HESI RN
RN HESI Mental Health with NGN 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: This open-ended question invites the client to share more about her perceptions, allowing deeper exploration without judgment.
Question 2 of 5
Which client Information indicates the need for the nurse to use the CAGE questionnaire during the admission interview?
Correct Answer: C
Rationale: Daily alcohol consumption raises concerns about potential misuse, making the CAGE questionnaire appropriate to screen for alcohol use disorder.
Question 3 of 5
When developing a plan of care for a client admitted to the psychiatric unit following aspiration of a caustic material related to a suicide attempt, which nursing problem has the highest priority?
Correct Answer: A
Rationale: Ineffective breathing pattern is the highest priority, as aspiration of caustic material can lead to respiratory compromise, requiring immediate attention.
Question 4 of 5
After several days of being despondent and nonverbal, a female client with depression begins to talk and exhibit energy. Which action should the nurse implement?
Correct Answer: C
Rationale: Continuous observation is essential to monitor the client's behavior changes, ensuring they are not indicative of increased agitation or harm.
Question 5 of 5
A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells the nurse that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for the nurse to provide?
Correct Answer: D
Rationale: This response encourages the client to express feelings and concerns, providing insight into potential stressors or psychological factors contributing to symptoms.