HESI RN
RN Care Hope Mental Health HESI 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 statements suggest a distorted perception of reality, indicating disturbed sensory perception, which addresses potential psychosis and immediate safety concerns.
Question 2 of 5
The nurse assesses a client who recently began experiencing violent nightmares. Which factor in the client's history should the nurse further explore?
Correct Answer: C
Rationale: Alcohol use can contribute to sleep disturbances, including nightmares, making it a critical factor to explore in relation to the client's symptoms.
Question 3 of 5
A male client with schizophrenia continues to talk to others on the mental health unit using tangential speech. What intervention should the nurse implement?
Correct Answer: B
Rationale: Teaching the client to slow down and focus on the topic by listening to his words is a therapeutic intervention to address tangential speech and improve communication.
Question 4 of 5
A client who refuses antipsychotic medications disrupts group activities, talks with nonsensical words, and wanders into client's rooms. The nurse decides that the client needs constant observation based on which of these assessment findings?
Correct Answer: B
Rationale: Wandering into client's rooms poses a safety risk to both the client and others, indicating a need for constant observation to prevent potential harm.
Question 5 of 5
Naloxone is administered to an adult client following a suicide attempt with an overdose of hydrocodone bitartrate. Within 15 minutes, the client is alert and oriented. In planning nursing care, which intervention has the highest priority at this time?
Correct Answer: A
Rationale: Determining the client's reason for attempting suicide is the highest priority to understand underlying issues and plan appropriate interventions to prevent recurrence.