HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
A young adult client is admitted to a psychiatric facility with a diagnosis of bulimia nervosa. Which nursing intervention has the highest priority?
Correct Answer: B
Rationale: Assessing and reporting electrolyte status is critical due to the risk of imbalances in bulimia nervosa, which can cause severe complications. Monitoring binging, assigning care by age, and scheduling therapy are important but not the highest priority.
Question 2 of 5
A homeless male who was found sitting in the middle of a busy street is brought to the emergency department (ED). On admission, the client is confused and has difficulty answering questions. After ruling out a physiological etiology for the client's behavior, he is transferred to the mental health unit. When admitting the client to the unit, which action is most important for the nurse to take?
Correct Answer: B
Rationale: A mental status exam assesses cognitive and psychological state, essential for planning care in a confused client. Other actions are secondary to this initial assessment.
Question 3 of 5
A client who refuses antipsychotic medications disrupts group activities, talks with nonsensical words, and wanders into client's rooms. The nurse decides that the client needs constant observation based on which of these assessment findings?
Correct Answer: C
Rationale: Wandering into others' rooms poses a risk to privacy and safety, warranting constant observation. Other findings are concerning but less immediately risky.
Question 4 of 5
A young adult female client is admitted to the emergency department after being raped in a shopping center parking lot. The client expresses no suicidal ideation, but expresses feelings of self-blame for not taking precautions when going to her car. According to theorists, such as Maslow and Erikson, this client is struggling with which issue?
Correct Answer: C
Rationale: Self-blame suggests a struggle with self-esteem, as the client internalizes fault for the assault, impacting her sense of worth. Other issues are less relevant to her current feelings.
Question 5 of 5
During the initial nursing interview, a client tells the nurse, 'Sometimes my thoughts go so fast. Wonder if I can sell my fast car. Work is so boring. I wonder if I can get a transfer. Is it time to eat yet?' Which documentation should the nurse enter in the electronic medical record to describe the client's statements?
Correct Answer: B
Rationale: Tangential thinking involves moving between unrelated topics without conclusion, as seen in the client's statements. Thought-blocking, word salad, and incoherent speech do not apply.