HESI RN
RN Hesi Mental Health 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: D
Rationale: Delusional beliefs indicate disturbed sensory perception, the priority problem requiring psychiatric evaluation.
Question 2 of 5
A young adult client with a recent diagnosis of bipolar disorder takes lithium carbonate daily. The client informed the school nurse of the desire to live away from home to attend college after graduating in one month. Which information is most important for the nurse to provide the client and his family?
Correct Answer: D
Rationale: Routine monitoring of serum lithium levels is crucial to ensure therapeutic levels and prevent lithium toxicity, especially critical for a newly diagnosed client transitioning to college.
Extract:
History and Physical
Nurse's Notes
Orders
The client is in the hospital after her house collapsed during a hurricane. She has been in the intensive care unit for 2 weeks and moved today to the surgical floor to continue monitoring her respiratory function and to complete intravenous antibiotic administration.
Question 3 of 5
For each client statement, click to highlight the statement(s) below that require follow-up teaching by the nurse.
| This diagnosis means that I am crazy.' |
| I can learn to manage my thoughts better through therapy.' |
| I can use holistic approaches like meditation to help my symptoms.' |
| Many people have the same response to a stressful situation as I am having right' |
| I am at high risk for post-traumatic-stress disorder because I have acute stress disorder' |
| I will probably need to be on medication for the rest of my life.' |
Correct Answer: A,C,D,F
Rationale: Statements about being 'crazy,' typical stress responses, holistic approaches, and lifelong medication need clarification to address stigma, variability in trauma responses, and treatment plans.
Extract:
Question 4 of 5
The nurse is providing dietary instructions for a client who is being discharged after passing a calcium oxalate renal stone. Which food should the nurse instruct the client to avoid?
Correct Answer: B
Rationale: Spinach is high in oxalates, contributing to calcium oxalate stone formation. Sweet potatoes, bananas, and fish are generally safe.
Question 5 of 5
Which intervention(s) should the nurse include in the plan of care for an adolescent who is depressed? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Discussing suicide plans, encouraging expression of suicidal thoughts, and reinforcing hope are critical for safety and therapeutic support. Restricting visitors or limiting video games are less relevant.