Rationale: Disulfiram should be taken 48 hours after the last drink to prevent adverse reactions and is typically taken in the morning for adherence. Alcohol must be completely avoided.
Question 3 of 5
A nurse who is co-leading group therapy recognizes that a client is beginning to experience severe levels of anxiety. Which intervention is best for the nurse to implement?
Correct Answer: D
Rationale: Assisting with relaxation techniques in the group provides immediate support and reduces anxiety. Describing feelings or education may escalate anxiety, and escorting may not be necessary.
Question 4 of 5
A client with borderline personality disorder tells the nurse, 'You are the best nurse on the unit! The other nurses don't care about me the way you do.' Which response should the nurse provide to this client?
Correct Answer: C
Rationale: This response acknowledges the client's feelings, reinforces the presence of the nursing team, and emphasizes the collective goal of helping the client get better. Other responses may invalidate feelings, deflect, or question perceptions without providing reassurance.
Question 5 of 5
A client with a history of alcoholism is admitted for detoxification. Based on treatment protocol, the nurse gives the client a dose of lorazepam 6 mg. Which additional prescription should the nurse administer immediately?
Correct Answer: D
Rationale: Vitamin B1 (thiamine) supplementation is crucial during alcohol detoxification to prevent Wernicke-Korsakoff syndrome or other neurological complications. Other medications are not immediately indicated.