HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
A young woman is preparing to be discharged from the psychiatric unit. Which nursing intervention is most important for the nurse to include in this phase of the nurse-client relationship?
Correct Answer: A
Rationale: Providing community resource information ensures continuity of care, critical during discharge. Exploring feelings, coping mechanisms, and side effects are important but less urgent.
Question 2 of 5
A 16-year-old female client is admitted to the psychiatric unit and states that she is depressed and anxious. The client appears frail and is wearing baggy clothes. When it is time for lunch, the client states, 'I can't eat, I'm already overweight.' What is the best response by the nurse?
Correct Answer: C
Rationale: Encouraging the client to express feelings about eating promotes therapeutic communication and explores underlying concerns, likely related to body image. Other responses may escalate distress or invalidate feelings.
Question 3 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.
Question 4 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 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.