HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 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 2 of 5
A client reports needing to increase opioid dosage to achieve the original level of pain relief. Which action should the nurse take?
Correct Answer: A
Rationale: Explaining the phenomenon of opioid tolerance and receptor response reduction with continued use helps the client understand why increased dosage might be needed. Collecting opioid sources, advising detoxification, or discussing misuse are important but secondary to explaining tolerance.
Question 3 of 5
A client is admitted to the hospital with suicidal ideation. When completing the health history and admission assessment interview, which client comment is most important for the nurse to document?
Correct Answer: A
Rationale: Access to firearms is a significant risk factor for suicidal behavior and must be documented. Other comments are concerning but less immediately critical.
Question 4 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: D
Rationale: Assisting with relaxation techniques in the group provides immediate support and reduces anxiety. Describing feelings or education may escalate anxiety, and escorting may not be necessary.
Question 5 of 5
A client with post-traumatic stress disorder (PTSD) is admitted to the psychiatric unit. Which intervention is most important for the nurse to include in this client's plan of care?
Correct Answer: A
Rationale: Providing a quiet room is important because individuals with PTSD are often hypersensitive to stimuli, which can trigger symptoms. A quiet environment reduces anxiety and promotes relaxation.