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 focus on altering negative thought patterns, making this the primary outcome for evaluating effectiveness. Other outcomes are less directly related to CBT.
Question 2 of 5
A young woman is preparing to be discharged from the psychiatric unit. Which nursing intervention is most important for the nurse to include in this phase of the nurse-client relationship?
Correct Answer: A
Rationale: Providing community resource information ensures continuity of care, critical during discharge. Exploring feelings, coping mechanisms, and side effects are important but less urgent.
Question 3 of 5
A client that is homeless, well-educated, and has chronic schizophrenia is admitted to the mental health unit when found by the police walking in the middle of the street. The client presents with a strong body odor, dirty clothes, and avolition. After a week of neuroleptic drug therapy, the client discusses with the nurse thoughts about bathing. Which statement suggests that the client is progressing?
Correct Answer: D
Rationale: This statement reflects intrinsic motivation and positive self-perception, indicating progress in self-care, a key recovery indicator in schizophrenia. Other statements show external pressure or compliance.
Question 4 of 5
During the initial nursing interview, a client tells the nurse, 'Sometimes my thoughts go so fast. Wonder if I can sell my fast car. Work is so boring. I wonder if I can get a transfer. Is it time to eat yet?' Which documentation should the nurse enter in the electronic medical record to describe the client's statements?
Correct Answer: B
Rationale: Tangential thinking involves moving between unrelated topics without conclusion, as seen in the client's statements. Thought-blocking, word salad, and incoherent speech do not apply.
Question 5 of 5
A client who has been taking clozapine reports experiencing a sore throat and has a temperature of 101.9° F (38.8° C). Which action should the nurse take?
Correct Answer: B
Rationale: Clozapine can cause agranulocytosis, and a sore throat with fever may indicate this. A complete blood count is essential to assess for this life-threatening condition. Other actions are less urgent.