HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 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.
Question 2 of 5
The occupational health nurse is working with an employee who was just notified that their child was involved in a motor vehicle collision and taken to the hospital. The employee states, 'I can't believe this. What should I do?' Which response is best for the nurse to provide in this crisis?
Correct Answer: D
Rationale: Providing clear, actionable guidance by suggesting transportation to the hospital addresses the urgent need to be with the child. Other responses shift focus to the employee's thoughts or seek information that is less immediately relevant in a crisis.
Question 3 of 5
A client with chronic alcoholism receives a prescription for disulfiram. Which client statement indicates that this medication teaching has been effective?
Correct Answer: B
Rationale: Disulfiram causes severe reactions if alcohol is consumed, so avoiding all alcohol-containing products is essential, indicating effective teaching. Other statements show misunderstandings or are less relevant.
Question 4 of 5
A client with a history of anxiety and depression presents to the emergency department with a headache, nausea, and vomiting. The client's vital signs are temperature 100.9°F (38.3°C), heart rate 115 beats/minute, respirations 21 breaths/minute, and blood pressure 216/108 mm Hg. When reviewing the client's medications, which information is of most concern to the nurse?
Correct Answer: B
Rationale: Phenelzine, an MAOI, can cause a hypertensive crisis when combined with tyramine-rich foods, explaining the elevated blood pressure. Other medications are less likely to cause this acute presentation.
Question 5 of 5
When preparing to administer a domestic violence screening tool to a female client, which statement should the nurse provide?
Correct Answer: C
Rationale: Explaining that screening is routine due to the prevalence of domestic abuse normalizes the process and encourages disclosure. Other statements may assume abuse or feel coercive.