HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 of 5
An antidepressant medication is prescribed for a client who reports sleeping only four hours in the past two days and a weight loss of nine pounds within the last month. Which client goal is most important to achieve within the first three days of treatment?
Correct Answer: B
Rationale: Improving sleep to at least six hours a night addresses the client's reported insomnia and supports their physical well-being, which is critical in the initial treatment phase. Understanding medication, describing hospitalization reasons, or meeting a dietitian are important but secondary to addressing sleep.
Question 2 of 5
The nurse is conducting client assessments in an outpatient psychiatric clinic. Which client finding is characteristic of illness anxiety disorder?
Correct Answer: D
Rationale: Ritualistic daily breast exams due to fear of cancer are characteristic of illness anxiety disorder. Other findings are associated with different conditions.
Question 3 of 5
When responding to a call light, the nurse finds a client with aggressive behaviors pacing and restless in the room. The client shouts, 'What took you so long to get in here!' Which action should the nurse implement?
Correct Answer: A
Rationale: Providing personal space allows the client to feel less threatened and reduces the risk of escalation. Standing in the doorway, requesting backup, or encouraging sitting may escalate the situation.
Question 4 of 5
The nurse is planning the care for a client who is hospitalized with bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Inviting for a walk channels excess energy, assigning a single room reduces stimuli, and giving concise directions provides structure. Competitive activities or suspenseful TV may escalate behaviors.
Question 5 of 5
The nurse is preparing the physical environment to interview a new client for admission to the mental health unit. Which environmental setting facilitates the best outcome of the interview?
Correct Answer: B
Rationale: Reducing noise levels creates a conducive environment for communication and focus. A table may hinder rapport, close proximity may be uncomfortable, and dim lights may hinder engagement.