HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
A female client reports feeling hopeless and is unable to stop crying. She explains that she is worried about losing her job. Since the client's husband recently lost his job, she feels her employment is essential to the family's survival. To evaluate the effectiveness of cognitive-behavioral techniques, which client outcome should the nurse include in the plan of care?
Correct Answer: A
Rationale: Cognitive-behavioral techniques target dysfunctional thought patterns, so changing thought patterns related to problem-solving is the key outcome. Other options are less directly tied to CBT effectiveness.
Question 2 of 5
During a high school class on substance abuse, a student tells the group, 'If I tried cocaine, I know I could handle it. I know when to stop.' Which response is best for the nurse to provide?
Correct Answer: D
Rationale: Highlighting that cocaine impairs decision-making challenges the student's belief in control, potentially deterring experimentation. Other responses are less direct in addressing this belief.
Question 3 of 5
When developing a plan of care for a client admitted to the psychiatric unit following aspiration of a caustic material related to a suicide attempt, which nursing problem has the highest priority?
Correct Answer: A
Rationale: Aspiration of a caustic material can cause respiratory distress, making ineffective breathing pattern the priority to ensure physiological stability. Other problems are secondary.
Question 4 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: This response acknowledges the client's concern about blood glucose levels and encourages further discussion, fostering trust. Other options either dismiss the concern or provide unrelated information.
Question 5 of 5
The nurse is assessing a client with postpartum depression for changes in the mood and cognitive state. Which subjective finding(s) should the nurse identify that are consistent with postpartum depression? Select all that apply.
Correct Answer: A,C,E
Rationale:
A) Disrupted sleep,
C) poor concentration, and E) sadness are common symptoms of postpartum depression. Grandiosity (
B) is not typical, and compulsive behavior (
D) is not a hallmark symptom.