HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 of 5
The nurse is admitting a male client who takes lithium carbonate twice a day. Which information should the nurse report to the healthcare provider immediately?
Correct Answer: C
Rationale: Nausea and vomiting could indicate lithium toxicity, a serious side effect requiring immediate attention. Weight gain, depressed affect, or memory loss are concerning but less urgent.
Question 2 of 5
A female client with bulimia is admitted to the mental health unit after she disclosed to a friend that she purges after meals. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Assessing weight, vital signs, and electrolytes is crucial to determine the client's physical health status and risks associated with bulimia, taking precedence over other interventions.
Question 3 of 5
The nurse plans to use role-playing as a therapeutic measure. Which individual is most likely to benefit from this type of therapeutic intervention?
Correct Answer: B
Rationale: Adolescents often benefit from role-playing to navigate social situations and address feelings of rejection. Role-playing may be less effective for a young child with autism, an older adult with behavioral issues, or an adult with schizophrenia refusing medication.
Question 4 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 5 of 5
A client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. Which intervention is best for the nurse to implement?
Correct Answer: C
Rationale: Escorting the client to a private area can help reduce annoyance to others without isolating or punishing the client. Isolation, sedation, or ignoring the behavior are less therapeutic.