HESI RN
RN HESI Mental Health with NGN 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: Changes in thought patterns related to problem-solving demonstrate the effectiveness of cognitive-behavioral techniques, shifting from hopelessness to active problem-solving.
Question 2 of 5
A woman who attends a stress management group reveals to group members that though she recently divorced, she continues to care for her husband's aging parents. Which psychological mechanism should the nurse address in the plan of care?
Correct Answer: A
Rationale: Altruism involves addressing one's own needs through meeting the needs of others, and caring for the husband's aging parents is an example of this coping mechanism.
Question 3 of 5
The nurse is preparing a client for discharge after treatment for cocaine abuse. The client is taking home a prescription for a new medication to control cocaine cravings. Which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Educating the client about the purpose and side effects of the medication promotes understanding and adherence to the treatment plan, addressing the client's cravings.
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 describes the client's rapid, loosely connected ideas, jumping from one thought to another without clear connections.
Question 5 of 5
The nurse is planning the care for a client who is hospitalized with a bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? Select all that apply.
Correct Answer: A,C,D
Rationale: Giving concise and firm directions for hygiene and dressing helps provide structure and support during periods of manic behavior. Assigning the client to a single room provides a quieter and less stimulating environment, promoting a more controlled and therapeutic setting. Inviting the client for a walk when their energy is high allows for a structured outlet for excess energy and may help with symptom management.