HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 of 5
A female client engages in repeated checks of door and window locks and behavior that prevents her from arriving on time and interfering with her ability to function effectively. Which action should the nurse take?
Correct Answer: C
Rationale: Planning daily activities can help the client manage time effectively and reduce obsessive checking behaviors. Other options do not directly address the underlying issue.
Question 2 of 5
A client reports needing to increase opioid dosage to achieve the original level of pain relief. Which action should the nurse take?
Correct Answer: A
Rationale: Explaining the phenomenon of opioid tolerance and receptor response reduction with continued use helps the client understand why increased dosage might be needed. Collecting opioid sources, advising detoxification, or discussing misuse are important but secondary to explaining tolerance.
Question 3 of 5
The nurse is assessing a client who reports using cocaine several times in the past week. Which observations should the nurse expect on assessment?
Correct Answer: B
Rationale: Cocaine use commonly causes stimulation and dilated pupils. Hallucinations, lethargy, or bradycardia are associated with other conditions or substances.
Question 4 of 5
A female college student is admitted to the mental health unit following a drug overdose. The student tells the nurse that she took 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: A
Rationale: Returning to a previous level of functioning is essential for someone hospitalized due to an overdose as it ensures their safety and stability. Identifying traits, initiating exercise, or discussing relationship needs are secondary to stabilizing the client post-suicide attempt.
Question 5 of 5
A preschool-aged girl tells the school nurse that her hair hurts. The nurse finds that the child's hair has been arranged to cover several small bald spots. Which finding indicates to the nurse that the hair loss is not disease-related?
Correct Answer: D
Rationale: Ecchymotic blood accumulations indicate bruising, which is not typically associated with disease-related hair loss, suggesting a non-disease cause like trauma. Other findings suggest inflammation or irritation.