HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
A college student is admitted to the mental health unit following a drug overdose. The student tells the nurse about the overdose following the end of a romantic relationship. Which is the primary goal for hospitalization that should be included in this client's plan of care?
Correct Answer: C
Rationale: Returning to the previous level of functioning addresses the overdose and underlying issues, making it the primary goal. Other options are supportive but not the main focus.
Question 2 of 5
A homeless male who was found sitting in the middle of a busy street is brought to the emergency department (ED). On admission, the client is confused and has difficulty answering questions. After ruling out a physiological etiology for the client's behavior, he is transferred to the mental health unit. When admitting the client to the unit, which action is most important for the nurse to take?
Correct Answer: B
Rationale: A mental status exam assesses cognitive and psychological state, essential for planning care in a confused client. Other actions are secondary to this initial assessment.
Question 3 of 5
The healthcare provider prescribes lithium carbonate for a client diagnosed with bipolar, manic depression. It is most important for the nurse to review which laboratory finding prior to beginning the drug therapy?
Correct Answer: D
Rationale: Serum creatinine assesses renal function, critical before starting lithium due to its renal excretion and risk of nephrotoxicity. Other labs are less directly relevant.
Question 4 of 5
The nurse interacts with a client who is very depressed and slow to respond to questions. The nurse asks the client to describe current feelings, but the client looks down at the table. Which action is best for the nurse to implement?
Correct Answer: A
Rationale: Allowing time for the client to process and respond respects their pace and encourages expression. Asking if the client heard the question may be premature, changing the question might disrupt the therapeutic process, and returning later does not address the immediate opportunity for engagement.
Question 5 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.