HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 of 5
The nurse documents that a male client with schizophrenia is delusional. Which statement by the client confirms this assessment?
Correct Answer: C
Rationale: The nurse at night is trying to poison me with pills' reflects a persecutory delusion, a false belief characteristic of delusional thinking in schizophrenia. Other statements indicate hallucinations.
Question 2 of 5
A client who is an alcoholic receives a prescription for disulfiram 500 mg by mouth (PO) daily. Which instruction should the nurse provide to this client?
Correct Answer: D
Rationale: Disulfiram should be taken 48 hours after the last drink to prevent adverse reactions and is typically taken in the morning for adherence. Alcohol must be completely avoided.
Question 3 of 5
A male client tells the nurse that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual relationship with her. Which is the priority nursing problem for admission to the psychiatric unit?
Correct Answer: A
Rationale: The client's grandiose delusions indicate disturbed sensory perception, the priority problem. Family coping, environmental interpretation, or sexual patterns are secondary.
Question 4 of 5
The nurse is conducting client assessments in an outpatient psychiatric clinic. Which client finding is characteristic of illness anxiety disorder?
Correct Answer: D
Rationale: Ritualistic daily breast exams due to fear of cancer are characteristic of illness anxiety disorder. Other findings are associated with different conditions.
Question 5 of 5
The nurse is assessing a client whose spouse died of a stroke two weeks ago and who reports having numbness and tingling on the right side of the body. The nurse should consider the client's symptoms may likely be due to which condition?
Correct Answer: C
Rationale: Somatization involves psychological distress manifesting as physical symptoms like numbness and tingling after a traumatic loss. Other options are less relevant.