RN HESI Mental Health 2023

Extract:

Question 1 of 5

A male 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: B

Rationale: Lithium therapy requires regular monitoring of serum levels to ensure therapeutic efficacy and prevent toxicity, especially during transitions like starting college. Therapy and symptom awareness are important but secondary to lithium level monitoring. Independence is a goal but not the primary focus.

Question 2 of 5

An adult female client is brought to the Emergency Center after fainting at work. The nurse completes an assessment of the client and identifies caregiver role strain as a nursing problem. Which information best supports this problem?

A. Cares for an older parent and her children B. Anxious to leave for personal appointments C. Takes naps in her car during lunch hour D. Works an average of 60 hours per week

Correct Answer: A

Rationale: Caring for an older parent and children simultaneously indicates significant caregiver role strain due to increased responsibilities. Anxiety, napping, and long work hours suggest stress but are less specific to caregiving demands.

Question 3 of 5

The nurse is performing the admission assessment for a client with schizophrenia in an acute care inpatient facility. The nurse should identify which observed behavior is characteristic of schizophrenia?

A. Responds with illogical answers to questions B. Admits to frequently thinking about committing suicide C. Describes times of depression followed by feelings of euphoria D. Exhibits compulsive, ritualistic behaviors

Correct Answer: A

Rationale: Responding with illogical answers indicates disorganized thinking, a hallmark of schizophrenia during psychosis. Suicide thoughts are not specific to schizophrenia. Depression and euphoria suggest bipolar disorder. Compulsive behaviors are more typical of OCD.

Extract:

The nurse continues to care for the patient
The client is a 19-year-old male who is in the emergency room for a leg injury. He states he was returning to his dorm from a party and fell about 5 feet (1.5 meters) into a small ravine on campus. The client states that he drinks socially and takes no medications for any health condition.
The nurse is listening to the client.

Question 4 of 5

Because the client is a male, he is especially at risk for which psychosocial two sequalae of sexual assault?

A. Suicide B. Depression C. Post-traumatic stress disorder D. Becoming an abuser E. Human immunodeficiency virus F. Chlamydia

Correct Answer: B,C

Rationale: B: Depression is common post-sexual assault due to psychological trauma. C: PTSD is frequent, with symptoms like flashbacks and anxiety. A: Suicide is a risk but not male-specific. D: Becoming an abuser is less common. E, F: HIV and chlamydia are physical, not psychosocial, risks.

Extract:

Question 5 of 5

A client is admitted to the mental health unit with a bipolar disorder. When seeking to establish a therapeutic relationship and interacting with the client, which comment is best for the nurse to make?

A. I understand that you're angry and unhappy. Let's explore ways in which you overreact B. I hear your frustration about losing control. Tell me how this affects your daily life C. Knowing the cause of your symptoms will make them easier to handle D. Do all that you can to learn all that you can while you are here. You can get better

Correct Answer: B

Rationale: This response acknowledges the client's feelings and invites further exploration, fostering a therapeutic relationship. The first option may invalidate feelings by assuming overreaction. The third shifts focus from immediate concerns. The fourth is encouraging but does not address current feelings.