HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 of 5
During the admission assessment to the mental health unit, a client reports that the people at the office, where the client works, are antagonistic, and the client is thinking of shooting the supervisor. The client asks the nurse not to reveal this to anyone else. The nurse immediately notifies the client's therapist and other team members of the client's thoughts. The therapist then calls the client's supervisor and shares the client's thoughts about shooting the supervisor. Which outcome is best based on the action of the nurse?
Correct Answer: B
Rationale: Educating the team on appropriate information sharing balances safety and confidentiality. The nurse's action was safety-driven, but the therapist's disclosure to the supervisor may breach confidentiality.
Question 2 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 3 of 5
Prior to initiating a treatment regimen with the antidepressant sertraline, it is most important for the nurse to obtain which information?
Correct Answer: B
Rationale: Medication history is critical to identify potential drug interactions, especially with other antidepressants or serotonergic drugs, to prevent serotonin syndrome. Other information is relevant but secondary.
Question 4 of 5
A preschool-aged girl tells the school nurse that her hair hurts. The nurse finds that the child's hair has been arranged to cover several small bald spots. Which finding indicates to the nurse that the hair loss is not disease-related?
Correct Answer: D
Rationale: Ecchymotic blood accumulations indicate bruising, which is not typically associated with disease-related hair loss, suggesting a non-disease cause like trauma. Other findings suggest inflammation or irritation.
Question 5 of 5
A female client who is a retired school teacher is admitted for a breast biopsy. After being told that the biopsy was positive for cancer, she becomes dependent and asks her family for help with activities of daily living that she is physically capable of performing. Which interpretation of this client's behavior by the nurse is likely to be most accurate?
Correct Answer: A
Rationale: This behavior is a regression to reduce anxiety, a common response to a cancer diagnosis. Encouraging dependency, setting rigid limits, or viewing it solely as grieving may not address the client's emotional needs.