HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 of 5
A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and lack of motivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?
Correct Answer: D
Rationale: Teaching the client to develop a plan for daily structured activities provides purpose and routine, combating psychomotor retardation and lack of motivation. Other options are less directly effective.
Question 2 of 5
An adolescent client is admitted to the postoperative unit following open reduction of a fractured femur which occurred when the client fell down the stairs at a party. The nurse notices needle marks on the client's arms. Which assessment findings should the nurse document related to suspected narcotic withdrawal?
Correct Answer: D
Rationale: Agitation, sweating, and abdominal cramps are common symptoms of narcotic withdrawal. Other options are associated with overdose or other conditions.
Question 3 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: B
Rationale: Monitoring serum lithium levels is essential to ensure the medication remains within the therapeutic range and to prevent toxicity, critical for a newly diagnosed client.
Question 4 of 5
A female client who is a retired school teacher is admitted for a breast biopsy. After being told that the biopsy was positive for cancer, she becomes dependent and asks her family for help with activities of daily living that she is physically capable of performing. Which interpretation of this client's behavior by the nurse is likely to be most accurate?
Correct Answer: A
Rationale: This behavior is a regression to reduce anxiety, a common response to a cancer diagnosis. Encouraging dependency, setting rigid limits, or viewing it solely as grieving may not address the client's emotional needs.
Question 5 of 5
A preschool-aged girl tells the school nurse that her hair hurts. The nurse finds that the child's hair has been arranged to cover several small bald spots. Which finding indicates to the nurse that the hair loss is not disease-related?
Correct Answer: D
Rationale: Ecchymotic blood accumulations indicate bruising, which is not typically associated with disease-related hair loss, suggesting a non-disease cause like trauma. Other findings suggest inflammation or irritation.