HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 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 2 of 5
During the admission assessment to the mental health unit, a client reports that the people at the office, where the client works, are antagonistic, and the client is thinking of shooting the supervisor. The client asks the nurse not to reveal this to anyone else. The nurse immediately notifies the client's therapist and other team members of the client's thoughts. The therapist then calls the client's supervisor and shares the client's thoughts about shooting the supervisor. Which outcome is best based on the action of the nurse?
Correct Answer: B
Rationale: Educating the team on appropriate information sharing balances safety and confidentiality. The nurse's action was safety-driven, but the therapist's disclosure to the supervisor may breach confidentiality.
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
A client who is an alcoholic receives a prescription for disulfiram 500 mg by mouth (PO) daily. Which instruction should the nurse provide to this client?
Correct Answer: D
Rationale: Disulfiram should be taken 48 hours after the last drink to prevent adverse reactions and is typically taken in the morning for adherence. Alcohol must be completely avoided.
Question 5 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.