HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 of 5
An adolescent client is admitted to the postoperative unit following open reduction of a fractured femur which occurred when the client fell down the stairs at a party. The nurse notices needle marks on the client's arms. Which assessment findings should the nurse document related to suspected narcotic withdrawal?
Correct Answer: D
Rationale: Agitation, sweating, and abdominal cramps are common symptoms of narcotic withdrawal. Other options are associated with overdose or other conditions.
Question 2 of 5
A female client with bulimia is admitted to the mental health unit after she disclosed to a friend that she purges after meals. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Assessing weight, vital signs, and electrolytes is crucial to determine the client's physical health status and risks associated with bulimia, taking precedence over other interventions.
Question 3 of 5
A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and lack of motivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?
Correct Answer: D
Rationale: Teaching the client to develop a plan for daily structured activities provides purpose and routine, combating psychomotor retardation and lack of motivation. Other options are less directly effective.
Question 4 of 5
An adolescent client is admitted to the postoperative unit following open reduction of a fractured femur which occurred when the client fell down the stairs at a party. The nurse notices needle marks on the client's arms. Which assessment findings should the nurse document related to suspected narcotic withdrawal?
Correct Answer: D
Rationale: Agitation, sweating, and abdominal cramps are common symptoms of narcotic withdrawal. Other options are associated with overdose or other conditions.
Question 5 of 5
The nurse is using the CAGE questionnaire as a screening tool for a client who is seeking help because his wife said he had a drinking problem. Which information should the nurse explore in-depth with the client based on this screening tool?
Correct Answer: D
Rationale: The CAGE questionnaire assesses alcohol dependency through efforts to cut down, annoyance, guilt, and eye-opener drinking, which should be explored in-depth.