HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is experiencing extreme sadness after the passing of a companion of 30 years. The client describes not being able to think of other things and finds it difficult to control emotions. Which action should the nurse take first?
Correct Answer: A
Rationale: Exploring changes in life after the loss helps the nurse understand the client's current situation and provides a basis for further interventions. Other actions are secondary to assessing the client's needs.
Question 2 of 5
A client with schizophrenia returns to the clinic two weeks after receiving a prescription for haloperidol. To assess for neuroleptic malignant syndrome (NMS), which information is most important for the nurse to obtain during this visit?
Correct Answer: D
Rationale: Vital signs, such as temperature, blood pressure, heart rate, and respiratory rate, are crucial in assessing for NMS as it typically presents with changes in these parameters. Other options are less specific to NMS.
Question 3 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 4 of 5
A male client tells the nurse that he does not want to take the atypical antipsychotic drug olanzapine because of the side effects he experienced when he took the drug for a year. Which experience is most likely related to taking olanzapine?
Correct Answer: C
Rationale: Weight gain is a well-known side effect of olanzapine, with substantial increases reported in some cases. Other options are less commonly associated with olanzapine.
Question 5 of 5
The nurse is planning the care for a client who is hospitalized with 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,E
Rationale: Inviting for a walk channels excess energy, assigning a single room reduces stimuli, and giving concise directions provides structure. Competitive activities or suspenseful TV may escalate behaviors.