HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 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.
Question 2 of 5
During the admission assessment to the mental health unit, a client reports that the people at the office, where the client works, are antagonistic, and the client is thinking of shooting the supervisor. The client asks the nurse not to reveal this to anyone else. The nurse immediately notifies the client's therapist and other team members of the client's thoughts. The therapist then calls the client's supervisor and shares the client's thoughts about shooting the supervisor. Which outcome is best based on the action of the nurse?
Correct Answer: B
Rationale: Educating the team on appropriate information sharing balances safety and confidentiality. The nurse's action was safety-driven, but the therapist's disclosure to the supervisor may breach confidentiality.
Question 3 of 5
The nurse documents that a male client with schizophrenia is delusional. Which statement by the client confirms this assessment?
Correct Answer: C
Rationale: The nurse at night is trying to poison me with pills' reflects a persecutory delusion, a false belief characteristic of delusional thinking in schizophrenia. Other statements indicate hallucinations.
Question 4 of 5
Prior to initiating a treatment regimen with the antidepressant sertraline, it is most important for the nurse to obtain which information?
Correct Answer: B
Rationale: Medication history is critical to identify potential drug interactions, especially with other antidepressants or serotonergic drugs, to prevent serotonin syndrome. Other information is relevant but secondary.
Question 5 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?
Correct Answer: B
Rationale: Responding with illogical answers is characteristic of schizophrenia's disorganized thinking. Other behaviors are associated with different disorders.