HESI RN
RN HESI Mental Health 2023 Questions
Extract:
Question 1 of 5
In conducting the initial assessment of a preoperative client, the nurse notes that the client's home medications include the monoamine oxidase (MAO) inhibitor phenelzine. Because of this client's medication history, which assessment finding is most important for the nurse to monitor?
Correct Answer: A
Rationale: MAO inhibitors like phenelzine can cause hypertensive crises, especially with certain foods or medications. Monitoring blood pressure is critical to detect this life-threatening complication. Urinary output, respiratory rate, and temperature are less directly affected by MAO inhibitors.
Extract:
History and physical
The client is a 19-year-old male who is in the emergency room for a leg injury. He states he was returning to his dorm from a party and fell about 5 feet (1.5 meters) into a small ravine on campus.
The client states that he drinks socially and takes no medications for any health condition
Question 2 of 5
In order to help the client disclose a situation that is upsetting to him, what therapeutic communication tools could the nurse use? Select all that apply.
Correct Answer: A,C,D,E
Rationale: A: Waiting until the client is calm fosters a safe environment. C: Silence allows the client time to process thoughts. D: Privacy ensures confidentiality and comfort. E: Observing nonverbal behavior provides emotional cues. B: Difficult questions first may increase anxiety. F: Multiple questions can overwhelm the client.
Extract:
Question 3 of 5
The nurse documents that a client with schizophrenia is delusional. Which statement by the client confirms this assessment?
Correct Answer: B
Rationale: The nurse at night is trying to poison me with pills' confirms a delusion, specifically a paranoid delusion, as it reflects a fixed, false belief not based in reality. The other options describe hallucinations: visual ('snakes'), auditory ('voices'), and tactile ('fire'). Delusions involve false beliefs, while hallucinations involve false sensory perceptions.
Extract:
A nurse is caring for a client:
The client has returned to work at an accounting firm and has started going to a grief support group. She reports she is seeking care from a healthcare professional because her father is worried about her. The client says she only gets 2 to 3 hours of sleep due to nightmares about the crash. She informs that exercising right after work helps her get better sleep and to relax. She feels that she is "jumpy" after the accident, especially when she is in the car. She also stated, "I feel so sad that I can't seem to feel anything at all." In addition to her father, the client has a large family and friend support system. She denies alcohol or drug use.
Question 4 of 5
Click to highlight the areas that the nurse should react to immediately. The client has returned to work at an accounting firm and has started going to a grief support group. She reports she is seeking care from a healthcare provider because her father is worried about her. The client says she only gets 2 to 3 hours of sleep due to nightmares about the crash. She informs that exercising right after work helps her get better sleep and to relax. She feels that she is 'jumpy' after the accident, especially when she is in the car. She also stated, 'I feel so sad that I can't seem to feel anything at all.' In addition to her father, the client has a large family and friend support system. She denies alcohol or drug use.
| she only gets 2 to 3 hours of sleep |
| She feels that she is 'jumpy' after the accident |
| I feel so sad that I can't seem to feel anything at all |
Correct Answer: A,B,C
Rationale: Sleep disturbances, heightened startle response ('jumpy'), and sadness/numbness indicate possible acute stress or PTSD, requiring immediate intervention like creating a safe environment and mental health referral. These symptoms suggest significant distress post-trauma.
Extract:
Question 5 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: C
Rationale: Ecchymotic blood accumulations suggest trauma, such as hair-pulling (e.g., trichotillomania), indicating a non-disease-related cause. Pruritus and erythema suggest dermatological issues. Patches of hair loss alone do not specify the cause.