HESI RN
RN HESI Mental Health with NGN Questions
Extract:
Question 1 of 5
During a high school class on substance abuse, a student tells the group, 'If I tried cocaine, I know I could handle it. I know when to stop.' Which response is best for the nurse to provide?
Correct Answer: D
Rationale: This response directly challenges the student's confidence in controlling cocaine use, explaining that it impairs judgment, making it harder to stop.
Question 2 of 5
Which goal has the highest priority for an adolescent client who is hospitalized for weight loss related to anorexia nervosa?
Correct Answer: D
Rationale: Family therapy is the highest priority, as anorexia nervosa often involves family dynamics, and family involvement is crucial for recovery.
Question 3 of 5
The nurse is preparing a client for discharge who has been taking alprazolam long-term for generalized anxiety disorder (GAD). When evaluating the client's grasp of the discharge teaching, which statement made by the client shows an understanding of the most important self-care goal?
Correct Answer: A
Rationale: Abrupt discontinuation of alprazolam can lead to withdrawal symptoms, including rebound anxiety, insomnia, and potentially seizures, making this the most critical self-care goal.
Question 4 of 5
A female client reports feeling hopeless and is unable to stop crying. She explains that she is worried about losing her job. Since the client's husband recently lost his job, she feels her employment is essential to the family's survival. To evaluate the effectiveness of cognitive-behavioral techniques, which client outcome should the nurse include in the plan of care?
Correct Answer: A
Rationale: Changes in thought patterns related to problem-solving demonstrate the effectiveness of cognitive-behavioral techniques, shifting from hopelessness to active problem-solving.
Question 5 of 5
The nurse is assessing a client with postpartum depression for changes in the mood and cognitive state. Which subjective finding(s) should the nurse identify that are consistent with postpartum depression? Select all that apply.
Correct Answer: A,C,E
Rationale: Disrupted sleep, poor concentration, and sadness are hallmark symptoms of postpartum depression, reflecting common mood and cognitive changes.