HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 of 5
A female college student is admitted to the mental health unit following a drug overdose. The student tells the nurse that she took the overdose following the end of a romantic relationship. Which is the primary goal for hospitalization that should be included in this client's plan of care?
Correct Answer: A
Rationale: Returning to a previous level of functioning is essential for someone hospitalized due to an overdose as it ensures their safety and stability. Identifying traits, initiating exercise, or discussing relationship needs are secondary to stabilizing the client post-suicide attempt.
Question 2 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 3 of 5
A client with borderline personality disorder tells the nurse, 'You are the best nurse on the unit! The other nurses don't care about me the way you do.' Which response should the nurse provide to this client?
Correct Answer: C
Rationale: This response acknowledges the client's feelings, reinforces the presence of the nursing team, and emphasizes the collective goal of helping the client get better. Other responses may invalidate feelings, deflect, or question perceptions without providing reassurance.
Question 4 of 5
A female client with bulimia is admitted to the mental health unit after she disclosed to a friend that she purges after meals. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Assessing weight, vital signs, and electrolytes is crucial to determine the client's physical health status and risks associated with bulimia, taking precedence over other interventions.
Question 5 of 5
A preschool-aged girl tells the school nurse that her hair hurts. The nurse finds that the child's hair has been arranged to cover several small bald spots. Which finding indicates to the nurse that the hair loss is not disease-related?
Correct Answer: D
Rationale: Ecchymotic blood accumulations indicate bruising, which is not typically associated with disease-related hair loss, suggesting a non-disease cause like trauma. Other findings suggest inflammation or irritation.