HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 of 5
A female client who is a retired school teacher is admitted for a breast biopsy. After being told that the biopsy was positive for cancer, she becomes dependent and asks her family for help with activities of daily living that she is physically capable of performing. Which interpretation of this client's behavior by the nurse is likely to be most accurate?
Correct Answer: A
Rationale: This behavior is a regression to reduce anxiety, a common response to a cancer diagnosis. Encouraging dependency, setting rigid limits, or viewing it solely as grieving may not address the client's emotional needs.
Question 2 of 5
The nurse plans to use role-playing as a therapeutic measure. Which individual is most likely to benefit from this type of therapeutic intervention?
Correct Answer: B
Rationale: Adolescents often benefit from role-playing to navigate social situations and address feelings of rejection. Role-playing may be less effective for a young child with autism, an older adult with behavioral issues, or an adult with schizophrenia refusing medication.
Question 3 of 5
During the admission assessment to the mental health unit, a client reports that the people at the office, where the client works, are antagonistic, and the client is thinking of shooting the supervisor. The client asks the nurse not to reveal this to anyone else. The nurse immediately notifies the client's therapist and other team members of the client's thoughts. The therapist then calls the client's supervisor and shares the client's thoughts about shooting the supervisor. Which outcome is best based on the action of the nurse?
Correct Answer: B
Rationale: Educating the team on appropriate information sharing balances safety and confidentiality. The nurse's action was safety-driven, but the therapist's disclosure to the supervisor may breach confidentiality.
Question 4 of 5
A client is admitted to the hospital with suicidal ideation. When completing the health history and admission assessment interview, which client comment is most important for the nurse to document?
Correct Answer: A
Rationale: Access to firearms is a significant risk factor for suicidal behavior and must be documented. Other comments are concerning but less immediately critical.
Question 5 of 5
A male client tells the nurse that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual relationship with her. Which is the priority nursing problem for admission to the psychiatric unit?
Correct Answer: A
Rationale: The client's grandiose delusions indicate disturbed sensory perception, the priority problem. Family coping, environmental interpretation, or sexual patterns are secondary.