HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
A woman who attends a stress management group reveals to group members that though she recently divorced, she continues to care for her husband's aging parents. Which psychological mechanism should the nurse address in the plan of care?
Correct Answer: A
Rationale: Altruism refers to the selfless concern for the well-being of others. In this scenario, the woman is caring for her husband's aging parents despite her recent divorce, demonstrating a selfless act of caring for others. Regression involves reverting to an earlier stage of development in response to stress or conflict. Compartmentalization involves separating conflicting thoughts or emotions to manage stress. Egocentrism refers to a self-centered perspective.
Question 2 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.
Question 3 of 5
The nurse interacts with a client who is very depressed and slow to respond to questions. The nurse asks the client to describe current feelings, but the client looks down at the table. Which action is best for the nurse to implement?
Correct Answer: A
Rationale: Allowing time for the client to process and respond respects their pace and encourages expression. Asking if the client heard the question may be premature, changing the question might disrupt the therapeutic process, and returning later does not address the immediate opportunity for engagement.
Question 4 of 5
A client who has been taking clozapine reports experiencing a sore throat and has a temperature of 101.9° F (38.8° C). Which action should the nurse take?
Correct Answer: B
Rationale: Clozapine can cause agranulocytosis, and a sore throat with fever may indicate this. A complete blood count is essential to assess for this life-threatening condition. Other actions are less urgent.
Question 5 of 5
Which goal has the highest priority for an adolescent client who is hospitalized for weight loss related to anorexia nervosa?
Correct Answer: B
Rationale: Addressing low self-esteem is crucial for anorexia nervosa recovery, as it underlies distorted body image. Nutrition, family support, and therapy are important but secondary to psychological factors.