HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
The nurse interacts with a client who is very depressed and slow to respond to questions. The nurse asks the client to describe current feelings, but the client looks down at the table. Which action is best for the nurse to implement?
Correct Answer: A
Rationale: Allowing time for the client to process and respond respects their pace and encourages expression. Asking if the client heard the question may be premature, changing the question might disrupt the therapeutic process, and returning later does not address the immediate opportunity for engagement.
Question 2 of 5
The occupational health nurse is working with an employee who was just notified that their child was involved in a motor vehicle collision and taken to the hospital. The employee states, 'I can't believe this. What should I do?' Which response is best for the nurse to provide in this crisis?
Correct Answer: D
Rationale: Providing clear, actionable guidance by suggesting transportation to the hospital addresses the urgent need to be with the child. Other responses shift focus to the employee's thoughts or seek information that is less immediately relevant in a crisis.
Question 3 of 5
The nurse is preparing a client for discharge after treatment for cocaine abuse. The client is taking home a prescription for a new medication to control cocaine cravings. Which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Educating the client about the purpose and potential side effects of the medication enhances adherence and informed decision-making, which is critical for long-term management. Assessing withdrawal, encouraging adherence, and determining last use are important but secondary to education.
Question 4 of 5
A client with chronic alcohol dependence is diagnosed with Wernicke-Korsakoff syndrome. The client is experiencing memory loss and confusion. Which medication should the nurse administer to help alleviate the client's symptoms?
Correct Answer: A
Rationale: Thiamine supplementation is essential for Wernicke-Korsakoff syndrome, as thiamine deficiency is the primary cause. Chlordiazepoxide manages withdrawal, while clonidine and carbamazepine are not indicated for this condition.
Question 5 of 5
The nurse is planning the care for a client who is hospitalized with a bipolar disorder. The client wanders the hallways, talks excessively, and makes sexual comments about the staff. Which intervention(s) should the nurse include in the plan of care? Select all that apply.
Correct Answer: A,C,D
Rationale:
A) Clear, concise instructions help maintain structure and reduce impulsivity.
C) A single room reduces stimulation and promotes rest.
D) Inviting the client for a walk channels excess energy appropriately. Competitive activities (
B) may increase agitation, and suspenseful programs (E) may exacerbate symptoms.