HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
A middle-aged female client with no previous psychiatric history is seen in the mental health clinic because her family describes her as having paranoid thoughts. On assessment, she tells the nurse, 'I want to find out why these people are stalking me!' Which response should the nurse provide?
Correct Answer: B
Rationale: Encouraging elaboration on the client's beliefs provides insight into her delusions without confrontation, aiding assessment. Other responses may escalate distress or invalidate feelings.
Question 2 of 5
A female client reports feeling hopeless and is unable to stop crying. She explains that she is worried about losing her job. Since the client's husband recently lost his job, she feels her employment is essential to the family's survival. To evaluate the effectiveness of cognitive-behavioral techniques, which client outcome should the nurse include in the plan of care?
Correct Answer: A
Rationale: Cognitive-behavioral techniques focus on altering negative thought patterns, making this the primary outcome for evaluating effectiveness. Other outcomes are less directly related to CBT.
Question 3 of 5
A client is admitted to the psychiatric inpatient unit with a bandaged flesh wound after attempting self injury by shooting. The client reports going through a divorce one year ago, job loss four months ago, and suffering from a breakup of a current relationship last week. Which is the most likely source of this client's current feelings of depression?
Correct Answer: B
Rationale: The client has experienced multiple losses, including divorce, job loss, and breakup, which are significant sources of grief and depression. Frustration, poor self-esteem, and lack of intimate relationships may contribute but are not the primary source described.
Question 4 of 5
The nurse is preparing a client for discharge after treatment for cocaine abuse. The client is taking home a prescription for a new medication to control cocaine cravings. Which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Educating the client about the purpose and potential side effects of the medication enhances adherence and informed decision-making, which is critical for long-term management. Assessing withdrawal, encouraging adherence, and determining last use are important but secondary to education.
Question 5 of 5
When preparing to administer a domestic violence screening tool to a female client, which statement should the nurse provide?
Correct Answer: C
Rationale: Explaining that screening is routine due to the prevalence of domestic abuse normalizes the process and encourages disclosure. Other statements may assume abuse or feel coercive.