HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
The nurse is completing an admission assessment for a client with a known history of depression and multiple, unexplained fractures. Which action should the nurse delegate to the unlicensed assistive personnel (UAP)?
Correct Answer: D
Rationale: Obtaining vital signs is a task that can be safely delegated to UAP, as it does not require specialized knowledge. Screening for domestic violence, assessing suicide risk, and eliciting chief complaints require professional judgment.
Question 2 of 5
The nurse is providing teaching to a client and family about schizophrenia before discharge from an inpatient facility. The nurse should instruct the family to notify the healthcare provider when which behavior is observed?
Correct Answer: C
Rationale: Social withdrawal can indicate a potential relapse or worsening of schizophrenia symptoms, requiring prompt attention. Other behaviors are less specific or not directly linked to relapse.
Question 3 of 5
After several days of being despondent and nonverbal, a female client with depression begins to talk and exhibit energy. Which action should the nurse implement?
Correct Answer: C
Rationale: Sudden behavioral changes in depression may indicate agitation or impulsivity, requiring continuous observation to assess safety and sustainability. Other actions are premature without assessment.
Question 4 of 5
A client with a history of schizophrenia is admitted to the psychiatric care unit for aggressive behavior, auditory hallucinations, and potential for self harm. The client has not been taking medications as prescribed and insists that the food has been poisoned and refuses to eat. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Providing food in unopened containers addresses the client's paranoia, increasing trust and willingness to eat. Other interventions may not alleviate concerns or are premature.
Question 5 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.