HESI RN
RN HESI Mental Health 2023 Questions
Extract:
Question 1 of 5
Mark whether the statement by the student nurse indicates understanding or no understanding.
Correct Answer: A,B,C,D,E
Rationale: A: Collecting evidence preserves options (Understanding). B: Reporting without consent violates autonomy (No understanding). C: Consent is required for documentation (Understanding). D: Consent is always required for evidence collection (No understanding). E: Exams require trained professionals (Understanding).
Question 2 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.
Question 3 of 5
A nurse who is co-leading group therapy recognizes that a client is beginning to experience severe levels of anxiety. Which intervention is best for the nurse to implement?
Correct Answer: C
Rationale: Assisting the client with relaxation techniques in the group is the best intervention as it provides immediate support and can help alleviate the client's anxiety in the moment. Exploring the source of anxiety may not be suitable during a group session where immediate relief is needed. Education on coping mechanisms is valuable but does not address immediate needs. Escorting the client out may be considered if anxiety becomes overwhelming, but it is secondary to attempting in-group relaxation.
Question 4 of 5
An adolescent who was arrested a month ago for gang-related activities has a court order to attend weekly group therapy sessions at the mental health clinic. Today the adolescent's mother calls the clinic nurse to report that her child became angry last night and put a fist through a window. Which intervention is most important for the nurse to implement?
Correct Answer: C
Rationale: Advising the mother to call the police if violent behavior recurs prioritizes safety for the adolescent and household. Therapy attendance is important but secondary to immediate safety. Discussing the mother's feelings or referring her for evaluation does not address the acute risk.
Question 5 of 5
The nurse is assessing a client who reports using cocaine several times in the past week. Which observations should the nurse expect on assessment?
Correct Answer: A
Rationale: Cocaine use typically results in stimulation of the central nervous system, leading to increased heart rate, dilated pupils, and heightened alertness. Bradycardia and bradypnea are not typical, as cocaine causes tachycardia and increased respiratory rate. Hallucinations and delusions are more associated with hallucinogens or psychotic disorders. Lethargy and depression occur during the 'crash' phase, not the immediate effects of cocaine use.