HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 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 acknowledges the distress from the sister's comments while exploring other stressors, promoting therapeutic dialogue. Other responses may invalidate feelings or escalate distress.
Question 2 of 5
Two days after being admitted with alcohol withdrawal, a client has constant liquid stools and abdominal cramping. The emesis and stool are hemoccult positive. The client is confused and refusing to take oral medication. Which action should the nurse implement first?
Correct Answer: C
Rationale: Inserting an IV catheter allows for fluid and electrolyte replacement and medication administration, addressing the client's immediate needs due to dehydration and refusal of oral intake. Other actions are less urgent.
Question 3 of 5
A client is admitted to the emergency department because of a possible overdose of methadone and benzodiazepines. The admission respiratory rate is 6 breaths/minute. Based on this finding, the nurse should prepare for which intervention?
Correct Answer: D
Rationale: Naloxone reverses opioid-induced respiratory depression, critical for methadone overdose. Other interventions do not address this immediate life-threatening condition.
Question 4 of 5
During admission to the psychiatric unit, a client is extremely anxious and reports being worried about the sun coming up the next day. Which intervention is most important for the nurse to implement during the admission process?
Correct Answer: A
Rationale: A calm, matter-of-fact approach reduces anxiety by providing reassurance and stability, building trust during admission. Developing coping skills, administering sedatives, or asking 'why' are less immediate priorities.
Question 5 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.