HESI RN
RN HESI Mental Health Exam Questions
Extract:
Question 1 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.
Question 2 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 3 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 4 of 5
A female college student is admitted to the mental health unit following a drug overdose. The student tells the nurse that she took the overdose following the end of a romantic relationship. Which is the primary goal for hospitalization that should be included in this client's plan of care?
Correct Answer: A
Rationale: Returning to a previous level of functioning is essential for someone hospitalized due to an overdose as it ensures their safety and stability. Identifying traits, initiating exercise, or discussing relationship needs are secondary to stabilizing the client post-suicide attempt.
Question 5 of 5
When the nurse addresses questions to an adult female client who is depressed, the client's responses are delayed. Which intervention should the nurse include in this client's plan of care?
Correct Answer: C
Rationale: Spending time in silence with the client can create a safe and supportive environment, allowing the client to communicate at her own pace without feeling pressured. Exercise, describing depression, or observing for psychosis do not directly address delayed responses.