HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 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.
Question 2 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 3 of 5
The nurse is preparing the physical environment to interview a new client for admission to the mental health unit. Which environmental setting facilitates the best outcome of the interview?
Correct Answer: B
Rationale: Reducing noise levels creates a conducive environment for communication and focus. A table may hinder rapport, close proximity may be uncomfortable, and dim lights may hinder engagement.
Question 4 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 5 of 5
Following the visit, what are appropriate actions for the nurse? Select all that apply.
Correct Answer: B,C,E
Rationale: Providing referrals for mental health services, following up with the client, and documenting verbatim statements about abuse are appropriate actions to support the client and ensure accurate records. Mailing items without consent or calling the police without an immediate threat are less appropriate.