HESI RN
RN Care Hope Mental Health HESI Questions
Extract:
Question 1 of 5
A female client with obsessive-compulsive personality disorder is admitted to the hospital for a cardiac catheterization. The afternoon before the procedure, the client begins to keep detailed notes of the nursing care she is receiving, and reports her findings to the nurse at bedtime. What action should the nurse implement?
Correct Answer: D
Rationale: Encouraging the client to express feelings regarding the upcoming procedure addresses potential anxiety driving the behavior, offering a therapeutic approach.
Question 2 of 5
The nurse is leading a group on the inpatient psychiatric unit. Which approach should the nurse use during the working phase of group development?
Correct Answer: B
Rationale: Discussing ways to use new coping skills learned is appropriate during the working phase, focusing on problem-solving and achieving goals identified earlier.
Question 3 of 5
A client with paranoia is admitted to the mental health unit and immediately goes to the corner of the room and sits quietly without communicating. In approaching the client, what intervention should the nurse implement first?
Correct Answer: B
Rationale: Explaining the nurse's role helps establish trust and provides the client with information about who is present and their purpose, facilitating initial communication.
Question 4 of 5
An adolescent who is a heroin addict is admitted to the unit for detoxification. What intervention is most important for the nurse to initiate during the first 24 hours after admission?
Correct Answer: B
Rationale: Monitoring for wheezing and apnea is crucial during the first 24 hours of heroin detoxification to ensure respiratory stability, addressing immediate physiological risks.
Question 5 of 5
The nurse is preparing medications for a client with bipolar disorder and notices that the antipsychotic medication was discontinued several days ago. Which medication should also be discontinued?
Correct Answer: C
Rationale: Benztropine is used to manage extrapyramidal symptoms associated with antipsychotics, so it should be discontinued if the antipsychotic is stopped.