RN HESI Mental Health Exam | Nurselytic

Questions 41

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RN HESI Mental Health Exam Questions

Extract:


Question 1 of 5

The nurse is conducting client assessments in an outpatient psychiatric clinic. Which client finding is characteristic of illness anxiety disorder?

Correct Answer: D

Rationale: Ritualistic daily breast exams due to fear of cancer are characteristic of illness anxiety disorder. Other findings are associated with different conditions.

Question 2 of 5

Prior to initiating a treatment regimen with the antidepressant sertraline, it is most important for the nurse to obtain which information?

Correct Answer: B

Rationale: Medication history is critical to identify potential drug interactions, especially with other antidepressants or serotonergic drugs, to prevent serotonin syndrome. Other information is relevant but secondary.

Question 3 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 4 of 5

The nurse is performing the admission assessment for a client with schizophrenia in an acute care inpatient facility. The nurse should identify which observed behavior is characteristic of schizophrenia?

Correct Answer: B

Rationale: Responding with illogical answers is characteristic of schizophrenia's disorganized thinking. Other behaviors are associated with different disorders.

Question 5 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.

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