HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 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.
Question 2 of 5
The nurse is assessing a client who reports using cocaine several times in the past week. Which observations should the nurse expect on assessment?
Correct Answer: B
Rationale: Cocaine use commonly causes stimulation and dilated pupils. Hallucinations, lethargy, or bradycardia are associated with other conditions or substances.
Question 3 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 4 of 5
A client with post-traumatic stress disorder (PTSD) is admitted to the psychiatric unit. Which intervention is most important for the nurse to include in this client's plan of care?
Correct Answer: A
Rationale: Providing a quiet room is important because individuals with PTSD are often hypersensitive to stimuli, which can trigger symptoms. A quiet environment reduces anxiety and promotes relaxation.
Question 5 of 5
The nurse is preparing the physical environment to interview a new client for admission to the mental health unit. Which environmental setting facilitates the best outcome of the interview?
Correct Answer: B
Rationale: Reducing noise levels creates a conducive environment for communication and focus. A table may hinder rapport, close proximity may be uncomfortable, and dim lights may hinder engagement.