HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
A homeless male who was found sitting in the middle of a busy street is brought to the emergency department (ED). On admission, the client is confused and has difficulty answering questions. After ruling out a physiological etiology for the client's behavior, he is transferred to the mental health unit. When admitting the client to the unit, which action is most important for the nurse to take?
Correct Answer: B
Rationale: A mental status exam assesses cognitive and psychological state, essential for planning care in a confused client. Other actions are secondary to this initial assessment.
Question 2 of 5
The nurse is preparing a client for discharge who has been taking alprazolam long-term for generalized anxiety disorder (GAD). When evaluating the client's grasp of the discharge teaching, which statement made by the client shows an understanding of the most important self-care goal?
Correct Answer: A
Rationale: Understanding the need to avoid abrupt discontinuation of alprazolam is critical to prevent withdrawal symptoms and rebound anxiety. Other statements are relevant but secondary.
Question 3 of 5
An older homeless client visits the psychiatric clinic to obtain a prescription renewal for alprazolam. During the health assessment, the client reports experiencing of chest pain. Which action should the nurse take first?
Correct Answer: B
Rationale: Obtaining blood pressure assesses cardiovascular status, critical for evaluating chest pain urgency. Other actions are secondary to immediate assessment.
Question 4 of 5
When developing a plan of care for a client admitted to the psychiatric unit following aspiration of a caustic material related to a suicide attempt, which nursing problem has the highest priority?
Correct Answer: A
Rationale: Aspiration of a caustic material can cause respiratory distress, making ineffective breathing pattern the priority to ensure physiological stability. Other problems are secondary.
Question 5 of 5
During admission to the psychiatric unit, a client is extremely anxious and reports being worried about the sun coming up the next day. Which intervention is most important for the nurse to implement during the admission process?
Correct Answer: A
Rationale: A calm, matter-of-fact approach reduces anxiety by providing reassurance and stability, building trust during admission. Developing coping skills, administering sedatives, or asking 'why' are less immediate priorities.