HESI RN
RN Hesi Mental Health Exam 1 Questions
Extract:
Question 1 of 5
The nurse is preparing a client for discharge who has been taking alprazolam long-term for generalized anxiety disorder (GAD). When evaluating the client's grasp of the discharge teaching, which statement made by the client shows an understanding of the most important self-care goal?
Correct Answer: A
Rationale: Understanding the need to avoid abrupt discontinuation of alprazolam is critical to prevent withdrawal symptoms and rebound anxiety. Other statements are relevant but secondary.
Question 2 of 5
A 16-year-old female client is admitted to the psychiatric unit and states that she is depressed and anxious. The client appears frail and is wearing baggy clothes. When it is time for lunch, the client states, 'I can't eat, I'm already overweight.' What is the best response by the nurse?
Correct Answer: C
Rationale: Encouraging the client to express feelings about eating promotes therapeutic communication and explores underlying concerns, likely related to body image. Other responses may escalate distress or invalidate feelings.
Question 3 of 5
A client with obsessive compulsive disorder (OCD) reports feeling 'driven' to check the locks on the front door at least six times every night. Which response is best for the nurse to provide?
Correct Answer: B
Rationale: Asking about thoughts during compulsive behavior helps understand cognitive processes, aiding cognitive-behavioral therapy for OCD. Other responses do not facilitate this exploration as effectively.
Question 4 of 5
During a high school class on substance abuse, a student tells the group, 'If I tried cocaine, I know I could handle it. I know when to stop.' Which response is best for the nurse to provide?
Correct Answer: D
Rationale: Highlighting that cocaine impairs decision-making challenges the student's belief in control, potentially deterring experimentation. Other responses are less direct in addressing this belief.
Question 5 of 5
Two days after being admitted with alcohol withdrawal, a client has constant liquid stools and abdominal cramping. The emesis and stool are hemoccult positive. The client is confused and refusing to take oral medication. Which action should the nurse implement first?
Correct Answer: C
Rationale: Inserting an IV catheter allows for fluid and electrolyte replacement and medication administration, addressing the client's immediate needs due to dehydration and refusal of oral intake. Other actions are less urgent.