HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 of 5
A male client tells the nurse that he does not want to take the atypical antipsychotic drug olanzapine because of the side effects he experienced when he took the drug for a year. Which experience is most likely related to taking olanzapine?
Correct Answer: C
Rationale: Weight gain is a well-known side effect of olanzapine, with substantial increases reported in some cases. Other options are less commonly associated with olanzapine.
Question 2 of 5
A client reports needing to increase opioid dosage to achieve the original level of pain relief. Which action should the nurse take?
Correct Answer: A
Rationale: Explaining the phenomenon of opioid tolerance and receptor response reduction with continued use helps the client understand why increased dosage might be needed. Collecting opioid sources, advising detoxification, or discussing misuse are important but secondary to explaining tolerance.
Question 3 of 5
A client with depression does not want to communicate with friends, uses television watching as a means of escaping responsibilities, and describes the inability to handle personal circumstances. Which coping strategy should the nurse include in the plan of care?
Correct Answer: C
Rationale: Focusing on small achievable tasks helps in breaking down overwhelming problems into manageable parts, aiding in a sense of accomplishment. Shifting attention to others may strain the client further, relaxation without addressing issues may worsen depression, and solely ventilating emotions does not address handling responsibilities.
Question 4 of 5
The nurse is assessing a client whose spouse died of a stroke two weeks ago and who reports having numbness and tingling on the right side of the body. The nurse should consider the client's symptoms may likely be due to which condition?
Correct Answer: C
Rationale: Somatization involves psychological distress manifesting as physical symptoms like numbness and tingling after a traumatic loss. Other options are less relevant.
Question 5 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.